ASSISTANT PROFESSOR IN SURGICAL GASTROENTEROLOGY -MEDICAL EDUCATION

PROVISIONAL ANSWER KEY
Question Paper Code: 8/2018/OL
Category Code: 073/2017
Exam: Assistant Professor in Surgical Gasteroenterology
Medium of Question: English
Date of Test 07-02-2018
Department Medical Education
Alphacode A
Question1:-The architect of the preamble of Indian Constitution
A:-Dr. B.R. Ambedkar
B:-Mahatma Gandhi
C:-Jawaharlal Nehru
D:-Lord Mount Battan
Correct Answer:- Option-C
Question2:-The leader of the Guruvayoor Satyagraha
A:-T.K. Madhavan
B:-C.V. Kunjiraman
C:-K.P. Kesavamenon
D:-K. Kelappan
Correct Answer:- Option-D
Question3:-The Wayon tragedy was occurred on
A:-10th November 1921
B:-10th December 1921
C:-10th November 1931
D:-10th December 1931
Correct Answer:- Option-A
Question4:-The social reformer who gave leadership to Kallumalasamaram
A:-Dr. Palpu
B:-Ayyankali
C:-Pandit Karuppan
D:-Sahodharan Ayyappan
Correct Answer:- Option-B
Question5:-The author of ‘Advaitha Chintha Padhathi’
A:-Chattambi Swamikal
B:-Vaikundaswamikal
C:-Sreenarayana Guru
D:-Neelakandateertha Padar
Correct Answer:- Option-A
Question6:-The right to property was excluded from the fundamental right during the tenure of the Government headed by
A:-Charan Singh
B:-Indira Gandhi
C:-Moraji Desai
D:-Rajeev Gandhi
Correct Answer:- Option-C
Question7:-The Constitutional Amendment deals with the anti defection law
A:-55
B:-50
C:-51
D:-52
Correct Answer:- Option-D
Question8:-The Indira Avas Yojana is related to
A:-Rural Development
B:-Rural Housing
C:-Urban Development
D:-Urban Housing
Correct Answer:- Option-B
Question9:-The Temple Entry Proclamation was issued on
A:-1836
B:-1936
C:-1871
D:-1937
Correct Answer:- Option-B
Question10:-The Maharaja of Travancore who abolished all restriction in regard to the dress code
A:-Anizham Tirunal
B:-Ayilyam Tirunal
C:-Uthram Tirunal
D:-Srimoolam Tirunal
Correct Answer:- Option-C
Question11:-The author of ‘Hungry Stones’
A:-Rabeendranath Tagore
B:-Ben Johnson
C:-K.M. Munshi
D:-M.V. Kammath
Correct Answer:- Option-A
Question12:-The Grand old man of Indian Journalism
A:-Rajaram Mohan Roy
B:-Balagangadhar Tilak
C:-Chalapathi Rao
D:-Thushar Gandhi Ghosh
Correct Answer:- Option-D
Question13:-The Article provides protection of life and personal liberty
A:-Article 21
B:-Article 22
C:-Article 23
D:-Article 24
Correct Answer:- Option-A
Question14:-The scheme introduced by the Central Government with the aim of reducing the neonatal or maternal deaths
A:-DWCRA
B:-TRYSEM
C:-Jananisuraksha Yojana
D:-Sawasthiya Bhima Yojana
Correct Answer:- Option-C
Question15:-The portfolio atomic energy comes under
A:-State list
B:-Union list
C:-Concurrent list
D:-Supreme Court
Correct Answer:- Option-B
Question16:-The National Judicial Academy is located at
A:-Pune
B:-New Delhi
C:-Banglore
D:-Bhopal
Correct Answer:- Option-D
Question17:-The first secretary of SNDP Yogam
A:-Dr. Palpu
B:-Sreenarayana Guru
C:-C. Kesavan
D:-Kumaranasan
Correct Answer:- Option-D
Question18:-The Right to Information Act is came into force on
A:-2003 October 12
B:-2004 October 12
C:-2005 October 12
D:-2006 October 12
Correct Answer:- Option-C
Question19:-The Constitution of India was adopted by the constituent assembly on
A:-26th November 1949
B:-26th January 1950
C:-15th August 1947
D:-14th August 1947
Correct Answer:- Option-A
Question20:-The idea of fundamental rights has been taken by the constitution of
A:-U.S.S.R
B:-U.S.A
C:-France
D:-U.K
Correct Answer:- Option-B
Question21:-In cell division cycle, replication of DNA occurs in the
A:-G1 phase
B:-G2 phase
C:-S phase
D:-M phase
Correct Answer:- Option-C
Question22:-The three morphologic patterns of serous cystadenoma are the following except
A:-Polycystic
B:-Macrocystic
C:-Oligocystic
D:-Honeycomb
Correct Answer:- Option-B
Question23:-“Typical” patient of acute mesenteric ischaemia is characterised by the following except
A:-Woman on OC pills
B:-Intermittent atrial arrhythmia
C:-Peripheral artery disease
D:-Flat, scaphoid abdomen
Correct Answer:- Option-A
Question24:-Layers of oesophageal wall are the following except
A:-Mucosa
B:-Submucosa
C:-Muscularis propria
D:-Serosa
Correct Answer:- Option-D
Question25:-In a preexisting malignancy, liver transplantation is advisable if the predicted recurrence rates is __________
over the next 2 years.
A:-Nil
B:-Less than 5%
C:-Less than 10%
D:-Less than 12%
Correct Answer:- Option-B
Question26:-In TNM staging for colorectal cancer; tumor deposit in the mesentery, without regional nodal metastasis is
A:-N1c
B:-N2b
C:-M1a
D:-M1b
Correct Answer:- Option-A
Question27:-The incidence of carcinoid syndrome in neuroendocrine tumors is
A:-10% to 20%
B:-50%
C:-60% to 71%
D:-100%
Correct Answer:- Option-A
Question28:-Takayasu disease is a cause for
A:-Acute mesenteric ischaemia
B:-NOMI
C:-Chronic mesenteric ischaemia
D:-Mesenterc venous thrombosis
Correct Answer:- Option-C
Question29:-Primary nonfunction after liver transplantation means severe graft dysfunction within
A:-24 hours
B:-48 hours
C:-7 days
D:-14 days
Correct Answer:- Option-C
Question30:-The most common indication for splenectomy is
A:-Trauma
B:-Hypersplenism
C:-ITP
D:-Primary splenic tumors
Correct Answer:- Option-A
Question31:-Inside the gallbladder, pH of the entering hepatic bile
A:-Gets neutralised
B:-Remains same
C:-Increases
D:-Decreases
Correct Answer:- Option-D
Question32:-Collar of helvetius is seen at the
A:-Ileo-caecal junction
B:-Oesophage-gastric junction
C:-Duodeno-jejunal flexure
D:-Splenic flexure of colon
Correct Answer:- Option-B
Question33:-The following are the surgical procedures for small bowel syndrome except
A:-LILT
B:-STEP
C:-IOWA
D:-IPOM
Correct Answer:- Option-D
Question34:-Rome criteria can be used for
A:-HNPCC
B:-Ulcerative colitis
C:-Fecal incontinence
D:-Carcinoma colon
Correct Answer:- Option-C
Question35:-Meissner’s plexus are located in the ____________ of oesophagus.
A:-Mucosa
B:-Submucosa
C:-Muscularis propria
D:-None of the above
Correct Answer:- Option-B
Question36:-Nonsurgical causes of acute abdomen include the following except
A:-Uremia
B:-Addisonian crisis
C:-Sickle cell crisis
D:-Ruptured ectopic pregnancy
Correct Answer:- Option-D
Question37:-The most common presentation of Peutz-Jeghers syndrome is
A:-Abdominal pain
B:-Hypermelanotic macules
C:-Anemia
D:-Blood in stools
Correct Answer:- Option-A
Question38:-Notaras procedure is
A:-Closed sphincterotomy
B:-Excisional hemorrhoidectomy
C:-Complete prolapsed rectum
D:-Delayed fistulotomy
Correct Answer:- Option-A
Question39:-Thoracic duct drains normally into
A:-Cysterna Chyli
B:-Azygos vein
C:-Right subclavian vein
D:-Left subclavian vein
Correct Answer:- Option-D
Question40:-Lower oesophageal resting pressure can be decreased by all except
A:-Progesterone
B:-Glucagon
C:-CCK
D:-Motilin
Correct Answer:- Option-D
Question41:-Milwaukee classification system is for
A:-Carcinoma stomach
B:-Sphincter of oddi dysfunction
C:-Ulcerative colitis
D:-Barrett’s oesophagus
Correct Answer:- Option-B
Question42:-Downhill varices are seen due to
A:-Cirrhosis liver
B:-Left sided portal hypertension
C:-Superior vena caval obstruction
D:-Inferior vena caval obstruction
Correct Answer:- Option-C
Question43:-Normal embryological midgut rotation is
A:-180-degree clockwise around SMA
B:-180-degree counter clockwise around SMA
C:-270-degree clockwise around SMA
D:-270-degree counter clockwise around SMA
Correct Answer:- Option-D
Question44:-The status ‘rTNM’ indicates
A:-Post radiotherapy
B:-Recurrence
C:-Rare tumour
D:-Radical surgery
Correct Answer:- Option-B
Question45:-The stimuli for gastrin release include the following except
A:-Acidic pH
B:-Acetylcholine
C:-Calcitonin
D:-Luminal peptides
Correct Answer:- Option-A
Question46:-Following are the techniques for percutaneous endoscopic gastrostomy (PEG) except
A:-Witzel
B:-Ponsky-Gauderer
C:-Sacks-Vine
D:-Russell
Correct Answer:- Option-A
Question47:-Prague C and M criteria is for
A:-Asymptomatic gall stones
B:-Barrett esophagus
C:-Chronic pancreatitis
D:-Diverticulitis
Correct Answer:- Option-B
Question48:-The type of pancreatic NET with highest incidence of malignancy is
A:-Insulinoma
B:-Glucogonoma
C:-Somatostatinoma
D:-Nonfunctioning
Correct Answer:- Option-D
Question49:-“Cotton wool” appearance in angiography is characteristic of
A:-Haemangioma
B:-Hepatic adenoma
C:-Focal nodular hyperplasia
D:-NET metastasis
Correct Answer:- Option-A
Question50:-SAGES recommendations for antireflux surgery in GERD are the following except
A:-Failure of medical management
B:-Patient opts for surgery
C:-Malignant transformation
D:-Extraesophageal manifestations
Correct Answer:- Option-C
Question51:-Gross’s classification is for
A:-Carcinoma colon
B:-Anorectal malformations
C:-Carcinoma stomach
D:-Congenital esophageal abnormalities
Correct Answer:- Option-D
Question52:-IPOM repair is done for
A:-Achalasia cardia
B:-Duodenal atresia
C:-Hirschsprung disease
D:-Inguinal hernia
Correct Answer:- Option-D
Question53:-Intrinsic factor is secreted by _____________cells in the stomach.
A:-Chief cells
B:-Parietal cells
C:-G cells
D:-D cells
Correct Answer:- Option-B
Question54:-The most common presentation of Meckel diverticulum in adults is
A:-Diverticulitis
B:-Haemorrhage
C:-Obstruction
D:-Perforation
Correct Answer:- Option-C
Question55:-Type IV ulcer in the modified Johnson classification of gastric ulcers means
A:-Combined gastric and duodenal
B:-Juxtoesophageal
C:-Prepyloric
D:-Drug induced
Correct Answer:- Option-B
Question56:-As per the Forrest classification for risk of rebleeding, an ulcer with a nonbleeding visible vessel means
A:-Grade I a
B:-Grade I b
C:-Grade II a
D:-Grade II b
Correct Answer:- Option-C
Question57:-Gastrinoma triangle is bounded by these lines except
A:-Lower border of liver
B:-Cystic duct and CBD junction
C:-Second and third part of duodenum
D:-Head and neck of pancreas junction
Correct Answer:- Option-A
Question58:-The most frequent type of bezoars is
A:-Trichobezoars
B:-Phytobezoars
C:-Pharmacobezoars
D:-Lactobezoars
Correct Answer:- Option-B
Question59:-Following are the actions of Cholecystokinin (CCK) except
A:-Inhibits gallbladder contraction
B:-Relaxation of sphincter of oddi
C:-Slows intestinal transit
D:-Inhibits gastric emptying
Correct Answer:- Option-A
Question60:-Plicae circulars is seen in
A:-Gastro-oesophageal junction
B:-Small bowel
C:-Rectum
D:-Cystic duct
Correct Answer:- Option-B
Question61:-The most prevalent immunoglobulin in the human body is
A:-IgA
B:-IgG
C:-IgM
D:-IgE
Correct Answer:- Option-A
Question62:-Paneth cells play an important role in the
A:-Fibrosis of liver parenchyma
B:-Exocrine function of pancreas
C:-Mucosal immune system of small bowel
D:-Reservoir function of spleen
Correct Answer:- Option-C
Question63:-The pro-secretory hormones of small bowel include the following except
A:-Vasoactive intestinal peptide
B:-Peptide YY
C:-Substance P
D:-Cholecystokinin
Correct Answer:- Option-B
Question64:-Cambridge classification is for
A:-Acute pancreatitis
B:-Chronic pancreatitis
C:-Acute liver failure
D:-Chronic liver failure
Correct Answer:- Option-B
Question65:-Carney triad consists of the following except
A:-Carcinoid tumour
B:-GIST
C:-Paraganglioma
D:-Pulmonary chondromas
Correct Answer:- Option-A
Question66:-The most common site of genetic mutation of KIT is found within
A:-Exon 7
B:-Exon 9
C:-Exon 11
D:-Exon 17
Correct Answer:- Option-C
Question67:-Commonest cause of mesenteric venous thrombosis is
A:-Ideopathic
B:-Hypercoagulable states
C:-Congestive heart failure
D:-Intraabdominal malignancy
Correct Answer:- Option-B
Question68:-The GI lymphoma most commonly associated with H. Pylori infection is
A:-Diffuse large B-cell lymphoma
B:-Burkitt lymphoma
C:-Enteropathy-type T-cell lymphoma
D:-MALT lymphoma
Correct Answer:- Option-D
Question69:-The technique of reduction of intussusception using hydrostatic pressure was first described by
A:-Harald Hirschsprung
B:-Jonathan Hutchinson
C:-Mall and Ladd
D:-Drummond
Correct Answer:- Option-A
Question70:-The most common visceral aneurysm occurs in
A:-Cystic artery
B:-Hepatic artery
C:-Splenic artery
D:-Middle colic artery
Correct Answer:- Option-C
Question71:-Which among the following is not a stricturoplasty technique?
A:-Jaboulay
B:-Heineke-Mikulicz
C:-Michelassi
D:-Kimura
Correct Answer:- Option-D
Question72:-Triangle of Laimer is located at the
A:-Upper end of oesophagus
B:-Lower end of oesophagus
C:-Near the ileocaecal valve
D:-At the porta hepatis
Correct Answer:- Option-A
Question73:-These have great personalities have won the Noble Prize except
A:-Alexis Carrel
B:-Medawar
C:-Joseph E. Murray
D:-Thomas E. Starzl
Correct Answer:- Option-D
Question74:-The risk for malignancy in IPMN maximum in
A:-Branch duct IPMN
B:-Main duct IPMN
C:-Mixed type IPMN
D:-Focal IPMN
Correct Answer:- Option-B
Question75:-The type of pancreatic cystic neoplasm characterized by presence of ovarian stroma is
A:-Serous cystic neoplasms
B:-Mucinous cystic neoplasms
C:-IPMN
D:-All of the above
Correct Answer:- Option-B
Question76:-In a standard whipple procedure, lines of resection are at the following levels except
A:-2 cm distal to the pylorus
B:-Neck of the pancreas
C:-Juct above cystic duct-CBD junction
D:-30-40% of distal stomach
Correct Answer:- Option-A
Question77:-The most common benign biliary tumor is
A:-Papillomas
B:-Lipomas
C:-Cystadenoma
D:-Leiomyomas
Correct Answer:- Option-A
Question78:-Edmonton protocol is for
A:-Liver transplantation
B:-Small bowel transplantation
C:-Multiorgan transplantation
D:-Islet transplantation
Correct Answer:- Option-D
Question79:-The most common anomaly of formation of the gallbladder is
A:-Bilobed gallbladder
B:-Diverticulum of the gallbladder
C:-Phrygian cap
D:-Rudimentary gallbladder
Correct Answer:- Option-C
Question80:-As per the Todani classification involvement of intra and extrahepatic bile duct is
A:-Type II
B:-Type III
C:-Type IV
D:-Type V
Correct Answer:- Option-C
Question81:-Extended criteria for deceased donor liver transplantation include the following except
A:-Age < 65 years B:-Hepatitis C positive C:-Steatosis D:-Non-heart-beating donor Correct Answer:- Option-A Question82:-A "triangle cord sign" found on ultrasound indicates A:-Chronic pancreatitis B:-Budd-Chiary syndrome C:-Biliary atresia D:-Splenic vein thrombosis Correct Answer:- Option-C Question83:-The classic clinical triad of Budd-Chiari syndrome include the following except A:-Abdominal pain B:-Jaundice C:-Hepatomegaly D:-Ascites Correct Answer:- Option-B Question84:-Primary Sclerosing Cholangitis is associated with all except A:-Crohn's disease B:-Ulcerative colitis C:-Acute pancreatitis D:-Riedel thyroiditis Correct Answer:- Option-C Question85:-Portopulmonary hypertension is defined as the mean pulmonary arterial pressure above A:-20 mm Hg B:-25 mm Hg C:-110 mm Hg D:-120 mm Hg Correct Answer:- Option-B Question86:-Factors associated with poor outcome in amoebic liver abscess are the following except A:-Solitary abscess B:-Hypoalbuminemia C:-Serum bilirubin above > 3.5 mg/dL
D:-Anemia
Correct Answer:- Option-A
Question87:-The following are correct regarding the sphincter of Oddi except
A:-Normally it is less than 1 cm in length
B:-Contains both circular and longitudinal fibers
C:-Composed of four sphincters
D:-Functions in synchronously with the surrounding duodenal musculature
Correct Answer:- Option-D
Question88:-Commonest cause of true splenic cyst
A:-Congenital
B:-Post traumatic
C:-Echinococcus granulosus
D:-Vascular
Correct Answer:- Option-C
Question89:-Fold of treves is located at
A:-Pylorus
B:-Rectosigmoid junction
C:-Duodeno-jejunal flexure
D:-Base of the appendix
Correct Answer:- Option-D
Question90:-Following are the names of surgical procedures for prolapse rectum except
A:-Martius
B:-Altmeier
C:-Delorme
D:-Ripstein
Correct Answer:- Option-A
Question91:-Extraabdominal presentations of diverticulitis include the following except
A:-Osteomyelitis
B:-Pyoderma gangrenosum
C:-Uveitis
D:-Epididymitis
Correct Answer:- Option-C
Question92:-In portal hypertension variceal bleeding rarely occurs until portal pressure exceeds
A:-12 mm Hg
B:-15 mm Hg
C:-8 mm Hg
D:-10 mm Hg
Correct Answer:- Option-A
Question93:-Ogilvie syndrome is in
A:-Acute colonic pseudoobstruction
B:-Colonic polyposis syndrome
C:-Pelvic floor dysfunction
D:-Type III colonic atresia
Correct Answer:- Option-A
Question94:-Criminal nerve of Grassi is a branch of
A:-Anterior vagus N
B:-Posterior vagus N
C:-Right recurrent laryngeal N
D:-Left recurrent laryngeal N
Correct Answer:- Option-B
Question95:-Radiographic features characteristic of Crohn colitis include the following except
A:-Skip areas
B:-Pseudodiverticula
C:-Pseudopolyps
D:-Rectal ulcers
Correct Answer:- Option-D
Question96:-Most common postoperative complication seen after IPAA is
A:-Small bowel obstruction
B:-Pouchitis
C:-Cuff abscess
D:-Anastomotic leak
Correct Answer:- Option-A
Question97:-Collis gastroplasty is for
A:-Pyloric stenosis
B:-Oesophageal lengthening
C:-Morbid obesity
D:-Dumping syndrome
Correct Answer:- Option-B
Question98:-Spigelman staging is for
A:-Desmoid
B:-Duodenal adenomas
C:-Hepatoblastoma
D:-Osteoma in FAP
Correct Answer:- Option-B
Question99:-Most common type of gastric volvulus is
A:-Primary
B:-Mesenteroaxial
C:-Organoaxial
D:-Mixed
Correct Answer:- Option-C
Question100:-Valves of Heister are found in the
A:-Rectum
B:-Appendix
C:-IIeocaecal region
D:-Cystic duct
Correct Answer:- Option-D