Surgery - MCQ - 3rd - BHMS - (Old, New, 2015) [PDF]

Zitiervorschau

SR NO.

QUESTION

SURGERY- I = GENERAL SURGERY & SYSTEMIC SURGERY 1 2 3 4 5 6 7

Syphilitic chancre previously called……… syphilis is caused by which organism? Which of the following syphilis remains symptom less serum tests are always positive? It causes early and severe deformity but localised. HIV devasts the following systemWhich kind of cells attacked by HIV? What is the best way to protect against HIV?

8

Depletion of the ……….. Antibody containing jejunal and rectal plasma cells and results in risk of cancer development HIV Positive patient die because of …………

9

10 Less extensive HIV wart infection can be controlled by application of…………. 11 a bail is a bacterial skin infection characterized by a painful hard pus filled lesion what type of bacteria causes boils and 12 what is the common site of boils? 13 which boil subsides without suppuration 14 Blind boil of eyelash follicle is 15 which disease should be excluded if boils are recurrent 16 Once the diagnosis has been made the decision to operate becomes self evident on asis of ………. 17 In the study of surgery it is essential to understand, the anatomy physiology and ………. Of disease as well as its natural history. 18 Which is the single most important part of making diagnosis in the process of surgery 19 Which type of pain is due to waves of contraction and comes in all size patterns 20 Which of the following point is cansider in the history of pain 21 shifting pain 22 Referred pain is due to visceral new impulse stimulating which nerve pathway of same dermatome 23 24 25 26 27 28

Pain aggravated by voalling and relieved by rest can be Causes of pain full lumps are which cortland affect the skin surface by tethering it If the pain is absent consideration shoukd be given to the uker being ………… in origin a………… is atract lined by granutaln tissue connecty to an epithelial surface Acoording to source of haemorhage, it moybe ………..

29 which of the the follwing are the examples of internal Hoemottage? 30 The normal blood volume is aout……….. Ml of the whole blood per kg body weight 31 The normal value pf Haemoglobin is about………. Per 100ml 32 Which of the following about reactionary Haemorrhage is false?

33 Clinical features of acute blood loss are …….

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OPTION A

B

C

CORRECT OPTION

D

Bright chancre Leptospira Latent syphilis Tuberculoid leprosy Renal system RBC Vaccination

koch chancre Pneumococci Primary syphilis Lepromatous Leprosy Circulatory system WBC called T cells Use of birth control pills

hunterian chancre Treponema pallidum Tertiary syphilis Both above Central nervous Platelets a and b

none of the above streptococci Congenital syphilis None above Immune system system Epithelioid cells Prevention

C C A A D B D

Ig A

Ig M

Ig E

Ig G

A

Decrease CD4 cell count Decrease B Cells

Decrease platelet count

Increase antibody

A

Gentamycin streptococcus

Podophyllin meningococcus

Neomycin pneumococcus

None of the above staphylococcus

B D

thighs and legs septic boil conjunctivitis pneumonia Experience

arm and forearm blind boil blepharitis tuberculosis Knowledge

back and neck a and b stye diabetes Evidence based surgery

chest and abdomen none of above iritis none of above none of above

C B C C C

pathology

prognosis

microbiology

none of above

A

knowledge of disease colic pain sevesity referred pain somatic afferent pathway

history radiating pain onset local pain somatic efferent pathway

experience of surgeon referred pain location radiating pain a and b

risk oaving pain sensation diffuse pain none of above

B A A A B

clowdition Trauma and infection Breasl ca nairopathic sinus External and internal

colic pain only infection Bone srwmd vaswler base Arterial and venous and capillary Ruptured spleen and liver 110 ml 12-16 grm It is usually caused by dislodgement of clot

radiating pain malignonny visllm's tumour muscular fistula Both above

referred pain none of above econg's sarcomd superfulial nane of above None of these.

A A A A A C

Ruptured ectopic gestation 50 ml 10-14 grm It is not associated with infecton

all of these

D

130 ml 13-15 grm Slipping of Ligature

A B C

decreased pulse rate

High blood pressure

Increased urlnary output

A

Bleeding peptic ulcers 80 ml 14-18 gram This is delayed Haemorrhage occuring within 24 hrs after opration Increased pulse Rate

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34 Chronic blood loss leads to: 35 ……….. is one of the essential component of Haemostasis 36 The most common congenital abnormality of Haemostasis is ……….. 37 …….. Of blood is taken in a sigle bag of blood collection for thansfusion. 38 In case of haemorrhage from varicose vein the footened of bed is raised this position is know as ……. 39 Water excreted by the body by all the following routes except 40 Which kind of patient commonly show extracellular fluid defucit? 41 which sustem show early manifestation of water deficil?

42 In which pathological condition volume excess occur 43 44 45 46 47 48

Syphilitic Ulcers circular, well defined edges, surrounded with coppery Hue When the best selected remedy fails to relieve or permanently improve in syphiltic affections syphilitic infection of the bone………. skin is uniform smooth shining scarlet redness In disease where suppuration seems inevitable ……. May open abscess and Hastens cure In bone diseases pains worse at night glandular swellings with or without suppuration suppuration be too profuse 49 blood boils ; carbuncles; fistula, painful, offensive high spongy edges 50 bails coming in crops in various parts of body or a single bail is succeeded by another as soon as first is healed 51 Trios of pain are 52 Nose bleed when menses should appear, 53 Nose bleed when washing the face 54 Deficient Capillary circulation, blueness of skin, desire to be constantly fanned 55 Treatment of cold abscess is….. .. 56 The ideal treatment for carbuncle is …. 57 Following are true in pyaemic abscess except……

58 Following are true for carbuncle except…..

59 60 61 62

Chronic scar can change into….. Platelet aggregation occurs in following phase of wound healing….. Factors responsible for delayed wound healing are…. Following are true for keloid except…..

63 Following are true for erysipelas except…..

64 Tubercular sinuses in neck- following are true except…. 65 Following are features of healing ulcer except….

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Macrocytic Hypochromoc WBC Haemophilia

Ruta graveolens mercurius sokunilis aurum metallicum berberis vulgaris calendula baptisia

Microcytic Hypochromic Normacytic Normochromic RBC Platelet Christanas disease Von Willebrand's Disease 610ml 410ml Anti-Trendelenburg Both above position skin and lungs faces a and b surgical patient cardiovascular system central neruous system and cardiovascular system secondary to renal a and b insufficiency Mercury Arnica Montana mercurius dulcis mercurius sulphuricus arsenic album antimonium crudum bismuth belladonna ruta graveolens euphrasia gelsemium mercurius

silicea hepar sulphur

spigelia calendula

510 ml Trendelenburg position urine non-surgical patient excretory system and central nervous system glormerulonephritis

calendula ruta graveolens

awrite coffea chamorilla rhus tx bryonia pulsatilla arsenle allwm awite rhusbx Carbo veg Bismuth Bryonia Thuja ammonium carb hepar sulph Carbo veg Excision

Bryonia Incision and drainage

Drainage Incision and drainage Usualy they are multiple They are deep to deep fascia Nape of the neck is commonest site

B C A

none above none above

C A

nostrils none of above gastrointestinal system

D C C

none of above

B

Hypericum syphilinum arnica montana arnica hepar sulphur thuja

B D A C D C

none of above sulphur

B D

none of above

A

Lachesis arsenic album

C B

Bismuth Marsupialisation

Lachesis Non dependant aspiration Excision Aspiration Diagnostic feature is high It occurs due to pyaemic local rise in temperature process

Rose pink rash is common

Cribriform appearance is Abscesses are not diagnostic communicating with each other Marjolins ulcer Meleneys ulcer Proliferative Remodelling Anaemia Steroid use It continues to become It does not give rise to worse even after several itchig years Circular lymphangitis is Pinna never gets affected an important component in fascial erysipelous

Usualy multiple

Edge is bluish in colour

Serous discharge

Sloping edge

Martorells ulcer Inflammatory Obesity It extends into normal skin

Macrocytic Normochromic All above All above

Induration is very characteristic Slough is abscent

A D C C

Staphylococcus is the commonest organism

C

Malignant melanoma Scar formation phase All of the above It recurrs often after excision

B A D C

It is caused by streptococcus pyrogenes

C

Jugulodiagastric nodes are commonly affected Signs of inflammation are present

C C

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66 Characteristic feature of veyous ulcer in leg is …. 67 Following are true for tropical ulcer except…. 68 Gummatous ulcer has following features except …. 69 Sinus means…..

70 Cardinal features of cold abscess are as follows except 71 Ideal solution to wash the wound is …. 72 Hiltons method of incision and drainage is used for treatment of …

73 Following are true in venous ulcers except….

74 Risk factors for dibetic foot ulcers are…. 75 undermined edges are seen in case of ….. 76 Following are examples of arterial ulcers except…. 77 Causes of persistence of a sinus or fistula … 78 Carbuncle is … 79 Furuncle painful, hot shining, swelling with inflammation round the base is seen in.. 80 Intence burning in the seat of carbuncle with restlessness and great anxiety is seen in… 81 Erysipalatous redness around the carbuncle with burning fever,thirst ,anxiety,delerium and profuse perspiration is seen in... 82 Chronic suppuration is best treated with…. 83 Violently bleeding ulcers with stinging pain as from splinters is seen in…. 84 Ulcers sensative ,burning to touch , bleeding easily ,syphillitic,phlebitic is seen in… 85 Injuries of long standing , concussion and contusion with sore , lame ,bruised feeling is seen in… 86 Remedy for lacerated wounds and promotes healthy granulation is … 87 A very usefull remedy in injuries to coccyx during labour is …. 88 Clean cut wounds are best treated with …. 89 Black eye from blow of the fist is seen in … 90 Injuries and Bruises of glands ,specially of mammary gland is seen in… 91 Injuries of ligaments ,sprains ,over-exertion,of single muscle or group of muscles is seen in .. 92 Injuries to bone,as bruises of bones or fractures indicates….. 93 Inflammation of ganglia on wrist, strains of tendons,aggravation by damp weather is seen in …. 94 Best remedy for punctured wounds, insect bites and stings is….. 95 Carbuncles with burning pain and offensive discharge; coldness of the part and desire to be fanned is seen in …. 96 Following remedy is called as surgens knife…. 97 Chronic tendency to furuncles with stinging , burning pain is seen in … 98 Ulcers , varicose, easily bleeding , syphillitic especially in old people with feeble reaction is seen in … 99 Swelling containning fluid in the sac usually but not always lined by epithelium or endothelium is known as

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Deep painfull ulcer

Penetrating ulcer with visible bone It is caused by Vincents It is also an example of organism phagedenic ulcer Commonly seen in Floor has wash leather Healing results in subcutaneous tissue slough hypertrophic scar Abnormal Blind track from surface Discontinuity in skin or communication between down to tissues mucous membrane two hollow viscus

Ulcer on dorsum of foot

B

It has punched out edges

B

It has punched out edges

C

Forcible solution of skin or mucous membrane

B

Pain less Saline Abscess situated in the vicinity of important structure like nerve and vessels Very painfull

Uncontrolled blood glucose levels Tuberculous ulcers Burgers diesease

Superficial ulcer with pigmentation around Minimal inflammation

Tuberculous in origin Betadine Sinuses

Caseation Hydrogen peroxide Fistula

Redness Eusol Ulcers

D A A

Commonly present on meadial and lateral side of leg Peripheral neuropathy

Single and oval

Pigmentation is usually present

A

All of the above

D

Tropic ulcers Marjolins ulcer

A D

All of the above

D

Smoking and hypertension Gummatous ulcers Healing ulcers Atherosclerotic vascular Martorells ulcers diesease Presence of foreign body Persistent infection Malignancy Infective gangrene of subcutaneous tissue Belladona Arsenicum alba Tarentula cubensis

Hair follicle infection

Swelling cotaining fluid

A

Hepar sulph Carbo veg Rhus tox

Localised collection of pus Silicea Belladona Apis

Nitric acid Sulphur Silicea

A A A

Silicea Nitric acid Lachesis Arnica Hypericum Rhuta Staphysagria Ledum pal Conium Rhus tox Ruta Ruta Ledum pal Carbo veg

Arnica Kreosote Nitric acid Bellis per Silicea Symphytum Ledum pal Ruta Lachesis Sulphuric acid Symphytum Arnica Arnica Apis

Carbo veg Thuja Hydrastis Calendula Bellis per Hypericum Symphytum Rhus tox Phytolacca Symphytum Arnica Staphysagria Ruta Tarentula cubensis

Sulphur Carbo veg Sulphuric acid Rhus tox Calendulla Staphysagria Rhus tox Bellis per Calendula Arnica Rhus tox Ledum pal Bellis per Hepar sulph

A A A A D C A A A A B A A A

Silicea Apis Carbo veg Cyst

Arnica Calendula Lachesis Boil

Mercurious Arsenicum alba Arsenicum alba Carbuncle

Nitric acid Sulphur Mercurious Ulcer

A A A A

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100 Which of the following does not fall under classification of cyst 101 In cyst like sebaceous or dermoid the nature of accumulative content is 102 103 104 105 106

Dermoid cyst is _____ Following are the commonest site of sequestration dermoid EXCEPT Following are the commonest site of sebaceous cyst EXCEPT Condition called cock's peculiar tumor is observed in _________ cyst Which of the following cyst resembles the "Belly of Small frog"

107 108 109 110 111 112 113

Which of the folowing mysentric cyst is Tuberculous in origin Which of the following mesentric cyst is not the type of embryological cyst Hydatid cyst in a man is caused by ________ cestode _____ is the commonest site (80%) for Hydatid Cyst Casoni's intra-dermal test is a diagnostic test for ______ Venereal wart is also known as ______ Corn is clinically characterized by following features EXCEPT

114 Warts seen on sloes are called as 115 Epidermoid Carcinoma is also known as 116 Features suggesting of malignant change in a benign mole are all EXCEPT 117 118 119 120 121 122 123 124 125 126 127 128

Universal tumor is a term used for _____ "Slip sign" is characteristic feature of No gross pathological changes are seen in 2 period of unconciousness with an intervenning period of full conciousness is called as _______ In extr-dural haemorrhage source of bleeding is from _______ and rarely a vein Paradoxical respiration is seen in _______ Traumatic haemothorax source of blood may come from all EXCEPT Complication of Rib fracture in which air infiltrates into subcutaneous tissue is called as _______ Air in the pleural cavity is known as Collection of thick pus usually localized in pleural cavity is known as ________ Choice of site for Rib Resection is in ______ space Choice of treatment of acute empyema thorasis is

129 After traumatic injuries _______ is disposed to cerebral congestion 130 Sinking sensation, state of effusion in hydrochephalous. Headache culmnates into vommiting , complete unconciouseness 131 Head turned or twisted to one side. Cerebrospinal meningitis convulsions from concussion of brain 132 Mental traumatism, mental effects from injuries to head chronic brain effects of blows and falls 133 various kind of pain and soreness as if bruised in sternum, ribs, intercostal spaces, in wet stormy weather 134 exudation in pleura. Hydrothorax, hacking cough, cough often ends in a sneez, rattling in chest in old people. 135 Empyma - pus forming in the lung and pleural cavity, mucous discharges are yellow, thick and lumpy 136 Acute hydrocephalus, with open sutures; stupor, sight of one eye lost, constant and voluntary motion of one arm and one leg 137 Warts with one pains; flat, smooth on palms of hands 138 Gumboils with hard swelling on the jaw present in139 Tumours in general. Bone necrosis. Osterosarcoma, gum abscess, used in exostosis 140 Sycotic dyscrasia with warts like excrescences upon mucous and cutaneous surfaces, tubercle, warts, epithelioma, carbuncle

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True cyst False cyst Brownish toothpaste like Charcoal crystal

Inflammatory cyst Cholesterol crystal

Congenital cyst Grey toothpaste like

C D

Cutaneous Breast Scalp Hydatid cyst Sublingual dermoid cyst

Subcutaneous Outer canthi of eye Palm Dermoid cyst Ranula

Epidermal Post auricular Face Sebaceous cyst Mucous cyst

Endodermal Skull Scrotum Mucous cyst Sebaceous cyst

C A B C B

Embryological cyst Chylolymphatic cyst T-Ecchynococcus Liver Mucous cyst Infective wart A horny induration of skin Plantar warts Squamous cell carcinoma

Traumatic cyst Urogenital cyst T-saginata Kidney dermoid cyst Senile wart Occurs at site of undue pressure Palmar warts Basal cell carcinoma

Inflammatory cyst Dermoid cyst T-solium Muscle Hydatid cyst Non-infective Sometimes painful

Paracytic cyst Sebaceous cyst T-pisiformis Bone Sebaceous cyst Papilloma acuminata Infective in origin

C D A A C D D

Scalp Melanoma

Labial Sarcoma

A A

Rapid increase in size

D

Neurofibroma Fibroma Celebral palsy Delirium Meningeal artery Bronchiactesis Big vessels and heart Erysipelous Haemopneumothorax Hemopneumothorax 8th intercoastal space Palliative desection

C A B C D B B A B A D C

Calendula Helleborus

Arnica Cicuta V

Itching which results in erosion and ulceration Lipoma Dermoid cyst Cerebral lacertion Lucid interval Basillar artery Chronic bronchitis Injured lung Cellulitis Chylothorax Haemothorax 4th intercoastal space Elimination of dead space of cavity Phosphorus Opium

Signs of inflammation

Fibroma Lipoma Cerebral contusion Hallucination Cerebral artery Stove in chest Intercoastal vessel Surgical emphysema Hemothorax Empyema thorasis 7th intercoastacl space Raical Resection of

Increase in intensity of pigmentation Myoma Sebaceous cyst Ceberal concussion Delirium Vertebral artery Flial chest Oesophagus Emphysema Pneumothorax Pneumothorax 5th intercoastal space Peumonectomy

Ledum-pal Zincum

B A

Cuprum M Mag-carb causticum

Cicuta V Arnica arnica

Phosphorus Nat-sulph ranunculus B

Arnica Cicuta ledum-pal

B C C

rhust tox

lycopodium

sulphur

senega

D

Belladona Apocynum cannabinum

Arsenic Belladona

Calc sulph Cicuta

Sanguinaria Cal carb

C A

Arnica Cactus Cal flour Sulphur

Baryta carb Cantharis Hecla lava Lycopodium

Podophyllum Apis Kreosotum Thuja

Ruta Cal flour Syphlinum Pulsatilla

D D B C

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141 Glandular induration of stony hardness, of mammae in person of cancerous tendency after bruises and injury of glands 142 Empyema, pus forming in the lung or pleural cavities, purulent sanious expectoration 143 Senile emphysema, cramp, ringing cough, short breath, catching at throat 144 Emphysema with excessive dyspnoea and cough much mucous secretion worse on eating and lying down 145 Pleurisy especially of left side with exudation and pericarditis with effusion, sense of weakness 146 Emphysema, much opperession in breathing, worse after any effort and entering warm room or ascending even few steps 147 Enlarged glands, acts on the glandular system, engorging and indurating it, alternating its structure like scrofulous and cancerous conditions 148 Enlargement and induration of glands especially cervical, lipoma, sarcoma, carcinoma, pruritis. 149 The shock which is due to loss of intravascular volume is 150 Chest Injuri may leads to contusion of theheart C may cause failure of pump resulting in 151 In ..... Shock in early stages cardiac output increases but vascular resistance decreases due to dialted cutaneous arteriovenous stunts. 152 Type of inflamtion of the skin which can be regradedas burn is 153 In ..... Shock in early stages cardiac output increases but vascular resistance decreases due to dialted cutaneous arteriovenous stunts. 154 Simply hyperaemia of the skin with slight odema of the epidermis is seen in ...... Burn 155 An abrupt fall in the eosinophil count during the first ..... Hrs is very characteristic of burns 156 Vesiculation in the hallmark of ...... Brun 157 Painless, slowly growing, solidary leemps in the breast is the common presentation of 158 About ...... ml of fluid is secreated daily in the bowel lumen as digestive juices. 159 In dehydration the level of plasma constituents are 160 The effect if salt depletion is a reduction in the volume of ..... Fluid coat cellular dehydration 161 Compensation for respirotary acidosis is brought about by 162 The status requirement to maintain the normal PH of blood is 163 Compensation for metabolic acidosis is brought rapidly by 164 scattered burns are totalled by .... Rule 165 Principally types of skin grafting are 166 In ..... Croitre there are multiple nodules in the thyroids in enlarged 167 The thyroid shows a diffuse enlargment so that condition is returned as 168 Types of thyroiditis are 169 The conditon in which the thyriod tissue is gradually replaced by fibrous tissue is 170 Resection of one lobe of the thyroid means 171 In ..... Goiter the lower pole of nodule is palpable during the act of swallowing 172 Microscopically the parahtyroids contain .... Types of cells 173 Tapping the facial nerve, just infront of the ear, with a percussion hammer, twitching of facial muscles is .... Sign 174 the total volume of parenteral nutrition should be .... m/day 175 In parenteral Nutrition the average protein requirement is ... g/kg/day 176 Hypocalcemia exist when calcium level is < ...... Mg% 177 Hypocalcemia exist when Ca2+ concentration of the ECF is above ........ Mg% 178 Inflammation, induration & enlargement is the fundamental pathogensis of 179 Severe stitches in mammae when nursing 180 Mammae lax & shrunken with or without sexual desire 181 Burns & Scalds > Cold water 182 Goiter hard with sensation of constriction 183 Dry rough scaly slan worse colds scratching 184 Exopthalmic goiter with vertigo 185 Adry, sore spot in throat tickles & Causes cough

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Conium

Calcarea

Thuja

Lycopodium

A

Calc carb Lobelia Inflata Argentum nitricum

Ferrum met Kali carb Ruta

Ledum pal Medorrhinum Aurum met

Calc sulph Belladonna Antim ars

D A D

Cicuta V Lac-can

Antim Ars Gelsemium

Dulcamara Ammon carb

Pulsatilla Bellis per

B C

Lac-can

Thuja

Medorrhinum

Conium

D

Thuja Transmatic Haemotogenic Anaphylactic

Silicea Newrogenic Traumatic Cardiogenic

Lapis Alba Hypovolaemic Cardiogenic Neurogenic

Calc-flour septic Vasogenic septic

C C B D

Dermatitis dermatitis

Radiation burns 3rd

Froslbite 10th

Ordinary burn 5th

B A

Traumatic 6 hrs III rd Degaree Fibroadenoma 5000 ml same Extracellular Lungs 1:10 kideny plam of hand 2 Hyperplastic Hyperplastic Goiter 4 Riedel's thyroiditis Subtotal thyroidectomy substernal 2 Erb's

Ist degree 6 hrs Ist degree Duct-papilloma 8000 ml falls Intracellular Heart 1:20 liver Rule if nine 3 Newrogenic Nodular goiter 2 Hashimoto's disease partial thyroidectomy Pluging 3 Trousseau's

II nd degree 12 hrs Ordinary cabreast 10000 ml raised Both spleen 2:10 lungs middle finger rule 5 Secondary toxic Adenoma 3 tubercular thyrioditis Total thyroidectomy intrathoracic 4 Chvostek's

III rd degree 18 hrs II nd Degree Duct-Carcinoma 3000 ml NOT NOT Kideny 2:15 spleen NOT 1 Nodular Diffuse totic None NOT Hermithyroidectomy diffuse 6 None

B C D A B C A D B C A B D D C A D A B C

250-500 ml 0.5 15 11 Belladona Calc. Flourica Conium Mac Arnica Calc. C Calendela Belladona Thyroidinum

700-900 ml 1 25 3 Baryta Carb Lapis Albus Hydrastis C. Aconite Belladona Ars. Alb lycopus virg Belladona

1500-1800 ml 3 9 5 Iodine Calc. Carb Iodine Cantharis Thyroidium Contharis Hat Mur Thyroidinum

2000-3000ml 5 20 7 Conium Mac Biyonia Alba Kreosotum Causticum Iodum Causticum None Mur

D B C A B C A C D B A D

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186 187 188 189 190

Patient becomes icy cold, yet he is averse to cover Coldness, blueness & Collapseare characteristic features Nipples retracted, sore, cracked is using women Cramp like pain felt in the muscles that is brought on by walking is Buttock claudication plus sexual impotence resulting from arterial insufficiency is eponymously called as

191 Rest pain in limbs exacerbated by lying down or elevation of foot and lessened by hanging the foot out of bed, is a sign of 192 arterial occlusion of lower limb may present with signs and symptoms like 193 Black mummified tissues of frank gangrene indicate 194 Severe chronic ischemia does not produce 195 A continuous machinery murmur over an artery usually indicates 196 The acutely ischaemic limb is frequently 197 Features of lower limb arterial stenosis include all except 198 Coldness, numbness and paraesthesia are common in moderate and severe ischaemia, but in absence of color change what should be excluded 199 Sudden occlusion of an artery is commonly caused by 200 Acute mesentric occlusion may be 201 Death of macroscopic portions of tissues is 202 What is the cry of dying nerves 203 In case of an ischaemic limb, elevation of it may cause pallor this is which test 204 Combination of all is seen in a pre gangrenous state, except 205 Diabetic gangrene is due to / related to which factor/s 206 207 208 209 210 211

Which of the following may be a predisposing factor for bedsores Useful aid in prevention of gangrene In a moist gangrene the line of demarcation happens by Is a method of assessing changes in the blood volume due to arterial supply to that particular part In early part of Raynaud's disease or Buerger's disease what is the main cause of arterial obstruction Concomitant coronary or cerebral atherosclerosis occurs in 30 to 50% of patients with symptoms

212 A limb is ______ when the putrefaction ad infection of moist gangrene spreads to surrounding viable tissues 213 A limb may be deemed dead loss when

214 215 216 217 218

Dilatation of localised segments of the arterial system are called Which anuerysms have a single layer of fibrous tissue as the wall of the sac According to the etiology, the aneurysms can be Abdominal aortic aneurysms can rupture Anterior abdominal aneurysm rupture results into all except

219 Most patients of abdominal aortic aneurysm present with all except 220 Intense pallor, followed by cyanosis and rubor upon warming up requiring 15- 45 mins of full recovery is a feature seen in 221 Which of the following is not true for frostbite

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camphora Veratrum Alb Baryta osteoarthritis Leriche's syndrome

Aconite Conium Hydrastis C. intermittent claudication Cauda Equina Sndrome

vest. Alb. Secole Cor Bryonia Alba deep vein thrombosis Infarction

Secalecor Ars. Alb Iodine all Claudication

A A B B A

varicose vein

arterial occlusion

none

B

claudication lymphatic insufficiency paralysis hypertension paralysed Rest pain neurological cause

rest pain venous insufficiency sensory loss arteriovenous fistula insenate Irregular movements venous cause

intervertebral disc prolapse gangrene arterial insufficiency both aneurysm both intermittent claudication lymphatic cause

all all none all none sesation decreased renal cause

D C A B C B A

thrombosis thrombotic gangrene heaviness tinel's test foul smelling discharge trophic changes from peripheral neuropathy moisture padded rings septic ulceration Duplex imaging trauma aorto - iliac disease

drugs embolic emobolism rest pain buerger's test rest pain ischaemia

trauma none all numbness trendelenburg test hyperasthesia all

C C A B B A D

all all doesn't happen Phonoangiography emboli mesenteric artery occlusion none of the above

D D A B C A

dead when there is relentless severe rest pain without gangrene abscess FALSE atheromatous anteriorly free bleeding into retroperitoneal cavity

anaemia foam blocks aseptic ulceration Plethysmography thrombosis femoro-popliteal occlusion deadly when a contracture or paralysis makes the limb impossible to use and renders hindrance polyp TRUE mycotic posterolaterally peritoneal cavity

emboli both ulcer tingling faber's test color changes low resistance to infection pressure air beds both Doppler Ultrasound vasospasm carotid artery occlusion dead loss

B

when there is major all of the above unrecoverable traumatic damage

D

aneurysms BOTH traumatic both very few reaching hospital alive

C A D C A

pain in the thigh or groin backpain

abdominal discomfort

fistula NONE all the above none if no operation performed, death inevitable headache

Raynaud's syndrome

Gangrene

Varicose veins

Diabetes

blistering and the gangrene follows

the part must be heated quickly

the sufferer experiences a the vessel walls are severe burning pain in damaged, leading to the affected part transudation and oedema

D A B

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222 Amputation should be considered when part of limb is 223 The morphology of the aneurysm is best assessed by all except 224 _______ is characterised by occlusive disease of the small and medium sized arteries, thrombophlebitis of superficial or deep veins and raynaud's syndrome 225 Most commonly occus in male smokers and under the age of 30 yrs and it's treatment is total abstinence from smoking which arrests the disease but doesn't reverse it. Which is that disease 226 Symptoms of varicose veins include all except 227 Varicosities in thighs are indicative of incompetence of 228 Varicosities on the back of the leg are suggestive of incompetence of 229 Incompetence of ________ is associated with 80% of all significant varicosities in lower limbs 230 231 232 233

60% to 70% of all ulcers in lower limb are because of ____ ______ ulcers rarely extend on to the foot or into the upper calf The greatest risk of re-ulceration in venous ulcer that's healed is in _____ leg Factor considered important in development of venous thrombosis

234 Pulmonary embolism is likely to result in cases of 235 Acute right heart obstruction that may lead to sudden collapse and death may be a complication seen in 236 The most common presentation of deep vein thrombosis is 237 To confirm the diagnosis of DVT in a pt presenting in an accident or emergency department with an idiopathic thrombosis is usually 238 The differential diagnosis of deep vein thrombosis includes 239 Development of deep vein thrombosis is multifactorial, yet which the most important factor 240 _____ is an infection often caused by streptococcus or staphylococcus which spreads to the draining lymphatics and lymph nodes 241 The lymphatic damage caused by lymphagitis may lead to 242 Primary lymphodema is usually because of 243 Secondary lymphodema is caused by all except 244 Which of the following is the malignacy associated with lymphodema 245 Most commom cause of secondary lymphoedema is 246 Features of acute filariasis include all except 247 Feature of chronic filariasis include 248 Which condition mimics lymphoedema 249 The main cause of dry gangrene is 250 Definite bright red line of separation is a feature of 251 Deep vein Thrombosis occurs more often after 252 Most important sign which may be present in a case of Deep vein thrombosis is 253 Squeezing of calf muscle causes pain from side to side is painful in case of deep vein thrombosis, is which sign 254 Which of these is the most frequent site of deep vein thrombosis

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dead CT scan

deadly ultrasonography

dead loss MRI

D B

Takayasu disease

Thromboangiitis obliterans Raynaud'd disease

all the above magnetic resonance angiogram Takayasu disease

Gangrene

Sjogrens's disease

Thromboangiitis obliterans ulceration circumflex iliac vein long saphenous vein Greater saphenous vein

all the above

A

ankle swelling long saphaneous vein circumflex iliac vein Popliteal vein

lipodermatosclerosis short saphenous vein short saphenous vein Femoral vein

heel pain interconnecting vein interconnecting vein Short saphenous vein

D B C A

arterial diseases traumatic traumatic changes in the vessel wall Takayasu Disease

venous diseases neurogenic post thrombotic diminished blood flow through the veins DVT

traumatic arterial paralysed coagulability of blood

Neurogenic causes venous all the above all the above

B D B D

Varicose veins

B

DVT

Takayasu's Disease

A

Pain in thighs

Thromboangitis obliterans swelling of ankle

Thrombo angiitis obliterans all the above pain and swelling of feet

C

D - Dimer

duplex ultrasound

ruptured baker's cyst

pain and swelling esp in calf ECG

C

calf muscle hematoma

Doppler of both lowerlimb ruptured plantaris muscle all the above

A D

weight gain lymphoedema

immmobility acute lymphangitis

excessive walking cellulitis

smoking lympadenitis

B B

recurrent attacks of infection congenital superficial thrombophlebitis malignant melanoma superficial thrombophlebitis funiculoepididymoorchitis lymphodema of legs

lymphodema

both

none

C

fungal infection congenital

deep vein thrombosis parasitic infection

A B

kaposi's sarcoma fungal infection

lymphoma filariasis

parasitic infection exposure to foreign body material all the above deep vein thrombosis

lymphangitis

fever

burning urination

D

hydrocoele

all the above

D

factititious lymphoedema immobility

abdominal lymphatic varices lipoedema

all the above

D

arterial occlusion moist gangrene operations

D C

venou occlusion gas gangrene child birth

all the above all the above all the above

A B D

swelling Murphy's sign

nerve damange dry gangrene immobility for a considerable period tenderness Cullen's sign

Homan's sign Moses's sign

all the above Homam's sign

D C

calf vein

femoral vein

iliofemoral vein

pelvic vein

A

Rockstar Pandya

255 In DVT swelling affecting almost the enitre leg with oedema and bluish discloration is called 256 Majority of the pulmonary emboli originate in the 257 Patients with pulmonary embolism complain of 258 Cause of chronic venous insufficiency 259 Which is the most common type of benign neoplasm of lymphatics 260 ____ constitutes 15 %c of the patients with primary lymphoedema and in these case the swelling is delayed until after 35yrs of age 261 Which lymphoedema shows hardly any signs of improvement with conservative line of treatment 262 Cause of lymph node enlargement 263 Gordon's Biological Test is a specific test for 264 Which of this is a not a type of nerve injury 265 In which type of nerve injury, recover is complete but may take a period of hours to even weeks 266 Axonotmesis may result from all except

267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285

In which of the following nerve injuries, the motor loss is complete Nerve conduction distal to injury is present in Secondary pathological changes accompaning nerve injury is seen in Causes of single nerve involvement is all except In gangrene, burning pains, the affected parts burns like fire, as if hot coals were applied to the parts, > by heat Traumatic chronic neuritis, neuralgia of stump aftre amputation, burning and stinging pains Found effective in deep ulcerations, caries of bones, syphilitic organism, with extreme sensitiveness and terrible trobbing , night pains in a hysterical and hypochondriacal pt Burning sensation, better by cold; wants part uncovered, though cold to touch Fingers and feet bluish, shriveled, spread apart or bent backward. Skin feels cold to toch, yet covering cannot be tolerated Haemorrhages, black, thick, tar like, rapidly decomposing from any orifice with terrible burning Corrector of blood dyscrasia Neuritis, with tingling, burning pain, numbness and flossy skin. Relieves pain after operations Adapted to the most severe types of inflammation and pain, early and persistent prostration with purplish hue and burning, stinging pains In gangrene, bluish purplish appearance, hot perspiration, > with appearance of discharges Excoriating , burning and offensive discharges.Hemorrhages, ulcerations, cancerous affection, rapid decomposition of fluids Haemorrhagic diathesis; small wounds bleed easily and profusely Headache, neuralgic < by noise, touch, strong light Lymphagioma, with bursting sensation, relieved by elevating parts Varicose veins, when lower extremities are hanged down, it seems as if they would burst, pain is ubearable

286 Chilliness in the back and hips extending down legs. Neuralgia of internal saphenous nerve. 287 Varicose veins and ulcers, very sore. Bruised soreness of the affected part 288 A human thermometer with a tendency to formation of pus, which is thin greenish, putrid, streaked with thin blood 289 Deficient capillary circulation causes blueness of skin and coldness of extremities, with desire to be constantly fanned 290 Hippocratic face; very pale, grayish - yellow, greenish, cold with cold sweat, after hemorrhage.

Rockstar Pandya

Phelgmasia alba dolens

Phelgmasia cerulea dolens pelvis brain dyspnoea and chest pain haemoptysis

both

cullen's sign

B

right atrium hypotension

lower extremities all the above

D D

varicose veins

incompetent perforators

deep vein abnormalities

all the above

D

simple lymphangioma

cavernous lymphangioma cystic hygroma

none of the above

C

lymphoedema congenita lymphoedema tarda

lymphoedema praecox

all the above

B

primary inflammatory Filariasis nerve compressio syndrome neurotmesis excessive zealous manipulation to reduce injuries neurotmesis neurapraxia Joints lead poisoning Lachesis

secondary neoplastic Leukemia neurapraxia

tertiatry autoimmune Hodgkin's disease axonotmesis

all the above all the above Tubercular lymphangitis neurotmesis

B D C A

axonotmesis minor stretching or torsion

neurapraxia compression by tourniquets

all the above repeated minor stretching of a nerve

C B

axonotmesis neurotmesis Muscles tunnel's syndrome Ars alb

neurapraxia axonotmesis Bones porphyria Sulph

all the above all the above all the above herpes zoster Phosphorus

D A D C B

Allium cepa Nat mur

Lachesis Lachesis

Ars alb Aurum met

Sulphur Asafoetida

A D

Tarentula Secale cor

Secale cor Camphor

Ars alb Arnica

Anthraxinum Lachesis

B A

Phosphorus Secale cor Phosphorus Apis mel

Anthracinum Lachesis Hypericum Lachesis

Ars alb Echinacea Lachesis Sulphur

Secale cor Calendula Belladona Tarentula cubensis

B C B D

Lachesis Suphur

Tarentula Phosphrus

Sulphur Kreosotum

Phosphorus Lachesis

A C

Crotalus hor Gelsimium Hyrdocotyle Vipera

Phosphrus Cedron Vipera Pulsatilla

Lachesis Tarentula Ars alb Bellis per

all the above all the above Pulsatilla

D C B A

Colocynth Hammamelis virginica Pulsatilla

Hypericum Pulsatilla Mercurius

Allium cepa Lachesis Hepar sulp

Hammamelis virginica Vipera Silicea

D A B

Tarentula

Vipera

Carboveg

Lachesis

C

Cinchona

Carbo veg

Veratrum alb

Lachesis

B

Rockstar Pandya

291 Sciatica, crampy pain in hip, as though screwed in a vise, lies upon affected side 292 Neuralgia of face, supra orbital, infra orbital; rt side; intermittent darting pain< touch> heat 293 Shooting pain like lightning shocks, down the whole limb, left hip, left thigh, left knee into the popliteal fossa 294 Right sided neuralgia, with profuse lachrymation. Prosopalgia towards evening, till midnight, chilly with pain 295 Septic states with intense restlessness. All discharges are horribly offensive 296 The skin is very sensitive to touch, cannot bear even clothes to touch affected parts. 297 The slighest injury causes suppurations 298 Mechanical injuries from sharp - cutting instruments, post surgical operations; stinging, smarting pains like the cutting of a knife 299 Ulcers with punched out edges, with tendency to penetrate and tenacious exudations 300 Great thickening of epidermoid layer and exfoliation of scales. Elephantiasis 301 Indolent ulcers, accompanying varicose veins, with scrofulous affections 302 A powerful tissue remedy for hard, stony glands, varicose and enlarged veins and malnutrition of bones 303 Ulcers affeting bones, thin ichorous pus, in hysterical and hypochondriac patients < night, warm application 304 Painful swallowing is _____________ 305 When the lower part of oesophagus show changes of columnar epithelium instead of normal squamous epithelium, condition is. 306 Contration ring of lower oesophagus is 307 Herniation of stomach into throrax through esophagus is 308 Pain is very much felt in empty stomach especially in duodenal ulcers which is called as 309 these acute ulcer may be seen after cerebral trauma or neurological operation 310 longitudinal shortening of long standing gastric ulcer at lesser curvature will produce _____ deformity in stomach 311 a precancerous condition and increase incidence of carcinoma in cervical oesophagus in women is ___ 312 erosion may occur in burns ____313 in barium meal x ray of esophagus as disease progresses, the oesophagus become dialated and lower portion of oesophagus end like__( need to reform question ) 314 the stomach eventually become shorten and contracted and is transformed to diffuse form, incapable of being distended is seen in __ 315 patient on steroid develop acute ulcer known as________ 316 this is due to cicatrial contraction of a saddle shape ulcer at the lesser curvature_____ 317 air in mediastinum crackels with each heart beat when patient holds his breath, known as_____318 dental cyst is also known as _______ 319 a swelling situated on gum arising from alveolar marjin of jaw is 320 adamantinoma is also known as 321 this cyst is usually associated with non-erupted permanent tooth 322 vincent's angina is also known as ________ 323 angular stomatitis is also known as _______ 324 Discoloration of the skin around the umbilicus, and is characteristic of acute pancreatitis. 325 Discoloration of skin varies from slate blue to mottled yellowish brown color due to ecchymosis and extravasated blood , may be seen in loins. 326 Condition which produces pancreatic fibrosis and atrophy due to irritating property of deposited iron in pancreas. 327 Elevated Serum Amylase is well established feature in 328 Barium X-Ray of upper GI Tract , shows an enlarged 'C-Loop' of the duodenum, in case of

Rockstar Pandya

Allium cepa Belladona Colocynth

Mag phos Spigellia Bryonia

Colocynth Cedron Rhus tox

Rhus tox Mag phos Dioscorea

C D A

Mag phos

Pulsatilla

Spigellia

Cedron

B

Ars alb Lachesis Hepar sulp Staphysagria

Pyrogen Hepar sulp Graphites Colocynth

Pulsatilla both Merc sol Arnica

Secale cor Merc sol all the above Hepar sulp

B C D A

Staphysagria Ars alb Calcarea iodata Silicea Aurum met

Kali bich Hydrastis Calcarea flour Calcarea flour Hepar sulp

Pyrogen Hydrocotyle Iodum Calcarea Iodata Silicea

Hepar sulp all the above Silicea Calcarea carb Asafoetida

B C A B D

Dysphagia Achalasia cardia

Regurgitation GERD

Odynophagia Barrett's oesophagus

Achalasia Cardia Oesophageal varies

C C

Schatzki's ring Femoral hernia referred pain curling ulcer hiatus hernia

Budd chiari Inguinal hernia hungar pain cushing ulcer perleche

Reflux osephagitis Hiatus hernia dull pain steroid ulcer apthae

Diverticulum Incisional hernia colicky traumatic ulcer tea pot stomach

A C B B D

laryngitis

diverticulum

achalasia cardia

D

curling's ulcer dinner fork deformity

deodenal ulcer apthaous ulcer cobbler stone appearance loss of haustration

plummer vinson syndrome cushing ulcer bird beak tapering

A D

leather bottle stomach

linitus plastica

leathery, rigid tube

all of the above

D

infectious ulcer gastritis hamman's sign radicular cyst epulis ambloblastoma

steroid ulcer ca stomach murphy's sign both A & B perleche eve's disease

foot ulcer pyloric stenosis cullen's sign dermoid cyst cheliosis all of the above

C B A C A D

branchial cyst glossitis

sebaceous cyst ranula

B B

radicular cyst Murphy's sign Grey Turner's sign

diabetic ulcer hour glass stomach rovsingh's sign peridontal cyst ranula multilocular cystic disease dentigerous cyst acute ulcerative gingivitis cheliosis Rovsigh's sign Cullen's sign

apthaous ulcer Cullen's sign Positive sign

glossitis Boas's sign Trousseau's sign

B C A

Haematemesis

Haemoptysis

Haemochromatosis

Haematuria

C

Acute tonsillitis. Pancreatitis

Acute appendicitis Appendicitis

Acute pharyngitis Ameobiosis

Acute pancreatitis Nephritis.

D A

dental cavity apthae

Rockstar Pandya

329 Bile reflux into the pancreatic duct as the two ducts unite to form the common channel before they open into the duodenum, seen in: 330 Steatorrhoea and Malabsorption syndrome is also characteristic of: 331 A palpable distended gall bladder is detected in 60% of cases in CA of pancreas , according to: 332 Thrombophlebitis migrans is accompained by tumors of the body of the pancreas and appears spontaneously , may affect any superficial vein, is called as 333 Anaemia, loss of weight, and steatorrhoea are features of: 334 Triad of colicky abdominal : pain, diarrhoea, weight loss. 335 in barium meal study of bowel _____ ulcer combined with submucosal oedema produces a coarse nodularity or cobbles stone pattern 336 meckel's diverticulum may be found in an inguinal and femoral hernia is called____ 337 patient may pass a few normal motion before "red current jelly stool" is seen in _____ 338 the condition of intestinal obstruction caused by impaction of meconium in distal ilium is seen in______ 339 distention of appendix with mucous is known as_____340 passive interna rotatio of flex right hip with patient in supine postion will elicit pain in abdomen is diagnostic of ____ 341 typical pain at McBurny's point, vomiting and raised temperature constitute_______ 342 triangle formed by anterior superior iliac spine, symphysis pubis and umbilicus is _______ 343 differential diagnosis of acute appencitis ________ 344 pain in stomach after eating, sensation of lump that hurt as if hard boiled egg had lodge in cardiac end of stomach 345 remedy for hyperchlorhydria, pronounced acidity accompanied by frontal headache is seen in ______ 346 this salt leads all other remedies in tenesmus of rectum which is incessant and is not releived by stool________ 347 agonising, cutting pain in abdomen, causing patient to bend over double and pressing on abdomen seen in_______ 348 a prominent liver remedy, the jaundiced skin especially the constant pain udner inferior angle of right scapula is seen in _______ 349 mouth hot and tender, ulcer bleeds on touch and eating, with dread of downward motion in all complaints is seen in _____ 350 it is especially indicated in tardy dention and trouble, complains during teething, teeth develop slowly, rapid decay of teeth is seen in_______ 351 among causes of dyspepsia mental over work, sedentary occupation, high living and dissipation are all keynotes of _ 352 only sphere of action of this remedy seems to be in splenic trouble______ 353 great nausea is characteristic symptoms, provoked by motion, change of posture, especially riding carriage, car, boat, is seen in_________ 354 purely colick remedies for abdominal pain ______ 355 all have undigested stool coming on after eating______ 356 indicated in diarrhoea from fright, the stool are greenish, yellow and changeable__357 burning distress in leison of pancreas with vomiting of sweeth water, watery diarrhoea containign undigested fat associated with headache is seen ____358 the remedy for jaundice arising from abuse of quinine when fever is present, spendid remedy for torpid liver is ______359 sensation as if hair on toungh is seen in______ 360 fiery red rash on abdomen in babies_______ 361 long lasting complaint follow mental state like fright, vexation etc., ailments are worse during winter season-__ 362 the chief action is on remification of pneumogastric nerve, producing spasmodic irritation in chest and stomach with persistent nausea and vomiting is seen in _______

Rockstar Pandya

Nephritis

Cystits

Splenitis

Pancreatitis.

D

Chronic Pancreatitis Crohn's disease Trousseau's sign

Chronic appendicitis Courvoisier's law Cullen sign

Chronic pyelonephritis Ulcerative colitis Murphy's sign

Chronic prostatitis None of the above Psoas sign

A B A

Chroinic nephritis Chronic Prostatitis ulcerative colitis

Chronic appendicitis Chronic appendicitis crohns diseases

Blind-loop syndrome gastritis amoebic disease

Stomatitis Crohn's disease dysentry

C D B

richter's hernia intestinal obstruction

incisional hernia littre"s hernia intestinal intussusception crohn's disease

umbilical hernia ulcerative colitis

C B

vulvulus mecocoele of appendix acute appendicitis

diverticulum appendicular abscess acute arthritis

meconeum ilius rupture of appendix acute cholecystitis

paralytic ileus gangrene of appendix acute hepatitis

C A A

murphy's sign sherren's triangle acute cholecystitis abrotenum

Cullen's sign McBurny's point acute pancreatitis abis can

murphy's triad saint's traid perforated peptic ulcer abis niagra

saint's triad murphy's triad all of the above ars alb

C A D C

mag phos merc cor

arsenic alb natrum phos

mezerium cal phos

robinia ferrum phos

D A

rhust tox

ruta

colocynth

candurango

C

chamomila

bryonia alba

cicuta virosa

chelidonium majus

D

vipera

borax

lachesis

arnica

B

zincum met

cal phos

opium

selenium

B

nux moschata

nux vomica

silica

cal phos

B

nux vomica cocculus

opium china

ceonanthus ars alb

ignatia graphitis

C A

colocynth china, ferrum, arsen alb

mag phos rhuts tox, ruta, bryonia

diascoria ars alb, veratrum, abies

D A

bryonia cal phos

syphytum kali sulph

pulsatilla iris versicolor

all of the above spongia, spigellia, strontium ruta abies canadensis

cantharis

mercuris

apis mel

ignatia

B

aurum mur medorrhinum bryonia

thuja stramonium natrum mur

silica atrophine petroleum

daphne colinsonia condurango

C A C

zincum met

ipicac

senereria

cinnaberis

B

C C

Rockstar Pandya

363 364 365 366 367

painful cracks in coner of mouth with carcinoma of stomach is guiding symptoms of this drug______ ______ is not mescenteric cyst Acute non specific mescenteric lymphadenitis is common condition of _____ ____ is commonest variety of mescenteric cyst _____ most common cause of inflammatory enlargement of abdominal lymph nodes

368 369 370 371 372 373

Synonymus of hirschsprung's disease is _______ Pseudopolyposis is seen in _______ Signe-de-dance is seen in ______ Cobble stone apperence on barium Enem is diagnosis of ______ Commonest cause of severe Gastro Intestinal bleeding is _______ Barium Enema finding inileo-colic Intussusception

374 375 376 377

Crohn's disease is also known as _______ Skip lesion proximal to Ileo cacecal valve in indicative of _______ Commonest complication of intestinal Amoebiasis is ______ Commest pre-concerous condition as ca colon is ____

378 379 380 381 382 383

Obstructive Symptoms in ca colon is predominately seen in ______ colostomy is indicated in _______ Vericosity of Ano-vectal vein in_____ ______ is not cause of secondary Harmanvoid Harmanvoids comes out only during dafaecation and reduced spontaneously after defacation in ______ Clock wise postion of prolapset Harmanvoids seen as ________

384 Sentinal piles are seen in ______ 385 Streaks of blood on the stool is fature of ______ 386 Anal fissurs is commonly seen at ______ 387 388 389 390 391 392 393 394 395 396

Commonest type fistula in Ano is Goadsall's Rule is feature of ___ Dukes and Parder's classification is done in ____ Psudeo pancretic cyst is collection of fluid in ____ The commonest sile for Ca. Panacreas is _____ Pad sign is Barium meal Examination is dignostic for ______ Cullens sign is characteristic findings of ______ Acute pancreatitis is causal by _____ pilonidal sinus is seen in ____ An exception to cocrvoisers law is seen in_____

397 398 399 400 401 402 403

Haemorrhoids protrutes like bunch of grapes is seen in _____ Haemorrhoids with sensation of sticks in Rectum with constipation is seen in ____ Bleeding Haemorrhoids with excessive sorness a Burning is seen in ______ Fissure - in - Ano with feeling in the rectum as of splinters as sticks ______ Fistula - in -Ano alternate with chest pain Slimy bloody stool with tenesmuus follows by chilliness in ulcerative colitis as seen in ____ Agonising pain in abdomen cansing patient to bend double, hard pressure in intestinal obstraction is seen in _____ Burning pain parts burn like fire as of coals in with great thirst in Acute pancreatitis is seen ____ Voilent twisting colic, gripping pain, bending forward in intusscusception is seen in _____ Hald shorl with burning pain with red excoriation of Anal verg in fistula in - Ano is seen in _____ Stoolis slimy blood with colic and fainting in Amoebic drsy dysentery is seen in Pain as if splinters of glass were sticking in Recturm in fisure in Ano is seen in

404 405 406 407 408

Rockstar Pandya

ledum pal Lymphatic Neonate Enterogenous Tuberculous lymphadenitis

belesper Enterogenous Childhood Dermoid Non specific mescenteric lymphadenitis

symphytum Dermoid Teratomatms Old age Lymphatic Syphilitic lymphadenitis

candurango Haemorrhegic Middle age Haemorrhegic Hodgkin's lymphoma

D D B C B

Intestinal fistula Ulcerative colitis Ilieo-colic obstruction Amoebiasis Ca Rectum string sign

Primary megacolon ca- colon Ileo-caecal obstruction Intussusception Ca colon pincer shape and claw sign colitis Amoebiasis Intestinal obstruction Ulcerative colitis

Secondary Megacolon Crohn's disease Crohns disease Ulcerative colitis Ulcerative colitis saucer shape

Enteroteratoma TB Intestine Ulcerative colitis Ca.colon Diverticulosis cobble stone appearance

B B A C D B

Regional duodenitis Diverticulosis Local peratonitis Adenoma

Regional jejunitis Crohn's disease Haemorrhage Gardaer's Syndrome

A D B A

left - colon TB intestine Haemorrhoid ca. of Rectum Second degree o 7 Clock Fistula in Ano Pilonidal sinus Midline aatcriory

Ileo-caecum Actinomycosis Fissure in - Ano Ulcerilive colitis Fourth degree All of above

B C B D B D

pilonidal sinus Haemarrhoid o 11 Clock Trans-Sphincteric Fissur in Ano Ano-rectal Abscess pouch of douglas head of pancreas Ca. Head of Pancreas Ca.Stomach All of above perineal region Acute choleystitis

A C A D A A B D D B D B C

Rathania Ignatia Hamamelis Aesculus -H Calc Carb Capsicum Nux vomica

A B D D A B C

Ars Alb Thuja Graphites Graphites Hamemelis

D B B B A

Terminal ileitis TB Intestine Fistula Familias Adenomatons polyposis Right - Colon Amoebiasis Varicocele Pregnancy First degree o 3 Clock fissure in Ano Ischio-Rectal Absecs Midline posteriorly Extra-Sphinctoric Fistula In ano Ca Rectum pancreas body of pancreas Ca. Body of Pancreas Acute cholecystitis chronic Alcoholism Ischio-rectal region Chronic cholecystitis

Sub-Sphineteric Ca. Rectum Haemorrhoid lesser sac neck of pancreas Ca.tail of pancreas Acute pancreatitis Biliary tract infection Ano-coccygcal region Ascending Cholargitis

Aloes Capsicum Ars Alb Alumina Calc.phos cantharis Belladona

Sulphar collinsonia sepia Aloes soc Berb.vul Mercurius Cup met

Transerve colon Ca Colon Fistal - In Ano Chronic Constipation Third degree o 11 Clock Ca-Rectum Fissure in Ano o 9 Clock pararecfal Prolase of Rectum Ulceralive colitis greater sac Tail of pancreas Pseudopancreastic cyst CA.Pancreas Tramn Pubo rectal region Dobule impaction of stone Nux V Sulphur Capsicum Sulphur Calc Ars Nit Acid Colocynth

Apis mel Bry Alb Sepia Mercuris Ratanhia

Lochesis Dioscorea Sulphar Aloes.soc Sulphur

Mercurias Plum Met Petroleum Alumina Phorus

Rockstar Pandya

409 410 411 412 413 414

Prolapse of ani From moderate Straining at stool or lifting is seen in Bloated full abdomen pain shoot from Rt to lt flank in lower abdomen in pancreatitis is seen in ___ Colic much flatulent distention with dirrhoea green like chopped spinach in ulcer ative colitis is seen in Bleeding haemorrhoids profusely with bruised and sorness and pulsation in rectum is seen in ______ Fissure - in - Ano with stiching pain as if sticks in the rectum ______ Amoebic Liver abscess is caused by

415 Abscess is formed in the following organ as complication of Amoebic dysentry caused by E.Histolytica 416 Amoebic Liver abscess is causes following symptoms except 417 E. histolytica enter the liver through 418 Pink anchory sauce like pus in liver abscess is caused by 419 Hydatid cyst in liver is caused by 420 Hydatid cyst caused by E. Granulosus affects the following organ 421 Layers of Hydatid cyst 422 423 424 425 426 427 428 429 430 431 432 433

The only living part in Hydatid cyst is Complications of Hydatid cyst Hepatic Abscess ruptures into Kehr's sign is pain referred to the left shoulder is seen in Following are the causes of enlargement of spleen except Gall Stones are of following types except Saint's triad consists of following except Murphy's sign is positive in Common bile duct stones will manifest with the following except Pure Cholesterol Stones have the following features except Charcot's triady consist of following symptoms ( indicate acute cholangitis) except According to Courvoisier's law, in obstruction of common bile duct due to stone

434 In neoplastic obstruction of common bile duct 435 436 437 438 439 440 441 442 443 444 445 446 447

Calculous biliary obstruction is very frequent cause of A prominent Liver remedy which prefers hot food and drink. A prominent Liver remedy which fixed pain under the inner and lower angle of right scapula Remedy for Ca Liver and Gall Stones Enlargement of spleen with Anaemia + < lying on left side Dropsy due to Hepatic disease with full bloated abdomen Stitching pain in the region of gall bladder with pressure extending to stomach Burning pain and stitches in liver region which is worse by breathing & pressure, along with tenderness of abdominal walls is symptoms of _____. Flatuent distention with enlarged and indurated liver along with jaundice & deficient bile secretion is a symptom of _____. Liver region sensitive cannot bear anything around waist especially suited to drunkards & predominantly left sided remedy is a symptom of ____ A liver remedy especially indicated for Hydrogenoid constitution with duodenal catarrh, hepatitis & vomiting of bile is a symptom of _____ Swelling of gall bladder with painful tenderness with hyperaemia of liver where left lobe is sensitive with dropsy is a symptom of _____. Bilious temparement with torpdity of liver with portal engorgment, better by rubbing part along with painless and profuse stool & pendulus abdomen is a symptom of _____.

Rockstar Pandya

Iodum Lachesis Arg Nit Ratanhia Crotalus.H Echinococcus granulosus

Ignatia Carbo Vieg Sulphar Phosphors Ratanhia Entamoeba Histolytia

Liver Anaemia

Spleen Pyrexia

Nit Acid Colocynth Mercuris Hamamelis China E.Coli

Podoplyllum Lycopodium Colocynth China Aesculus None of these

D D A C A B

Pancreas Splenomegaly

A D

Hepatic artery E. histolytica

1 Pain in ® hypochondriac region Inf.vera cava Mesentric Artery Echinococcus granulusus Malignoncy

Portal vein None of these

D A

E. histolytica

Echinococcus granulusus E.Coli

None of these

B

Gall Bladder Germinal Layer

Stomach All of these

A D

Germinal Layer Rupture Pericardial Cavity Ruptur of Appendix Kala azar Mixed Stones Hiatus Hernia Repture of spleen Jaundice Multiple Fever & rigors Gall bladder is shivelled

Pedicles All of these Pleuropulmonary area Rupture of pepticuker Measles Pigment Stones Peptic ulcer Reputre of pepticulcer Gray coloured stools Radio opaque Diarrhoea None of these

C D A B D B D B D C D C

Gall bladder is frequently distended Hepatitis Bryonia Chelidoninum Lycopodium Ceanothus Nux Vomica Nitric Acid Rhustox

Gall bladder is atrophic

C

Liver failure None of these Nux Vomica Cholesterinum Benzoic Acid None of these Belladonna Mercurius

A B C D C A B A

Liver The Adventitia

Spleen The Laminated membrane Adventitia Laminated membrane Jaundice Anaphylatic Shock Peritoneal Cavity Intraabdominal viscus Rupture of gall bladder Rupture of Spleen Typhoid Malaria Cholesterol Stones Oxalate Stones Gall stones Diverticulosis of colon Acute Appendicitis Calculous Cholecystitis Itching Distended Gall bladder Single Light in Weight Pain in epigastrium Jaundice Gall bladder is distended Gall bladder is frequentily distended Gall bladder is never Gall bladder is rarely distended distended Jaundice Liver Cirrhosis Nux Vomica Chelidonium Lachesis Cardus m. Cedron Chamomilla Colocynth Magphos Lycopodium Berb vulg Arscenic Album Berberis vulgaris Bryonia Crotalus Mercurius

Bryonia

Crotalus

Natrum Sulphuricum

A

Belladonna

Lachesis

Podophyllum

Mercurius

B

Lachesis

Cinchona Officinalis

Natrum Sulphuricum

Bryonia

C

Carduus Morianus

Crotalus

Podophyllum

Natrum Sulphuricum

A

Podophyllum

Carduus

Lachesis

Mercurius

A

Rockstar Pandya

448 Debility from exhausting discharges, from loss of vital fluids with periodicity of symptom along with gall stone colic is a symptom _____. 449 _____ acts especially on mucous membranes, relaxing them and producing a thick, yellowish, ropy secretion, and there is cancerous state of liver before ulceration. 450 General disorganisation of the blood with haemorrhage & jaundice and there is low septic states.vomiting is of black or coffee ground in colour & mainly is right sided remedy is a symptom of _____. 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466

A _________ is defined as protrusion of whole or a part of vicus through the wall that contain it ____ Hernia comes out through the superficial inguinal ring Indirect inguinal hernia is usually met with in _________ individual ______ work is repsonsible for development of hernia ______ hernia becomes very painful and tender Faecal smelling vomitus heralds ________sign Direct hernia is mostly seen in ________ subject The first part is often difficult to reduce but the last part slips easily is seen in ________ Ring invagination test is better to perform in ________ position of the patient Utmost ________ is required for examinaiton of Ring invagination test In _______ type of hernia finger enters the deep ring and it goes directly backwards Femoral hernia is very rare before ______ years of age Femoral hernia assumes the shape of Femoral hernia is commonly seen in ______ hernia gets often strangulate The _____ is held betweent the tumb in front and other fingers behind in an attempt to reach above the scrotal swelling 467 The swelling feels doughy and granular if the hernia cotains ___________ 468 To differentiate indirect, direct and femoral hernia __________ technique is used 469 _______ is accquired heart disease 470 _______ is a congenital heart disease 471 472 473 474 475 476 477

Spigelion hernia are examined in ____________ position ________ hernia is pyriform in shape with stalk at external inguinal ring Visible perstalsis is never seen in _______ Rectus muscle, inferior epigastric vessel and medial part of inguinal ligament forms _________ Hernia extends upto the top of testis is a _________ type of indirect inguinal hernia When the content of hernia has urinary bladder it is called as _________ 2 cardinal features of uncomplicated hernia are

478 479 480 481 482 483 484

Littre's hernia has ________ content Hernia which occurs from a weak scar of an operation or wound is called as Para-umbilical hernia develops in __________ age group Blalock's Operation is done for correction of A small Atrial Septal defect is repaired by ____ _____ graft is preffered in surgery for Co-arctation of aorta Following are causes of cardiac tamponade

485 Acute pericarditis usually occurs following _______illenss 486 When the whole circumference of the aorta is affected it is said to be _______ variety of aneurysm of aorta 487 When onlya part of circumference of the aorta is affected it is said to be _______ variety of aneurysm of aorta

Rockstar Pandya

Cinchona Officinolis

Crotalus

Bryonia

Mercurius

A

Hydrastis

Natrum Sulphuricum

Bryonia

Lachesis

A

Crotalus

Podophyllum

Mercurius

Hydrastis

A

Lump Obturator Old Driving Strangulated Abdominal distension Young Omentum Standing Gentleness Indirect 35 Spherical Women Umbilical Spermatic cord

Hernia Femoral Infants Strenous Inguinal Taxis Older Epipocoele Semirecumbant Pressure Direct 45 Retort Men Epigastric Root of scrotum

Haematocoele Inguinal Young Sedentary Femoral Zeiman Infants Enterocoele Recumbent Roughness Oblique 20 Traingular Child Inguinal Floor of scrotum

Ulcer Lumbar Strenous Coal work Lumbar Ominous Neonates Strangulation Sitting Hardness Femoral 50 Pyriform Elderly people Femoral Inguinal hernia

B C C B A D B C C A B C B A D B

Small intestine Ring occlusion test Mitral valve disease

Large intestine Appendix Zeimann Ring invasion test Ventricular septal deffect Fallot's tetrology

Omentum Taxis Co-arctation

D B A

Coronary artery disease

Fallot's tetrology

Arrythmia's of heart

B

Supine Direct inguinal hernia Femoral hernia Femoral traingle Bubonocoele Enterocoele Expansile impulse on strainning and reducibility Small intestine Inguinal hernia Child Patent ductus arteriosis Direct suture Dacron Trauma

Sitting Indirect inguinal hernia Umbilical hernia Cubital fossa Funicular Omentocoele Reducibility and compressibility

Standing Femoral hernia Indirect inguinal Hesselbach's traingle Vaginal Enteroomentocoele Obstrctuion and strangulation

Appendix Femoral hernia Adult Co-aractation of aorta Decron patches Goretex Aortic disection

Bacterial Fusiform

Viral Saccular

Omentum Epigastric hernia Middle and old age Fallot's tetrology Piece of pericardium Teflon Penetrating cardiac injury Fungal Vesicular

Left ventricular hypertrophy Semirecumbent Umbilical Direct inguinal Popliteal fossa Sliding inguinal hernia Cystocoele Expansile impulse on straiining and obstruction Meckle's diverticulum Incisional hernia Infants Atrial septal defect Teflon patches Wolfe Coronary artery disease

Fusiform

Saccular

Vesicular

C B A C B D A

D D C C A C D

Parasitic Complete

B A

Complete

B

Rockstar Pandya

488 Hernia right side, In persons intellectually keen, but weak, muscullar power 489 Children are late in learning to walk, distendion with hardness, increase of fat in abdomen with umbilical hernia 490 Weakness of abdominal ring, bruised soreness of abdominal wall , strangulated hernia 491 Umbilical hernia of infants 492 Pain in abdominal ring, as if something where forced through abdominal muscles weak as if hernia would take place 493 Liver enlarged, bloating of abdomen, yellow tongue must use abdominal muscles to enable him to urinate, congenital scrotal hernia 494 Pericarditis with sticking pains, palpitaitons, dyspnoea neuralgia > by lying on left side with head high 495 Weak feeling with dragging into hips and small of back. Feeling as if hernia would protrude especially left side 496 Cramps knooting abdomen and legs sensation as if hernia would protrude sinking and empty feeling 497 Hernia, infantile, from constipation of crying, umbilical hernia, flatulent colic 498 Acrid discharges with stool tears the anus, inguinal hernia of children 499 Stool come out with difficulty when partly expelled recedes again, hernia tumor, tenderness 500 Marasmus in children,oozing of blood and moisture in newborn from navel,opmphalitis 501 Weakness of muscle of heart pulse small soft,variable, intermittent, docrotic, arrythmias and valvular heart disease 502 Flabby sunken abdomen, oozing of bloody fluid from navel of infants, Festering Navel 503 Joints give way , back feels broken, abdomen distended, hard, tympanitic, throbbing at navel 504 Umbilicus open, urine oozing through 505 Dropsical effusions, heart's action is depressed,thirst but water disagrees 506 Damaged heart after infectious disease 507 Stool come out with difficulty when partly expelled recedes again, hernia tumor, tenderness 508 After heart symptoms are relieved, piles or menses return 509 Feels clutched and released alternately by an iron band or feels it expands and contracts , endocarditis with mitral insufficiency 510 Feeling as if heart would stop beating if she did not move about 511 Sabal serrulata is a remedy for 512 Ferrum pic is specfic remedy for 513 Berberis vulgaris is a remedy for 514 Cantharis is indicated in RS when 515 Lycopodium in RS is aggravated at 516 Nux vomica in RS is characterized by 517 Sarsaparilla is indicated in RS of 518 Clematis eracta is indicated in 519 Cannabis sativa is indicated in 520 Tabacum is indicated in renal stòne of 521 The Staghorn calculus are 522 The Mulberry stones are 523 Anuria means absence of urine from kidneys for minimum 524 The Oliguria means excretion of urine 525 Length of Male urethra is about 526 Polycystic disease of kidney have a typical appearance on excretory urography 527 What is not true about adult polycystic kidney disease

528 Which is not a cause of unilateral hydronephrosis

Rockstar Pandya

Sepia Calc carb

Nat-mur Baryta carb

Lycopodium Aconite

Arsenic alb Cina

C A

Zincum metallicum Zincum metallicum Cocculus

Nux-vomica Tarentula Conium

Calendula Calendula Nux-vomica

Merc-s0l Nux-vomica Calc-carb

B D A

Sulphur

Mag-carb

Mag-mur

Thuja

C

Sangunaria Sulphuricum acidum

Spigellia Arnica montanna

Cacctus Cacctus Glandiflorus

Cocculus Silicea

B A

Arsenic alb Arsenic alb Nitric-acid Calc-carb Baryta-carb Cacctus.g

Veratrum alb Pulsatilla Sulphuric acid Baryta-carb Calc-carb Kalmia

Bryonia alba Calc-carb Mag-carb Silicea Mag-mur Kali-carb

Sulphur Nux- vomica Sepia Cuprum met Abrotanum Spigelia

B D A C D C

Sulphur Hepar-sulph Belladonna Apocynum C Cacctus.g Calc-carb Collinsonia Sulphur

Calc-carb Kali-carb Hepar-sulph Apis M Spigelia Baryta-carb Spigelia Cacctus. G

Calc-phos Sulphuric acid Stramonium Acetic Acid Naja Silicea Nat-mur Arsenic-alb

Arsenic alb Nitric-acid Hyocyamus Veratrum alb Arsenic alb Cuprum met Pulsatilla Aconite

C B A A C C A B

Gelsemium BEP Glaucoma Cataract