Free general surgery MCQ exam model for clinical students

Explanation:

• Relieve symptoms and restore function → Correct because surgery aims at definitive treatment.

• Improve cosmetic appearance → Incorrect because function is primary.

• Avoid complications only → Incorrect because treatment is broader.

• Shorten hospital stay → Incorrect because it is secondary.

• Minimize cost → Incorrect because patient outcome is priority.

Explanation:

• Traumatic splenic rupture → Correct because trauma is the leading indication.

• Splenic abscess → Incorrect because it is rare.

• Portal hypertension → Incorrect because splenectomy is not routine.

• Hypersplenism → Incorrect because it is selective.

• Splenic cyst → Incorrect because it is uncommon.

Explanation:

• Abdominal organs and soft tissues → Correct because general surgery includes GI tract, liver, pancreas, breast, and soft tissue surgery.

• Heart and lungs → Incorrect because this is cardiothoracic surgery.

• Brain and spinal cord → Incorrect because this is neurosurgery.

• Bones and joints → Incorrect because this is orthopedics.

• Endocrine glands only → Incorrect because endocrine surgery is a subspecialty.

Explanation:

• Adhesions → Correct because postoperative adhesions are the leading cause.

• Hernia → Incorrect because it is second most common.

• Volvulus → Incorrect because it is less frequent.

• Intussusception → Incorrect because it is common in children.

• Colorectal cancer → Incorrect because it causes obstruction but is less common overall.

Explanation:

• Inguinal hernia → Correct because it accounts for the majority of abdominal wall hernias.

• Femoral hernia → Incorrect because it is less common.

• Umbilical hernia → Incorrect because it is more common in children.

• Incisional hernia → Incorrect because it follows surgery.

• Epigastric hernia → Incorrect because it is uncommon.

Explanation:

• Colorectal cancer → Correct because it is the most common GI malignancy requiring surgery.

• Pancreatic cancer → Incorrect because it is less common.

• Hepatocellular carcinoma → Incorrect because it is region-specific.

• Gastric cancer → Incorrect because incidence is declining.

• Esophageal cancer → Incorrect because it is less common.

Explanation:

• Peptic ulcer disease → Correct because it is the leading cause of upper GI bleed.

• Esophageal varices → Incorrect because they are less common but more severe.

• Gastric carcinoma → Incorrect because bleeding is chronic.

• Mallory–Weiss tear → Incorrect because it is less common.

• Gastritis → Incorrect because it usually causes mild bleeding.

Explanation:

• Wound infection → Correct because surgical site infection is the most frequent complication.

• Bleeding → Incorrect because it is less common.

• Deep vein thrombosis → Incorrect because it is preventable.

• Anastomotic leak → Incorrect because it is serious but less common.

• Pulmonary embolism → Incorrect because it is rare.

Explanation:

• Acute appendicitis → Correct because it is the most frequent surgical emergency of abdomen.

• Acute pancreatitis → Incorrect because it is usually treated conservatively.

• Peptic ulcer disease → Incorrect because most cases are managed medically.

• Renal colic → Incorrect because it is urological.

• Irritable bowel syndrome → Incorrect because it is non-surgical.

Explanation:

• Airway and breathing management → Correct because ABC principles apply before circulation.

• Definitive surgery → Incorrect because stabilization is needed first.

• Blood transfusion → Incorrect because it follows assessment.

• Pain relief → Incorrect because it is supportive.

• Antibiotics → Incorrect because they are adjunctive.