AIIMS June 2020 Questions Surgery

AIIMS June 2020 Questions
Surgery
By Dr. Rajamahendran MCh ( Gastro)
Author -Surgery Sixer
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1. AIIMS June 2020 Surgery
• Mesh for Hernioplasty should be
a. Heavy weight large pore
b. Small weight Small pore
c. Heavy weight Small pore
d. Small weight large pore
Ans. D
2.AIIMS June 2020 Surgery
• ERCP is used in all the following except
a. Pancreatitis without features of Cholangitis or choledochal cyst
b. Recurrent Pancreatitis
c. Unexplained Jaundice
d. Periampullary carcinoma
Ans. A. Pancreatitis without features of Cholangitis or choledochal cyst

A 23 year old male was burnt with burst due to Stove there is Singening of hair in his face and
neck and is covered on chest on both sides and front of both upper arms. Calculate the
percentage
a. 36%
b. 27%
c. 45%
d. 18%
3.b. 27% ( They have given only both chest not full anterior trunk and hence 9%)
Face and neck= 9%, Both arms- 9%, Chest both sides- 9%
• A 26 year male patient with RTA complicated with pelvic fracture has been
resuscitated with Blood transfusion after few hours he is febrile, hypotensive,
Normal CVP, Oliguric. Bleeding from NG tube and IV sites. Most Common
Diagnosis
a. Fat embolism
b. Transfusion reaction
c. Hemorrhagic shock
d. Acute adrenal insufficiency
Ans.b Transfusion reaction
• Tamoxifen given for Breast carcinoma what complication is associated
a. Breast Carcinoma in opposite breast
b. Endometrial Carcinoma
c. Risk of CML
d. Ovarian carcinoma
Ans. B. Endometrial carcinoma

• Nerve injured will be least during Thyroid surgery
a. Ansa cervicalis
b. RLN
c. SLN
d. Marginal mandibular
Ans.D Marginal Mandibular Branch

Anatomy of Marginal Branch of Facial
Nerve
A patient after parotid surgery on awakening noticed lower lip paralysis.
Which of the following is most likely injured?
a. Mandibular Branch of facial nerve
b. Facial Nerve main trunk
c. Parotid duct
d. Temporal branch of facial nerve
Ans. a. Mandibular Branch of Facial Nerve

8 AIIMS June 2020 Surgery
• A person with recurrent abdominal pain USG was done , is normal. On further
evaluation by other investigations he was found to have Biliary dyskinesia.
Which of the following is not done for diagnosis of biliary dyskinesia?
a. HIDA
b. ERCP
c. Post surgery follow up
d. USG
Ans. D. USG
• 65 years old male with abdominal pain for 6 hours, BP= 90/50 mmHg,
Respiratory rate- 24/minute, Saturation-92% in 10 litres of oxygen.
Abdominal X ray shows Extra luminal air in abdomen. Which of the following
must be done in shifting to OT.
a. Intubate the patient
b. Initial IV access of choice is central venous catheter
c. Confirm the diagnosis with CT
d. 2 to 3 litres of Crystalloids infused
Ans. D. 2 to 3 litres . This is a case of perforation, usually we resuscitate before
surgery.
• A male patient is diagnosed with carcinoma Colon. Which of the following gene mutations
likely to be present?
a. Kras, APC, DCC
b. APC, K-ras, P53
c. BRCA1, K ras , APC
d. APC, Kras and loss of 10 on myc
Ans. B
This is FEARON VOGELSTEIN SEQUENCY based order of mutation
• Prostate Needle Biopsy by single core shows acinar adenocarcinoma
predominant poorly formed glands in cribriform pattern followed by
Crowded but separated glands and a minor component 5% of single cell
infiltration. What is the grade it belongs to ?
a. Grade 2
b. Grade 3
c. Grade 4
d. Grade 5
Ans. B. Grade 3
Based on Gleason Score
• In Retroperitoneal Hematomas following a trauma- True statement is
a. In Zone 2 Penetrating injuries hematomas surgical exploration should be done
always
b. Mattox manuever to explore aorta involves moving of ascending colon to right
c. Penetrating trauma in pelvic region should be explored
d. In region 1 injured vessels embolization done
Ans. a. In zone 2 penetrating injuries hematomas surgical exploration must be done

• What is not included in MELD Score
a. Creatinine
b. Bilirubin
c. PT
d. Albumin
Ans. D
• Calories from TPN 100gm Dextroses, 30gm Amino acids and 40 gm Lipids
a. 840
b. 860
c. 640
d. 680
Ans. a. 860
Carbs 3.4kcal per g Protein 4 kcal per g Fat in TPN 10kcal per g
So; 100X 3.4= 340 kcal 30X4=120 kcal 40X10= 400 kcal Answer is 860 sir
Total= 860
• Appropriate FNAC specimen in case of thyroid contains
a. 6 Follicular cell Group containing 10 cells each
b. 10 Follicular cell group containing 6-8 cells each
c. 3 Follicular cell group containing 10-12 cells each
d. 12 Follicular cell group each containing 10-15 cells each
Ans. A. 6 Follicular cell Group containing 10 cells each

• FAST stands for
a. Focussed Abdominal Sonogram of Trauma
b. Focussed Assessment sonogram of Trauma
c. Fast Assessment Scan in Trauma
d. Focussed Analytic sonogram of trauma
Ans. B. Focussed Assessment sonogram of Trauma

17. AIIMS June 2020 Question
• In FAST which site cannot be evaluated
a. Pericardial fluid
b. Retroperitoneal Hemorrhage
c. Renal hematoma
d. Liver injury
Ans. B. Retroperitoneal hemorrhage

18. AIIMS June 2020 Question
• 38 year Old Lady was brain dead and she was previously signed
for organ donation, family members also accepted. Which of the
following patient is ideal recipient
a. 70 year old lady on dialysis for Chronic renal failure
b. 50 year chronic alcoholic with irreversible liver damage
c. 14 year old boy with Multiorgan failure
d. 35 year old female with renal failure
Ans. D. 35 year old female with renal failure

19. AIIMS June 2020
Which of the following is Not Complication of massive
transfusion ?
a) Hypocalcemia
b) Hypomagnesemia
c) Hypokalemia
d) Hyperkalemia
Ans. C ( Hypokalemia)
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AIIMS June 2020 Questions

• Please follow my Telegram channel for daily updates or follow my

Ans. A. Pancreatitis without features of Cholangitis or choledochal cyst

Ans. B. Endometrial carcinoma

Ans.D Marginal Mandibular Branch

Ans. a. Mandibular Branch of Facial Nerve

Ans. a. In zone 2 penetrating injuries hematomas surgical exploration must be done

Ans. A. 6 Follicular cell Group containing 10 cells each

Ans. B. Focussed Assessment sonogram of Trauma

Ans. B. Retroperitoneal hemorrhage

Ans. D. 35 year old female with renal failure

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