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COMPETITIVE EXAM

DOCTORS LISTING

Surgery-S1 Language : English Your Surgery SCORE

Text Size A- A+

Total Score : 5.37

Q.1

The upper, middle, and lower trucks of the brachial plexus combine to form the --------- cord.

A. Lateral

B. Posterior

C. Medial

D. Anterior

Explanation :

Q.2

Which is not true of cardiopulmonary resuscitation (CPR)?

A. The most common cause of sudden death is ischemic heart disease.

B. Standard chest massage generally provides less than 15% of normal coronary and c

C. The success rate for out-of-hospital resuscitation may be as high as 30% to 60%.

D. Closed chest massage is as effective as open chest massage.

Explanation :

Q.3

Which maneuver generally is not performed early before chest compression in basic life support outside the hospital?

A. Call for help.

B. Obtain airway.

C. Electrical cardioversion.

D. Ventilation.

Explanation :

Q.4

Which treatment would be least effective for asystole?

A. External pacemaker.

B. Intravenous epinephrine, 10 ml. of 1:10,000.

C. Intravenous calcium gluconate, 10 ml. of 10% solution.

D. Intravenous atropine, 0.5 mg.

Explanation :

Q.5

The most important factor that influences the outcome of penetrating cardiac injuries is:

A. Comminuted tear of a single chamber.

B. Multiple-chamber injuries.

C. Coronary artery injury.

D. Tangential injuries.

Explanation :

Q.6

The most useful incision in the operating room for patients with penetrating cardiac injury is:

A. Left anterior thoracotomy.

B. Right anterior thoracotomy.

C. Bilateral anterior thoracotomy.

D. Median sternotomy.

Explanation :

Q.7

In patients who present with a penetrating chest injury, injury to the heart is most likely when the following physical sign(s) is/are present:

A. Distended neck veins.

B. Hypotension.

C. Decreased heart sound.

D. All of the above.

Explanation :

Q.8

Which of the following constitutes a true vascular ring?

A. Pulmonary artery sling.

B. Double aortic arch.

C. Anomalous origin of right subclavian artery from the descending aorta.

D. Cervical aortic arch.

Explanation :

Q.9

In an infant with suspected PDA, which of the following would be the optimal method of confirming the agnosis?

A. Chest film.

B. Cardiac catheterization.

C. Retrograde aortography via an umbilical artery catheter.

D. Two-dimensional echocardiography with continuous-wave and color-flow Doppler ech

Explanation :

Q.10

The atrial septal defect (ASD) most commonly associated with partial anomalous pulmonary venous return (PAPVR) is:

A. Secundum defect.

B. Sinus venosus defect.

C. Ostium primum defect.

D. Complete atrioventricular (AV) canal defect.

Explanation :

Q.11

The direction of an intracardiac shunt at the atrial level is controlled by:

A. Right atrial pressure.

B. The systemic oxygen saturation.

C. The size of the defect

D. The compliance of the right and left ventricles.

Explanation :

Q.12

An electrocardiogram (ECG) in a patient with a systolic ejection murmur that shows an incomplete bundle branch block in the precordial lead is most consistent with:

A. A secundum ASD.

B. A sinus venosus ASD with PAPVR.

C. An ostium primum ASD.

D. A complete AV canal defect.

Explanation :

Q.13

ASDs can all be closed with a pericardial or prosthetic patch. Which of the following ASDs can also be safely closed primarily without the use of a patch?

A. Secundum ASD.

B. Sinus venosus ASD with PAPVR.

C. An ostium primum ASD.

D. A complete AV canal defect.

Explanation :

Q.14

Which of the following is/are true of the surgical treatment of VSDs?
.

A. A right ventricular approach is employed for the repair of most perimembranous V

B. Intracardiac repair is advisable for patients with intractable symptoms and for

C. Complete heart block is a common complication.

D. Hospital mortality after repair of VSD in infants approaches 20%.

Explanation :

Q.15

Tetralogy of Fallot consists of all of the following features except:

A. ASD.

B. VSD.

C. Dextroposition of the aorta.

D. Pulmonary stenosis.

Explanation :

Q.16

Which of the following has the greatest impact on the physiology of tetralogy of Fallot?

A. The size of the ASD.

B. The size of the VSD.

C. The degree of pulmonary stenosis.

D. The amount of aortic overriding.

Explanation :

Q.17

Which of the following anomalies is not associated with tetralogy of Fallot?

A. A right aortic arch.

B. A retroesophageal subclavian artery.

C. Anomalous origin of the left anterior descending coronary artery from the right

D. Primary pulmonary hypertension.

Explanation :

Q.18

Surgical treatment of a patient with tetralogy of Fallot can include any of the following except:

A. Maintenance of ductal patency with prostaglandins (PGE 1) to provide pulmonary b

B. Banding of the pulmonary artery in an acyanotic patient with tetralogy of Fallot

C. Placement of a subclavian-to-pulmonary artery shunt on the side opposite the aor

D. Closure of the VSD and transannular patching of the right ventricle onto the mai

Explanation :

Q.19

The predominant determinant of outcome for patients with pulmonary atresia and an intact ventricular septum revolves around:

A. The size of the ASD.

B. The baby’s age at presentation.

C. The size of the right ventricular cavity and tricuspid valve.

D. The presence of a tricuspid—as opposed to a bicuspid—pulmonary valve.

Explanation :

Q.20

Initial management of a newborn infant with hypoplastic left heart syndrome should include:

A. Intravenous administration of PGE 1.

B. Supplemental oxygen.

C. Routine intubation and mechanical ventilation to achieve a PCO 2 between 30 and

D. Cardiac catheterization and balloon atrial septostomy.

Explanation :

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Exam Start Time :10:16:16 pm

Exam Submit Time :02:59:11 pm

Number Of Questions

Q.01Q.02Q.03Q.04Q.05Q.06Q.07Q.08Q.09Q.10Q.11Q.12Q.13Q.14Q.15Q.16Q.17Q.18Q.19Q.20

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