Surgery is a high-weightage subject in INI-CET that tests both theoretical knowledge and clinical application. With topics spanning from trauma to oncology, it's easy to feel overwhelmed.
Focusing on Previous Years’ Questions can simplify your revision strategy. These questions not only highlight the most tested topics but also help reinforce critical surgical principles.
To support your prep, we’ve compiled a list of high-yield Surgery PYQs from the last five years, so you can revise efficiently and stay exam-ready.
Q1/ An elderly woman underwent surgical resection of her bowel; after a few months, she presents with easy fatigability and tiredness. Blood smear evaluation shows macrocytic anaemia. Resection of all of the following can cause this, except:
Q2. Which of these is the most life-threatening injury that can be identified by assessing the breathing component of the patient?
Cervical spine injury
Tension pneumothorax
Blunt cardiac injury
Laryngotracheal injury
Answer: B) Tension Pneumothorax
Q3. What preoperative intervention can be administered to minimise intraoperative bleeding in a 32-year-old female patient diagnosed with Grave's disease, presenting with eye symptoms and an enlarged thyroid, who is scheduled to undergo a total thyroidectomy?
Potassium iodide
Propranolol
Propylthiouracil
Betamethasone
Answer: 1) Potassium iodide
Q4. Hand rub can be utilised in accordance with the standard hand hygiene protocol in all locations listed below, with the exception of:
If the hands are visibly soiled
While moving from a contaminated site to a clean site during patient care
After removing sterile gloves
During direct patient contact
Answer: 1) If the hands are visibly soiled
Q5. In the case of a patient arriving at the emergency department with a road traffic accident (RTA), what is the appropriate order of steps in their management?
1. Cervial spine stabilisation
2. Intubation
3. IV cannulation
4. CECT
1, 3, 2, 4
1, 2, 3, 4
2, 1, 3, 4
2, 1, 4, 3
Answer: 2) 1, 2, 3, 4
Q6. Which of the following is the most common hernia in females?
Direct Inguinal hernia
Indirect inguinal hernia
Femoral hernia
Obturator hernia
Answer: 2) Indirect inguinal hernia
Q7. ER positivity is used as which of the following in the context of breast carcinoma?
Diagnostic marker
Prognostic marker
Surrogate molecular marker
Treatment
Answer 2) Prognostic marker
Q8. All of the following statements regarding Wilms tumor are true, except?
Presents as an abdominal mass
Most commonly seen <5yrs of age
Majority patients recover due to chemotherapy and radiotherapy
Lung involvement in uncommon and occurs late
Answer: 3 - Majority patients recover due to chemotherapy and radiotherapy
Q9. 45-year-old female presents with recurrent episodes of right flank pain, hematuria, and a history of urinary tract infections. Urine analysis shows alkaline urine with a pH of 8.0. Microscopy revealed the following finding. Which of the following is the most likely underlying cause of this patient's condition?
Triple phosphate stone
Ca Oxalate Stones
Uric Acid Stones
Cystine Stones
Answer A - Triple phosphate stone
Q10. A patient with invasive ductal carcinoma in situ presents with ulceration on skin and inflammatory signs. Nipple retraction was also present. What is the stage?
Stage 3b
Stage 4 with node positivity
T4b
No metastasis
Answer A - Stage 3b
Q11. A 35-year-old male sustained a head injury following a motorcycle accident. He experienced a brief loss of consciousness at the scene. Upon regaining consciousness, he developed a severe headache and began to feel drowsy. A CT scan of the head is performed. Which of the following should be the management for this patient?
Anticoagulants
Immediate surgical decompression
Observation in ICU
Mannitol administration
Answer B - Immediate surgical decompression
Q12. A 26 year old male presented with a painless large round firm right testicular swelling, with a dragging sensation. The left testis was normal. AFP was around 3000U. What is the next best step in the management?
FNAC
Scrotal true cut biopsy
High inguinal orchidectomy
Repeat tumor markers
Answer C High inguinal orchidectomy
Q13. A 20-year-old was brought to the ER after falling off his bicycle. His vitals were stable, but he had a bruise over the perineum, and he had not passed urine yet. Blood was seen at the meatus and the bladder was not palpable. How do you manage him?
Wait and send him home
Immediate insertion of a Foley catheter
Suprapubic aspiration of urine
Wait for bladder to fill and urge to urinate
Answer: 4) Wait for bladder to fill and urge to urinate
Q14. What is the size of the cannula gauge used in this picture?
14
16
18
20
Answer: 3) 18
Q15. What is the most appropriate next step in the management of a female patient who has abdominal pain, multiple gallstones with no thickening of the gallbladder wall as seen on ultrasound, a common bile duct diameter of 12mm, serum bilirubin level of 0.8, alkaline phosphatase level of 380, and a 5-fold increase in GGT?
MRCP
ERCP
Endoscopic ultrasound
Laparoscopic cholecystectomy
Answer 1: MRCP
Q16. What will be the most likely associated condition with increased TSH and low T4 levels?
Q17. What is the probable diagnosis for a girl who has experienced continuous urinary dribbling and persistent bladder fullness since birth?
Stress incontinence
Ureterocele
Ectopic ureter
Vesicovaginal fistula
Answer: 3) Ectopic ureter
Q18. What is the most likely primary site of origin for metastatic liver adenocarcinoma with CK 7 (-), CK 20 (+), and CDX-1 (+) IHC markers?
Colon carcinoma
Breast carcinoma
Pancreatic carcinoma
Ovarian carcinoma
Answer: 1) Colon carcinoma
Q19. A patient presents with pain in the right upper quadrant on the second postoperative day following a cholecystectomy. Evaluation reveals a collection in the subhepatic space. A bile leak is suspected. Which of the following is the best investigation for this patient?
MRCP
ERCP
HIDA
CECT
Answer: 2) ERCP
Q20. Which of the following are used to stop oesophagal variceal bleeding?
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