Last 5-Year PYQs in Surgery for INI-CET

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.

Download Last 5-Year INI-CET PYQs – Subject-wise PDFs

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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:

1. Jejunum
2. Duodenum
3. Ileum
4. Stomach

  Answer: 2) Duodenum 

Q2. Which of these is the most life-threatening injury that can be identified by assessing the breathing component of the patient?

1. Cervical spine injury
2. Tension pneumothorax
3. Blunt cardiac injury
4. 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?

1. Potassium iodide
2. Propranolol
3. Propylthiouracil
4. 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:

1. If the hands are visibly soiled
2. While moving from a contaminated site to a clean site during patient care
3. After removing sterile gloves
4. 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. 1, 3, 2, 4
2.  1, 2, 3, 4
3.  2, 1, 3, 4
4.  2, 1, 4, 3

  Answer: 2) 1, 2, 3, 4

Q6. Which of the following is the most common hernia in females?

1. Direct Inguinal hernia
2. Indirect inguinal hernia
3. Femoral hernia
4. Obturator hernia

 Answer:  2) Indirect inguinal hernia

Q7. ER positivity is used as which of the following in the context of breast carcinoma?

1. Diagnostic marker
2. Prognostic marker
3. Surrogate molecular marker
4. Treatment

 Answer  2) Prognostic marker

Q8. All of the following statements regarding Wilms tumor are true, except?

1. Presents as an abdominal mass
2. Most commonly seen <5yrs of age
3. Majority patients recover due to chemotherapy and radiotherapy
4. 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?

1. Triple phosphate stone
2. Ca Oxalate Stones
3. Uric Acid Stones
4. 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?

1. Stage 3b
2. Stage 4 with node positivity
3. T4b
4. 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?

1. Anticoagulants
2. Immediate surgical decompression
3. Observation in ICU
4. 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?

1. FNAC
2. Scrotal true cut biopsy
3. High inguinal orchidectomy
4. 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?

1. Wait and send him home
2. Immediate insertion of a Foley catheter
3. Suprapubic aspiration of urine
4. 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?

1. 14
2. 16
3. 18
4. 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?

1. MRCP
2. ERCP
3. Endoscopic ultrasound
4. Laparoscopic cholecystectomy

 Answer 1: MRCP

Q16. What will be the most likely associated condition with increased TSH and low T4 levels?

1. Hypoparathyroidism
2. Pituitary Adenoma
3. Grave's disease
4. Hashimoto's thyroiditis

Answer: 4) Hashimoto's thyroiditis

Q17. What is the probable diagnosis for a girl who has experienced continuous urinary dribbling and persistent bladder fullness since birth?

1.  Stress incontinence
2.  Ureterocele
3.  Ectopic ureter
4.  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?

1. Colon carcinoma
2. Breast carcinoma
3. Pancreatic carcinoma
4. 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?

1. MRCP
2. ERCP
3. HIDA
4. CECT

 Answer: 2) ERCP

Q20. Which of the following are used to stop oesophagal variceal bleeding?

1. A, B & C
2. A and B only
3. A, Band C
4. A, B and D

Answer: 1) A, B & C 

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