NEET PG Surgery: Key Image-Based MCQs

Q1. A 35-year-old male with a 12-year history of smoking presents with severe rest pain and discoloration of the left lower limb's digits as shown below. He has experienced worsening pain in this limb for the past 2 days, following 3 months of discomfort. What is the appropriate management for this condition?​

1. Lumbar sympathectomy
2. Abstinence from smoking
3. Amputation
4. Vasodilators

Ans. 1)  Lumbar sympathectomy

Also read: High-Yield Image-Based Questions for INI-CET Surgery

Q2. A 46-year-old male presents with intense pain in his left leg along with the following lesion. Which of the following is the most probable diagnosis?​

1. Neuropathic ulcer
2. Venous ulcer
3. Arterial ulcer
4. Pressure ulcer

Ans. 3) Arterial ulcer

Q3. A 45-year-old male with a history of bacterial endocarditis presents with sudden onset of severe headache, nausea, and vomiting. A CT scan of the head is shown below. Which of the following is the most likely cause of the haemorrhage in this patient?​

1. Ruptured berry aneurysm
2. Traumatic brain injury
3. Hypertensive intracerebral haemorrhage
4. Ruptured mycotic aneurysm

Ans. 4) Ruptured mycotic aneurysm.

Q4. Based on the Stanford classification, which type of aortic dissection is shown below?​

1. ​Type A
2. Type B
3. Type C
4. Type D

Ans. 1)  Type A  

Also read: Last 5 Year PYQs in Surgery for NEET PG

Q5. A patient came with complaints of discoloration of his left leg as shown in the image. He has a history of deep vein thrombosis and has been inconsistent on medication. What is the possible diagnosis here?

1. Venous gangrene
2. Venous ulcer
3. Atrophie blanche
4. Post-thrombotic leg

​Ans. 4) Post-thrombotic leg ​

Q6. The following test was conducted in the clinic for a patient suffering from varicose veins.​

On releasing only tourniquet 3, the filling of blood was observed. What does this signify? 

1. ​Hunterian’s perforator incompetence
2. Boyd’s perforator incompetence
3. Dodd’s perforator incompetence
4. Cockett’s perforator incompetence

Ans. 4) Cockett’s perforator incompetence

Q7. A 55-year-old male with chronic leg swelling presents with difficulty pinching the skin over the dorsum of his foot. What is this sign known as?​ 

1. Buffalo hump
2. Square toes
3. Stemmer's sign
4. Merkel's sign

Ans. 3) Stemmer's sign  

Also read: Femoral Hernia: Signs, Diagnosis & Surgical Treatment Options

Q8. A 60-year-old female with severe lymphedema of the lower limb, not responding to conservative therapies. Due to persistent swelling and functional impairment, she undergoes surgical intervention. An image of the surgical procedure is shown below. What is the procedure known as?​

1. Thompson Procedure
2. Charles Procedure
3. Nielubowicz Operation
4. Kinmonth procedure

Ans. 1) Thompson Procedure 

Q9. A 4-month-old baby is brought to the hospital with complaints of swelling in the neck as given in the image and diagnosed as cystic hygroma. Which of the following is true regarding the condition?​ 

1. Swelling presents after the age of 1 year
2. It is a benign tumor
3. Laser excision is the treatment of choice
4. The size remains constant throughout the life​

​Ans. 2) It is a benign tumor

Q10. A patient with breast carcinoma after 11 years of Modified radical mastectomy and radiotherapy, now presents with pain, skin nodules and worsening of swelling of left arm as shown in the image below. What is the most probable diagnosis?​ 

1. ​Lymphangiosarcoma
2. Venous thrombosis
3. Cellulitis
4. Lymphedema

Ans. 1) Lymphangiosarcoma  

Also read: Fluid from Nipple, Types, Causes, and Treatment Options

Q11. Identify the given condition and choose among the following:​ 

1. Stewart - Treves syndrome
2. Lymphedema
3. Cystic hygroma
4. Marjolin’s ulcer

Ans. 1) Stewart - Treves syndrome​

Q12. A 25-year-old male is brought to the emergency department after being found unconscious during a thunderstorm. On examination, he has fern-like marks on his neck (as shown in the image below). After regaining consciousness, he complains of weakness and numbness in his lower limbs.​ 

What is the most likely diagnosis of his condition?

1. Compartment syndrome
2. Keraunoparalysis
3. Hypokalemic periodic paralysis
4. Transient ischemic attack

Ans. 3) Keraunoparalysis​

Q13. A 65-year-old man presents with a non-healing ulcer on the popliteal surface of his leg that has been present for several months. The ulcer developed at the site of a burn scar he sustained 30 years ago. On examination, the ulcer is painless, slow-growing, and has irregular borders as shown in the image?​

What is the most appropriate initial management for this patient? 

1. Cryotherapy and regular dressing changes
2. Wide local excision followed by flap cover
3. Wide local excision followed by flap cover and radiotherapy
4. Observation and follow-up in 6 months

Ans. 2)  Wide local excision followed by flap cover

Also read: Penis & Urethral Surgeries

Q14. A 65-year-old farmer presents with a persistent, scaly lesion on his ear. The lesion has irregular, everted edges and has been gradually growing as shown below.​

Which of the following is the most common causative factor for his condition? 

1. ​Tobacco Use
2. Arsenic Exposure
3. Sunlight Exposure
4. Radiation Exposure

Ans. 3) Sunlight Exposure

Q15. A patient came with complaints of a painful swelling present on the trunk. On examination, tenderness and pus discharge present with a black-colored punctum seen. A provisional diagnosis of an infected sebaceous cyst is made. Identify the incorrect statement about this condition.​

1. It contains sebum.
2. It is a type of retention cyst
3. Black colored punctum is present on the cyst
4. It is the proliferation of epidermal cells

Ans. 1) It contains sebum

Also read: Robotic, Laparoscopy & Bariatric Surgery

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