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Medical Quiz Competition

Comprehensive Surgery MCQ Assessment

Reviewed by Prof. Dr. M. Khaled Mahmud MBBS(Dhaka), FCPS(Surgery) Professor & Head of Department Sylhet MAG Osmani Medical College

Name

Phone

During laparoscopic cholecystectomy, achieving the “critical view of safety” requires:

Identification of cystic duct only

Identification of cystic artery only

Clearance of hepatocystic triangle and visualization of two structures entering gallbladder

Routine intraoperative cholangiography

Dissection of common bile duct

None

A patient presents for stitch removal after a forehead laceration repair. What is the ideal timing for suture removal at this site?

2–3 days

4–5 days

6–7 days

8–10 days

10–14 days

None

Contraindication to Stitch Removal: A post-operative wound shows erythema, discharge, and mild gaping. What is the best next step?

Remove all sutures immediately

Remove alternate sutures

Delay stitch removal

Apply adhesive strips and remove sutures

Start physiotherapy

None

A 42-year-old female presents with right upper quadrant pain for 24 hours, fever, and vomiting. Positive Murphy’s sign with ultrasound findings. Most likely diagnosis?

Biliary colic

Acute cholecystitis

Acute cholangitis

Gallbladder carcinoma

Chronic cholecystitis

None

During axillary lymph node dissection, a nerve runs vertically along serratus anterior. Which nerve?

Thoracodorsal nerve

Intercostobrachial nerve

Long thoracic nerve

Medial pectoral nerve

Axillary nerve

None

Rapid correction of chronic hyponatremia leads to dysarthria and quadriparesis. Diagnosis?

Cerebral edema

Stroke

Osmotic demyelination syndrome

Meningitis

Hypokalemia

None

Initial fluid for 25% TBSA burns?

5% Dextrose

Normal saline

Ringer's lactate solution

Colloid solution

Hypertonic saline

None

A 23-year-old male with migrating right iliac fossa pain, fever, rebound tenderness, positive Rovsing’s sign. Most likely diagnosis?

Mesenteric lymphadenitis

Acute appendicitis

Crohn’s disease

Right ureteric colic

Amoebic colitis

None

Why is serum lactate measured in septic shock?

Detect infection

Assess liver function

Marker of tissue hypoperfusion

Measure renal function

Guide antibiotic therapy

None

Drain suddenly stops draining. Most likely cause?

Healing complete

Drain blockage

No more fluid production

Infection

Drain displacement outward

None

Bleeding within 24 hours after haemorrhoidectomy is:

Primary hemorrhage

Reactionary hemorrhage

Secondary hemorrhage

Delayed bleeding

Occult bleeding

None

Scrubbed hand touches non-sterile surface:

Ignore and continue

Wipe with towel

Re-scrub immediately

Use gloves only

Apply antiseptic

None

Contraindication to NSAIDs postoperatively:

Mild pain

Young patient

Renal impairment

Laparoscopic surgery

No comorbidities

None

Most common cause of early SSI:

Pseudomonas aeruginosa

Escherichia coli

Staphylococcus aureus

Candida albicans

Enterococcus faecalis

None

Deep incisional SSI (no implant) timeframe:

7 days

10 days

14 days

30 days

60 days

None

Current used in diathermy cutting:

Low-frequency, high voltage interrupted current

High-frequency alternating current

Direct current

Low-frequency continuous current

Pulsed DC current

None

Postoperative confusion with Na 118 mmol/L:

Hypernatremia

Hyponatremia

Hypokalemia

Hypercalcemia

Metabolic alkalosis

None

Diabetic patient first on OT list reason:

To reduce anaesthesia time

To minimize risk of hypoglycaemia and prolonged fasting

To avoid infection risk

Because diabetics require general anaesthesia only

To allow early discharge only

None

Shoulder tip pain after lap appendectomy cause:

Bile leak

Retained appendix

Diaphragmatic irritation from CO₂ insufflation

Pulmonary embolism

Splenic injury

None

Dusky cold stoma on POD2:

Reassure and observe

Apply warm saline dressing

Urgent surgical review for possible ischemia

Start topical antibiotics

Remove colostomy bag only

None

1 out of 20

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Scorecard

Rank	User	Correct Score %	Time Taken
1	Muhaiminur Rahman Rakib	95	00:01:08
2	Mahmud sajon	90	00:07:01
3	Sanjukta Bhattacharjee	90	00:08:04
4	Mahbube Sobhani	90	00:08:08
5	Sharjeel mehrab shaanto	90	00:08:10
6	Niloy	85	00:03:40
7	Rajon Roy	85	00:03:49
8	Fathima Fuhaira Eusha	85	00:06:45
9	ANIKA AFROZ HEME	85	00:07:20
10	Md. Leyakat Hossan Rakib	85	00:07:25
11	Rishad Nafiz	85	00:08:07
12	Dr. Rahin Ahmed Chowdhury	85	00:08:29
13	Mosammat Afnan	85	00:09:20
14	Fahmida	85	00:10:03
15	Laiju	80	00:08:44
16	Fahid Al Adib	80	00:09:17
17	Al mamun	75	00:03:31
18	raydah jahin	75	00:03:57
19	Dr Galib	75	00:04:09
20	Snehashis Gupto	70	00:07:19
21	Muhaiminur Rahman Rakib	70	00:07:42
22	Dr Pallob Das	70	00:07:47
23	Shaharia	70	00:07:57
24	Ayesha Tasnim	70	00:08:23
25	Mushfik	70	00:08:31
26	Dr. Shanjida Alif	70	00:09:03
27	Dr. Sabbir	65	00:04:07
28	Sadia Rahman sazi	65	00:05:03
29	Saidul Islam sohan	65	00:05:09
30	Moshiur Rahman	65	00:06:51
31	Sonia Akter	65	00:07:04
32	Dr Rubiya Fyroj	65	00:07:18
33	BASHIR AHMED BARI	65	00:07:20
34	Iffat Anjum Tasnim	65	00:07:23
35	Aspia khushbu	65	00:08:23
36	Touhid Al Hasan	65	00:08:32
37	Mohona	60	00:05:08
38	Tasnim Ahmed	60	00:08:49
39	Afrin Sultana	60	00:09:08
40	Prottasha	55	00:05:46
41	Muztahidul islam	55	00:08:03
42	Naziba	50	00:05:10
43	Al Jaber Apon	40	00:09:43
44	test 1	0	00:00:12
45	test 1	0	00:00:14
46	test 1	0	00:00:28
47	Test-2	0	00:00:45
48	test-1	0	00:00:54
49	MD. RUBEL AHMED	0	00:05:44

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