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Part 1 Types of MCQs April 2021

The document describes a sample of multiple choice questions that may be seen on Part 1 of the UEMS EBSQ Examination in General Surgery. It provides examples of 7 sample MCQ questions in a positive/best answer format. Each question is followed by 5 possible answers, with the correct answer indicated in bold. The questions cover topics in general surgery including breast pathology, burn management, rectal carcinoma classification, basal cell carcinoma treatment, and presentations of conditions like pneumothorax and urinary tract obstruction.

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Lohith R
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113 views4 pages

Part 1 Types of MCQs April 2021

The document describes a sample of multiple choice questions that may be seen on Part 1 of the UEMS EBSQ Examination in General Surgery. It provides examples of 7 sample MCQ questions in a positive/best answer format. Each question is followed by 5 possible answers, with the correct answer indicated in bold. The questions cover topics in general surgery including breast pathology, burn management, rectal carcinoma classification, basal cell carcinoma treatment, and presentations of conditions like pneumothorax and urinary tract obstruction.

Uploaded by

Lohith R
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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EBSQ Examination in General Surgery Part 1

Sample MCQs

The types of MCQs currently used are of the Best answer out of 4/5, of the positive type
(A+).  Very rarely Best answer out of 4/5 of the negative type (A-) may be used. There is no
negative marking in the Part 1 MCQ Examination.

Part 1 is a written component consisting of computer-based MCQs.

It lasts 3 hours.

The type of MCQs used in part 1 of the UEMS EBSQ Examination in General Surgery is:
‘Best answer out of 5, positive type’.
Candidates will have to select the single best answer out of five options.

Correct answer in bold type

1.
A smooth rubbery 30mm lesion is removed from the breast of a 35 year old woman with a
preoperative diagnosis of fibroadenoma. Histologically this lesion is found to be a
phyllodes tumour which reaches the excision margins. The most appropriate surgical plan
is:
No further surgery and close follow up
A

Quadrantectomy with sentinel lymph node biopsy


B

Re-excision with free margins and close follow up


C

Total mastectomy without axillary dissection


D

Wide local excision with axillary dissection


E

Part I type of MCQs April 2021


2.
Which of the following is the best guide to fluid replacement in a patient with burns?
Central venous pressure
A
Haemoglobin and haematocrit
B

Skin turgor
C

Urine osmolality
D

Urine output
E

3.
Regarding the Duke’s classification for rectal carcinoma which statement is the most
appropriate?
Accurately defines the number of lymph nodes involved
A

Distinguishes those tumours which have penetrated the muscularis mucosa from those
B
which are confined by it
C Does not take into account the presence of metastases

Highlights the improved prognosis in those with villous rather than tubular
D
carcinomas
Is a tumour grading scale
E

4.
A 65-year-old patient is unable to open his left eye due to a large ulcer on his forehead. A
forehead biopsy reveals basal cell carcinoma (BCC). What is the most appropriate initial
approach?

CT scan to investigate involvement of deep structures


Refer to surgical oncologist or head and neck surgeon for resection

Part I type of MCQs April 2021


Refer for topical therapies (including photodynamic therapy)
Refer for radiotherapy
Perform excision

5.

A 35 year old lady was seen in the clinic with a 5cm growing lump in her
biceps area over the last 6 months. It is painless and feels firm. Should you:
A Reassure and discharge the patient to community physician
B Excise the lump
C Biopsy, then do an MRI
D Widely excise the lump
E MRI then biopsy the lump

6.
Surgical site infection

A Affects 15% of clean wounds

B Antibiotic prophylaxis is best administered at the time of skin incision

Betadine antiseptic retains it antimicrobial properties longer than chlorhexidine


C based preparations

Has been proven to be increased by using electrocautery to make the skin


D incision

E Reduced rates are seen when using perioperative patient warming

7.
A 43-year-old women is brought to the emergency department following a
Road traffic accident. On examination, her heart rate is 118 bpm, her blood
pressure is 86/50 mm Hg and her respiratory rate is 38 breaths/min. JVP is
elevated. The trachea is deviated to the right and the left side of the chest is
hyper-resonant to percussion.
Which is the most appropriate diagnosis.
A Aortic dissection
B Cardiac tamponade
C Oesophageal rupture
D Simple pneumothorax
Part I type of MCQs April 2021
E Tension pneumothorax

8.
In a patient presenting with a history and physical examination findings suggestive of
urinary tract obstruction (UTO), which of the following combinations of signs and/or
symptoms is most worrisome?

Haematuria and dysuria


Polyuria and polydipsia
Right-sided flank pain with 39°C fever
Severe lower abdominal pain
Straining during urination with enlarged prostate on digital rectal examination

Part I type of MCQs April 2021

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