GENERAL FORMAT OF MCQ’S

Specialty Course: FCPS

Area: Basic surgical skills and anastomosis
Theme: Sub-theme:

QUESTION STEM (SCENARIO) Dr. Faiqa Tehreem

Wound healing by secondary intention include:

A. Infected sloughy wound

B. Black Eschar
C. Delayed closure
D. Clean wound
E. Both a & b

KEY: (E)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love, Chap# 7, Part# 1, Page# 89

 GENERAL FORMAT OF MCQ’S
Specialty Course: FCPS
Area: Basic surgical skills and anastomosis
Theme: Sub-theme:

QUESTION STEM (SCENARIO) Dr. Abdul Wahab

Which of following suture is used to secure drains externally ?

A. Vicryl
B. Prolene
C. Silk
D. Katgut
E. Nylon

KEY: (C)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love, , Page# 92

 GENERAL FORMAT OF MCQ’S
Specialty General surgery Course: FCPS
Area:
Theme: Infection Sub-theme: Parasitic infection

QUESTION STEM (SCENARIO) Dr. Yasir

For uncomplicated live hydatid surgical therapy of choice is ?

A. Laproscopic cystotomy and omentoplasty

B. PAIR
C. Marsupialization and tube drainage
D. Total cystopericystectomy

KEY: B
COGNITION LEVEL
IMPORTANCE
DIFFICULTY
REFERENCE: bailey and love page 82
 GENERAL FORMAT OF MCQ’S
Specialty General surgery Course: FCPS
Area:
Theme: Basic Surgical Skills And Sub-theme: Laparoscopic Surgery
Anastomoses

QUESTION STEM (SCENARIO) Dr. Jawad Qamar

CO2 gas insufflation is commenced at low flow of:

A. 1-2Litres/min
B. 1-4Litres/min
C. 5-6Litres/min
D. 8-10Litres/miny

KEY: B
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: bailey and love page 82

 GENERAL FORMAT OF MCQ’S
Specialty General surgery Course: FCPS
Area: Basic Surgical skills and anastomosis
Theme: The Principle Of Sub-theme: Bowel anastomosis
Anastomosis

QUESTION STEM (SCENARIO) Dr. Saadia Ahmad

Which of the following statement is false ?

A. Large bowel anastomosis must be done by one layer anastomosis

B. The bowel ends being anastomosed must be well mobilised so so as no to
create tension in the anastomosis
C. Synthetic polymers are to be used for intestinal anastomosis
D. In vascular anastomosis the needle must pass from within to outward

KEY: (A)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's 27th edition Page 97

 GENERAL FORMAT OF MCQ’S
Specialty General surgery Course: FCPS
Area: Basic Surgical skills and anastomosis
Theme: Sub-theme:

QUESTION STEM (SCENARIO) Dr. Hina Riaz

Which of the following statement is false?

A. Polymeric synthetic suture material cause minimum inflammatory reaction.

B. Monofilament non absorable sutures are easy to use in tying secure
knots.
C. The integrity of polypropylene sutures in holding tissues together can last
indefinitely.
D. Braided suture material can be a nidus for infection.

KEY: (B)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's

 GENERAL FORMAT OF MCQ’S

Specialty G. Surgery Course:

Area:
Theme: Tropical infections and Sub-theme: Amoebic infection
infestations

QUESTION STEM (SCENARIO) Dr. Ali Iqbal

45 year old male present in opd with complaints of bloody mucoid stools and altered
bowel habits. Examination shows right iliac fossa mass. Baseline investigations
shows decreased Hb raised inflammatory markers. on sigmoidoscopy shallow collar
stud ulcers present at recto sigmoid junction. what is most probable diagnosis :
A. CA rectum
B. CA appendix
C. Amoeboma
D. Ascariasis

KEY: (C)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's Short practice of Surgery 27th Edition (page#58)
 GENERAL FORMAT OF MCQ’S
Specialty General surgery Course: FCPS
Area: Basic Surgical skills and anastomosis
Theme: Sub-theme:

QUESTION STEM (SCENARIO) Dr. Hina Riaz

Which of the following statement is false?

A. Polymeric synthetic suture material cause minimum inflammatory reaction.

B. Monofilament non absorable sutures are easy to use in tying secure
knots.
C. The integrity of polypropylene sutures in holding tissues together can last
indefinitely.
D. Braided suture material can be a nidus for infection.

KEY: (B)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's

 GENERAL FORMAT OF MCQ’S

Specialty General surgery Course: FCPS

Area: Basic Surgical skills and anastomosis
Theme: Sub-theme:

QUESTION STEM (SCENARIO) Dr. Asad Shabbir

Which of the following statement is false?

A. Polymeric synthetic suture materials cause minimal inflammatory reaction.

B. Monofilament non-absorbable sutures are easy to use in tying secure
knots.
C. The integrity of polypropylene sutures in holding tissues together can last
indefinitely.
D. Braided suture material can be a nidus for infection.
E. Absorption is more predictable and complete with absorbable sutures.

KEY: (B)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's page 136

 GENERAL FORMAT OF MCQ’S

Specialty General surgery Course: FCPS

Area: Basic Surgical skills and anastomosis
Theme: Sub-theme: Suture techniques

QUESTION STEM (SCENARIO) Dr. Yahya Ahmad

In interrupted suture technique it is important for the needle to be :

A. Dragged through tissues

B. Rotated through tissues
C. Passed beneath tissues
D. None of the above

KEY: (B)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey And love chapter 4 26th edition page 39

 GENERAL FORMAT OF MCQ’S

Specialty General surgery Course: FCPS

Area: Basic Surgical skills and anastomosis
Theme: Sub-theme: Suture techniques

QUESTION STEM (SCENARIO) Dr. Aimen Mubshar

Subcuticular suture is used in skin where :

A. Cosmetic appearenece is necessary

B. Tissues are not necrosed
C. Wound is incised type
D. None of the above

KEY: (A)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey And love chapter 4 26th edition page 39

 GENERAL FORMAT OF MCQ’S

Specialty General surgery Course: FCPS

Area: Basic Surgical skills and anastomosis
Theme: Sub-theme: Suture Materials

QUESTION STEM (SCENARIO) Dr. Hassan Saeed Kang

Which of the following Absorbable suture material causes minimal tissue reaction?

A. Catgut(plain)
B. Catgut(Chromic)
C. PDS
D. Polyglectin (Vicryl)
E. Polyglycolic Acid (Petcryl)

KEY: (E)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's Short practice of Surgery 27th Edition (page#92)
 GENERAL FORMAT OF MCQ’S

Specialty General surgery Course: FCPS

Area: Basic Surgical skills and anastomosis
Theme: Sub-theme: Suture characteristics

QUESTION STEM (SCENARIO)

Multifilament/Braided sutures are coated with silicone because?

A. Chances of bacterial infections decrease

B. Surface area decreases
C. To make it smooth
D. All of above

KEY: (D)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's Short practice of Surgery 27th Edition (page#90)

Dr. Saira Mehboob HO

 GENERAL FORMAT OF MCQ’S

Specialty General surgery Course: FCPS

Area: Basic Surgical skills and anastomosis
Theme: Sub-theme: Suture

QUESTION STEM (SCENARIO)

Which of the following statement is false?

A. Polymeric synthetic suture material cause minimal inflammatory reaction.

B. Monofilament nonabsorable suture are to use in tying secure knots
C. The integrity of polypropylene sutures in holding tissue together can hold
indefinately
D. Braided suture material can be nidus for infection
E. Absorption is more predictable and complete with absorable sutures.

KEY: (B)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's (page#92)

Dr. M. Shahzeb Shafiq HO

 GENERAL FORMAT OF MCQ’S

Specialty General surgery Course: FCPS

Area: Basic Surgical skills and anastomosis
Theme: Sub-theme: Vascular anastomosis

QUESTION STEM (SCENARIO)

What is not true about vascular anastomosis?

A. Non-absorbable monofilament suture should be used

B. Absorbable monofilament should be used
C. A smooth initial suture line is essential
D. Knots require multiple throws in order to ensure security
E. The suture must pass from within outwards on the downflow aspect of the
anastomosis

KEY: (B)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's (page#99)

Dr. Rehan Ahmad HO

 GENERAL FORMAT OF MCQ’S

Specialty General surgery Course: FCPS

Area: Basic Surgical skills and anastomosis
Theme: Sub-theme:

QUESTION STEM (SCENARIO)

A child presented to you with laceration on venteral aspect of tongue 2 * 3 cm after

given LA and aseptic measures with which type of suture you will close the wound,
wound is clean

A. Silk 2.0
B. Prolene 2.0
C. Vicryl 3.0
D. Keep the wound open for healing by secondary intention
E. Vicryl 1.0

KEY: (C)
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and Love's

Dr. Usama Ali HO

 GENERAL FORMAT OF MCQ’S
Specialty General surgery Course: FCPS
Area:
Theme: surgical skills Sub-theme: Drain

QUESTION STEM (SCENARIO) Dr Usman

Question: Common bile duct T -tube should remain in for how many days ?
A. 10 days
B. 8 days
C. 12 days
D. 9 days

KEY: A
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: bailey and love page 101

 GENERAL FORMAT OF MCQ’S
Specialty General surgery Course: FCPS
Area:
Theme: Basic surgical skills and Sub-theme:
anastomoses

QUESTION STEM (SCENARIO)

Question: To prevent terminal dog ears at closure, the sub cutaneous tissue be
excised at ?

A. Center
B. One end
C. Both end
D. Any of above

KEY: C
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: bailey and love page 966

Dr gohar
 GENERAL FORMAT OF MCQ’S
Specialty General surgery Course: FCPS
Area:
Theme: Basic surgical skills and Sub-theme:
anastomoses

QUESTION STEM (SCENARIO)

Which of the following statements are false?

A. Large-bowel anastomosis must be done only by one-layer technique.

B. The bowel ends being anastomosed must be well mobilised so as not to create
tension in the anastomosis.
C. Synthetic polymers are to be used for intestinal anastomosis.
D. In vascular anastomosis the needle must pass from within outwards.
E. Polypropylene-like sutures with indefinite integrity must be used for vascular
anastomosis.

KEY: C
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: bailey and love

Dr. Talha Shabbir

 GENERAL FORMAT OF MCQ’S

Specialty General surgery Course: FCPS

Area:
Theme: Basic surgical skills and Sub-theme: Diathermy
anastomoses

QUESTION STEM (SCENARIO)

Following is not the effect of diathermy

A. Coagulation
B. Fulgration
C. Cutting
D. Burning
E. None of the above

KEY: D
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and love page 102

Dr. Haseeb
 GENERAL FORMAT OF MCQ’S

Specialty General surgery Course: FCPS

Area:
Theme: Basic surgical skills and Sub-theme: Diathermy
anastomoses

QUESTION STEM (SCENARIO)

Which of the following statements are false?

A. Polymeric synthetic suture materials cause minimal inflammatory reaction.

B. Monofilament non-absorbable sutures are easy to use in tying secure
knots.
C. The integrity of polypropylene sutures in holding tissues together can last
indefinitely.
D. Braided suture material can be a nidus for infection.
E. Absorption is more predictable and complete with absorbable sutures.

KEY: B
COGNITION LEVEL
IMPORTANCE
DIFFICULTY

REFERENCE: Bailey and love page 136

Dr. Asad Shabbir