FCPS Part-I (Surgery) July’2022 3.

Blood supply of adrenal gland –

a) Inferior phrenic artery
Paper-1 b) Coeliac trunk
c) Renal artery
Abdomen (MCQ)
d) Abdominal aorta
1. Structures present at the level of L2
e) Superior mesenteric artery
a) Duodeno-jejunal flexure
TFTTF [Ref: BD/8th/V-2/P-384]
b) Head & neck of pancreas
Explanation:
c) 2nd part of duodenum
Adrenal gland is supplied by –
d) Formation of portal vein
1. Superior suprarenal artery branch of inferior
e) Origin of superior mesenteric artery
phrenic artery
TTTTF [Ref: Vishram Singh/3rd/V-2/P-]
2. Middle suprarenal artery branch of abdominal
Explanation:
aorta
● Origin of thoracic duct,
3. Inferior suprarenal artery branch of Renal artery
● formation of cisterna chyli, A
● zygos and Hemiazygos vein
e) Superior mesenteric artery arises at the level of L1

2. Callot’s triangle is formed by

a) Common bile duct
b) Under surface of the liver
c) Cystic duct
d) Common hepatic duct
e) 1st part of duodenum
FTTTF [Ref: Bailey & Love’s/27th/P-1189]
Explanation:
Medially- Common hepatic duct
Laterally & superiorly – under surface of liver
Laterally & inferiorly - Cystic duct
CALOT’S TRIANGLE
Above and laterally Under-surface of liver,

Below and laterally Cystic duct,

Having arterial portal system

Medially Common Hepatic duct
a) Superior Suprarenal Branch of Inferior phrenic
artery
Content Cystic Artery b) Middle Suprarenal Branch of Abdominal
Cystic lymphnode of Lund Aorta
c) Inferior Suprarenal Branch of Renal artery
Venule start from venous sinusoid form a single
Identification of this triangle is an important pre- suprarenal gland.
requisite for the surgeon before putting ligature to Rt vein drain into IVC &
the pedicle of the gall bladder Lt vein drain into Left renal vein.
4. Artery ligates during total gastrectomy 6. Cut section of penis includes
a) Splenic artery a) Corpora spongiosa
b) Left gastric artery b) Corpora cavernosa
c) Common hepatic artery c) Dorsal penia artery
d) Gastroepiploic artery d) Genitofemoral nerve
e) Short gastric artery e) Ilioinguinal nerve
FTFTT TTTFF [Ref: BD/8th/V-2/P-258]
Explanation: Explanation:
Artery ligates during total gastrectomy-
1. Left gastric and right gastric artery
2. Gastroepiploic artery
3. Short gastric artery

7. Regarding deep inguinal ring

a) 1 inch above midpoint of inguinal ligament
b) Immediately superior to the femoral sheath
c) Medially related to the reflected part of inguinal
ligament
d) Conjoint tendon lies laterally
e) Inferior epigastric vessel lies laterally
TFTFF [Ref: AK datta/10th/V-1/P-119]
Explanation:
b) Superficial inguinal ring lies immediate superior to
the femoral sheath
5. Part of pancreas develops from dorsal pancreatic
d) Conjoint tendon lies medially
bud -
e) Inferior epigastric artery lies medially
a) Body
Relation of deep inguinal ring: (Inlet)
b) Tail
With Inferior Epigastric artery
c) Uncinate process
d) Neck
e) Lower part of head
TTFTF
Explanation:
Development of Pancreas-
○ From dorsal pancreatic bud – Upper
head, Neck, Body, Tail
○ From Ventral pancreatic bud- Lower
head, Uncinate process
8. Regarding development of anal canal
a) Endodermal cloaca
b) Hindgut
c) Ectodermal proctodeum
d) Foregut
e) Midgut
TFTFF [Ref: BD/8th/V-2/P-484]
Explanation:
Development of anal canal -
○ Anal canal above pectinate line -
Endodermal cloaca
○ Anal canal below pectinate line -
Ectodermal protoderm
 Upper area Lower area

Developmen Endodermal Ectodermal

t cloaca proctodeum
Arterial Superior rectal Inferior rectal

Venous Portal System via Systemic

Superior rectal, vein(Internal
Inferior Iliac vein) via
mesenteric vein Middle and
Inferior rectal
vein
Lymphatic Internal ileac Superficial
nodes inguinal nodes

Nerve • Autonomi • Somati

supply c. c spinal
• Insensitiv nerves
e via
inferior
rectal
nerve.
• Sensitiv
e

9. Lymphatic drainage of liver

a) Hepatic nodes
b) Pyloric nodes
c) Coeliac nodes
d) Para aortic lymph node
e) Posterior mediastinal Lymph node
TTTFT [Ref: Vishram Singh/3rd/V-2/P-112]
Explanation:
Hepatic nodes
Pyloric nodes
Coeliac nodes 11. Relation of pectoralis minor muscle
Cisterna chyli a) Apical lymph node
b) Central lymph node
Thorax (MCQ) c) Rotter’s lymph node
10. Azygous vein d) Medial pectoral nerve
a) Drain in IVC e) Subscapular nerve
b) Main collateral circulation between SVC and IVC TFTFT
c) Left bronchial vein is attribute
d) Arches over the root of right Lung
e) Drains left side of the body
FTFTF
  Patey mastectomy The breast and
associated structures are
dissected en bloc (Figure 53.27)
and the excised mass is
composed of:
1. the whole breast;
2. a large portion of skin, the
centre of which overlies the
tumour but which always
includes the nipple;
3. all of the fat, fascia and
lymph nodes of the
axilla.
 The pectoralis minor muscle is
either divided or retracted to
gain access to the upper two-
thirds of the axilla.
 The axillary vein and nerves to
the serratus anterior and
latissimus dorsi (the
thoracodorsal trunk) should be
preserved.
 The intercostal brachial
nerves are usually divided in this
12. Structures injured during radical mastectomy
a) Axillary nerve operation and the patient should
b) Thorax dorsal nerve be warned about sensation
c) Long thoracic nerve changes postoperatively.
d) Intercostal exercises
e) Intercostal bronchial nerve 13. Regarding thoracic duct
FTTFT Ref: Baily & Loves ( The Breast, P: 876) a) 45cm long
 The radical Halsted mastectomy, which b) Lies in the midline
included excision of the breast, axillary lymph c) Arches behind the vertebral system & left
nodes and pectoralis major and minor sympathetic trunk
muscles, is no longer indicated as it causes d) Descends in front of first part of left subclavian
excessive morbidity with no survival benefit. artery
 The modified radical (Patey) mastectomy is e) Recieves lymph from both halves of the body
more commonly performed TFFTF
 15. Regarding coronary arteries
a) RCA supplies post. interventricular septum
b) Both arise from aortic sinus
c) RCA is larger & supplies greater area
d) Whole conducting system is supplied by LCA
e) LCX is most commonly blocked
TTFFF

16. Regarding broncho pulmonary segment

a) They are independent vascular unit
b) Are wedge- shaped
c) Knowledge of bronchial branching is essential for
14. Montgomery’s tubercle bronchoscopy & bronchograms
a) Small(micro) sebaceous gland d) Infections can spread from one segment to another
b) Lubricates areola and nipple e) Each segment has its own lymphatic drainage &
c) Prone to infection autonomic supply
d) Modified sweat gland FTTFT
e) Prominent during pregnancy
TTTFT Ref: Baily & Loves ( The Breast, P: 860)
Explanation:
17. Cells of parathyroid gland includes
a) α Cells
b) β Cells
c) Oxyphil cells
d) Parafollicular cells
e) Parietal cells
FFTFF
Explanation:

Head & Neck (MCQ)

18. Regarding cervical plexus
a) Situated in parallel to brachial plexus
b) Covers SCM
c) Situated in post triangle of neck
d) Communicates with brachial plexus
e) Supplies don’t aspect of neck
FTTFT 19. Cavernous sinus
a) Lies in the anterior cranial fossa
b) Trigeminal ganglion lies in the lateral wall of the
sinus
c) ICA & abducent nerve pierce the sinus
d) Right & left sinuses communicate with each other
e) There are numerous valves in the sinus
FTTTF
Histology (MCQ)
20. Histology of parietal cells
a) Microvilli present 22. Regarding hypodermis
b) More mitochondria a) Can synthesize estrogen, vit-D
c) Present within basal region of gastric crypts b) Can regenerate to form epidermis layers
d) Secrets IFC c) Protects against UV-radiation
e) Secrets HCl d)
FTTTT [Ref: Baily & Love (stomach & Duodenum, P- e)
1107, 1108) TFF
● The subcutaneous layer consists of loose
connective tissue ,also called
the hypodermis or superficial fascia- contains
adipocytes. The extensive vascular supply at
the subcutaneous layer promotes rapid
uptake of insulin or drugs injected into this
tissue.
● The epidermis gradually reestablishes
continuity over the wound site,
● Melanin – secreted from melanocytes protect
against UV- radiation

23. X ray of long bone of 30 days old person shows

a) Epiphyseal plate
b) Thin lamelldr bone
21. Histology of skin c) Epiphyseal cartilage
a) Melanocyte present in stratum basdide d) Compact bone
b) Keratinocyte present in stratum graulosum e) Fusion of epiphysis to diaphysis
c) Melanocyte synthesize melanin FTFFT
d) Stratum corneum is the deepest layer of epidermis
e) Merkel cell present in stratum granulosum
TTTFF
Upper Limb (MCQ)
24. Regarding distal end of radius
a) Distal fragment displaces dorsally
b) Medial angulation
c) Lateral angulation
d) Hand deciatestulanr side
e) Pulsation of radial artery diminished
TFFFT

Abdomen (SBA)
26. Which of the following is true regarding descent
of the testes –
a) 4th month – rest on deep inguinal ring
b) Descend starts at 7th month
c) 3rd month – reaches the superficial inguinal canal
d) Descent complete at 7th month
e) 8th month – rests on inguinal canal
A [Ref: Datta/10th/V-1/P-284-288]
Explanation:
2nd month- begins to descend
3rd month -reaches to iliac fossa
4th month- rest on the deep inguinal ring
7th month- traverse the inguinal canal
8th month- reaches the superficial inguinal ring
Lower Limb (MCQ)
9th month – bottom of the scrotum
25. Quadriceps feromis muscle-
a) Only supplied by femoral nerve
b) Cause extension of hip joint
c) Cause flexion of knee joint
d) IM injection can be given
e) Responsible for patellar tendon reflex
TFFTT
27. A patient with gastric carcinoma undergoing CT
scan of abdomen. Involvement of which structure in
CT abdomen indicate irresectability of gastric
carcinoma except –
a) Involvement of Para aortic Lymph node
b) Involvement of Left Lobe of Liver
c) Involvement of Spleen
d) Involvement of Transverse colon
e) Involvement of anterior surface of pancreas
C [Ref: SRB/6th/P-845]
Explanation:
Sign of inoperability-
● Adherent to pancreas or colon or mesocolon
● Ascites- Paraaortic LN, Secondaries to liver

28. Factors maintain liver in position –

a) Hepatic vein opens into inferior vena cava
b) Lesser omentum
c) Intraabdominal pressure 31. Metastasis of carcinoma prostate to Lumber
d) Transverse colon vertebra occur due to –
e) Caudate lobe a) Direct communication of valve less prostatic venous
A [Ref: Datta/10th/V-1/P-202] plexus to vertebral venous plexus
Explanation: b) Via lymphatic vessel
● Hepatic veins c) Close proximity with lumber vertebra
● Inferior vena-cava d) Same artery supply
● Intra abdominal pressure e) Same lymphatic drainage
● Ligaments of liver A [Ref: Vishram Singh/3rd/V-2/P-248]
Explanation:

29. Dermatome level of Xyphoid process –

a) T5
b) T6
c) T7
d) T2
e) T4
C [Ref: Bailey & Love’s/27th/P-1018]
Explanation:
32. Structure limits downward displacement of
Xiphoid process –T7
Spleen –
Umbilicus –T10
a) Fundus of stomach
Pubis –T12
b) Anterior surface of pancreas
c) Left colic flexure
30. Blood supply of upper ureter –
d) Anterior surface of left kidney
a) Inferior phrenic artery
e) Greater omentum
b) Direct branch of abdominal aorta
C [Ref: Bailey & Loves/27th/P-1187]
c) Renal artery
Explanation:
d) Internal iliac artery
Left colic flexure and phrenico colic ligament prevent
e) Gonadal artery
the downward displacement of spleen
C [Ref: BD/8th/V-2/P-377]
Explanation:
Blood supply of Ureter -
○ Upper part- Renal artery
○ Middle Part- Gonadal artery
○ Lower Part- Vesicle, Middle rectal &
Uterine artery
33. A 18 years old man undergoing appendicectomy Thorax (SBA)
initially the surgeon did not see the appendix 36. A 50 years old lady presented with ca breast.
entering into the peritoneal cavity but he did not Infiltration of which structure causing dimpling of
panic because he knew that he could quickly locate it breast –
by – a) Subcuteneous lymphatics
a) Palpating ileocecal valve & looking just above it b) Cooper’s ligaments
b) Following the course of the right colic artery c) Lactiferous duct
c) Palpating & inspecting the pelvic vein d) Retro mammary bursa
d) Looking at the commencement of the Taenia coli e) Pectoral fascia
e) Around the anterior border of caecum B Ref: Baily & Love (The Breast, P- 960)
D [Ref: Bailey & Loves/27th/P-1308]
Explanation:
All three taenia coli ends at the base of the appendix.
So it’s a good guide to identification of appendix>

34. Regarding anterior abdominal wall are true

except –
a) Supplied by lower 6 thoracic nerve
b) Arcuate line lies at the level of umbilicus 37. Most important function of the diaphragm –
c) Devoid of deep fascia a) Principal muscle of respiration
d) Superior & Inferior epigastric vessel lies on rectus b) Main muscle of abdominal straining
sheath c) Micturition
e) Absence of posterior layer of rectus sheath below d) Defecation
arcuate line. e) Muscle of weight lifting
B [Ref: BD/2nd/V-2/P-236] A Ref: Baily & Love (Torso trauma, P- 365)
Explanation: Arcuate line lies in between umbilicus
and symphysis pubis

35. GIT structure completely invested by peritoneum

–
a) Proximal 1 inch of 1st part of duodenum
b) Rectum
c) Ascending colon
d) Pancrease
e) 2nd part of duodenum
A [Ref: BD/2nd/V-2/P-272] 38. Thoracocenthesis is done in –
Explanation: a) 6th intercostal space in mid clavicular line
b) 6th intercostal space in mid axillary line
c) 5th intercostal space in mid axillary line
d) 5th intercostal space in mid clavicular line
e) 2nd intercostal space in mid axillary line
D [Ref: Baily & Love (Basic Principles: Paediatric
trauma, P- 122, 123)
Head & Neck (SBA)
39. During thyroid examination we asked the patient
to swallow. Elevation of thyroid gland occur. Which
structure is responsible for the movement of thyroid
gland?
a) Investing layer of deep cervical fascia
b) Berry’s ligament
c) Prevertebral fascia
d) Superficial fascia of neck
e) Buccopharyngeal fascia
B

40. On plain X-ray of skull which of the following

structures help to identify the mid line structure of
brain –
a) Metopic suture
42. Structure lies immediately deep & Parallel to
b) Peneal body calcification
carotid shith –
c) Calcified cavernous sinus
a) Ansa cervicalis
d) Arachnoid granulation
b) Cervical sympathetic chain
e) Inter clinoid ligament
c) Accessory nerve
d) Tributaries of IJV
e) Hypoglossal nerve
41. Following lymph node biopsy of posterior aspect
B Ref: Vishram Singh Anatomy ( 2nd Edition) (Head
of neck. Patient is unable to shrug his shoulder.
Neck, )
Which structure is responsible –
a) Spinal root of accessory
b) Cranial root of accessory
c) Vagus
d) Glosopharyngeal nerve
e) Superior cervical sympathetic ganglion
A
 44. Fracture of which skull bone is responsible for
developing Anosmia?
43. Following submandibular gland operation a a) Ethmoid bone
patient is unable to move lateral part of angle of b) Sphenoid bone
mouth. Which structure may involve – c) Nasal bone
a) Lingual nerve d) Frontal bone
b) Submandibular ganglion e) Petrous part of temporal bone
c) Marginal mandibular division of trigeminal nerve A
d) Maxillary division of trigeminal nerve Explanation:
e) Glossopharyngeal nerve
C

45. Which one is the most common

tracheoesophageal fistula –
a) Blind proximal pouch with a distal
tracheoesophageal fistula
b) Esophageal atresia with proximal
tracheoesophageal fistula
c) Esophageal atresia with proximal & distal
tracheoesophageal fistula
d) H type tracheoesophageal fistula without
esophageal atresia
e) Pure esophageal atresia
A
Explanation:
 47. A footballer during training injury occur to
anterior superior iliac spine and developes inability
to extend the knee. Which muscle is responsible for
this –
a) Sartorous muscle
b) Vastus medialis
c) Vastus lateralis
d) Rectus Femoris
e) Adductor longus
D
Lower Limb (SBA) Explanation:
46. Common peroneal nerve compression occurs
most likely –
a) Fracture tibial tuberosity
b) Fracture neck of the fibula
c) Fracture lower end of the femur
d) Fracture of the medial chondyle of tibia
e) Fracture shaft of fibula
B
Explanation:

48. A lady attended a weeding party wearing high hil.

She suddenly sliped on the floor with evertion of
foot. Which structure may be injured –
a) Deltoid ligament
b) Anterior talofibular ligament
c) Posterior talofibular ligament
d) Planter calcaneonavicular ligament
e) Calcaneofibular ligament
A
Explanation:
 Neuroanatomy (SBA)
50. Following spinal injury a patient develops
micturition dysfunction. Which is responsible for
this?
a) Inhibits facilitatory center of cerebral cortex
b) Inhibits inhibitory center of brain
c) Inhibition of pontine micturition center
d) Inhibition of sacral micturition center
e) Inhibition of paracentral lobule
Upper Limb (SBA) D
Explanation:
49. An obese female following surgery of
neurofibroma on flexor aspect of right forearm
develops weakness of hand & unable to hold the
glass of water. Which nerve injury is responsible?
a) Posterior interosseous nerve branch of radial nerve
b) Cuteneous branches of Radial nerve distributed to
the forearm
c) Ulnar nerve
d) Superficial branch of radial nerve
e) Posterior communicating branch of radical nerve
A
Explanation:

Some Conditions:
1. Atonic bladder with overflow incontinence
2. Automatic bladder
3. Hypertonic bladder with urge incontinence
4. Spastic neurogenic bladder
5. Uninhibited neurogenic bladder
6. Denervation (both afferent & efferent):
Cauda-equina Syndrome.