Surgical Emergencies MCQs 50 Score: 0 Attempted: 0/50 Subscribe 1. The most common cause of surgical acute abdomen is: (A) Acute pancreatitis (B) Intestinal obstruction (C) Acute appendicitis (D) Perforated ulcer 2. Perforated peptic ulcer most commonly occurs in: (A) Duodenal bulb (B) Gastric antrum (C) Fundus (D) Esophagus 3. The investigation of choice in suspected hollow viscus perforation is: (A) CT scan (B) Erect X-ray abdomen (C) Ultrasound abdomen (D) Barium study 4. Pneumoperitoneum is best seen under: (A) Right dome of diaphragm (B) Left dome of diaphragm (C) Pelvis (D) Flanks 5. The most common cause of acute intestinal obstruction in adults is: (A) Hernia (B) Adhesions (C) Volvulus (D) Tumor 6. The most common cause of acute intestinal obstruction in children is: (A) Hernia (B) Intussusception (C) Adhesions (D) Malrotation 7. The classical triad of intussusception is: (A) Pain, vomiting, and rectal bleeding (B) Pain, mass, and constipation (C) Fever, mass, and diarrhea (D) Jaundice, mass, and ascites 8. Coffee-bean sign on X-ray abdomen is diagnostic of: (A) Sigmoid volvulus (B) Cecal volvulus (C) Intussusception (D) Perforation 9. The most common site of volvulus is: (A) Stomach (B) Cecum (C) Sigmoid colon (D) Small intestine 10. The most common cause of peritonitis is: (A) Ruptured appendix (B) Perforated duodenal ulcer (C) Perforated diverticulitis (D) Trauma 11. Most sensitive investigation for peritonitis is: (A) CT scan (B) Ultrasound (C) Erect X-ray (D) Laparoscopy 12. Acute mesenteric ischemia is most commonly due to: (A) Arterial embolism (B) Venous thrombosis (C) Vasculitis (D) Atherosclerosis 13. Gold standard investigation for mesenteric ischemia is: (A) Doppler USG (B) CT angiography (C) Barium study (D) Plain X-ray 14. The most common cause of upper GI bleed is: (A) Esophageal varices (B) Mallory-Weiss tear (C) Peptic ulcer disease (D) Gastritis 15. The most common cause of massive lower GI bleed in adults is: (A) Colon cancer (B) Diverticulosis (C) Hemorrhoids (D) Angiodysplasia 16. First-line treatment of bleeding esophageal varices is: (A) Band ligation (B) TIPS (C) Sclerotherapy (D) Balloon tamponade 17. Most common site of traumatic abdominal bleeding is: (A) Spleen (B) Liver (C) Kidney (D) Mesentery 18. The most common cause of traumatic hemoperitoneum is: (A) Splenic rupture (B) Liver laceration (C) Kidney injury (D) Mesenteric tear 19. FAST in trauma stands for: (A) Focused Abdominal Sonography in Trauma (B) First Aid Surgical Test (C) Fast Assessment of Shock Trauma (D) Focused Analysis of Surgical Trauma 20. The most common type of shock in trauma is: (A) Hypovolemic shock (B) Cardiogenic shock (C) Septic shock (D) Neurogenic shock 21. Kehr’s sign indicates: (A) Splenic rupture (B) Liver injury (C) Pancreatitis (D) Perforated ulcer 22. Seat-belt sign is associated with: (A) Hollow viscus injury (B) Liver trauma (C) Renal trauma (D) Pancreatitis 23. The most common cause of non-traumatic splenic rupture is: (A) Malaria (B) Infectious mononucleosis (C) Leukemia (D) Lymphoma 24. Beck’s triad (hypotension, muffled heart sounds, JVD) is seen in: (A) Hemothorax (B) Tension pneumothorax (C) Cardiac tamponade (D) Myocardial infarction 25. The first investigation in suspected head injury is: (A) MRI brain (B) CT scan brain (C) Skull X-ray (D) EEG 26. The most common site of extradural hematoma is: (A) Frontal (B) Temporal (C) Occipital (D) Parietal 27. Lucid interval is characteristic of: (A) Subdural hematoma (B) Subarachnoid hemorrhage (C) Extradural hematoma (D) Intracerebral hemorrhage 28. The most common cause of subarachnoid hemorrhage is: (A) Trauma (B) Berry aneurysm rupture (C) AV malformation (D) Hypertension 29. Battle’s sign is seen in: (A) Skull base fracture (B) Intracranial bleed (C) Scalp hematoma (D) Subdural hematoma 30. Raccoon eyes indicate: (A) Basilar skull fracture (B) Subdural hematoma (C) Brain contusion (D) Orbital fracture 31. In tension pneumothorax, trachea shifts to: (A) Same side (B) Opposite side (C) Midline (D) Downward 32. Needle decompression in tension pneumothorax is done at: (A) 5th intercostal space, midaxillary line (B) 2nd intercostal space, midclavicular line (C) 3rd intercostal space, parasternal (D) 4th intercostal space, anterior axillary line 33. The most common cause of hemothorax is: (A) Trauma (B) TB (C) Lung cancer (D) Pneumonia 34. Flail chest occurs due to: (A) Multiple rib fractures (B) Pneumothorax (C) Hemothorax (D) Sternal fracture 35. The most common cause of massive hemoptysis is: (A) Bronchiectasis (B) TB (C) Lung cancer (D) Pneumonia 36. Most common cause of acute urinary retention in males is: (A) Bladder stone (B) Carcinoma bladder (C) Benign prostatic hyperplasia (D) Stricture urethra 37. Priapism is most commonly associated with: (A) Trauma (B) Sickle cell anemia (C) Leukemia (D) Drugs 38. Testicular torsion most commonly occurs in: (A) Neonates (B) Prepubertal boys (C) Adolescents (D) Elderly 39. Gold standard investigation for testicular torsion is: (A) Doppler ultrasound (B) CT scan (C) MRI (D) Angiography 40. Fournier’s gangrene involves: (A) Abdominal wall (B) Perineum and scrotum (C) Lower limb (D) Chest wall 41. The most common cause of thyroid storm is: (A) Thyroidectomy (B) Infection in thyrotoxic patient (C) Trauma (D) Drug reaction 42. Ludwig’s angina is: (A) Infection of parotid gland (B) Cellulitis of submandibular space (C) Peritonsillar abscess (D) Retropharyngeal abscess 43. The most dangerous complication of Ludwig’s angina is: (A) Sepsis (B) Airway obstruction (C) Mediastinitis (D) Aspiration 44. The most common cause of acute limb ischemia is: (A) Arterial embolism (B) Arterial thrombosis (C) Trauma (D) Vasculitis 45. The 6 Ps of acute limb ischemia include: (A) Pain, Pallor, Pulselessness, Paresthesia, Paralysis, Poikilothermia (B) Pain, Pallor, Pulmonary edema, Paralysis, Polyuria, Pyrexia (C) Pain, Pallor, Purpura, Palpitation, Paralysis, Pyrexia (D) Pain, Pitting, Pulselessness, Paralysis, Pallor, Polycythemia 46. The most common site of arterial embolism is: (A) Femoral artery (B) Popliteal artery (C) Brachial artery (D) Aortic bifurcation 47. Compartment syndrome most commonly follows: (A) Tibial fracture (B) Femoral fracture (C) Humeral fracture (D) Pelvic fracture 48. Gold standard investigation for compartment syndrome is: (A) Clinical examination (B) MRI (C) Compartment pressure measurement (D) CT scan 49. The definitive treatment for compartment syndrome is: (A) Heparin therapy (B) Limb elevation (C) Fasciotomy (D) Steroids 50. The most common cause of surgical emergency worldwide is: (A) Acute appendicitis (B) Cholecystitis (C) Intestinal obstruction (D) Trauma Related Posts:Consent in Minors and Emergencies – MCQs ForensicsSurgical approaches and techniques MCQs(ORIF, external fixation, arthroscopy)Common Surgical Conditions MCQsSurgical Specialist Syllabus AJK PSC Kashmirnetworking MCQs, storage solutions, cloud computing MCQs, data center technologies MCQs.Unix based server platforms MCQs switches MCQs