Modified Essay Questions, MEQs in Surgery - Thyroglossal Cyst

THYROGLOSSAL CYST 

# A teenage girl comes to you in surgery OPD with a 4 cm size swelling on the right side of neck just medial to the anterior border of sternocleidomastoid at the level of the upper border of the thyroid cartilage. She has no complaints except mild pain at the time of mastication. 1. List 3 differential diagnosis.

• Thyroglossal cyst 
• Branchial cyst 
• Enlarged lymph node (at the level of thyroid cartilage, the thyroglossal cyst may be pushed slightly towards one side) 

Modified Essay Questions, MEQs in Surgery - Breast Abscess

BREAST ABSCESS 

# A 25 year lactating mother, weighing 45 kgs presents in surgical OPD with complaints of painful swelling of right breast and fever for last 12 hours, on clinical examination, breast is engorged, there is erythema, tenderness and induration in the upper inner quadrant of breast. The swelling does not yield pus on needle aspiration 
1. State the most likely diagnosis.
-  Acute lactational mastitis

Modified Essay Questions, MEQs in General Surgery - Head Injury

Head Injury

# A 32-year-old man was brought to the emergency by the police with history of a bike accident 3  hours ago. On examination he was confused and a lacerated wound was present on the scalp. His pulse was 120 bpm and BP 80 / 40 mm Hg. 

1. Perform a primary survey on the patient. 

- Write about ABCDE (Don't miss C spine collar in Airway and  Opening 2 wide bore IV cannula).

Multiple Choice Questions - Internal Medicine MCQs - 3rd year MBBS - July 2017 - BPKIHS, Dharan