Crack AIIMS/ NEET-PG 2017: Surgery MCQs 141-143

Q-141. Charcot’s triad includes
a) Pain
b) Fever
c) Jaundice
d) Anemia

Answer: a, b and c
Explanation:
Charcot’s triad is an eponym referring to two sets of clinical features: one for acute cholangitis or, less commonly, a second set for multiple sclerosis.
Charcot’s triad:
Pain
Fever
Jaundice
Charcot’s neurologic triad:
Nystagmus
Intention tremor
Scanning or staccato speech
Charcot’s neurologic triad is associated with multiple sclerosis however, it is not considered pathognomonic for it.

Q-142. Pyogenic granuloma, true statements is/are
a) Vascular pathology
b) Bleeds rarely
c) Increased in pregnancy
d) Local excision
e) Recurrent & malignant

Answer: a, c and d
Explanation:
Pyogenic granuloma (lobular capillary hemangioma) is a relatively common benign vascular lesion of the skin and mucosa.
Pyogenic granulomas are misnamed; they are neither infectious nor granulomatous.
The lesion usually occurs in children and young adults as a solitary, glistening red papule or nodule that is prone to bleeding and ulceration.
Pyogenic granulomas typically evolve rapidly over a period of a few weeks, most often on the head, neck, extremities, and upper trunk.
Pyogenic granuloma often arises in pregnancy (or rarely with oral contraceptive usage and then is termed the "pregnancy tumor."
Recurrence occurs infrequently.
Treatment:
Curettage and Cauterization
Laser surgery
Cryotherapy

Q-143. True about struma ovarii
a) Ectopic thyroid
b) Ectopic ovary
c) Malignancy
d) Benign lesion
e) Included in Teratoma

Answer: d and e
Explanation:
Struma ovarii is a rare ovarian tumor defined by the presence of thyroid tissue comprising more than 50% of the overall mass.
It most commonly occurs as part of a Teratoma, but may occasionally be encountered with serous or mucinous cystadenomas.
The vast majority of struma ovarii are benign; however, malignant disease is found in a small percentage of ca