Surgery MCQs for AMC Part 1 Exam
Surgical disorders are a critical component of medical knowledge, and mastering them is essential for success in AMC Part 1 exam. Whether you’re a medical student or a healthcare professional looking to face the CAT MCQ exam, this curated collection of multiple-choice questions (MCQs) on surgical disorders is designed to provide you with a comprehensive and efficient study aid.
These MCQs are specifically crafted to test your diagnosis skills on various surgical conditions and will give you a general overview on the topics you need to study for AMC Part 1.
Question 2001
A 42-year-old female presents to the clinic with muscle cramps, tingling sensations in her fingers and toes, and an overall feeling of weakness. She reports a history of thyroid surgery six months ago, where her thyroid gland was removed due to hyperthyroidism. What is the most likely diagnosis for her current symptoms?
- A) Hypothyroidism
- B) Hypoparathyroidism
- C) Hyperparathyroidism
- D) Graves’ disease
- E) Addison’s disease
Question 2002
A 45-year-old female presents to you with complaints of unintentional weight loss, palpitations, heat intolerance, and tremors. Physical examination reveals proptosis, a diffuse, non-tender goiter, and fine tremors of the hands. Laboratory tests show very low levels of thyroid-stimulating hormone (TSH). What is the most likely diagnosis?
- A) Hypothyroidism
- B) Hashimoto’s thyroiditis
- C) Graves’ disease
- D) Thyroid adenoma
- E) Thyroid cancer
Question 2003
A 60-year-old male presents to his primary care physician with complaints of dysphagia, unintentional weight loss, and progressive difficulty in swallowing both solids and liquids. He denies any significant heartburn or regurgitation. Physical examination reveals no abnormal findings. An upper endoscopy is performed, showing an irregular, ulcerated mass in the distal esophagus. Which of the following is the most appropriate next step in managing this patient?
- A) Initiate proton pump inhibitor (PPI) therapy
- B) Refer for surgical resection
- C) Esophageal stenting
- D) Prescribe high-dose oral corticosteroids
- E) Review in 3 months
Question 2004
A 55-year-old male smoker with a history of hypertension and hyperlipidemia presents to his primary care physician with complaints of pain and cramping in his right calf that occurs during walking and is relieved with rest. He describes the pain as aching and cramping and notes that it consistently occurs after walking a few blocks. Physical examination reveals diminished pulses in the right lower extremity. Which of the following is the most likely diagnosis?
- A) Deep vein thrombosis
- B) Osteoarthritis
- C) Gout
- D) Peripheral neuropathy
- E) Intermittent claudication
Question 2005
A 65-year-old male presents to his urologist with complaints of urinary frequency, nocturia, and a weak urinary stream. He has a past medical history of hypertension and type 2 diabetes, both of which are well-controlled with medication. Digital rectal examination (DRE) reveals a nodule on the posterior surface of the prostate gland. A serum prostate-specific antigen (PSA) test is performed, and the result comes back elevated. Which of the following is the most appropriate next step in managing this patient?
- A) Initiate treatment with alpha-blockers
- B) Perform a transrectal ultrasound (TRUS)-guided biopsy of the prostate
- C) Monitor PSA levels annually
- D) Prescribe a 5-alpha reductase inhibitor
- E) Order a bone scan to evaluate for metastases
Question 2006
A 40-year-old male presents to the emergency department with severe abdominal pain that radiates to his back. He reports a history of heavy alcohol consumption over the past several years. On physical examination, he appears acutely ill and in distress. His abdomen is tender to palpation, and there is guarding and rigidity in the epigastric region. Laboratory tests show elevated serum amylase and lipase levels. What is the most likely diagnosis in this case?
- A) Peptic ulcer disease
- B) Acute appendicitis
- C) Acute pancreatitis
- D) Crohn’s disease
- E) Intestinal obstruction
Question 2007
A 30-year-old female presents with a painless, soft, and non-tender lump on the dorsum of her wrist. She reports that the lump has been slowly increasing in size over the past several months. On examination, the mass is mobile, located just proximal to the wrist joint, and is transilluminated when a penlight is placed against it. What is the most likely diagnosis?
- A) Ganglion
- B) Lipoma
- C) Carpal tunnel syndrome
- D) Rheumatoid arthritis
- E) Dupuytren’s contracture
Question 2008
A 45-year-old female presents to the emergency department with sudden-onset right upper quadrant abdominal pain that radiates to the back. She describes the pain as severe and colicky, and it began shortly after she consumed a fatty meal. Physical examination reveals tenderness in the right upper quadrant, but there is no fever or jaundice. Laboratory tests, including liver function tests and complete blood count, are within normal limits. What is the most likely diagnosis in this case?
- A) Acute pancreatitis
- B) Cholecystitis
- C) Peptic ulcer disease
- D) Biliary colic
- E) Appendicitis
Question 2009
A 20-year-old male presents to the emergency department with a 12-hour history of abdominal pain that initially began around the umbilicus but has since migrated to the right lower quadrant. He describes the pain as constant and progressively worsening. On physical examination, there is tenderness and guarding in the right lower quadrant, as well as rebound tenderness. Laboratory tests show an elevated white blood cell count. What is the most likely diagnosis in this case?
- A) Gastroenteritis
- B) Kidney stone
- C) Appendicitis
- D) Diverticulitis
- E) Ovarian torsion
Question 2010
A 35-year-old female presents to the emergency department with severe, colicky right lower abdominal pain that radiates to the groin. She describes the pain as excruciating and intermittent. She also reports nausea and vomiting. On physical examination, she is in distress and has tenderness in the right lower quadrant. There is no fever, and her urine dipstick is positive for blood. What is the most likely diagnosis in this case?
- A) Acute appendicitis
- B) Ovarian torsion
- C) Ureteric colic (renal colic)
- D) Gastroenteritis
- E) Ectopic pregnancy
