स्नातकोत्तर मेडिकल प्रवेश (MECEE-PG)
स्नातकोत्तर मेडिकल प्रवेश (MECEE-PG)
MECEE-PG – MD/MS/MDS Entrance · २,८६५ प्रश्न
२,८६५ प्रश्न उपलब्ध। मोड छान्नुहोस्:
MD/MS प्रवेश: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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In acute pancreatitis, which serum enzyme is more specific for the pancreas and remains raised for longer?
सही उत्तर: घ) Lipase
Serum lipase is more specific than amylase and stays raised for longer. Amylase also rises in other conditions, such as salivary disease, perforated ulcer and mesenteric ischaemia, and returns to normal sooner.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Bluish discoloration of the flanks in severe acute haemorrhagic pancreatitis is called:
सही उत्तर: ग) Grey Turner's sign
Grey Turner's sign is flank ecchymosis from retroperitoneal blood tracking along tissue planes. Cullen's sign is periumbilical discoloration, and Fox's sign is discoloration over the inguinal ligament.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Gallstone ileus most commonly causes obstruction at the:
सही उत्तर: ख) Terminal ileum
A large gallstone enters the bowel through a cholecystoenteric fistula and usually impacts in the terminal ileum, the narrowest part of the small bowel. Rigler's triad is pneumobilia, small bowel obstruction and an ectopic gallstone.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Reynolds' pentad, indicating severe (suppurative) cholangitis, adds which features to Charcot's triad?
सही उत्तर: क) Hypotension and altered mental status
Reynolds' pentad is fever, jaundice and right upper quadrant pain plus shock and confusion. It shows acute suppurative cholangitis that needs urgent biliary decompression, usually by ERCP.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The first-line imaging investigation for suspected acute calculous cholecystitis is:
सही उत्तर: घ) Ultrasound of the abdomen
Ultrasound is cheap, widely available and accurate for gallstones, gallbladder wall thickening, pericholecystic fluid and sonographic Murphy's sign. HIDA scintigraphy is very sensitive but is kept for doubtful cases.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to Courvoisier's law, a palpable gallbladder in a patient with painless obstructive jaundice is unlikely to be due to:
सही उत्तर: ग) Common bile duct stones
Stones usually cause chronic inflammation, so the gallbladder becomes fibrosed and does not distend. Distal malignant obstruction lets a normal gallbladder dilate until it can be felt.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which structure is classically found within Calot's triangle?
सही उत्तर: ख) Cystic artery
Calot's triangle is bounded by the cystic duct, the common hepatic duct and the inferior surface of the liver. It contains the cystic artery and Lund's (cystic) lymph node, and these must be clearly identified during cholecystectomy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Mirizzi syndrome refers to:
सही उत्तर: क) Obstruction of the common hepatic duct by a stone impacted in Hartmann's pouch or the cystic duct
In Mirizzi syndrome, a stone impacted in the cystic duct or Hartmann's pouch compresses the common hepatic duct from outside and causes obstructive jaundice. Gallstone obstruction of the terminal ileum is gallstone ileus.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Saint's triad consists of:
सही उत्तर: घ) Gallstones, hiatus hernia and colonic diverticulosis
Saint's triad is gallstones, hiatus hernia and diverticular disease of the colon. It reminds clinicians that a patient's symptoms may come from more than one of these common conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The most common type of hiatus hernia is:
सही उत्तर: ग) Sliding (type I) hiatus hernia
About 90% of hiatus hernias are sliding, with the gastro-oesophageal junction moving up into the chest, and they are linked to reflux. Rolling para-oesophageal hernias are less common but more likely to strangulate.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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