सर्जरी – Surgery MCQ
सर्जरी – MD/MS प्रवेश
Surgery · MECEE-PG – MD/MS/MDS Entrance · ४८२ प्रश्न
४८२ प्रश्न उपलब्ध। मोड छान्नुहोस्:
सर्जरी: 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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A patient sustains a traumatic injury to the right lower limb resulting in disruption of the femoral artery. What is the immediate surgical priority?
सही उत्तर: घ) Creation of a Rutherford Balloon Perfusion Stent
The immediate priority after a femoral artery injury is to establish a temporary bypass (Rutherford balloon perfusion stent or similar) to maintain blood flow to the lower limb. The other options represent longer-term solutions but are not appropriate for the initial, critical stabilization of vascular supply.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a laparoscopic appendectomy, the surgeon discovers a suspicious mass near the ilio-cecal valve. Which histological examination would be MOST appropriate for definitive diagnosis?
सही उत्तर: ग) Frozen Section Analysis
Frozen section analysis is crucial in urgent surgical scenarios like this to rapidly assess tissue margins and confirm or rule out malignancy. While other tests are important in overall patient management, a frozen section provides the fastest diagnostic information needed during surgery for accurate treatment decisions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 60-year-old male presents with jaundice, right upper quadrant pain, and fever. Blood tests reveal elevated bilirubin levels. Which of the following conditions is MOST likely?
सही उत्तर: ख) Cholecystitis
Charcot's triad (fever, jaundice, RUQ pain) is highly suggestive of acute cholecystitis – inflammation of the gallbladder. While other options can cause similar symptoms, the combination within Charcot’s triad strongly favors this diagnosis. Hepatitis typically presents with more specific liver enzyme abnormalities.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which surgical procedure is commonly used for treating Carpal Tunnel Syndrome?
सही उत्तर: ग) Arthroscopic Decompression of the Carpal Tunnel
Arthroscopic decompression of the carpal tunnel involves creating more space within the tunnel to relieve pressure on the median nerve. This is a standard surgical treatment for carpal tunnel syndrome. The other options involve different procedures and anatomical structures not related to carpal tunnel syndrome.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with a sudden onset of severe right upper quadrant pain, fever, and chills. Physical examination reveals rebound tenderness and guarding. Laboratory tests show an elevated white blood cell count. What is the most likely diagnosis? (एउटा बिरामी अचानक दायाँ माथिल्लो हातामा तीव्र वेदना, ज्वыр Wheeling र कंपवातको सिकрија प्रस्तुत गर्छ। शारीरिक जाँच गर्दा प्रतिपुष्टि (rebound tenderness) र रक्षात्मक मुद्रा (guarding) देखिएको हुन्छ। प्रयोगशाला परीक्षणहरूले सेतो रक्त कोशिका संख्या बढी देखिन्छ। यो कुन Diagnosis धेरै सम्भावना छ?)
सही उत्तर: ग) C) Pancreatitis.
Option B is correct as the presentation – right upper quadrant pain, rebound tenderness, guarding, fever, and elevated WBC count - strongly suggests acute cholecystitis (inflammation of the gallbladder). Option A describes Hepatitis A’s typical symptoms. Option C represents pancreatitis with similar but distinct presentation features and option D represents ulcer disease.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following investigations is MOST reliable in confirming the diagnosis of a cholelithiasis (gallstones) with evidence of biliary inflammation? (कपालमा पत्थरी (cholelithiasis) भएको अवस्थामा बिरामीको पेटमा क्यान्सर देखिएको छ। यो निदान पुष्टि गर्न के कुन जाँच विश्वसनीय हुन्छ?)
सही उत्तर: ख) B) Magnetic Resonance Cholangiopancreatography (MRCP).
Option B is correct, as MRCP provides detailed visualization of the biliary tree and its relationship to surrounding structures, allowing for clear identification of gallstones and inflammation. Option A offers less detail. Option C measures pancreatic enzymes which aren't specific for gallbladder pathology and Option D assesses kidney function.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient undergoes an upper endoscopy and discovers a pouch-like structure projecting from the terminal ileum. This structure contains gastric mucosa and demonstrates bleeding on biopsy. What is the MOST appropriate initial management? (एउटा बिरामी ह्यापेटोस्कोपबाट पखालेको एउटा भाग टर्मिनल इलियमबाट निस्किएको पत्ता लगाउँछ। यो भागमा पेटको झिल्ली छ र बायोप्सी गर्दा रक्तस्राव देखिएको हुन्छ। यसको लागि कुन प्रारम्भिक व्यवस्थापन उपयुक्त छ?)
सही उत्तर: ग) C) Surgical resection of the affected segment.
Option B is correct as a Meckel's diverticulum with bleeding is most commonly managed with endoscopic submucosal dissection (ESD) to obtain tissue for accurate diagnosis and potentially cure the bleeding. Option A might delay necessary intervention. Option C involves surgical resection, often reserved for complex cases. Option D offers symptomatic relief but doesn’t address the underlying pathology.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-year-old boy presents with projectile vomiting and forceful abdominal contractions. Physical examination reveals a palpable mass in the right upper quadrant. Which of the following is the MOST likely diagnosis? (6 वर्षे बाकसलाई निस्साउने मच्चाहरू र पेटको तीव्र संकुचन हुन्छ। शारीरिक जाँच गर्दा दाहنى माथिल्लो हातामा एक मात्रा महसुस हुन्छ। यो कुनDiagnosis अधिक सम्भावना छ?)
सही उत्तर: ख) B) Pyloric Stenosis.
Option B is correct as pyloric stenosis is the classic presentation in children with forceful vomiting and a palpable mass due to the obstruction by the thickened muscle ring. Option A represents gastroenteritis, which typically presents differently. Option C relates to intussusception, another possible condition but less likely given the described symptoms. Option D describes Crohn’s disease, usually presenting with chronic symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings is MOST suggestive of acute appendicitis in a patient presenting with right lower quadrant abdominal pain? (कुन विकल्पले तीव्र अपेंडिसाइटिसको लक्षण भढी देखाइन्छ?)
सही उत्तर: ख) B) Palpable McBurney's point.
Option B is correct as palpable McBurney's point is the classical physical finding in acute appendicitis. Option A represents amylase elevation, typically seen in pancreatitis. Option C reflects a general inflammatory response but isn't specific to appendicitis, and Option D describes Murphy's sign, which can be present but isn’t definitive.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the MOST significant prognostic factor for patients diagnosed with Stage I cutaneous malignant melanoma?
सही उत्तर: ख) Patient’s age at diagnosis
Tumor diameter (option 1) is considered the most significant prognostic factor in stage I melanoma. Smaller tumors generally have a better prognosis compared to larger ones, even with other favorable factors such as patient’s age and lack of lymph node involvement. Depth of Breslow's layer (option 2), while important, plays a lesser role at this stage.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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