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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Which of the following best describes the anatomical location of McBurney's point?
सही उत्तर: ख) B. Inferior to the umbilicus, located at the midpoint between the anterior superior iliac spine and the pubic tubercle.
McBurney's point is traditionally located inferior to the umbilicus, precisely at the midpoint between the anterior superior iliac spine and the pubic tubercle – a landmark used historically in diagnosing appendicitis. Option A describes the location of the epigastric region; C refers to the ileocecal valve; and D does not accurately represent its anatomical significance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements regarding appendicitis is MOST accurate according to current diagnostic criteria (2023)? (a) Diagnosis relies solely on clinical presentation and physical examination findings. (b) A normal neutrophil count reliably excludes the diagnosis of acute appendicitis. (c) The presence of a mobile, mildly tender appendix on palpation confirms the diagnosis. (d) Imaging studies (CT scan or ultrasound) are generally not required unless clinical suspicion is high.
सही उत्तर: घ) (d) Imaging studies (CT scan or ultrasound) are generally not required unless clinical suspicion is high.
The correct answer is (3). Current guidelines emphasize the importance of imaging in confirming appendicitis, especially when clinical findings are ambiguous. Options (a) and (b) represent outdated diagnostic approaches. Option (d) accurately reflects the role of modern imaging techniques.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with severe abdominal pain, guarding, and rigidity – signs consistent with peritonitis. Which of the following is the MOST appropriate initial surgical intervention?
सही उत्तर: ख) Laparoscopic Exploration and Debridement
In a patient presenting with signs of peritonitis, immediate laparoscopic exploration and debridement are crucial to identify and address the source of inflammation. Endoscopic dilation is for gastrointestinal disorders, antibiotics alone don't resolve infection, and transjugular septal defect closure addresses congenital heart disease.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In the context of trauma to the lower abdomen following a pelvic fracture, which imaging modality is MOST crucial for identifying vascular injury to the iliofemoral arterial system?
सही उत्तर: क) Computed Tomography (CT) Scan
A CT scan with intravenous contrast is essential for visualizing and assessing vascular injuries in pelvic fractures, particularly those affecting the iliofemoral arteries. MRI offers excellent soft-tissue detail but has limited availability and longer acquisition times; ultrasound lacks the resolution needed for arterial evaluation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings would most strongly suggest a diagnosis of appendiceal mucinous neoplasm (AMN) during laparoscopic evaluation?
सही उत्तर: ख) Thickened Appendiceal Wall with Mesenteric Fat Strands
An AMN is characterized by mucin production and often presents with a prominent lymphatic fistula. A thickened wall with fat strands suggests chronic inflammation, while clear separation doesn't reflect this pathology, and enlargement of the cecum would be associated with other bowel pathologies.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The surgical approach typically used to treat a sigmoid volvulus involves which of the following?
सही उत्तर: घ) Gastrostomy Tube Insertion
A sigmoid volvulus requires surgical reduction of the twisted loop and closure of the defect. Sigmoid resection with primary anastomosis is the standard procedure for this condition to restore normal bowel continuity. A partial bowel resection would be used in different situations, and the other options are not relevant.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The 'Battle's sign' (bruising behind the ear) suggests damage to what structure following a head injury?
सही उत्तर: ख) B. Occipital lobe
Option C is correct – Battle’s sign indicates bleeding from the vertebral artery, a common cause of bruising behind the ear after head trauma. Options A, B, and D are incorrect as they relate to different anatomical structures.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the primary histological difference between a keloid and a hypertrophic scar?
सही उत्तर: क) A. Presence of increased collagen deposition with disorganized fibre arrangement
Option A is correct because keloids are defined by excessive, disorganized collagen deposition often accompanied by persistent inflammation and vascularity – unlike hypertrophic scars which have a more normal collagen architecture. Option B is incorrect as both types contain fibroblasts; Option C misrepresents the inflammatory response, and Option D describes adipose tissue, not scar characteristics.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is diagnosed with a Meckel's diverticulum that contains gastric mucosa and produces hydrochloric acid. What term best describes this condition?
सही उत्तर: घ) Hemorrhagic Diverticulum
Option 3 (Gastric Adenoma) is correct. A Meckel’s diverticulum containing gastric-type mucosa, particularly when it produces acid, develops into a gastric adenoma. This demonstrates the potential for aberrant development of the digestive tract. The other options relate to different types of diverticular lesions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with an inguinal hernia characterized by protrusion through the inferior epigastric canal. Which anatomical structure is primarily involved?
सही उत्तर: क) Inguinal Ring
Option 0 (Inguinal Ring) is correct. The inferior epigastric canal is a key component of the inguinal ring, through which abdominal contents can protrude when the abdominal muscles relax during straining or increased intra-abdominal pressure, leading to an inguinal hernia. The other rings are involved in different types of hernias.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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