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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The presence of bruising over the mastoid process (Battle’s sign) is frequently observed in patients with head injuries. What does this finding typically indicate?
सही उत्तर: क) Subdural Hematoma
Option 0 (Subdural Hematoma) is correct. Battle's sign represents bleeding from the middle meningeal artery, which often accompanies a subacute subdural hematoma following head trauma. The other options represent different types of intracranial hemorrhage with distinct clinical presentations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Following total thyroidectomy, temporary hearing impairment can occur due to damage to the recurrent laryngeal nerve. Which structure is most commonly affected by this injury?
सही उत्तर: ख) Larynx
Option 1 (Larynx) is correct. The recurrent laryngeal nerve, which innervates muscles controlling vocal cord movement, closely traverses the larynx. Damage to this nerve leads to paralysis of the vocal cords and, consequently, diminished ability to produce high-pitched sounds. Options 2, 3, and 4 represent other structures that may be affected post-thyroidectomy but are not directly responsible for hearing impairment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Barrett’s oesophagus is a chronic inflammation of the distal esophagus often associated with increased risk of adenocarcinoma. Which of the following malignancies does Barrett's oesophagus most strongly predispose to?
सही उत्तर: क) Squamous Cell Carcinoma
Option 0 (Adenocarcinoma) is correct. Barrett’s esophagus directly leads to metaplastic changes in the esophageal lining, transforming it into intestinal-type epithelium, significantly increasing the risk of developing adenocarcinoma. The other options are cancers with different origins and do not have a direct link to Barrett's esophagus.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During open cholecystectomy, the surgeon identifies a communicating cyst within the gallbladder wall that extends into the common bile duct. Which of the following approaches would be MOST appropriate for definitive management?”
सही उत्तर: ग) C) Roux-en-Y hepaticojejunostomy with removal of the gallbladder
Option 2 is correct. A hilar cholangiocarcinoma often presents with a communicating cyst in the common bile duct. A Roux-en-Y hepaticojejunostomy (creating an anastomosis between the duodenum and the bile duct) is the standard surgical treatment to bypass the obstructed area. The other options represent alternative approaches that don't directly address the underlying biliary obstruction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with severe abdominal pain, distension, and signs of peritonitis. Examination reveals a palpable mass in the right lower quadrant. Which of the following conditions should be MOST urgently considered?”
सही उत्तर: ख) B) Appendicitis
Option 1 is correct. Acute appendicitis is a common cause of right lower quadrant pain and peritonitis with a palpable mass. While the other options can present similarly, appendicitis is the most immediate concern based on the provided clinical scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary anatomical consideration when performing a Billroth II gastrectomy?”
सही उत्तर: ख) B) Creation of an alimentary canal with a stomach stump and jejunum
Option 1 is correct. A Billroth II gastrectomy involves creating an alimentary canal with a stomach stump and jejunum to establish a conduit from the duodenum to the ileum. This configuration avoids pyloric stenosis and facilitates gastric drainage. The other options describe different aspects of related procedures or surgical techniques.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 50-year-old male presents with intermittent abdominal pain, nausea, and vomiting. Physical examination reveals guarding. Imaging shows inflammation and edema within the splenic capsule. Based on these findings, what is the MOST likely initial surgical intervention?”
सही उत्तर: क) A) Laparoscopic Splenectomy
Option 0 is correct. Given the findings of splenic capsule inflammation and edema, a laparoscopic splenectomy is the standard surgical approach for symptomatic splenomegaly due to various causes. Options B is less precise, C attempts to treat symptoms but doesn’t address the underlying cause, and D is used for specific conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following surgical approaches is MOST commonly associated with a higher incidence of recurrence in patients undergoing treatment for Stage I breast cancer involving the central chest?”
सही उत्तर: घ) D) Skin paddle excision followed by wide local excision
Option 3 is correct because guidelines currently recommend sentinel lymph node biopsy and radiation therapy for Stage I breast cancer. The other options – mastectomy, skin paddle, or solely lumpectomy with radiation – have historically been associated with higher rates of recurrence in this specific scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 6-year-old child presents with severe abdominal pain, vomiting, and currant jelly stools. Examination reveals palpable loops of bowel in the right lower quadrant. Which surgical emergency is most likely?
सही उत्तर: घ) Intussusception
The combination of abdominal pain, vomiting, currant jelly stools, and palpable bowel loops strongly suggests intussusception – a telescoping of one part of the intestine into another. Todd's paralysis is related to ileus, not this presentation. Henoch-Schönlein Purpura causes purpuric rash, and Meckel's diverticulum typically doesn't present with these acute symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the surgical management approach to a traumatic diaphragmatic rupture?
सही उत्तर: क) Open Surgical Repair with Mesh Placement
Open surgical repair using mesh is the gold standard treatment for traumatic diaphragmatic ruptures, providing structural support and promoting healing. Other options are less effective or reserved for specific complications.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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