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 most common presentation of acute appendicitis in adults is characterized by which symptom?
सही उत्तर: क) Right lower abdominal pain with rebound tenderness
Option 0 (Right lower abdominal pain with rebound tenderness) is the classic presentation of acute appendicitis, often described as peritonitis. Options 1, 2, and 3 represent atypical presentations or other gastrointestinal conditions. This aligns with standard surgical textbook descriptions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings would most strongly suggest a diagnosis of appendicitis in a patient presenting with right lower quadrant pain? a) Presence of a palpable mass in the left iliac fossa. b) Elevated serum amylase levels. c) Right lower quadrant tenderness exacerbated by palpation and rebound tenderness.
सही उत्तर: ग) c
Right lower quadrant pain, with tenderness upon palpation and rebound tenderness, is the classic presentation of appendicitis. Option (a) describes a finding more typical of left lower quadrant pathology. Option (b) relates to pancreatic inflammation, not appendicitis, and option (c) doesn't provide sufficient anatomical detail.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to ATLS protocols, a Class III haemorrhagic shock indicates approximately what level of blood loss?
सही उत्तर: ग) C) 70-80%
Option B, representing a blood loss of 50-60%, corresponds to Class III haemorrhage according to the Advanced Trauma Life Support (ATLS) algorithm. This level signifies significant compromise and requires immediate intervention. The others represent lower or higher severity levels.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In 2023, what is the most common primary site of origin for pancreatic carcinoma?
सही उत्तर: घ) D) Head of the Pancreas
The correct answer is D. The tail of the pancreas is the most frequent location where pancreatic carcinomas arise. While cancers in the head and body are common, the tail represents the primary site by a considerable margin. Options A and B describe other locations of pancreatic tumors.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient undergoes barium swallow imaging and exhibits a classic “tight rope” appearance in the distal esophagus. Which esophageal disorder is most likely being diagnosed?
सही उत्तर: ख) B) Achalasia Cardia
The 'tight rope' appearance on barium swallow is characteristic of Achalasia Cardia. In this condition, the lower esophageal sphincter fails to relax properly, leading to a narrowing effect as food passes through. Options A relates to inflammation, C to malignancy, and D to a localized stricture.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary mechanism behind the development of Boerhaave syndrome?
सही उत्तर: ख) B) Spontaneous rupture of the esophageal wall due to increased intraluminal pressure
The correct answer is B. Boerhaave syndrome results from a forceful expulsion of gastric contents into the esophagus, leading to transmural rupture of the esophageal wall. Option A describes infectious causes, C relates to dietary triggers, and D is a consequence of other esophageal conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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McBurney’s point is traditionally located at approximately:
सही उत्तर: ख) 5 cm below the umbilicus
The McBurney's point, a landmark used to locate the appendix, is situated 5cm below the umbilicus (belly button). This location was determined by William McBurney in his seminal work on appendicitis. The other points represent different anatomical locations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a young female presenting with spontaneous, bloody nipple discharge from a single major duct, which is the most commonly identified etiology?
सही उत्तर: क) Intraductal papilloma (Fibrocystic changes)
Bloody nipple discharge predominantly originates from intraductal papillomas – also known as fibrocystic changes. While other conditions can cause discharge, papillomas are the most frequent reason for this symptom in young women. Duct ectasia and carcinoma are less likely to present solely with bloody discharge.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A ranula is characterized by the accumulation of serous fluid within a pseudocyst. Which anatomical region is it typically derived from?
सही उत्तर: घ) The subcutaneous fat layer over the larynx
A ranula originates from the sublingual space, specifically the space between the hyoglossus and the mylohyoid muscles. The other options represent different tissue layers or anatomical locations, but none are the primary source of this cystic fluid accumulation. The location is a key feature of the diagnostic criteria.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which anatomical structure lies within Calot's triangle and poses a potential complication during cholecystectomy that requires careful identification?
सही उत्तर: क) Common Bile Duct
Calot's triangle encompasses the common bile duct, cystic artery, and gallbladder neck. Injury to the common bile duct during dissection is a significant risk necessitating careful identification prior to cholecystectomy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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