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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What is the primary diagnostic tool used to assess for splenic rupture following blunt abdominal trauma?
सही उत्तर: ग) C. Ultrasound – Focused Assessment with Sonography for Trauma (FAST)
FAST examination is a rapid, bedside ultrasound technique specifically designed to quickly identify free fluid in the abdomen, which would indicate splenic rupture following trauma. CT scans are more sensitive but slower; MRI and plain radiographs aren't as efficient for this acute assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with significant jaundice, right upper quadrant pain, and a palpable gallbladder mass. Ultrasound reveals a cystic structure within the gallbladder wall. What is the MOST likely diagnosis?
सही उत्तर: क) A. Acute cholecystitis with gallstone obstruction
The combination of palpable gallbladder mass and a cystic structure within the wall strongly suggests a Meckel's diverticulum, which can mimic an intra-gallbladder cyst. Other options are less likely given this specific presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements regarding cholelithiasis (gallstones) is accurate?
सही उत्तर: ख) B. The majority of gallstones are cholesterol-based
Approximately 95% of gallstones are composed of cholesterol, leading to cholelithiasis. Option A is incorrect as gallstones are not directly linked to pancreatitis; option C misrepresents the symptom threshold for gallstone-related pain and D's statement is too broad.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 60-year-old male presents with sudden onset severe abdominal pain, rigidity, and guarding. His vital signs are elevated. Which of the following is the MOST immediate action in managing this patient?
सही उत्तर: ख) B. Immediate exploratory laparotomy to rule out peritonitis
In a critically ill patient presenting with signs of peritonitis, immediate exploratory laparotomy is warranted to identify and address the source of infection. While other options might be part of management, rapid surgical intervention is paramount.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the characteristic radiographic finding in acute appendicitis due to inflammation of the appendix wall with surrounding fat stranding?
सही उत्तर: ख) B. Limbus sign (ring shadow)
The ‘limbus sign’ – a ring-shaped opacity surrounding the inflamed appendix – is the classic radiographic finding in acute appendicitis. Options A and C represent other conditions, while D doesn't specifically relate to the visualization of appendicitis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 60 kg adult presents with 30% Total Body Surface Area (TBSA) burns. Using the Parkland formula, how many mL of intravenous fluid should be administered hourly for the first 8 hours? (Parkland formula: 4 mL/kg/ % TBSA x Hourly Rate)
सही उत्तर: ख) 900 ml
The Parkland Formula dictates 4ml/kg/%TBSA. In this case: 4ml/kg/30% = 4 * 0.3 = 1.2 ml/kg/hour. For a 60 kg patient, the total volume would be 1.2 * 60 = 72 ml per hour. Therefore, the answer is 900ml for the first 8 hours (which equates to approximately 600ml/hr).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient sustains blunt abdominal trauma and subsequently develops left shoulder-tip pain. This symptom is most likely due to:
सही उत्तर: ख) Diaphragmatic irritation
The classic presentation of diaphragmatic irritation following splenic injury is ipsilateral (left shoulder-tip) pain, a referred sensation. Splenic infarction and hepatic abscess would not typically present with this specific pain pattern.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What primarily causes the ‘peau d’orange’ appearance observed in patients with breast cancer?
सही उत्तर: घ) Scar Tissue Formation
The ‘peau d'orange’ (orange peel) appearance arises from subcutaneous edema caused by tumor invasion disrupting lymphatic drainage. Options 1, 2, and 3 describe other breast changes or metastatic processes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with sudden onset of severe headache, photophobia, and nausea following a motor vehicle accident. Neurological examination reveals left-sided weakness. What is the most concerning immediate diagnosis to consider?
सही उत्तर: ख) B. Subarachnoid Hemorrhage
Option B represents subarachnoid hemorrhage, a life-threatening condition that often presents with an abrupt onset of severe headache (often described as ‘thunderclap’) and neurological deficits, which aligns perfectly with the patient's presentation. Options A and C are less likely given the severity of symptoms, while option D is unrelated.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements regarding appendiceal abscesses is most accurate?
सही उत्तर: ग) C. Drainage via percutaneous catheterization is frequently successful
Option C is correct, as percutaneous drainage has proven effective for many appendiceal abscesses, especially in the uncomplicated cases. Options A and D are either overstatements or misinterpretations. Option B describes a demographic trend rather than the primary management approach.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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