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 clinical sign associated with a Mirzayani hernia?
सही उत्तर: ख) B. Visible peristomal bulge when straining
Option B correctly identifies the key characteristic – a visible peristomal bulge when the patient strains or coughs, due to outpouching of the sigmoid mesentery. Options A and C are incorrect as they describe other types of hernias or associated symptoms. Option D is an oversimplification of the clinical presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the pathogenesis of acute pancreatitis?
सही उत्तर: घ) D. Viral infection leading to cell destruction
Option C is correct as excessive alcohol consumption is a primary and well-established cause of acute pancreatitis in many cases. Options A, B, and D represent alternative or less common etiologies. The exact mechanism involves autodigestion by pancreatic enzymes due to acinar cell injury.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Whipple’s triad, comprising symptoms of hypoglycemia, confirmed low blood glucose levels, and resolution following glucose administration, is a key diagnostic criterion for which condition?
सही उत्तर: ख) Hypoglycemia
The correct answer is Hypoglycemia. Whipple's triad specifically defines the clinical presentation of hypoglycemia – symptoms like sweating, tremors, confusion (symptoms), a documented low blood glucose reading, and relief upon glucose treatment. The other options represent different metabolic conditions or medical emergencies.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Beck's triad (hypotension, distended neck veins, muffled heart sounds) is a classic clinical sign suggestive of:
सही उत्तर: क) Cardiac tamponade
Beck’s triad represents a severe form of hemodynamic instability due to fluid accumulation in the pericardial space, obstructing venous return and masking heart sounds. It strongly suggests cardiac tamponade.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Following total thyroidectomy, temporary hearing loss can be caused by damage to which of the following nerves?
सही उत्तर: घ) Laryngeal nerve
The recurrent laryngeal nerve, a branch of the vagus nerve, innervates the vocal cords and passes near the auditory tube. Injury to this nerve can disrupt airflow and cause temporary conductive hearing loss. The other nerves have distinct primary functions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following structures is MOST directly involved in the pathophysiology of a Spigelian hernia?
सही उत्तर: ग) The rectus abdominis muscle layer
The rectus abdominis muscle, specifically its lower fibers, provides the weakest point for intra-abdominal contents to protrude. The other options are involved in supporting the abdominal wall but do not directly cause a Spigelian hernia. The external and transversus abdominis layers provide significant support.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the characteristic change seen on examination of a patient presenting with acute cholecystitis?
सही उत्तर: ख) B) Localized tenderness in the right upper quadrant accompanied by fever and guarding
Option B is correct. Right upper quadrant tenderness, fever, and guarding are classic signs of acute cholecystitis due to inflammation and infection in the gallbladder. Options A, C, and D represent other conditions presenting with abdominal pain.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with acute abdominal pain localized to McBurney's point, fever, and rebound tenderness. Which diagnostic test is MOST likely to confirm the diagnosis?
सही उत्तर: ख) B) Ultrasound examination of the right lower quadrant
Option B, ultrasound examination of the right lower quadrant, is the most appropriate initial diagnostic test. It's non-invasive and highly sensitive for detecting an inflamed appendix at McBurney’s point. CT scan would be a later step if ultrasound inconclusive, MRI and ascitic fluid analysis are less efficient in this specific scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary objective of applying a Pringle maneuver during liver surgery?
सही उत्तर: क) A) To decrease intrahepatic venous pressure and reduce bleeding
Option A is correct. The Pringle maneuver involves temporary occlusion of the hepatic veins, thus decreasing intrahepatic venous pressure and consequently reducing blood flow from the liver into the vena cava, which subsequently reduces bleeding. Options B, C, and D are incorrect as they misrepresent the mechanism and purpose of the procedure.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The presence of ‘Kernig’s sign’ (pain with leg flexion when hip is extended) strongly suggests what underlying neurological condition?
सही उत्तर: ख) B) Cauda equina syndrome
Option B, Cauda equina syndrome, is the correct answer. The Kernig’s sign arises from irritation of the L2-L4 nerve roots due to compression in this area, causing pain with hip extension and leg flexion. Options A, C, and D represent alternative neurological conditions but lack the specific clinical presentation associated with the Kernig's sign.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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