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 surgical procedures is MOST commonly used as a primary treatment for acute appendicitis? (a) Laparoscopic Appendectomy (b) Open Appendectomy with Primary Closure (c) Percutaneous Appenectomy (d) Conservative Management with Antibiotics
सही उत्तर: क) (a) Laparoscopic Appendectomy
Laparoscopic appendectomy is the gold standard for acute appendicitis due to its minimally invasive nature, faster recovery time, and reduced risk of complications. Option (b), open appendectomy with primary closure, is a traditional method but carries higher risks. (c) Percutaneous appenectomy is rarely used. (d) Conservative management is reserved for select cases and doesn’t address the inflammation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with symptoms suggestive of intestinal obstruction. Examination reveals a fistula-in-ano with an external opening anterior to the transverse colon. According to Goodsall’s rule, this finding most strongly suggests: (a) A sigmoid diverticulitis (b) An inflammatory bowel disease (IBD) such as Crohn’s disease (c) A rectosigmoid fistula (d) An anal tumor
सही उत्तर: घ) (d) An anal tumor
Goodsall's rule states that a fistula-in-ano with an external opening anterior to the transverse colon suggests a rectosigmoid fistula, which is a connection between the rectum and sigmoid colon. Other options are less strongly associated with this specific anatomical location.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In the setting of suspected acute calculous cholecystitis, which of the following best describes the most common site of ureteric stone impaction? (a) The distal ureter (b) The proximal ureter (c) The renal pelvis (d) The iliac vessels
सही उत्तर: ख) (b) The proximal ureter
The most common site for ureteric stone impaction in acute calculous cholecystitis is the distal ureter, often due to anatomical variations and inflammation. Impaction in other areas is less frequent.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The characteristic histological feature that strongly supports a diagnosis of squamous cell carcinoma arising from a chronic burn scar is: (a) Presence of thyroid follicular cells (b) Formation of granulomas (c) Epithelial differentiation with keratinization (d) Lymphoid infiltration
सही उत्तर: घ) (d) Lymphoid infiltration
Squamous cell carcinoma arising from burn scars often demonstrates epithelial differentiation, exhibiting features like keratinization and a scaly appearance under microscopic examination. Granulomas are more typical of chronic inflammatory conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to current diagnostic criteria, a palpable gallbladder in a patient presenting with painless jaundice strongly suggests: (a) Acute Cholecystitis (b) Cholangiocarcinoma (c) Common Bile Duct Stones (d) Gallbladder Polyps
सही उत्तर: घ) (d) Gallbladder Polyps
Courvoisier's law – a palpable gallbladder in the presence of painless jaundice – is associated with common bile duct obstruction, most frequently by stones. Acute cholecystitis would typically present with significant right upper quadrant pain. Cholangiocarcinoma and gall bladder polyps are less likely to cause this presentation without other symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The most common initial imaging modality employed for suspected acute cholecystitis, based on established guidelines, is: (a) Magnetic Resonance Imaging (MRI) (b) Computed Tomography Scan (CT Scan) (c) Ultrasound (d) Positron Emission Tomography (PET) scan
सही उत्तर: ग) (c) Ultrasound
Ultrasound is the gold standard initial imaging for acute cholecystitis due to its ability to visualize gallstones and gallbladder wall thickening. CT scans are useful but expose patients to radiation, while MRI and PET scans are not routinely used as first-line investigations in this setting.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A cholangiocarcinoma that arises from the bifurcation of the common hepatic duct is clinically known as:
सही उत्तर: क) A. Perihilar Cholangiocarcinoma
Perihilar cholangiocarcinoma (A) is the specific term used to describe a cancer arising from the junction of hepatic ducts, which is the clinical definition given in the question.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following interventions is MOST likely indicated for managing suspected bleeding from a communicating Meckel's diverticulum in a child with significant blood loss?
सही उत्तर: ग) C. Surgical exploration and excision of the diverticulum
Endoscopic clipping (B) is the preferred initial treatment for bleeding Meckel's diverticula due to its minimally invasive nature and ability to directly address the source of bleeding. Observation alone may not be sufficient if significant bleeding persists.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In a patient presenting with small bowel obstruction, what key radiological finding would MOST strongly suggest the possibility of an ileus caused by a gallstone?
सही उत्तर: ख) B. Air-fluid levels within the small bowel loops
The presence of air-fluid levels (B) within the small bowel loops, in conjunction with a history of biliary disease, is highly suggestive of ileus caused by a gallstone obstructing the intestinal lumen. The other options represent features common to various causes of small bowel obstruction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with acute abdominal pain, fever, and rebound tenderness. Which diagnostic imaging modality would be MOST appropriate for the initial investigation of suspected acute cholecystitis?
सही उत्तर: ग) C. Ultrasound of the right upper quadrant
Ultrasound (C) is the standard initial imaging modality for suspected acute cholecystitis due to its ability to directly visualize the gallbladder and identify gallstones. While CT scan can be used, ultrasound offers better sensitivity and avoids radiation exposure in this situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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