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 surgical technique is MOST commonly utilized for the treatment of a gallbladder impacted by gallstones?
सही उत्तर: क) Laparoscopic Cholecystectomy
Laparoscopic cholecystectomy remains the gold standard for symptomatic gallstones due to its minimally invasive nature and proven efficacy. Hepatoporto-jejunostomy is a rare procedure, cholecystography is outdated, and TGE can be associated with complications like bile duct injury.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary anatomical consideration when performing a laparoscopic Heller myotomy for achalasia?
सही उत्तर: ख) Minimally invasive dissection of the gastric antrum to create a channel
The key is direct visualization of the esophageal sphincter muscle layer for effective myotomy. The other options refer to aspects of preparation, surgical technique or assessment tools, rather than the essential step of muscle disruption.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 60-year-old male presents with severe abdominal pain, nausea, and vomiting. Initial investigations reveal elevated amylase and lipase levels. Which of the following surgical procedures would be the MOST appropriate initial management?
सही उत्तर: ग) Surgical Decompression (e.g., percutaneous drainage)
Elevated pancreatic enzymes strongly suggest acute pancreatitis. Surgical decompression is typically the first step to relieve pressure and allow for healing. Laparoscopic cholecystectomy, splenectomy, and total hip replacement are unrelated to this presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following investigations is MOST accurate for diagnosing a suspected appendicitis, particularly when clinical presentation is ambiguous?
सही उत्तर: ख) Blood tests including white cell count and C-reactive protein
Elevated white blood cell counts and C-reactive protein levels are highly indicative of inflammation, making blood tests the most sensitive initial tool. CT scans with contrast are useful but carry higher radiation exposure; EGD is for gastrointestinal disorders and ECG assesses cardiac function.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which tissue type is MOST commonly found within a Meckel's diverticulum?
सही उत्तर: ख) Gastrointestinal Tissue
Meckel's diverticula are congenital abnormalities that often contain ectopic gastric mucosa, giving them the appearance of a simple mucosal cyst. The other tissue types are not typically associated with this condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with acute right iliac fossa pain where pressing on the left iliac fossa exacerbates the discomfort. Which of the following is the MOST likely diagnosis?
सही उत्तर: घ) Appendicitis
The classic presentation described – pain exacerbated by pressure on the opposite side – is highly indicative of acute appendicitis, due to inflammation affecting the surrounding peritoneum. While other conditions can cause iliac fossa pain, this specific symptom pattern strongly favors appendicitis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Mirizzi syndrome describes a complication primarily associated with which surgical procedure?
सही उत्तर: ख) Cholecystectomy (Gallbladder Removal)
Mirizzi Syndrome specifically refers to the formation of a biliary fistula following cholecystectomy, particularly when involving the cystic duct. The other procedures do not typically result in this complication pattern.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which anatomical landmark is consistently located at the intersection of lines drawn from the anterior superior iliac spine to the umbilicus and from the anterior superior iliac spine to the pubic tubercle?
सही उत्तर: क) McBurney's point
McBurney’s point is precisely defined by these lines. The other options represent different anatomical regions involved in abdominal pain and pathology.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary distinguishing factor between a pancreatic pseudocyst and a true cyst?
सही उत्तर: ख) *A pseudocyst contains inflammatory fluid, whereas a true cyst does not*
The key difference lies in the presence of inflammatory exudate within the wall of a pancreatic pseudocyst. A true cyst is defined by its epithelial lining and typically lacks this inflammatory component.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the typical presentation of infantile hypertrophic pyloric stenosis?
सही उत्तर: ख) *Marked abdominal distension and vomiting in a neonate*
The classic signs are marked abdominal distension and projectile vomiting in a neonate due to pyloric muscle hypertrophy obstructing gastric outflow. The other options represent alternative presentations of neonatal gastrointestinal distress.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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