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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A patient presents with sudden onset abdominal pain localized to the right iliac fossa accompanied by guarding and rebound tenderness. Examination reveals positive psoas and obturator signs. Which of the following conditions is most likely?
सही उत्तर: ख) B. Acute Appendicitis
Option B (Acute Appendicitis) is correct because the symptoms described – right lower quadrant pain, guarding, rebound tenderness, and positive psoas and obturator signs – are strongly indicative of appendiceal inflammation. Options A, C, and D represent other abdominal conditions with similar but less specific presentations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the primary pathological change observed in cirrhosis leading to portal hypertension?
सही उत्तर: ख) B. Dilatation of hepatic veins due to increased resistance
Option B is correct as dilation of hepatic veins resulting from increased resistance in portal venous flow is a hallmark of cirrhosis-induced portal hypertension. Options A, C, and D represent other processes that might be present but are not the primary driver of the condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During a surgical procedure involving the pancreas, what is the significance of ‘common bile duct exploration’?
सही उत्तर: ग) To identify and treat any blockage or injury to the common bile duct
‘Common bile duct exploration’ is a critical part of pancreatic surgery. It involves inspecting the common bile duct (where it joins the hepatic ducts) and treating any obstructions or injuries that could lead to complications like biliary leaks. Options A, B, and C are either irrelevant or represent other procedures.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary objective of performing a Jackson-Pratt procedure in the setting of a massive gastrobrachiocephalic venous confluence obstruction?
सही उत्तर: क) To create an artificial shunt to bypass the obstructed vein
The Jackson-Pratt procedure creates an artificial shunt around the confluence of the superior vena cava, brachiocephalic veins, and inferior vena cava to allow blood to flow directly from the heart to the systemic circulation. This bypasses the obstruction caused by thrombus or other blockage. Option B is incorrect as it aims for thrombus removal; options C and D relate to alternative treatments.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following surgical procedures is MOST commonly utilized for the treatment of severe mitral valve stenosis?
सही उत्तर: ख) Mitral Valve Replacement
The correct answer is ‘Mitral Valve Replacement’. Severe mitral valve stenosis typically requires surgical intervention to replace the stenotic valve with a prosthetic one. PTA can be used for mild to moderate stenosis but not severe cases, and CABG/TJS are procedures related to coronary artery or septal defects respectively.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with acute onset abdominal pain, guarding, and rigidity. Physical examination reveals rebound tenderness localized to the right lower quadrant. What is the MOST likely surgical differential diagnosis?
सही उत्तर: क) Appendicitis
The correct answer is ‘Appendicitis’. The clinical presentation – acute pain, guarding/rigidity, rebound tenderness in the RLQ – strongly suggests appendiceal inflammation. Options B, C, and D are all possible causes of abdominal pain but don't typically present with such localized and dramatic signs. Appendicitis is a common surgical emergency requiring prompt intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary surgical indication for a Laparoscopic Cholecystectomy?
सही उत्तर: क) Removal of gallbladder due to symptomatic cholelithiasis (gallstones)
The correct answer is ‘Removal of gallbladder due to symptomatic cholelithiasis (gallstones)’. Laparoscopic cholecystectomy is the standard surgical procedure for removing a gallbladder containing gallstones and causing symptoms like biliary colic. Option B is incorrect as pancreatitis isn’t treated with this surgery. Options C and D are related to different conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following surgical procedures is primarily used to treat a diaphragmatic hernia?
सही उत्तर: घ) Abdominoperitoneal Anastomosis
The Abdominoperitoneal Anastomosis (AAP) involves creating a new pathway for intestinal contents, directly addressing the cause of the diaphragm displacement. The other options address different conditions – gastrotomy is a general surgical procedure, herniiorrhaphy repairs the hernia wall, and omentoplasty deals with abdominal wall support.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary surgical intervention for a patient presenting with intestinal obstruction due to a Ladd's bands?
सही उत्तर: घ) Cholecystectomy
Ladd’s bands are fibrous remnants of previous adhesions in the small intestine that can cause obstruction. Surgical removal (small bowel resection) is the definitive treatment, unlike the other procedures which address different conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with acute abdominal pain, fever, jaundice, and right upper quadrant tenderness. Which diagnostic test is most likely to confirm the diagnosis of acute cholecystitis?
सही उत्तर: ग) Ultrasound of the Gallbladder
An ultrasound of the gallbladder is the gold standard for diagnosing acute cholecystitis, visualizing gallstones and inflammation within the gallbladder. While other tests may be helpful in assessing general health or detecting complications, they are not as specific.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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