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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Spontaneous full-thickness rupture of the oesophagus after forceful vomiting (Boerhaave syndrome) most commonly occurs at the:
सही उत्तर: क) Left posterolateral wall of the distal oesophagus
The distal left posterolateral wall is weakest, so Boerhaave rupture usually occurs there, causing left pleural effusion, mediastinitis and surgical emphysema.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The Whipple procedure is:
सही उत्तर: क) Pancreaticoduodenectomy
Whipple's operation removes the pancreatic head, duodenum, gallbladder and distal bile duct (with or without distal stomach) for periampullary tumours.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Carcinoma of the pancreas most commonly arises in the:
सही उत्तर: ख) Head of the pancreas
About two-thirds of pancreatic ductal adenocarcinomas arise in the head and present with painless obstructive jaundice.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pancreatic pseudocyst differs from a true cyst in that it:
सही उत्तर: घ) Lacks an epithelial lining
A pseudocyst is a collection of pancreatic fluid walled by granulation or fibrous tissue without epithelium, usually forming weeks after acute pancreatitis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Rigler's triad on abdominal imaging (pneumobilia, small bowel obstruction and an ectopic gallstone) indicates:
सही उत्तर: ख) Gallstone ileus
Air in the biliary tree from a cholecystoenteric fistula, bowel obstruction and a radio-opaque stone outside the gallbladder are diagnostic of gallstone ileus.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In gallstone ileus, the stone most commonly impacts at the:
सही उत्तर: क) Terminal ileum
A large stone enters the bowel through a cholecystoenteric fistula and usually lodges at the terminal ileum, the narrowest part of the small bowel.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Obstructive jaundice caused by a gallstone impacted in Hartmann's pouch compressing the common hepatic duct is called:
सही उत्तर: ग) Mirizzi syndrome
In Mirizzi syndrome, a stone in the gallbladder neck or cystic duct externally compresses the common hepatic duct, sometimes forming a cholecystocholedochal fistula.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The structure that lies within Calot's triangle and must be identified before ligation during cholecystectomy is the:
सही उत्तर: घ) Cystic artery
Calot's (hepatocystic) triangle is bounded by the cystic duct, common hepatic duct and inferior liver edge, and contains the cystic artery and Lund's lymph node.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Pain in the right iliac fossa on pressing the left iliac fossa in acute appendicitis is called:
सही उत्तर: क) Rovsing's sign
Rovsing's sign occurs because pressure on the left side moves gas and bowel contents and irritates the inflamed appendix. Blumberg's sign is rebound tenderness, and a positive psoas sign suggests a retrocaecal appendix.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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With the patient in the lithotomy position, primary internal haemorrhoids are classically found at:
सही उत्तर: घ) 3, 7 and 11 o'clock
The three primary haemorrhoids are at 3, 7 and 11 o'clock, which matches the main branches of the superior rectal artery: left lateral, right posterior and right anterior.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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