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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Loss of the ability to produce high-pitched sounds after thyroidectomy is caused by injury to the:
सही उत्तर: क) External branch of the superior laryngeal nerve
The external branch of the superior laryngeal nerve supplies the cricothyroid, which tenses the vocal cords for high pitch. Injury to one recurrent laryngeal nerve causes hoarseness.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The most common organism causing overwhelming post-splenectomy infection (OPSI) is:
सही उत्तर: घ) Streptococcus pneumoniae
Encapsulated organisms cause OPSI, and pneumococcus is the most common, followed by Haemophilus influenzae type b and meningococcus. That is why these vaccines are given, ideally at least 2 weeks before an elective splenectomy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Left shoulder-tip pain after blunt abdominal trauma, caused by diaphragmatic irritation from splenic rupture, is known as:
सही उत्तर: ग) Kehr's sign
Kehr's sign is pain referred to the left shoulder through the phrenic nerve (C3–C5) when blood irritates the diaphragm. Ballance's sign is fixed dullness in the left flank, also seen in splenic rupture.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The most common type of choledochal cyst (Todani classification) is:
सही उत्तर: ख) Type I – fusiform or cystic dilatation of the extrahepatic bile duct
Type I cysts make up most choledochal cysts and are treated by excision with Roux-en-Y hepaticojejunostomy because of the cancer risk. Caroli's disease (Type V) involves only the intrahepatic ducts.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A hilar cholangiocarcinoma at the confluence of the right and left hepatic ducts is known as:
सही उत्तर: क) Klatskin tumour
A Klatskin tumour is a perihilar cholangiocarcinoma at the bifurcation of the hepatic ducts. A Krukenberg tumour is an ovarian metastasis, usually from stomach cancer, and Grawitz tumour is an old name for renal cell carcinoma.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The tumour marker most commonly used for hepatocellular carcinoma is:
सही उत्तर: घ) Alpha-fetoprotein (AFP)
AFP is the classic serum marker for hepatocellular carcinoma and is used for surveillance in cirrhosis together with ultrasound. CA 19-9 is used mainly for pancreatic and biliary cancers.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which parameter is included in the MELD score but NOT in the Child–Pugh classification?
सही उत्तर: ग) Serum creatinine
Child–Pugh uses bilirubin, albumin, prothrombin time or INR, ascites and encephalopathy. MELD uses bilirubin, INR and creatinine, so creatinine is the parameter only MELD includes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Aspirated pus from an amoebic liver abscess is classically described as:
सही उत्तर: ख) Anchovy sauce
Amoebic liver abscess contains odourless, chocolate-brown 'anchovy sauce' pus and is usually in the right lobe. Red currant jelly stools are seen in intussusception.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The causative organism of the common (unilocular) hydatid cyst of the liver is:
सही उत्तर: क) Echinococcus granulosus
Echinococcus granulosus, with dogs as the definitive host, causes unilocular hydatid cysts, most often in the liver. E. multilocularis causes alveolar echinococcosis, which grows and invades like a tumour.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The most common benign tumour of the liver is:
सही उत्तर: घ) Haemangioma
Cavernous haemangioma is the most common benign liver tumour and is usually found by chance. Hepatic adenoma is linked to oral contraceptive use and can rupture or bleed.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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