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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Mirizzi syndrome refers to:
सही उत्तर: क) Obstruction of the common hepatic duct by a stone impacted in Hartmann's pouch or the cystic duct
In Mirizzi syndrome, a stone impacted in the cystic duct or Hartmann's pouch compresses the common hepatic duct from outside and causes obstructive jaundice. Gallstone obstruction of the terminal ileum is gallstone ileus.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Saint's triad consists of:
सही उत्तर: घ) Gallstones, hiatus hernia and colonic diverticulosis
Saint's triad is gallstones, hiatus hernia and diverticular disease of the colon. It reminds clinicians that a patient's symptoms may come from more than one of these common conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The most common type of hiatus hernia is:
सही उत्तर: ग) Sliding (type I) hiatus hernia
About 90% of hiatus hernias are sliding, with the gastro-oesophageal junction moving up into the chest, and they are linked to reflux. Rolling para-oesophageal hernias are less common but more likely to strangulate.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Barrett's oesophagus predisposes most strongly to which malignancy?
सही उत्तर: ख) Adenocarcinoma of the oesophagus
In Barrett's oesophagus, squamous epithelium is replaced by columnar epithelium with intestinal metaplasia, which can progress through dysplasia to adenocarcinoma. Squamous cell carcinoma is linked mainly to smoking, alcohol and achalasia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The gold-standard investigation for the diagnosis of achalasia cardia is:
सही उत्तर: क) Oesophageal manometry
Manometry shows incomplete relaxation of the lower oesophageal sphincter and aperistalsis, which confirms achalasia. A barium swallow is suggestive but not diagnostic. pH monitoring is used for reflux disease.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The classical barium swallow appearance in achalasia cardia is:
सही उत्तर: घ) Bird's beak tapering of the lower oesophagus
Achalasia gives a dilated oesophagus with smooth 'bird's beak' tapering at the gastro-oesophageal junction. A corkscrew oesophagus suggests diffuse oesophageal spasm, and an irregular rat-tail stricture suggests carcinoma.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Spontaneous full-thickness rupture of the oesophagus after forceful vomiting (Boerhaave syndrome) most commonly occurs at the:
सही उत्तर: ग) Left posterolateral wall of the lower oesophagus
Boerhaave rupture is usually in the left posterolateral lower oesophagus, just above the diaphragm. It is a transmural tear, whereas a Mallory–Weiss tear involves only the mucosa near the gastro-oesophageal junction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A posterior duodenal ulcer that causes massive haemorrhage typically erodes the:
सही उत्तर: ख) Gastroduodenal artery
The gastroduodenal artery runs behind the first part of the duodenum, so posterior ulcers erode it. Bleeding from a lesser-curve gastric ulcer is usually from the left gastric artery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The most common site of perforation of a peptic ulcer is the:
सही उत्तर: क) Anterior wall of the first part of the duodenum
Anterior duodenal ulcers perforate into the free peritoneal cavity. Posterior duodenal ulcers more often bleed, by eroding the gastroduodenal artery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A Curling's ulcer is an acute stress ulcer associated with:
सही उत्तर: घ) Major burns
A Curling's ulcer is an acute gastroduodenal ulcer seen after major burns. A stress ulcer after head injury or raised intracranial pressure is called a Cushing's ulcer.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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