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 of the following conditions is MOST commonly associated with a palpable, non-tender mass in the left lower quadrant of the abdomen in a young adult?
सही उत्तर: ख) Meckel's Diverticulum
Meckel’s diverticulum is the most frequent congenital anomaly found in adults and often presents with symptoms resembling appendicitis. The other options are less likely to present with a palpable mass specifically in this location.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The primary purpose of Focused Assessment with Sonography for Trauma (FAST) is to rapidly detect which clinical feature?
सही उत्तर: ख) Internal Bleeding
FAST utilizes ultrasound to quickly identify free fluid in the peritoneal cavity, indicating internal bleeding. Options A, B and C are not primary targets of FAST examination.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following interventions is MOST effective in assessing peripheral arterial disease (PAD) based on ankle-brachial pressure index (ABPI)? a) Ultrasound Measurement of Arteries b) Measurement of Systolic Blood Pressure c) Measurement of Ankle and Brachial Artery Pressures d) Echocardiography
सही उत्तर: ग) c) Measurement of Ankle and Brachial Artery Pressures
The ABPI (ratio of ankle to brachial blood pressures) is the gold standard non-invasive measure for assessing PAD. It directly relates peripheral and central arterial perfusion. The other options are not used for this purpose.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In 2023, what receptor phenotype is most frequently associated with breast cancer in patients carrying germline mutations in the *BRCA1* gene? a) Estrogen Receptor Positive (ER+) b) Progesterone Receptor Positive (PR+) c) HER2-Negative (HER2-) d) Triple Negative Breast Cancer (TNBC)
सही उत्तर: क) a) Estrogen Receptor Positive (ER+)
Germline *BRCA1* mutations are strongly associated with ER+ breast cancers, particularly those with high expression of the estrogen receptor. While TNBC is also linked to *BRCA1*, ER positivity is more direct.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following conditions is MOST strongly associated with chronic infection with *Schistosoma haematobium*? a) Squamous Cell Carcinoma of the Bladder b) Transitional Cell Carcinoma of the Bladder c) Adenocarcinoma of the Bladder d) Sarcoma of the Bladder
सही उत्तर: ख) b) Transitional Cell Carcinoma of the Bladder
*Schistosoma haematobium* infection is a well-established risk factor for transitional cell carcinoma (TCC), also known as urothelial cancer, of the bladder. Other cancers have different etiologies.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with bruising behind the ear following a minor head injury. Which cranial bone is most likely fractured? a) Parietal Bone b) Temporal Bone c) Frontal Bone d) Occipital Bone
सही उत्तर: ग) c) Frontal Bone
Battle’s sign (bruising behind the ear) is a classic indicator of fractures within the temporal bone, which houses important cranial nerves and blood vessels. The other bones have different associated signs of injury.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Dukes’ staging system is primarily utilized for classifying and determining the prognosis of which type of cancer? a) Lung Cancer b) Breast Cancer c) Bladder Cancer d) Colorectal Cancer
सही उत्तर: ग) c) Bladder Cancer
Dukes’ staging (Dukes A-D) specifically describes the stages of bladder cancer based on tumor characteristics, grade, and lymph node involvement. The other options represent cancers with different established staging systems (e.g., TNM for lung cancer).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The ‘Kocher Maneuver’ is primarily utilized during laparoscopic cholecystectomy for which specific reason? a) To directly dissect the gallbladder from the liver bed. b) To create a wider exposure by mobilizing the retroperitoneum and facilitating retraction. c) To reduce pressure on the bile duct during dissection. d) To perform an intraoperative cholangiogram.
सही उत्तर: ख) b) To create a wider exposure by mobilizing the retroperitoneum and facilitating retraction.
The Kocher maneuver involves extensive mobilization of the retroperitoneum to achieve optimal visualization, facilitate gallbladder dissection, and provide space for retraction – significantly improving surgical access and safety.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements regarding disseminated intravascular coagulation (DIC) in trauma patients is MOST accurate? a) DIC always presents with prolonged bleeding. b) It’s characterized by a decrease in platelet count and fibrinogen levels. c) It represents a systemic inflammatory response leading to uncontrolled thrombus formation, ultimately causing microvascular thrombosis and bleeding. d) DIC is primarily caused by administration of intravenous antibiotics.
सही उत्तर: ग) c) It represents a systemic inflammatory response leading to uncontrolled thrombus formation, ultimately causing microvascular thrombosis and bleeding.
DIC's hallmark is the paradoxical consumption of clotting factors followed by widespread microthrombi, resulting in both bleeding and thrombosis. Options (a), (b) and (d) are incorrect descriptions of this complex syndrome.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the management approach to an acute appendicitis confirmed by CT scan in a stable patient? a) Immediate exploratory laparotomy. b) Conservative management with intravenous antibiotics and close observation. c) Percutaneous placement of a Jackson-Pratt drain. d) Endoscopic sphincterotomy followed by appendectomy.
सही उत्तर: ख) b) Conservative management with intravenous antibiotics and close observation.
The current standard of care for uncomplicated acute appendicitis in a stable patient is conservative management – IV antibiotics, fluids, and serial imaging. This minimizes the risk of surgical complications.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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