सर्जरी – Surgery MCQ

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

51. The 'Blakstone's Fistula' is a communication between: a) The stomach and the duodenum. b) The transverse colon and the small intestine. c) The esophagus and the stomach. d) The rectum and the sigmoid colon.

    कa) The stomach and the duodenum. खb) The transverse colon and the small intestine. गc) The esophagus and the stomach. घd) The rectum and the sigmoid colon.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

52. Which of the following is the MOST accurate description of a 'Grey Area' Hernia? a) A protrusion through weakened abdominal muscles caused by chronic straining. b) A congenital anomaly involving the diaphragm. c) A hernia where the internal organ is covered by a thin layer of peritoneum. d) A defect in the rectus abdominis muscle wall near the umbilicus.

    कa) A protrusion through weakened abdominal muscles caused by chronic straining. खb) A congenital anomaly involving the diaphragm. गc) A hernia where the internal organ is covered by a thin layer of peritoneum. घd) A defect in the rectus abdominis muscle wall near the umbilicus.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

53. In the context of hepaticojejunostomy (connecting the bile duct to the jejunum), which of the following is considered the MOST critical factor for achieving a successful outcome?

    कA. The precise angle at which the Bile Duct and Jejunum are anastomosed खB. Complete removal of all gallstones from the common bile duct before surgery गC. Utilizing a Jackson-Peristat clamp during the anastomosis to minimize bleeding घD. Prescribing broad-spectrum antibiotics postoperatively to prevent infection
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

54. Which of the following vascular anomalies is MOST often associated with a higher risk of strangulation during surgical intervention?

    कA. External Iliac Artery Cyst खB. Right-sided Inferior Vena Cava (IVC) Malformation गC. Mesenteric Vascular Trauma from Sharp Surgical Instruments घD. Left-sided Superior Mesenteric Artery (SMA) Anomalies
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

55. A patient presents with acute onset abdominal pain, fever, and rebound tenderness. Initial investigation reveals gallstones in the common bile duct. Which of the following complications is MOST likely to develop?

    कA. Acute pancreatitis secondary to biliary obstruction खB. Liver abscess due to bacterial translocation गC. Cholangitis caused by ascending bacterial infection घD. Small bowel obstruction resulting from edema
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

56. The presence of ‘spur vessels’ during laparoscopic cholecystectomy is MOST frequently associated with which surgical technique?

    कA. Open Cholecystectomy with traditional dissection techniques खB. Laparoscopic cholecystectomy utilizing the transpyloric approach for gallbladder extraction गC. Rapid, aggressive dissection around the Calot's triangle during bile duct exploration घD. Applying full-thickness electrocautery to control bleeding during the procedure
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

57. Which of the following findings would MOST strongly suggest an incarcerated inguinal hernia?

    कA. Palpable bulge in the lower abdomen without a palpable femoral pulse खB. A smooth, reducible mass in the groin that easily returns to its original position after gentle pressure गC. A tender, fixed mass in the scrotum with signs of strangulation घD. A midline abdominal pain accompanied by nausea and vomiting
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

58. Which of the following is the MOST appropriate initial management step for a patient presenting with signs of acute intestinal obstruction?

    कImmediate initiation of intravenous antibiotics खProphylactic administration of antiemetics गNasogastric tube insertion to decompress the stomach घSurgical exploration (laparotomy) without delay
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

59. What is the primary purpose of performing a Jackson-Pratt procedure for treating an ileus?

    कRemoval of foreign bodies from the stomach खReduction of gastric distention by diverting stomach contents into the abdominal cavity गTransplantation of the small intestine घAdministration of intravenous fluids directly to the small intestine
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

60. Following a traumatic splenic rupture, which of the following vital signs is MOST likely to be affected?

    कSystolic Blood Pressure खDiastolic Blood Pressure गRespiratory Rate घBody Temperature
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।