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 best describes the primary surgical technique used for open repair of an inguinal hernia?
सही उत्तर: क) Lichtenstein Repair
The Lichtenstein repair is the most common and widely accepted open surgical procedure for inguinal hernias. It involves a horizontal incision, mesh placement, and meticulous suture techniques. The other options represent alternative approaches that are not standard or primarily used for inguinal hernia repair.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient develops sudden onset left shoulder-tip pain after sustaining blunt abdominal trauma. Physical examination reveals guarding and rigidity in the left upper quadrant. What is the MOST likely diagnosis? (2023)
सही उत्तर: ख) Splenic Rupture
Left shoulder-tip pain following blunt abdominal trauma, particularly with guarding and rigidity, strongly suggests splenic rupture. This is due to diaphragmatic irritation caused by the spleen’s displacement during the injury.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During cholecystectomy, accidental injury to the structure located within Calot’s triangle would necessitate which of the following immediate actions?
सही उत्तर: ख) Assessment of hepatic arterial flow
Calot's triangle contains the Cystic Artery and Cystic Duct. Injury to these vessels during cholecystectomy requires immediate assessment of hepatic arterial flow to prevent ischemia. Ligation is a secondary step after stabilizing bloodflow.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which surgical procedure is typically used as the PRIMARY treatment for acute infantile hypertrophic pyloric stenosis?
सही उत्तर: ग) Pyloroplasty with Helicoid Stapling
Pyloroplasty with helicoid stapling is the gold-standard surgical technique for treating infantile hypertrophic pyloric stenosis. It directly addresses the underlying cause - the thickened pyloric muscle – and restores normal gastric emptying. The other options are incorrect treatments for this condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Following a severe cervical spinal cord injury, a patient exhibits hypotension, bradycardia, and warm, dry peripheries. This clinical picture most accurately describes:
सही उत्तर: क) Neurogenic Shock
This combination of hypotension, bradycardia, and warm, dry peripheries is the classic presentation of neurogenic shock following spinal cord injury. The sympathetic nervous system control over blood pressure and peripheral vasoconstriction is disrupted. The other options represent distinct neurological complications.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with sudden onset severe abdominal pain, vomiting, and hypotension. FAST examination reveals free fluid in the pelvis. Which of the following immediate surgical interventions is generally considered the MOST appropriate?
सही उत्तर: ख) Exploratory laparoscopy for pelvic hematoma
In a setting of hemodynamic instability and free fluid in the pelvis (suggestive of trauma), exploratory laparoscopy is often preferred as it allows for rapid diagnosis (e.g., pelvic fracture) and targeted intervention while minimizing surgical trauma. The other options are less likely given the clinical presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following structures is MOST commonly affected by irritation from inflammation in the pancreas causing referred pain to the left shoulder tip?
सही उत्तर: घ) Greater Curvature
Kehr's sign (left shoulder-tip pain) is indicative of diaphragmatic irritation due to inflammation in the pancreas. The splenic flexure and duodenal cap are less directly involved in this referred pain pathway. The minor crescent fold is a region of the duodenum not typically associated with such symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with severe abdominal pain, nausea, and vomiting, leading to a Curling's ulcer. Which of the following investigations is MOST crucial in confirming the diagnosis?
सही उत्तर: क) Serum amylase level
A Curling’s ulcer is diagnosed based on endoscopic findings, demonstrating an erosive lesion in the stomach. An endoscopy with biopsy is the most crucial step for confirmation and to rule out other causes of upper gastrointestinal bleeding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which surgical procedure is MOST commonly used to treat symptomatic gallstone ileus?
सही उत्तर: घ) Laparoscopic cholecystectomy followed by stone extraction
The standard treatment for gallstone ileus involves laparoscopic cholecystectomy followed by the extraction of the impacted gallstone. ERCP and sphincterotomy are used for biliary disorders, while cholecystectomy alone does not address the mechanical obstruction.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The 'Chapman's Triad' is a clinical presentation associated with which condition?
सही उत्तर: ख) Spinal shock following spinal anesthesia
Chapman’s triad – altered mental status, fluctuating blood pressure, and bradycardia – is a classic clinical presentation of spinal shock following spinal anesthesia. The other options describe distinct medical conditions with different sets of symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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