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 purpose of using a Jackson-Pratt drain in surgical procedures?
सही उत्तर: ग) To remove air and fluid from a closed wound or surgical cavity
A Jackson-Pratt drain is primarily used to remove air and fluid from a closed wound or surgical cavity. It maintains negative pressure, facilitating drainage and promoting healing. The other options relate to different procedures and interventions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The ‘sign of Cullen’s’, a key clinical finding in acute peritonitis, refers to which palpable abdominal finding?
सही उत्तर: क) Palpable fluid collection under the umbilicus
The sign of Cullen’s refers to palpable fluid collection under the umbilicus. This is a crucial indicator of peritoneal inflammation and contamination, often associated with acute peritonitis. The other options represent related but distinct findings or symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with sudden onset severe lower back pain radiating down the leg, accompanied by weakness and numbness. Which nerve root is MOST likely involved?
सही उत्तर: घ) L4 Root
The classic presentation of L4 radiculopathy (nerve root compression) involves lower back pain radiating down the posterior aspect of the leg, with associated weakness and sensory changes. Options 1, 2 and 3 represent other lumbar nerve roots with different symptom profiles.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Regarding post-operative ileus, which of the following is a crucial initial management strategy?
सही उत्तर: ग) Close monitoring for signs of distension and abdominal pain
Early recognition and management of post-operative ileus (typically 3-7 days after surgery) focuses on close monitoring for clinical signs like abdominal distension, nausea, and pain. Options 1, 3 and 4 are inappropriate in the initial stages.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which anatomical structure is MOST commonly affected by a ‘Piriformis Syndrome’?
सही उत्तर: ख) Sciatic Nerve
Piriformis syndrome involves compression of the sciatic nerve, often due to spasm or inflammation of the piriformis muscle. Options 2, 3 and 4 represent other major nerves in the pelvic region with different primary pathologies.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The ‘sign of Cullen’ is indicative of which potential complication following a surgical procedure?
सही उत्तर: ख) Perforated Viscus
The sign of Cullen (palpable fluid in the flanks) strongly suggests free perforation within the abdominal cavity, typically from a bowel or other visceral organ. Options 2, 3 and 4 are less directly associated with this classic presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the MOST common initial diagnostic step for suspected appendicitis?
सही उत्तर: क) CT Scan of the Abdomen
Option 0 (CT Scan of the Abdomen) is most commonly used initially due to its high sensitivity and specificity in diagnosing appendicitis. Options 1, 2, and 3 are less frequently used as initial tests; CBC can be helpful but lacks specific information, upper endoscopy is not routinely employed for acute abdominal pain, and ultrasound may have limitations in certain patients.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient undergoes a total hip replacement. Which of the following immediate complications should the surgical team be most vigilant for?
सही उत्तर: क) Deep Vein Thrombosis (DVT)
Option 0 (Deep Vein Thrombosis – DVT) is a high risk complication following total hip replacement, and can lead to serious consequences. Options 1, 2, and 3 represent other post-operative complications that are less likely in this specific scenario.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following nerve plexuses is primarily responsible for causing Frey’s syndrome after parotid surgery?
सही उत्तर: क) Vagus Nerve (CN X)
Option 0 (Vagus nerve – CN X) is the most common cause of Frey's Syndrome, as it innervates the parotid gland. The aberrant stimulation leads to gustatory sweating and flushing when stimulated by food or drink. Options 1, 2 & 3 represent other neural structures involved in different processes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with severe right upper quadrant pain radiating to the back, accompanied by fever and jaundice. Which of the following is the most likely diagnosis?
सही उत्तर: ग) Hepatocellular carcinoma
Option 2 (Hepatocellular carcinoma) is the classic presentation aligning with Charcot's Triad - fever, jaundice and RUQ pain. Options 1, 3, and 4 represent alternative diagnoses that do not consistently present with this combination of symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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