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 pathophysiology of strangulated bowel leading to ischemia and necrosis?
सही उत्तर: ख) B) Microcirculatory dysfunction resulting in reduced blood flow to the intestinal wall
Option B is correct. Strangulated bowel often results from vascular compression, leading to microcirculatory failure – a disruption of the small blood vessels supplying the bowel wall. This severely reduces oxygen delivery, causing ischemia and subsequent necrosis. Options A, C, and D are plausible but misinterpret the primary mechanism of intestinal ischemia in strangulation scenarios.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient is undergoing general anesthesia and develops gustatory sweating (sweating on the cheeks) following a parotidectomy. This phenomenon is known as: (a) Horner's Syndrome (b) Frey’s Syndrome (c) Post-operative shivering (d) Paresthesia
सही उत्तर: ख) (b) Frey’s Syndrome
Frey’s syndrome is characterized by gustatory sweating following removal of facial nerves, primarily due to aberrant regeneration of sympathetic fibers. Horner's syndrome involves ptosis and miosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The clinical presentation of Reynolds' pentad – hypotension, distended neck veins, and muffled heart sounds – is MOST indicative of: (a) Acute myocardial infarction (b) Severe sepsis (c) Purulent Cholangitis (Suppurative Cholangitis) (d) Pneumothorax
सही उत्तर: ग) (c) Purulent Cholangitis (Suppurative Cholangitis)
Reynolds' pentad represents a critical clinical sign of severe suppurative cholangitis, often due to ascending infection from the gut. This presentation indicates a rapidly progressing bacterial infection involving the biliary tree.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 35-year-old female presents with painless, bluish nipple discharge. Imaging reveals a suspicious mass in the right breast. The most likely diagnosis that would warrant further investigation is: (a) Fibrocystic change (b) Dyskemia (c) Invasive ductal carcinoma (d) Benign papilloma
सही उत्तर: ग) (c) Invasive ductal carcinoma
Painless, bluish nipple discharge is a classic symptom of invasive ductal carcinoma. While benign lesions can also cause nipple discharge, the ‘painless’ element strongly suggests malignancy. Dysplasia is not the correct term here.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following conditions is MOST associated with the development of a 'peau d'orange' appearance of the breast skin? (a) Fibrocystic changes (b) Invasive ductal carcinoma (c) Benign papillomas (d) Phyllodes tumor
सही उत्तर: ख) (b) Invasive ductal carcinoma
'Peau d'orange' (orange peel) appearance is a hallmark sign of invasive ductal carcinoma, often associated with extensive lymphatic invasion and skin changes. Fibrocystic changes can cause breast tenderness but rarely manifest this way. Invasive ductal carcinoma is the most common type of breast cancer.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with sudden onset abdominal pain, nausea, and vomiting. Examination reveals guarding and rebound tenderness. The most likely diagnosis, based on these findings, is: (a) Appendicitis (b) Pancreatitis (c) Perforated Diverticulitis (d) Mesenteric Ischemia
सही उत्तर: ग) (c) Perforated Diverticulitis
Pancreatitis is the most common cause of acute abdominal pain with guarding and rebound tenderness. While other options can present similarly, pancreatitis fits the clinical presentation best based on current diagnostic criteria. Appendicitis typically presents with localized right lower quadrant pain.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Following a complex abdominal surgery, a patient develops significant pain, fever, and leukocytosis with localized tenderness to palpation in the right lower quadrant. Which of the following diagnostic investigations would be MOST appropriate for initial evaluation?
सही उत्तर: ख) Computed Tomography (CT) Scan of Abdomen
Given the clinical presentation, an upper endoscopy is the most appropriate initial investigation to rule out intestinal obstruction or perforation and can identify local inflammation. CT scan would be useful but might miss early features,
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient undergoing prolonged mechanical ventilation develops a pneumothorax. Which of the following findings would MOST likely be observed on chest examination?
सही उत्तर: ग) Diminished tactile fremitus over the unaffected hemithorax
A pneumothorax results in decreased air entry and diminished tactile fremitus on the affected side. The other options represent normal findings,
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The surgical management of a large, symptomatic hepatic cyst (e.g., pancreatic pseudocyst) primarily aims to achieve which objective?
सही उत्तर: ख) Drainage of fluid collection with planned excision
The primary goal in managing large hepatic cysts is complete removal of the cyst wall, as this eliminates the source of infection and inflammation. Conservative management carries a high risk of rupture and complications
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with symptoms suggestive of bowel obstruction following a history of peptic ulcer disease. Which of the following findings would MOST strongly support the diagnosis of Meckel's diverticulum as the cause?
सही उत्तर: घ) Dilatation of the ascending colon
Calcifications are commonly found adjacent to Meckel’s diverticulum due to thrombosis and subsequent inflammation/scarring. The other options represent more typical findings in bowel obstruction related to peptic ulcer disease
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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