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

11. A patient presents with intermittent epigastric pain that is frequently triggered by fatty meals. Examination reveals a palpable mass in the upper abdomen and an elevated amylase level. Which surgical intervention is MOST likely indicated?

    कCholecystectomy खSplenectomy गPancreatectomy घPartial Gastrectomy
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

12. What is the primary diagnostic criterion for determining the presence of a Ladd's Bands following an appendectomy?

    कObservation of post-operative pain at McBurney’s point खMeasurement of the angle between the ascending and transverse colon गDetection of adhesions on imaging studies घPresence of a palpable mass in the right lower quadrant
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

13. A patient presents with a slowly growing mass on their upper lip. The mass is mobile and occasionally bleeds when manipulated. Which of the following diagnoses is MOST consistent with this presentation?

    कMucocele खHemangioma गFibroma घVerruca
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

14. Which of the following statements regarding Post-Splenectomy Infection (PSI) is MOST accurate?

    कPSI is always caused by Streptococcus pneumoniae खPseudomonas aeruginosa is the most common causative organism गPSI primarily affects children under 5 years old घThe risk is highest within 72 hours post-splenectomy
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

15. What anatomical landmark serves as the approximate location for performing an inferior vena cava filter placement?

    कSuperior mesenteric artery खRight atrium of the heart गAortic bifurcation घLeft renal vein
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

16. A 25-year-old female undergoes exploratory laparotomy for suspected ovarian torsion. During the procedure, a large mucinous cystadenoma is discovered attached to the hilum of the ovary. What is the most appropriate initial management? a) Immediate surgical removal of the entire ovary due to the risk of recurrence. b) Conservative management with observation and pain control, followed by potential surgical removal if symptoms persist. c) Injection of hyaluronidase into the cyst to reduce its size before elective surgery. d) Placement of a Foley catheter to monitor ovarian volume.

    कa) Immediate surgical removal of the entire ovary due to the risk of recurrence. खb) Conservative management with observation and pain control, followed by potential surgical removal if symptoms persist. गc) Injection of hyaluronidase into the cyst to reduce its size before elective surgery. घd) Placement of a Foley catheter to monitor ovarian volume.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

17. Which of the following surgical procedures is MOST commonly associated with the “Whipple procedure” (pancreaticoduodenectomy)? a) Liver Resection for Hepatocellular Carcinoma. b) Removal of the Gallbladder for Cholelithiasis. c) Surgical management of pancreatic head cancer, including removal of the head of the pancreas, duodenum, distal stomach, and common bile duct. d) Treatment of a complicated bowel obstruction.

    कa) Liver Resection for Hepatocellular Carcinoma. खb) Removal of the Gallbladder for Cholelithiasis. गc) Surgical management of pancreatic head cancer, including removal of the head of the pancreas, duodenum, distal stomach, and common bile duct. घd) Treatment of a complicated bowel obstruction.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

18. A 65-year-old male presents with sudden onset of severe abdominal pain, rigidity, and guarding. Physical examination reveals rebound tenderness in the right lower quadrant. Based on these findings, what is the most likely diagnosis? a) Viral Gastroenteritis b) Acute Cholecystitis c) Small Bowel Obstruction d) Diverticulitis

    कa) Viral Gastroenteritis खb) Acute Cholecystitis गc) Small Bowel Obstruction घd) Diverticulitis
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

19. Which of the following statements accurately reflects the typical presentation and initial management of acute appendicitis? a) Delayed diagnosis due to atypical symptoms often leading to spontaneous resolution. b) Immediate administration of broad-spectrum antibiotics followed by exploratory laparotomy. c) Right lower quadrant pain, nausea, vomiting, anorexia, and a positive McBurney's point – often managed conservatively with IV fluids and analgesics initially. d) Atypical presentations involving diffuse abdominal pain, requiring imaging studies like CT scans for diagnosis.

    कa) Delayed diagnosis due to atypical symptoms often leading to spontaneous resolution. खb) Immediate administration of broad-spectrum antibiotics followed by exploratory laparotomy. गc) Right lower quadrant pain, nausea, vomiting, anorexia, and a positive McBurney's point – often managed conservatively with IV fluids and analgesics initially. घd) Atypical presentations involving diffuse abdominal pain, requiring imaging studies like CT scans for diagnosis.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।

20. The primary goal of a Jackson-Edwards suction technique during exploratory laparotomy is to reduce intra-abdominal pressure and facilitate visualization. Which of the following best describes its application? a) To directly remove blood clots from surgical fields. b) To create a vacuum effect for efficient fluid removal. c) To assist in hemostasis by suctioning away bleeding points. d) To minimize contamination during procedures involving open wounds.

    कa) To directly remove blood clots from surgical fields. खb) To create a vacuum effect for efficient fluid removal. गc) To assist in hemostasis by suctioning away bleeding points. घd) To minimize contamination during procedures involving open wounds.
    💬 टिप्पणी / गल्ती रिपोर्ट (०)

    छलफल / प्रश्न उत्तरमा गल्ती छ

    पठाउनुहोस्

    टिप्पणी जाँचपछि मात्र देखिन्छ।