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 structures is MOST consistently associated with the formation of a parathyroid adenoma?
सही उत्तर: ग) Isthmus of the thyroid gland
The isthmus of the thyroid gland, particularly the central region, is the most common location for parathyroid adenomas. The other options represent typical locations for normal thyroid tissue.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient undergoes exploratory laparotomy for suspected intestinal obstruction. During the procedure, a small, unrecognised Meckel’s diverticulum is identified containing gastric mucosa. What is the most appropriate immediate management?
सही उत्तर: ख) Complete removal of the bowel loop containing the diverticulum
Meckel's diverticulum with gastric mucosa is likely to bleed. Complete removal of the affected bowel segment (partial or complete resection) is the definitive treatment. Option 2 is incorrect as it doesn’t offer resolution of bleeding while option 3 is only appropriate for minor cases and options 4 represents a delayed/inadequate approach.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which surgical procedure is typically performed to treat a large, symptomatic Pilonidal Cyst?
सही उत्तर: ख) Wide local excision
Wide local excision of the cyst and surrounding skin is the standard treatment for large, recurrent, or symptomatic pilonidal cysts. Gastrotomy involves bowel surgery which is not typical for this condition. Herniorrhaphy deals with hernias, and laparoscopic cholecystectomy addresses gallbladder issues.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with jaundice, pale skin, and fatigue. Liver function tests reveal elevated bilirubin levels. Which of the following is the most likely cause?
सही उत्तर: ग) Choledochal cyst
A choledochal cyst is a congenital abnormality of the bile duct that frequently causes obstructive jaundice. The other options are less likely given the constellation of symptoms and elevated bilirubin levels. Budd-Chiari syndrome involves hepatic veins, while viral hepatitis and primary biliary cholangitis present with different patterns of abnormalities.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the clinical presentation of acute appendicitis?
सही उत्तर: क) Wandering pain migrating to the right iliac fossa
The classic presentation of acute appendicitis involves periumbilical pain that migrates to the right lower quadrant. The other options represent alternative diagnoses or atypical presentations. While localized pain can occur, it’s not as strongly associated with this condition.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following conditions is MOST commonly associated with a 'sliding' hiatal hernia?
सही उत्तर: ग) Reflux Laryngitis
Sliding hiatal hernias, where the stomach slides up into the chest cavity, are strongly linked to an increased risk of gastric cancer due to prolonged exposure of the gastric mucosa to acidic conditions. The other options relate to different pathological processes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient develops signs of acute respiratory distress syndrome (ARDS) following extensive trauma. Which of the following interventions is MOST critical in addressing the underlying circulatory compromise?
सही उत्तर: क) Administration of Vasopressors
ARDS significantly impairs oxygen exchange due to pulmonary edema. Vasopressors are crucial for maintaining adequate systemic vascular resistance and blood pressure, supporting perfusion to the lungs. The other options target secondary issues but don't address the primary cause - hypovolemia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the pathophysiology behind Horner's Syndrome?
सही उत्तर: ख) Decreased Parasympathetic Activity in the Oculomotor Nerve
Horner's syndrome results from a disruption in the sympathetic pathway, specifically affecting the superior cervical ganglion. This leads to decreased sympathetic activity, manifesting as ptosis, miosis and anhidrosis. The other options describe different neurological mechanisms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with significant abdominal pain, guarding, and rigidity, along with signs of peritonitis. Imaging reveals free air within the abdomen. Which of the following surgical approaches would be MOST appropriate as an initial response?
सही उत्तर: ख) Open exploratory laparotomy
Given the signs of peritonitis and free air, an open exploratory laparotomy is generally considered the most effective initial approach to quickly assess and address the cause. While laparoscopic approaches are valuable for later stages, the immediate situation necessitates direct visualization and intervention. Conservative management alone would be inappropriate due to the severity.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient sustains severe burns presenting with dry, leathery skin and no blanching on palpation. What is the MOST likely diagnosis?
सही उत्तर: ख) B. Pressure Ulcers.
The 'peau d’orange' appearance (smooth, orange-colored skin) and dry, leathery surface suggest a severe burn injury that is primarily characterized by dehydration and keratinization of the skin. This presentation is characteristic of deep burns.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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