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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A patient presents with severe abdominal pain and jaundice following an upper GI bleed. Which clinical triad is MOST indicative of this condition?
सही उत्तर: ख) B. Charcot’s Triad (Fever, Jaundice, Right Upper Quadrant Pain).
The ‘Charcot’s triad’ – fever, jaundice, and right upper quadrant pain – is a classic presentation of acute cholangitis (inflammation of the bile ducts), most often caused by ascending bacterial infection following an upper GI bleed. Option 2 is correct as it describes this specific triad.”},{
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The key diagnostic feature of Hirschsprung's disease is:
सही उत्तर: ख) B. Absence of enteric ganglia along the bowel wall.
The hallmark of Hirschsprung’s disease is the absence of enteric ganglia, which are crucial for peristaltic movements in the colon. The thickened submucosal glands (a compensatory response) are a direct result of this ganglion loss, making option 1 correct.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following organisms is MOST commonly implicated as the causative agent of overwhelming post-splenectomy infection (OPSI)?
सही उत्तर: ग) C. *Neisseria meningitidis* .
*Streptococcus pneumoniae* is the most frequent cause of OPSI, largely due to its ability to cross the blood-brain barrier and infect the central nervous system. It’s important to note that this is the most common organism – while other organisms can cause infection post-splenectomy, *S. pneumoniae* is statistically dominant.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with severe, sudden onset abdominal pain following forceful vomiting. Clinical examination reveals guarding, rigidity, and percussion tenderness. The most likely diagnosis in this scenario is:
सही उत्तर: ख) B. Boerhaave syndrome.
Boerhaave syndrome (spontaneous esophageal rupture) is precisely indicated by the presentation of severe abdominal pain, guarding, rigidity, and percussion tenderness following forceful vomiting – all typical findings. The other options have different mechanisms for causing this type of presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The presence of 'Battle’s sign' - bruising behind the ear – in a patient following blunt head trauma suggests which potential finding?
सही उत्तर: ख) B. Intracranial hemorrhage into the basal ganglia.
Battle's sign is classically associated with a fracture of the temporal bone, specifically the pterion (the bony angle of the skull). Other options reflect different potential head injuries.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following conditions presents with 'Peau d’orange' appearance on examination of the breast?
सही उत्तर: घ) D. Medullary carcinoma.
'Peau d'orange' (orange peel) refers to a smooth, orange-colored skin appearance, and is most commonly associated with fibrocystic breast changes due to edema within the tissue. While other cancers can present similarly, this manifestation is primarily linked to fibro cystic changes.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with severe abdominal pain, guarding, and rigidity after undergoing extensive burns. The Alvarado score (MANTRELS) would MOST likely demonstrate which of the following findings?
सही उत्तर: ख) B. Elevated temperature, tachycardia, and tenderness to palpation in multiple quadrants.
Option 1 is correct; the Alvarado score typically shows elevated temperature, tachycardia, and abdominal tenderness (MANTRELS), reflecting systemic inflammation associated with severe burns. Options A, B and D show incorrect values for a patient with significant trauma.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The diagnosis of acute appendicitis often relies on a combination of clinical signs and imaging findings. Which finding, when present in conjunction with typical symptoms, strongly suggests acute appendicitis?
सही उत्तर: ग) C. Right lower quadrant pain, rebound tenderness, and a positive McBurney's point.
Option 2 correctly identifies the key sign – a distended appendix with fecal material observed on imaging (CT scan). This is supported by established diagnostic criteria for appendicitis. Options A, B and D represent alternative diagnoses or less specific indicators.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements BEST describes the key difference between a true keloid and a hypertrophic scar?
सही उत्तर: ख) B. Keloids are composed of excessive collagen produced by fibroblasts, while hypertrophic scars involve an inflammatory response.
Option 1 is correct because it highlights the fundamental difference – keloids’ continued growth driven by collagen overproduction versus hypertrophic scars' response to inflammation. Option 2 is tempting as both involve scarring but misses the core distinction. Options C and D present inaccuracies about the morphology and location of these conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A young woman presents with intermittent, bright red nipple discharge from a single duct in her left breast. After thorough clinical examination, which of the following is the most likely etiology?
सही उत्तर: ग) Invasive ductal carcinoma
Bright red nipple discharge from a single duct in a young woman is classically associated with invasive ductal carcinoma. While benign lesions can cause discharge, the colour and presentation are more indicative of malignancy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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