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 60-year-old male presents with intermittent pain in the right inguinal region. Physical examination reveals a palpable bulge that increases with coughing and straining. The most accurate description of this condition is:
सही उत्तर: क) Indirect inguinal hernia
A direct inguinal hernia occurs through the aponeurosis of the abdominal muscles, presenting as a bulge that moves with muscle contraction. The other options represent different types of hernias arising from distinct anatomical locations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 35-year-old male presents with right upper quadrant pain, fever, and nausea. The initial imaging investigation for suspected acute calculous cholecystitis is most likely:
सही उत्तर: ख) Ultrasound of the abdomen
Ultrasound is the preferred initial imaging modality for suspected acute cholecystitis due to its ability to visualize gallstones and inflammation. CT scans are often used if ultrasound results are inconclusive; however, MRI and endoscopy are not typically first-line investigations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with dysphagia, regurgitation of undigested food, and chest pain suggestive of achalasia cardia. What is the gold-standard diagnostic investigation for confirming this diagnosis?
सही उत्तर: ग) Esophageal manometry and pH monitoring
Esophageal manometry and pH monitoring are the gold-standard investigations for achalasia cardia as they directly assess esophageal motility dysfunction. While endoscopy can visualize structural abnormalities, it doesn't capture the characteristic impaired peristalsis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following structures forms part of the anatomical landmark commonly referred to as ‘Calot’s Triangle’ prior to performing cholecystectomy?
सही उत्तर: ग) Cystic duct
The common bile duct is the key structure enclosed within Calot's triangle. Identifying its position helps surgeons avoid injury during cholecystectomy. The other options are adjacent structures but not defined within the triangular space.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following serum enzymes is MOST reliably elevated in acute pancreatitis, providing strong evidence for pancreatic inflammation?
सही उत्तर: घ) Lipase
Lipase is produced specifically by pancreatic acinar cells and remains elevated long after the inflammatory process subsides, making it the most specific marker. Amylase, while elevated, can be found in other conditions and diminishes faster. The other options are general renal function markers.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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During an exploratory laparotomy for suspected strangulated hernia, the surgeon unexpectedly discovers a large, necrotic abscess in the right lower quadrant. The patient also presents with significant guarding and rebound tenderness. What is the most appropriate immediate surgical intervention?
सही उत्तर: ख) Small Bowel Resection
The correct answer is Small Bowel Resection (option 1). This presentation – a large, necrotic abscess associated with strangulated hernia– indicates intestinal ischemia and potential perforation. Rapid small bowel resection is crucial to prevent further contamination and reduce morbidity. The other options are less appropriate given the primary issue is bowel necrosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with severe abdominal pain, hypotension, dusky skin, and distant heart sounds - the ‘Beck’s Triad’. Which of the following is the MOST likely diagnosis?
सही उत्तर: क) Mesenteric Ischemia
The correct answer is Mesenteric Ischemia (option 0). The ‘Beck’s triad’ is a classic clinical presentation indicating intestinal ischemia, most commonly due to mesenteric artery occlusion. The other options - perforated ulcer, bowel obstruction and diverticulitis – can cause abdominal pain but do not typically present with this specific triad.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following conditions is MOST likely to present with Rigler’s triad (pneumobilia, small bowel obstruction, and an ectopic gallstone)?
सही उत्तर: घ) Celiac Disease
The correct answer is Meckel's Diverticulum (option 3). Rigler’s triad represents the classic radiological findings associated with this congenital anomaly. Crohn’s, Ulcerative colitis and Celiac disease do not typically present with these specific imaging features.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 50-year-old male presents with persistent, severe left shoulder pain after a minor fall. Examination reveals tenderness over the costal margins. Imaging reveals a splenic injury. What is the most likely surgical consideration?
सही उत्तर: ख) Liver Resection
The correct answer is Splenectomy (option 1). Left shoulder-tip pain, or referred pain, after splenic trauma is characteristic of Winslow's infarction. The other options – liver resection, gastrectomy, and pancreatectomy - are inappropriate surgical interventions for this presentation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which surgical procedure is typically performed first in the management of acute appendicitis characterized by generalized abdominal pain, nausea, and vomiting?
सही उत्तर: क) Appendectomy
The correct answer is Appendectomy (option 0). This is the standard initial treatment for acute appendicitis. The other options – cholecystectomy (gallbladder removal), colectomy (removal of part of the colon), and colonoscopy - are used for different conditions and not the immediate first step in managing appendicitis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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