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

241. A patient undergoes a laparoscopic cholecystectomy. Post-operatively, they develop symptoms consistent with biliary colic – severe right upper quadrant pain radiating to the back, accompanied by nausea and vomiting. Which of the following is the *most* likely immediate cause?

     कA) Pancreatic Pseudocyst खB) Bile Duct Injury गC) Sphincter of Oddi Dysfunction घD) Chronic Cholecystitis
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242. What is the primary purpose of performing a Jackson-Edwards catheterization in patients suspected of having cardiac tamponade?

     कA) To measure pulmonary artery pressure खB) To directly assess left ventricular output गC) To determine the degree of fluid accumulation in the pericardial sac and assess hemodynamic status घD) To administer medications intravenously with greater accuracy
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

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243. What is the most significant difference between acute cholecystitis and choledocholithiasis?

     कA) Acute cholecystitis involves inflammation of the gallbladder, while choledocholithiasis involves gallstones in the common bile duct खB) Choledocholithiasis always requires surgical intervention, whereas acute cholecystitis can often be managed conservatively गC) Acute cholecystitis presents with right upper quadrant pain and fever, while choledocholithiasis typically causes jaundice and biliary colic घD) There is no significant difference; they represent the same underlying pathological process
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244. Which of the following best describes the primary mechanism of action for an antibiotic like metronidazole in treating anaerobic bacterial infections?

     कA) Inhibition of DNA synthesis in bacteria खB) Interference with the formation of bacterial cell walls गC) Disruption of protein synthesis by binding to bacterial ribosomes घD) Selective toxicity against anaerobic metabolic pathways
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245. What is the primary purpose of performing a 'Kelly Excision' in surgical procedures? (A) To create a watertight closure of the skin edges after incision. (B) To facilitate the healing process by promoting granulation tissue formation. (C) To sterilize the wound margins and prevent infection. (D) To reduce scarring by minimizing tension on the epithelial layer.

     कTo create a watertight closure of the skin edges after incision. खTo facilitate the healing process by promoting granulation tissue formation. गTo sterilize the wound margins and prevent infection. घTo reduce scarring by minimizing tension on the epithelial layer.
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246. A patient presents with significant rectal bleeding and a palpable mass near the anus. Imaging reveals a large, inflamed sigmoid colon. Which of the following surgical interventions would be most appropriate? (A) Colectomy with anastomosis. (B) Sigmoidectomy. (C) Hemicolectomy. (D) Total colectomy.

     कColectomy with anastomosis. खSigmoidectomy. गHemicolectomy. घTotal colectomy.
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247. Which of the following is the most appropriate initial step in managing a patient presenting with acute abdominal pain and suspected small bowel obstruction? (A) Immediate administration of intravenous antibiotics. (B) Urgent surgical exploration of the abdomen under general anesthesia. (C) Focused assessment with directed ultrasound (FAUS) to identify the cause of obstruction. (D) Prompt initiation of nasogastric suctioning to relieve pressure.

     कImmediate administration of intravenous antibiotics. खUrgent surgical exploration of the abdomen under general anesthesia. गFocused assessment with directed ultrasound (FAUS) to identify the cause of obstruction. घPrompt initiation of nasogastric suctioning to relieve pressure.
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248. The surgical procedure known as 'Laparoscopic Cholecystectomy' primarily aims to: (A) Remove the appendix following acute appendicitis. (B) Extract tissue samples for pathological analysis of the stomach. (C) Surgically remove the gallbladder via small incisions using minimally invasive techniques. (D) Repair damage to the esophagus caused by corrosive substances.

     कRemove the appendix following acute appendicitis. खExtract tissue samples for pathological analysis of the stomach. गSurgically remove the gallbladder via small incisions using minimally invasive techniques. घRepair damage to the esophagus caused by corrosive substances.
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249. Which of the following is the most accurate description of a 'transient ischemic attack (TIA)'? (A) A permanent neurological deficit resulting from cerebral infarction. (B) Temporary neurological symptoms caused by insufficient blood flow to the brain, resolving within 24 hours. (C) Chronic inflammation of the meninges leading to neurological dysfunction. (D) A rapidly progressing malignant tumor affecting the central nervous system.

     कA temporary neurological symptom caused by insufficient blood flow to the brain, resolving within 24 hours. खA permanent neurological deficit resulting from cerebral infarction. गChronic inflammation of the meninges leading to neurological dysfunction. घA rapidly progressing malignant tumor affecting the central nervous system.
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250. A 30-year-old female presents after a motor vehicle accident with significant pelvic fractures. Imaging reveals evidence of bowel perforation. Which clinical finding would be MOST critical to assess immediately?

     कAbsent femoral pulses खIncreased capillary refill time गAbnormal abdominal percussion घDiffuse skin mottering
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