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 65-year-old male presents with sudden onset lower back pain radiating down his left leg. Neurological examination reveals significant L2 weakness and sensory loss in the foot. Which nerve root is MOST likely affected?
सही उत्तर: घ) L5 Root
The combination of lower back pain with radiation, L2 weakness, and sensory loss in the foot strongly suggests compression or irritation of the L4 nerve root, commonly due to spinal stenosis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings would MOST reliably indicate a diagnosis of Whipple's triad (Charcot's Triad)?
सही उत्तर: ख) Fever, right upper quadrant pain, and anorexia.
Charcot's triad – fever, jaundice, and right upper quadrant abdominal pain – is the classic presentation of acute cholangitis caused by gallstone obstruction. The other options present with incorrect combinations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with sudden onset of severe abdominal pain, guarding, and rigidity. Physical examination reveals rebound tenderness. Which of the following conditions is MOST likely?
सही उत्तर: ख) Pancreatitis
The presentation – severe pain, guarding/rigidity, rebound tenderness – strongly suggests acute pancreatitis. While appendicitis and perforated diverticulitis can also cause these symptoms, they typically don’t present with the same degree of systemic inflammatory response.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following structures is MOST commonly involved in testicular torsion?
सही उत्तर: घ) Epididymis
The vas deferens is the primary pathway for sperm transport and is frequently compressed or twisted during testicular torsion, leading to ischemia. The testicular artery is a collateral vessel, scrotal skin is affected by trauma, and the epididymis contains developing sperm which are relatively protected.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient undergoes a total hip arthroplasty (THA) for osteoarthritis. Six months post-operatively, the patient reports increasing pain at the surgical site and swelling. Radiographs reveal loosening of the femoral head. What is the MOST likely cause of this complication?
सही उत्तर: ग) C. Nerve damage leading to chronic pain stimulation.
Option 2 is correct, as loosening of the femoral head is a well-recognized complication of THA primarily due to mechanical wear and tear between the articulating surfaces of the prosthetic components. Options A, C, and D represent alternative causes of post-operative pain or complications.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes a key distinguishing feature between a pancreatic pseudocyst and a true cyst?
सही उत्तर: क) Both are invariably associated with malignancy
Pancreatic pseudocysts contain inflammatory fluid and often develop as a complication of pancreatitis, differentiating them from true cysts which are defined by their encapsulation and containing pancreatic juice.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 35-year-old male presents with a palpable mass in the groin and intermittent pain. Examination reveals crepitus within the mass. Which of the following is the MOST appropriate initial surgical intervention?
सही उत्तर: क) Decompression of the femoral artery
The presentation – palpable mass with crepitus – strongly suggests an incarcerated inguinal hernia. ORIF is the standard treatment for this condition; the other options are inappropriate interventions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with severe abdominal pain, fever, jaundice, and dark urine. Laboratory tests reveal elevated bilirubin levels. Which of the following is the MOST likely diagnosis?
सही उत्तर: क) Acute glomerulonephritis
The constellation of symptoms – severe abdominal pain, fever, jaundice, and dark urine – strongly suggests severe acute cholangitis, mirroring Reynolds’ pentad. The other options present with different symptom profiles.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following findings would MOST likely indicate a diagnosis of acute appendicitis according to established surgical guidelines?
सही उत्तर: क) Presence of leukocytosis with neutrophilic predominance
Leukocytosis with neutrophilic predominance is a hallmark sign of infection and inflammation, strongly associated with acute appendicitis. The other options represent findings from different conditions or are not as directly indicative.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What term describes the surgical procedure involving the removal of a portion of the thyroid gland?
सही उत्तर: क) Thyroidectomy
A thyroidectomy (option 0) is the correct term for removing part or all of the thyroid gland. The other options relate to entirely different surgical procedures - myringotomy deals with the ear, appendectomy removes the appendix, and a hysterectomy removes the uterus.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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