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

261. A 68-year-old male presents with jaundice, right upper quadrant pain, and elevated liver enzymes. Imaging reveals an obstruction at the bifurcation of the common hepatic duct (hilum). What is the MOST likely diagnosis?

     कCholangitis खHepatocellular Carcinoma गPrimary Sclerosing Cholangitis घGallstone Pancreatitis
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262. In the context of trauma assessment, which of the following findings would MOST strongly indicate the presence of a splenic injury?

     कNormal vital signs and absence of abdominal tenderness खDiffuse bruising extending from the left upper quadrant to the flank गSymmetrical swelling of the flanks with limited palpable masses घLocalized pain upon palpation of the left iliac crest
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263. Which of the following surgical maneuvers is MOST appropriate for managing significant bleeding from a friable liver tumor during resection?

     कDirect ligation of hepatic veins खHemostasis via electrocautery alone गUtilization of warm clamping and sutures at multiple levels घPlacement of a Jackson-Pratt clamp
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264. A patient presents with severe abdominal pain and guarding. FAST examination reveals free fluid in the peritoneal cavity. Which of the following is the MOST likely diagnosis?

     कPerforated Duodenal Ulcer खAppendicitis गBowel Obstruction घAcute Mesenteric Ischemia
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265. Which of the following best describes the primary difference between a scleroma and a keloid?

     कScleroma is characterized by raised, erythematous lesions while a keloid demonstrates exaggerated collagen deposition forming a firm nodule. खKeloids are typically flat and lichen-like whereas scleroma presents as hardened papules with a waxy appearance. गBoth conditions involve abnormal collagen production but keloids result from scar tissue formation and scleroma from fungal infection. घScleroma is associated with immune deficiencies, while keloids are primarily linked to genetic predisposition.
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266. In the context of trauma, what does ‘Grey Area’ injury refer to?

     कA) An injury where the extent of damage is clearly visible and quantified. खB) An injury involving significant blood loss with no identifiable source or a minimally demonstrable bleed. गC) A fracture that affects the nerves controlling movement in an extremity. घD) An injury resulting from blunt force trauma to the head.
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267. Which of the following is the MOST accurate description of the surgical technique used for a Whipple procedure (pancreaticoduodenectomy)?

     कA) A minimally invasive approach involving only laparoscopy. खB) Removal of the head of the pancreas, duodenum, common bile duct, and gallbladder with reconstruction using termino-lateral or Billroth II techniques. गC) Reconstruction utilizing solely a side-to-side anastomosis of the small bowel. घD) An open procedure including en bloc resection of the entire stomach.
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268. What is the key differentiating factor between an appendiceal abscess and a tubo-ovarian abscess (TOA)?

     कA) Both are always caused by sexually transmitted infections. खB) Appendiceal abscesses typically arise from ascending infection, while TOAs result from pelvic inflammatory disease and often involve multiple structures. गC) The size of the abscess is the sole determining factor in diagnosis. घD) Antibiotic treatment success rates are identical for both conditions.
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269. The surgical management of a sigmoid colon volvulus typically involves:

     कA) Conservative treatment with intravenous fluids and electrolyte correction. खB) Exploration and untangling of the bowel followed by resection of affected segment. गC) Percutaneous endoscopic reduction utilizing specialized instruments. घD) Immediate initiation of broad-spectrum antibiotics to control infection.
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270. What is the primary clinical feature observed during the assessment of a patient presenting with Boerhaave syndrome?

     कSudden onset of severe abdominal pain and nausea खRapid development of a purulent discharge from the mouth गSpontaneous full-thickness rupture of the oesophagus after forceful vomiting घPersistent hematemesis following prolonged vomiting
     💬 टिप्पणी / गल्ती रिपोर्ट (०)

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