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
-
Which of the following anatomical structures is MOST consistently associated with the development of an incisional hernia at the umbilical region?
सही उत्तर: ख) B. The umbilical ligament
The umbilical ligament (B) is a remnant of the omoplacental membrane and represents a common site for incisional hernias, particularly at the umbilical region due to its laxity. The other options – external iliac artery, internal inguinal ring and rectus abdominis muscle - are not primary contributors to this type of hernia.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
Which of the following is the MOST accurate description of the pathophysiological mechanism underlying septic shock? a) Vasodilation due to excessive sympathetic stimulation. b) Microvascular thrombosis leading to tissue ischemia and organ failure. c) Systemic inflammatory response syndrome (SIRS) with dysregulated vasodilation and hypotension. d) Direct myocardial damage from bacterial toxins.
सही उत्तर: ग) c
Option C is correct. Septic shock is primarily driven by a massive systemic inflammatory response to infection, resulting in widespread vasodilation and hypotension due to the release of cytokines. The other options represent alternative mechanisms of shock but do not fully capture the core pathophysiology of septic shock.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient post-burn resuscitation develops an acute stress ulcer of the stomach. Which medication class is MOST appropriate as a first-line intervention to prevent further bleeding (2079)?
सही उत्तर: ख) Proton Pump Inhibitors (PPIs)
Proton pump inhibitors (PPIs) are the most effective in suppressing gastric acid secretion, thus preventing further ulcer formation and bleeding. NSAIDs can exacerbate ulcers. The other options would be less effective or contraindicated.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
Which of the following statements BEST describes the primary indication for performing an escharotomy in a burn patient (2079)?
सही उत्तर: ख) To relieve tension within the burned skin and facilitate expansion
Escharotomy is specifically indicated when there is excessive tension within the burn eschar, leading to tissue breakdown. This allows for expansion of the skin and relieves pressure. The other options address different aspects of burn management but aren’t the primary rationale for this procedure.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
The presence of ‘Battle’s sign’ (hemoperitoneum secondary to splenic rupture) is MOST suggestive of which of the following conditions?
सही उत्तर: ख) Liver abscess
Battle's sign directly relates to hemoperitoneum, which is a hallmark of liver abscesses. While other options can cause abdominal pain and potentially lead to peritonitis, Battle’s sign specifically points towards this etiology. Pancreatitis usually doesn’t present with this finding.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A 35-year-old male presents with severe abdominal pain, nausea, and vomiting. Physical examination reveals guarding and rebound tenderness. Imaging shows a large, inflamed bowel loop causing obstruction. Which of the following surgical approaches is MOST appropriate in this scenario (2079)?
सही उत्तर: ग) Laparoscopic sigmoidectomy
Laparoscopic sigmoidectomy is the most effective and minimally invasive approach for a large, inflamed bowel loop causing obstruction. Total colectomy would be indicated in cases of diffuse colonic disease or severe complications. The other options are either excessively aggressive or less precise than this specific intervention.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
Which of the following procedures is MOST commonly used as the initial treatment for a patient presenting with acute appendicitis according to established surgical protocols (2079)?
सही उत्तर: क) Appendicectomy with primary anastomosis
Appendicectomy with primary anastomosis is the gold standard initial treatment for acute appendicitis. The other options represent alternative approaches that are not typically employed as the first-line intervention. Conservative management isn't effective in most cases, while interval appendectomy is reserved for specific situations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
A patient presents with dysphagia and difficulty swallowing. A barium swallow reveals a dilated esophagus with impaired peristalsis and a weakened lower esophageal sphincter. This presentation is MOST consistent with which diagnosis?
सही उत्तर: ख) B. Achalasia Cardia
Option B (Achalasia Cardia) accurately describes the key findings of a dilated esophagus, impaired peristalsis and a relaxed lower esophageal sphincter – all characteristic features of achalasia. Options A, C, and D represent different conditions with distinct clinical presentations and radiological findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
Which anatomical structure is typically affected by an ileus?
सही उत्तर: ग) C. The sigmoid colon
Option B (transverse colon) represents the most common location for ileus, a temporary paralysis of intestinal motility, often due to inflammation or post-surgical factors. While all listed structures can experience motility issues, the transverse colon is statistically the most frequently affected area.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
-
What is the defining characteristic of a Whipple's procedure (pancreaticoduodenectomy)?
सही उत्तर: ख) B. Complete resection of the head of the pancreas, duodenum, distal common bile duct, and proximal jejunum
Option B is correct as a Whipple’s procedure involves the surgical removal of precisely the structures listed – head of pancreas, duodenum, bile duct, and proximal jejunum. Options A, C, and D are incorrect because they describe alternative or less specific surgical interventions.
💬 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।
नमस्ते! पाठ्यक्रम, सामान्य ज्ञान, भाषा परीक्षा वा कुनै प्रश्नको उत्तर बुझ्न सोध्नुहोस्।
AI ले गल्ती गर्न सक्छ। महत्वपूर्ण कुरा आधिकारिक स्रोतमा जाँच्नुहोस्।