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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Which of the following conditions is most closely associated with an increased risk of developing pancreatic pseudocysts?
सही उत्तर: क) Chronic Pancreatitis
Chronic pancreatitis is a major cause of pancreatic pseudocysts, due to its repeated inflammation and damage to the pancreas. The other options don’t directly contribute to pseudocyst formation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In the context of surgical diagnosis, what does ‘Simpson’s Sign’ indicate?
सही उत्तर: ख) Peritoneal Carvings
Simpson's sign, also known as the McBurney point, indicates a localized tenderness in the right lower quadrant of the abdomen, strongly suggestive of appendicitis. The other options represent alternative or less specific findings.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following anatomical structures is most commonly involved in a 'sliding' hiatal hernia?
सही उत्तर: क) Esophagus
The esophagus is the primary structure affected in a sliding hiatal hernia, where the stomach slides upwards through the hiatus. The other options represent different segments of the gastrointestinal tract and are not typically involved.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 65-year-old male presents with sudden onset severe lower back pain, radiating down his right leg, accompanied by bowel and bladder dysfunction. Examination reveals reflex asymmetry and clonus in his legs. What is the MOST likely diagnosis? (a) Acute lumbar disc herniation. (b) Cauda equina syndrome. (c) Spinal stenosis with neurogenic claudication. (d) Spondyloarthritis.
सही उत्तर: ख) (b) Cauda equina syndrome.
The classic presentation of cauda equina syndrome – severe back pain, radiculopathy, bowel/bladder dysfunction, and reflex asymmetry – strongly suggests compression of the spinal cord at the lower lumbar level, typically due to a large disc herniation. While other options might present with similar symptoms, cauda equina is the most immediately life-threatening possibility. Option (a) describes a more gradual onset of pain. Option (c) does not explain bowel/bladder dysfunction and clonus. Option (d) involves inflammatory spinal disease.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following anatomical landmarks is crucial for identifying the location of an irreducible inguinal hernia? (a) The lateral border of the rectus abdominis muscle. (b) The medial border of the sartorius muscle. (c) The inferior epigastric vessels. (d) The ilioinguinal nerve.
सही उत्तर: ख) (b) The medial border of the sartorius muscle.
The lateral border of the rectus abdominis is a key anatomical landmark used to determine the location and thus reducibility of an inguinal hernia. Options (b), (c), and (d) are not directly involved in assessing the hernia's position.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presents with signs of acute abdomen including guarding and rebound tenderness. Imaging reveals a large inflamed appendix causing perforation. Which of the following is the MOST appropriate immediate surgical intervention? (a) Laparoscopic appendectomy with drainage of abscess. (b) Exploratory laparotomy with primary resection and anastomosis of the ileum. (c) Percutaneous drainage of the peritoneal cavity followed by delayed appendectomy. (d) Conservative management with broad-spectrum antibiotics and fluid resuscitation.
सही उत्तर: ख) (b) Exploratory laparotomy with primary resection and anastomosis of the ileum.
Given the confirmed diagnosis of perforated appendicitis, exploratory laparotomy is required to address the source of infection and facilitate definitive surgical treatment – typically a primary resection and anastomosis of the ileum. Option (a) describes a less appropriate approach. Option (c) delays necessary intervention. Option (d) is entirely inappropriate for a peritonitis situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The term ‘Fitz-Hugh-Murdock syndrome’ refers to which of the following? (a) Acute appendicitis with associated peritonitis. (b) Pelvic inflammatory disease (PID) complicated by liver abscesses. (c) Ascending bacterial infection causing cholecystitis and pancreatitis. (d) Reactive arthritis following streptococcal infections.
सही उत्तर: ख) (b) Pelvic inflammatory disease (PID) complicated by liver abscesses.
Fitz-Hugh-Murdock syndrome is defined as PID with associated perihepatitis, often involving the gallbladder. This inflammatory process can lead to liver abscesses. Option (a) describes appendicitis. Option (c) relates to biliary disease. Option (d) describes reactive arthritis.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary mechanism of action of a Whipple procedure (pancreaticoduodenectomy)? (a) Surgical removal of the sigmoid colon and rectum. (b) Removal of the head, body, and tail of the pancreas along with the first part of the duodenum, gallbladder, and distal common bile duct. (c) Reconstruction of the stomach using a Roux-en-Y limb. (d) A palliative procedure for advanced pancreatic cancer involving chemotherapy alone.
सही उत्तर: ख) (b) Removal of the head, body, and tail of the pancreas along with the first part of the duodenum, gallbladder, and distal common bile duct.
The Whipple procedure (pancreaticoduodenectomy) is precisely defined as the surgical removal of the head, body, and tail of the pancreas along with the first part of the duodenum, gallbladder, and distal common bile duct. Option (a) describes a different colorectal resection. Option (c) refers to a gastric reconstruction technique. Option (d) inappropriately frames chemotherapy as a primary treatment for this complex surgery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A 25-year-old male presents with a painful, leathery skin lesion on his back. Examination reveals no blanching upon pressure. What is the MOST likely diagnosis?
सही उत्तर: ख) Squamous Cell Carcinoma
A burn scar (particularly a large, charred one) that is leathery and blanches poorly indicates squamous cell carcinoma arising from pre-existing tissue damage. Melanomas are often pigmented, basal cell carcinomas typically present as pearly nodules, and sebaceous carcinomas have distinct features. This question tests recognition of skin tumors related to trauma.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient has sustained severe acute pancreatitis with resultant edema of the pancreas. Which finding would be MOST indicative of a developing pancreatic pseudocyst?
सही उत्तर: घ) Rapid scarring and fibrosis of the pancreatic tissue
Pseudocysts form when inflammatory debris remains in the pancreas after acute pancreatitis, encapsulated by fibrous tissue. The other options represent stages or outcomes of resolving pancreatitis. This question tests knowledge of complication management following injury.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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