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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The Pringle manoeuvre, used to control bleeding from the liver, involves clamping the:
सही उत्तर: ग) Hepatoduodenal ligament
The Pringle manoeuvre clamps the free edge of the lesser omentum (hepatoduodenal ligament), which blocks inflow through the hepatic artery and portal vein. If bleeding continues, think of hepatic vein or retrohepatic IVC injury.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Whipple's triad (symptoms of hypoglycaemia, documented low blood glucose and relief after glucose) is characteristic of:
सही उत्तर: ख) Insulinoma
Whipple's triad suggests an insulinoma, the most common functioning pancreatic neuroendocrine tumour. Whipple's operation (pancreaticoduodenectomy) has the same name but is a different thing.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A pancreatic pseudocyst is called a 'pseudo' cyst because:
सही उत्तर: क) Its wall lacks an epithelial lining
A pseudocyst is a collection of pancreatic fluid enclosed by fibrous or granulation tissue with no epithelial lining. It usually develops about 4 weeks or more after acute pancreatitis. Many pseudocysts communicate with the duct, and not all resolve on their own.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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In acute pancreatitis, which serum enzyme is more specific for the pancreas and remains raised for longer?
सही उत्तर: घ) Lipase
Serum lipase is more specific than amylase and stays raised for longer. Amylase also rises in other conditions, such as salivary disease, perforated ulcer and mesenteric ischaemia, and returns to normal sooner.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Bluish discoloration of the flanks in severe acute haemorrhagic pancreatitis is called:
सही उत्तर: ग) Grey Turner's sign
Grey Turner's sign is flank ecchymosis from retroperitoneal blood tracking along tissue planes. Cullen's sign is periumbilical discoloration, and Fox's sign is discoloration over the inguinal ligament.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Gallstone ileus most commonly causes obstruction at the:
सही उत्तर: ख) Terminal ileum
A large gallstone enters the bowel through a cholecystoenteric fistula and usually impacts in the terminal ileum, the narrowest part of the small bowel. Rigler's triad is pneumobilia, small bowel obstruction and an ectopic gallstone.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Reynolds' pentad, indicating severe (suppurative) cholangitis, adds which features to Charcot's triad?
सही उत्तर: क) Hypotension and altered mental status
Reynolds' pentad is fever, jaundice and right upper quadrant pain plus shock and confusion. It shows acute suppurative cholangitis that needs urgent biliary decompression, usually by ERCP.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The first-line imaging investigation for suspected acute calculous cholecystitis is:
सही उत्तर: घ) Ultrasound of the abdomen
Ultrasound is cheap, widely available and accurate for gallstones, gallbladder wall thickening, pericholecystic fluid and sonographic Murphy's sign. HIDA scintigraphy is very sensitive but is kept for doubtful cases.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to Courvoisier's law, a palpable gallbladder in a patient with painless obstructive jaundice is unlikely to be due to:
सही उत्तर: ग) Common bile duct stones
Stones usually cause chronic inflammation, so the gallbladder becomes fibrosed and does not distend. Distal malignant obstruction lets a normal gallbladder dilate until it can be felt.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which structure is classically found within Calot's triangle?
सही उत्तर: ख) Cystic artery
Calot's triangle is bounded by the cystic duct, the common hepatic duct and the inferior surface of the liver. It contains the cystic artery and Lund's (cystic) lymph node, and these must be clearly identified during cholecystectomy.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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