19 Questions
What is the most likely diagnosis for the 48-year-old woman presenting with a painful right groin, toxic appearance, and lower abdominal distension?
Appendicitis
Considering the symptoms presented by the 48-year-old woman, what could be a less likely diagnosis due to the clinical findings?
Kidney stones
Based on the description of a small tender swelling in the right groin of the 48-year-old woman, what condition is most likely present?
Femoral hernia
What is the significance of the patient not passing flatus or motion since yesterday in the case of the 48-year-old woman?
Suggests intestinal obstruction
Which of the following conditions would be least likely to present with a toxic appearance and lower abdominal distension like the 48-year-old woman?
Ectopic pregnancy
What is the main concern regarding the right iliac fossa tenderness in the case of the 48-year-old woman?
Appendiceal inflammation
Considering the patient's right iliac fossa tenderness and toxic appearance, which condition should be ruled out first?
Perforated colon diverticulum
In the context of the 48-year-old woman's presentation, what would be a significant deviation from typical findings if she were diagnosed with acute pancreatitis?
Periumbilical pain radiation
Given her presentation, what additional symptom would increase suspicion for mesenteric ischemia in the 48-year-old woman?
Hematochezia
If the 48-year-old woman was found to have an elevated serum amylase level, what condition could be strongly ruled out?
Acute cholecystitis
What is the differential diagnosis of a lump in the groin?
Inguinal hernia, Femoral hernia, Lymphadenopathy, Lipoma
What muscles form the conjoined tendon?
External oblique and internal oblique
What is the difference between irreducible hernia and strangulated hernia?
Irreducible hernia cannot be pushed back in, while strangulated hernia has compromised blood supply
What are the indications of laparoscopic hernia repair?
Reduced postoperative pain, Faster recovery, Lower recurrence rate, Less expensive
What is the differential diagnosis of a neck mass with hoarseness of voice?
Thyroid cancer, Lymphadenopathy, Goiter, Parathyroid adenoma
What is the most probable diagnosis in a patient with collapsed lung showing split pleura sign?
Pneumothorax
What is the likely diagnosis in a 35-year-old male presenting with headache and hypertension?
Hypertensive crisis
What is the treatment protocol for a supracondylar fracture of the humerus?
Open reduction and internal fixation
What is Autonomic Dysreflexia and how is it treated?
Autonomic dysregulation due to spinal cord injury; treat with immediate elevation of head and check for bladder distension
This quiz is from the Intra Modular Examination of 2018 for the final year MBBS students at Army Medical College Rawalpindi. The paper consists of both MCQs and subjective questions related to surgery. Students are required to attempt all questions within a set time limit to secure passing marks.
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