3113 Army Medical College Rawalpindi Final Year MBBS Surgery Paper 2018
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Questions and Answers

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 (correct)
  • Mesenteric ischemia
  • Ovarian torsion
  • Inguinal hernia
  • Considering the symptoms presented by the 48-year-old woman, what could be a less likely diagnosis due to the clinical findings?

  • Kidney stones (correct)
  • Pelvic inflammatory disease
  • Diverticulitis
  • Peptic ulcer disease
  • 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?

  • Incisional hernia
  • Lymphadenopathy
  • Femoral hernia (correct)
  • Rectus sheath hematoma
  • What is the significance of the patient not passing flatus or motion since yesterday in the case of the 48-year-old woman?

    <p>Suggests intestinal obstruction</p> Signup and view all the answers

    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?

    <p>Ectopic pregnancy</p> Signup and view all the answers

    What is the main concern regarding the right iliac fossa tenderness in the case of the 48-year-old woman?

    <p>Appendiceal inflammation</p> Signup and view all the answers

    Considering the patient's right iliac fossa tenderness and toxic appearance, which condition should be ruled out first?

    <p>Perforated colon diverticulum</p> Signup and view all the answers

    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?

    <p>Periumbilical pain radiation</p> Signup and view all the answers

    Given her presentation, what additional symptom would increase suspicion for mesenteric ischemia in the 48-year-old woman?

    <p>Hematochezia</p> Signup and view all the answers

    If the 48-year-old woman was found to have an elevated serum amylase level, what condition could be strongly ruled out?

    <p>Acute cholecystitis</p> Signup and view all the answers

    What is the differential diagnosis of a lump in the groin?

    <p>Inguinal hernia, Femoral hernia, Lymphadenopathy, Lipoma</p> Signup and view all the answers

    What muscles form the conjoined tendon?

    <p>External oblique and internal oblique</p> Signup and view all the answers

    What is the difference between irreducible hernia and strangulated hernia?

    <p>Irreducible hernia cannot be pushed back in, while strangulated hernia has compromised blood supply</p> Signup and view all the answers

    What are the indications of laparoscopic hernia repair?

    <p>Reduced postoperative pain, Faster recovery, Lower recurrence rate, Less expensive</p> Signup and view all the answers

    What is the differential diagnosis of a neck mass with hoarseness of voice?

    <p>Thyroid cancer, Lymphadenopathy, Goiter, Parathyroid adenoma</p> Signup and view all the answers

    What is the most probable diagnosis in a patient with collapsed lung showing split pleura sign?

    <p>Pneumothorax</p> Signup and view all the answers

    What is the likely diagnosis in a 35-year-old male presenting with headache and hypertension?

    <p>Hypertensive crisis</p> Signup and view all the answers

    What is the treatment protocol for a supracondylar fracture of the humerus?

    <p>Open reduction and internal fixation</p> Signup and view all the answers

    What is Autonomic Dysreflexia and how is it treated?

    <p>Autonomic dysregulation due to spinal cord injury; treat with immediate elevation of head and check for bladder distension</p> Signup and view all the answers

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