3113 Army Medical College Rawalpindi Final Year MBBS Surgery Paper 2018

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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?

Suggests intestinal obstruction 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?

Ectopic pregnancy 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?

Appendiceal inflammation Signup and view all the answers

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

Perforated colon diverticulum 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?

Periumbilical pain radiation Signup and view all the answers

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

Hematochezia 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?

Acute cholecystitis Signup and view all the answers

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

Inguinal hernia, Femoral hernia, Lymphadenopathy, Lipoma Signup and view all the answers

What muscles form the conjoined tendon?

External oblique and internal oblique Signup and view all the answers

What is the difference between irreducible hernia and strangulated hernia?

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

What are the indications of laparoscopic hernia repair?

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

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

Thyroid cancer, Lymphadenopathy, Goiter, Parathyroid adenoma Signup and view all the answers

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

Pneumothorax Signup and view all the answers

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

Hypertensive crisis Signup and view all the answers

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

Open reduction and internal fixation Signup and view all the answers

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 Signup and view all the answers