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 (A)</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 (A)</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 (A)</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 (A)</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 (D)</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 (B)</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 (B)</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 (D)</p> Signup and view all the answers

What muscles form the conjoined tendon?

<p>External oblique and internal oblique (B)</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 (B)</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 (B)</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 (C)</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 (D)</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 (A)</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 (C)</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 (D)</p> Signup and view all the answers

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