3113 Army Medical College Rawalpindi MBBS Surgery Paper 2018
23 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the most probable diagnosis for a patient presenting with a lump in the groin that is irreducible with an absent cough impulse?

  • Incisional hernia
  • Femoral hernia (correct)
  • Umbilical hernia
  • Inguinal hernia

What is the most likely diagnosis for the first patient based on the symptoms provided?

  • Acute Pancreatitis
  • Peptic Ulcer Disease
  • Appendicitis
  • Cholecystitis (correct)

Which anatomical boundaries define the canal in the context of groin hernias?

  • Internal oblique muscle and external oblique aponeurosis
  • Inguinal ligament and rectus sheath
  • Transversalis fascia and Cooper's ligament (correct)
  • Pectineal ligament and inguinal canal floor

In the case of the first patient, what are the important differential diagnoses to consider aside from the actual diagnosis?

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

What are the possible complications associated with gallstone disease?

<p>Gallbladder Perforation (C)</p> Signup and view all the answers

What is the initial treatment for a patient with a suspected femoral hernia?

<p>Open surgical repair (B)</p> Signup and view all the answers

Define what a hernia is.

<p>A tear in the muscle wall through which tissue protrudes (C)</p> Signup and view all the answers

What is the likely diagnosis for the second patient based on the symptoms provided?

<p>Inguinal Hernia (C)</p> Signup and view all the answers

Which muscles combine to form the conjoined tendon in the groin region?

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

What is the patient management approach recommended for the second patient?

<p>Prepare for Emergency Hernia Repair (B)</p> Signup and view all the answers

What symptom was particularly noted in the first patient upon abdominal examination?

<p>Tender Right Iliac Fossa (D)</p> Signup and view all the answers

What is the most likely diagnosis for the first patient based on the symptoms provided?

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

What are the potential complications of gallstone disease?

<p>Acute pancreatitis (B)</p> Signup and view all the answers

What symptom was particularly noted in the second patient upon abdominal examination?

<p>Tenderness over the right iliac fossa (A)</p> Signup and view all the answers

In the case of the first patient, what are important differential diagnoses to consider aside from acute cholecystitis?

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

What is the most probable diagnosis for a patient presenting with a lump in the groin that is reducible and has a positive cough impulse?

<p>Indirect inguinal hernia (A)</p> Signup and view all the answers

What is the initial treatment for a patient with a suspected femoral hernia?

<p>Immediate surgical repair (C)</p> Signup and view all the answers

What is the differential diagnosis of a lump in the groin for the first patient? (name any six)

<p>Inguinal hernia, Lymphadenopathy, Lipoma, Abscess, Varicocele, Hydrocele (B)</p> Signup and view all the answers

What is the significance of differentiating between an irreducible hernia and a strangulated hernia?

<p>To determine the urgency of surgical intervention (C)</p> Signup and view all the answers

What is Autonomic dysreflexia and how is it treated?

<p>A syndrome characterized by autonomic overactivity treated by identifying and removing the triggering stimuli (C)</p> Signup and view all the answers

What is Lichtenstein's repair in the context of hernias?

<p>An open tension-free mesh repair for inguinal hernias (B)</p> Signup and view all the answers

What are the indications for laparoscopic hernia repair and name two techniques used?

<p>Indications: Bilateral inguinal hernias, Recurrent hernias; Techniques: TAPP and TEP (B)</p> Signup and view all the answers

What are the anatomical boundaries of the canal in the context of groin hernias?

<p>Inferior: Inguinal ligament; Superior: Transversalis fascia; Anterior: External oblique aponeurosis; Posterior: Internal oblique muscle (C)</p> Signup and view all the answers

More Like This

MBBS Surgery Quiz
6 questions
MBBS Degree
10 questions

MBBS Degree

GiftedCliff avatar
GiftedCliff
MBBS 1st Year Anatomy Thorax Quiz
4 questions
MBBS 1: Amino Acid Metabolism
30 questions
Use Quizgecko on...
Browser
Browser