3113 Army Medical College Rawalpindi MBBS Surgery Paper 2018

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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?

Appendicitis Signup and view all the answers

What are the possible complications associated with gallstone disease?

Gallbladder Perforation Signup and view all the answers

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

Open surgical repair Signup and view all the answers

Define what a hernia is.

A tear in the muscle wall through which tissue protrudes Signup and view all the answers

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

Inguinal Hernia Signup and view all the answers

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

External oblique and internal oblique muscles Signup and view all the answers

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

Prepare for Emergency Hernia Repair Signup and view all the answers

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

Tender Right Iliac Fossa Signup and view all the answers

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

Acute cholecystitis Signup and view all the answers

What are the potential complications of gallstone disease?

Acute pancreatitis Signup and view all the answers

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

Tenderness over the right iliac fossa Signup and view all the answers

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

Appendicitis 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?

Indirect inguinal hernia Signup and view all the answers

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

Immediate surgical repair Signup and view all the answers

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

Inguinal hernia, Lymphadenopathy, Lipoma, Abscess, Varicocele, Hydrocele Signup and view all the answers

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

To determine the urgency of surgical intervention Signup and view all the answers

What is Autonomic dysreflexia and how is it treated?

A syndrome characterized by autonomic overactivity treated by identifying and removing the triggering stimuli Signup and view all the answers

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

An open tension-free mesh repair for inguinal hernias Signup and view all the answers

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

Indications: Bilateral inguinal hernias, Recurrent hernias; Techniques: TAPP and TEP Signup and view all the answers

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

Inferior: Inguinal ligament; Superior: Transversalis fascia; Anterior: External oblique aponeurosis; Posterior: Internal oblique muscle Signup and view all the answers

3113 Army Medical College Rawalpindi MBBS Surgery Paper 2018

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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?

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

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

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

What are the possible complications associated with gallstone disease?

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

Define what a hernia is.

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

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

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

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

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

What are the potential complications of gallstone disease?

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

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

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?

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

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

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

What is Autonomic dysreflexia and how is it treated?

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

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

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

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