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?

  • 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</p> Signup and view all the answers

    What are the possible complications associated with gallstone disease?

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

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

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

    Define what a hernia is.

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

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

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

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

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

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

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

    What are the potential complications of gallstone disease?

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

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

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

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