UPSC CMS Surgery - Colorectal, Peritoneal & Abdominal Wall

Which of the following statements with regard to Colorectal Carcinoma are correct?

1. Left-sided Colorectal Carcinoma presents with bleeding per rectum.

2. Right-sided Colorectal Carcinoma presents with iron deficiency anaemia.

3. Right-sided Colorectal Carcinoma is more common as compared to the left-sided Colorectal Carcinoma.

4. Colonoscopy is the investigation of choice for suspected Colorectal Carcinoma.

Select the correct answer using the code given below:

A 35 year old male patient comes to casualty with acute pain abdomen; and on examination found to have cold, clammy extremities, sunken eyes, dry tongue, thready pulse, drawn and anxious face with abdominal guarding and rigidity. This clinical picture indicates:

A 40 year old man, with a history of a reducible left groin swelling of two years, comes with severe pain over left groin. The swelling is now non‐reducible and is very tender to touch. The most probable treatment plan for this patient would be:

A 22-year-old young man came with a history of occasional bleeding per rectum. On colonoscopy, numerous sessile polyps were seen in the descending and sigmoid colon. On family history, his elder brother was operated for thyroid malignancy. The young man should be advised:

A 45 year old male patient, a known case of left inguinal hernia presents to the emergency with an acute onset of pain abdomen associated with nausea, vomiting and abdominal distension. His pulse rate is 102/min, BP is 100/70 mm Hg and respiratory rate is 24/min. On local examination, the skin overlying the swelling is tense and erythematous. There is localized tenderness over the swelling; the swelling is irreducible with absence of cough impulse. The most probable clinical diagnosis in this patient is