Absite review questions 1
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Nov 05, 2019
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About This Presentation
HEGAZY SURGERY
Slide Content
174
Surgery Review Questions
Regarding contrast study for intestinal obsruction:
(a) Gastrograin is preferred to barium for studying
distal small ome
(0) Gesrogeain has no therapeutic por
(e) Gasrografn i less havardous than barium if
aspiration oceurs
(2) Grsttoprfin can cause serious Mid shift
(6) barium can conver partial small bowel obstuc-
tion into complete oberucion
‘An absolute contraindication to hreasteonserving
surgery for breast cancer is
(6) lage tumor
() tumor of high grade
(6) carly pregnancy
(@) rexoureobr tumor
(©) clinical airy nodes
‘The most common indication fr surgery in chronic
panereatiis fs
(a) jaundice
©) pain
(6) pseudo
(@) gas outlet obstruction
(©) endocrino defiienoy
“The most common cause of spontaneous intestinal
Sista
(6) radiation injury
(0) malignancy
(6) Crohn's disease
(8) ulcerative cols
(e) diverticular disease
Gastrointestinal steomal tumors (GIST)
) occur mest commonly inthe Auodenum
(6) aro almost aways malignant
(6) can be treated adequately with enucleation
(a) aro often radioresstant
(e) spread mainly via the Iymphatis
6 Rightward shit of oxyhemoplobin dissociation
‘curve occurs with
(a) hypothermia
(0) acidosis
(e) decrease
(4) hypocapni
(e) mathemoglohines
23-diphosphoglycerate
7, The most common site of gastrointestinal Iym-
phoma is
(a) smal intestine
(0) stomach
(©) colon
(©) duodenum
(©) appendix:
8. Meckeli diverculum:
(a) isa false diverticulum
(0) e asymptomatic in most eases
{) commonly presets as gastrointestinal bleeding
in adults
(9) commonly presents with intestinal ob
in cran
(6) à found in approximately 5% 0 10% of people
9. Bilinry-cnteric sala most commonly connect:
(a) gallbladéer and eum
(o) gallbladder and duodenum
(e) common ble det and jjenum
{2 gallbladder an jejunum.
(e) commen bile dust and ileum
10. Spontaneous closure is less likely in Astuse orig
ting rom:
(a) colon
(0) esophagus
(o) pancreas
{@) Stomach
(6) small intestine
Surgery Review Questions
Regarding contrast study for intestinal obsruction:
(a) Gastrograin is preferred to barium for studying
distal small ome
(0) Gesrogeain has no therapeutic por
(e) Gasrografn i less havardous than barium if
aspiration oceurs
(2) Grsttoprfin can cause serious Mid shift
(6) barium can conver partial small bowel obstuc-
tion into complete oberucion
‘An absolute contraindication to hreasteonserving
surgery for breast cancer is
(6) lage tumor
() tumor of high grade
(6) carly pregnancy
(@) rexoureobr tumor
(©) clinical airy nodes
‘The most common indication fr surgery in chronic
panereatiis fs
(a) jaundice
©) pain
(6) pseudo
(@) gas outlet obstruction
(©) endocrino defiienoy
“The most common cause of spontaneous intestinal
Sista
(6) radiation injury
(0) malignancy
(6) Crohn's disease
(8) ulcerative cols
(e) diverticular disease
Gastrointestinal steomal tumors (GIST)
) occur mest commonly inthe Auodenum
(6) aro almost aways malignant
(6) can be treated adequately with enucleation
(a) aro often radioresstant
(e) spread mainly via the Iymphatis
6 Rightward shit of oxyhemoplobin dissociation
‘curve occurs with
(a) hypothermia
(0) acidosis
(e) decrease
(4) hypocapni
(e) mathemoglohines
23-diphosphoglycerate
7, The most common site of gastrointestinal Iym-
phoma is
(a) smal intestine
(0) stomach
(©) colon
(©) duodenum
(©) appendix:
8. Meckeli diverculum:
(a) isa false diverticulum
(0) e asymptomatic in most eases
{) commonly presets as gastrointestinal bleeding
in adults
(9) commonly presents with intestinal ob
in cran
(6) à found in approximately 5% 0 10% of people
9. Bilinry-cnteric sala most commonly connect:
(a) gallbladéer and eum
(o) gallbladder and duodenum
(e) common ble det and jjenum
{2 gallbladder an jejunum.
(e) commen bile dust and ileum
10. Spontaneous closure is less likely in Astuse orig
ting rom:
(a) colon
(0) esophagus
(o) pancreas
{@) Stomach
(6) small intestine
11, Gastrintstna diverticula do nt occur in
(a) cum
(9) duodenum
© rectum
(0) Jejanum
(o) seu
12. The hepatie eandate abe
(a) drains dirty into te inferior vous cava
(b) represents segment IV
(e) is supplied by the let portal vein only
(a) is supplied by the right poral vein aly
(6) lest the righ of the inferior ven cava
18, von Willebrand’ disease:
(a) is an autosomal dominant disorder
(6) res in prolonge protrombin tine
(e) is essocated with normal bleeding timo
(@) is due to decreasod hepatic synthesis of von
Willebrand factor
(© à typically associated with joint heeding
14. Which ofthe folowing is consistent with syndrome
of inappropriate anidiureti hormone (SHAD)!
a) bypovole
(b) increased urine sodium
(0 hypernatremia
(6) plasma hyperoxmotarity
(6) excesivo diuresis
15. Normal aniom gap acidosis associated with:
(a) Ketoacidoss
(0) lactic acidosis
salicylate poisoning
(8) severe darth
(6) wremic acidosis
16. Benign small bowel tumors most sommeniy present
(a) small bowel obstruction.
(©) gostoinestna bleeding
(0) weight oss
(0) incidental finding on laparotomy
(6) intestinal perforation
17. The diagnostic test of choice for suspected acute
sigmoid diverticulitis is
(a) barium enema
(0) Gasrogratin ence
(e) computed tomography scan of the abdomen
and pelvis
(a) abdominal wleasound
16) colonoscopy
Por XVL Surgery Rev Questions ad Answers
1%. Malignant small howsl neoplasms most commonly
presen with
(a) weight oss
() abdominat pain
(6) gastrointestinal bleeding
(@) jaundice
(e) intestinal perforation
19. Small bowel obstruction in an clderh female
‘without exter! hernia or previous surgery i most
Tikely caused by:
(a) small bowel neoplasm
(0) volvutus
(e) gallstone ileus
(e) abdominal abs
(e) obcuator hernia
20. During cel yes, DNA replication oscars in
(a) Gi phase
(0) Gi phase
(6) Sphase
(@) Mphase
21: Loren some sows ices nine
(a) colon cancer
(0) ovarian cancer
(©) lung cancer
(a) breast cancer
(©) pancreatic cancer
22. The best operative approach to choledochal est
(a) eystodtodenostomy
(©) esstojejunostomy
(0) Rowen-Y eysojeunostomy
(8) Cyst excision and hepatienje}unostomy
23. Leiomyoms ofthe esophagus
(a) commonly presents wath dyspha
(6) is more common in females
(e) is usally multiple
(6) is usually diagnosed with endoscopic Biopsy
(e) is usually located the lower one-third of the
esophagus
24, Hemangioma ofthe iver
(a) isthe most common besign hepatc tumor
(6) is diagnosed with percutaneous needle biopsy
(6) is associated with fetoprotein evel
(@) should be resected as soon as diagnosed
25. Phosphorus
(a) 1a major extracelular anion
(6) à passively absorbed from the gastrointestinal
(6) defiieney may result in insulin resistance
(4) deieieney is rare in hospitalized patents
(a) cum
(9) duodenum
© rectum
(0) Jejanum
(o) seu
12. The hepatie eandate abe
(a) drains dirty into te inferior vous cava
(b) represents segment IV
(e) is supplied by the let portal vein only
(a) is supplied by the right poral vein aly
(6) lest the righ of the inferior ven cava
18, von Willebrand’ disease:
(a) is an autosomal dominant disorder
(6) res in prolonge protrombin tine
(e) is essocated with normal bleeding timo
(@) is due to decreasod hepatic synthesis of von
Willebrand factor
(© à typically associated with joint heeding
14. Which ofthe folowing is consistent with syndrome
of inappropriate anidiureti hormone (SHAD)!
a) bypovole
(b) increased urine sodium
(0 hypernatremia
(6) plasma hyperoxmotarity
(6) excesivo diuresis
15. Normal aniom gap acidosis associated with:
(a) Ketoacidoss
(0) lactic acidosis
salicylate poisoning
(8) severe darth
(6) wremic acidosis
16. Benign small bowel tumors most sommeniy present
(a) small bowel obstruction.
(©) gostoinestna bleeding
(0) weight oss
(0) incidental finding on laparotomy
(6) intestinal perforation
17. The diagnostic test of choice for suspected acute
sigmoid diverticulitis is
(a) barium enema
(0) Gasrogratin ence
(e) computed tomography scan of the abdomen
and pelvis
(a) abdominal wleasound
16) colonoscopy
Por XVL Surgery Rev Questions ad Answers
1%. Malignant small howsl neoplasms most commonly
presen with
(a) weight oss
() abdominat pain
(6) gastrointestinal bleeding
(@) jaundice
(e) intestinal perforation
19. Small bowel obstruction in an clderh female
‘without exter! hernia or previous surgery i most
Tikely caused by:
(a) small bowel neoplasm
(0) volvutus
(e) gallstone ileus
(e) abdominal abs
(e) obcuator hernia
20. During cel yes, DNA replication oscars in
(a) Gi phase
(0) Gi phase
(6) Sphase
(@) Mphase
21: Loren some sows ices nine
(a) colon cancer
(0) ovarian cancer
(©) lung cancer
(a) breast cancer
(©) pancreatic cancer
22. The best operative approach to choledochal est
(a) eystodtodenostomy
(©) esstojejunostomy
(0) Rowen-Y eysojeunostomy
(8) Cyst excision and hepatienje}unostomy
23. Leiomyoms ofthe esophagus
(a) commonly presents wath dyspha
(6) is more common in females
(e) is usally multiple
(6) is usually diagnosed with endoscopic Biopsy
(e) is usually located the lower one-third of the
esophagus
24, Hemangioma ofthe iver
(a) isthe most common besign hepatc tumor
(6) is diagnosed with percutaneous needle biopsy
(6) is associated with fetoprotein evel
(@) should be resected as soon as diagnosed
25. Phosphorus
(a) 1a major extracelular anion
(6) à passively absorbed from the gastrointestinal
(6) defiieney may result in insulin resistance
(4) deieieney is rare in hospitalized patents
174 Surgery Review Questions
(0) resection of the terminal ileum
(e) diuretic herapy
27. The optimal management of traumatic duodenal
hematoma i:
(2) angiography and emboization
() laparotomy and evacuation
(©) laparozomy and gastojejunostomy
(a) observation
2%. Hairy cll leukemia
(a) can be euro with splenectomy
(0) is am agressive form o leukemia
(e) death is usually related to infections com
plications
(8) Ba Teel leukemia
29. Overshelming postplenectomy sepsis
(6) commonly occurs after splenectomy for trauma
() does not ocr if accessory spleens ae present
(6) can be fata within hous of unset
(9) is most common in eldery patients
(e) most fatal cases oocur 10 to 15 years after
plenectomy
30. The development ofthrombocytopenia and atria
thrombosis wih heparin requires
(@) continuation of heparin and platelet tran
(6) continuation of heparin and thrombolysis.
(©) doubling the heparin dosage
(a) changing the route of Bepariaadminisraion
(e) siscontnustion of heparin
31. A trauma patient has a Glasgow Coma Scal core
ot 13, blood pressure 04) widened mediastino
on chest ray and Moody pesitoneal tap. The
Step in management e
(a) obtain head computed tomography scan
() perform thoracotomy
(e) perform rch angiography
(8) monitor intracranial pressure
(e) perform laparotomy
32. nsulinomas
(a) are often multiple
(0) are mostly henign
(6) are a common component of multiple endo-
ine acoplaia type 1 (MEN 1)
(4) are commonly located in the head of she
pancreas
a
38. Intussusception in adults
(a) is idiopathic in mast eases
(b) sally requires resetion
(e) is often suc treated with hydrostatic
reduction
(0) is seldom recurren
3%. Optimal treatment for an ¡cosigmoid fistula in
Crohn’ disease
(a) elosure ofthe Mula
() proximal leosiomy
{© proximal ileostomy and closure of tula
(8) Neocecectomy and sigmoid colectomy
(6) ileecesetomy and closure af the sigmoid
detect
(a) is most common in older women with
caceria
(0) is associated with pain in the scale nerve
distouion
(6) is repaied through a wansverse incision in the
upper medial thigh
(@) israrey sirmgulated
36. Gastrciestial bleeding in Mallory Weis
syndrome:
(6) is occ in ih vast majority af cases
(5) can be controles with balloon tamponade
(6) stops with nonoperative management in most
(4) is caused by mucosal tear inthe lower one-third
ofthe sophagıs.
7. The risk of overwhelming postplenectomy sepsis is
highest for patients requiring spenectomy for:
(a) thalesenia
48) trauma
(©) immune thrombocytopeaic purpura
(8) hereditary spherocyocs
(6) acquired hemolytic anemia
38. After mnasteciomy, winging of the scapua resul
ron: jur o:
(a) the medial pectoral nerve
(©) the lreral pectoral nerve
(6) the long torse ne
(@) the thoracodorsal nerve
(e) the intercostahbrachial nerve
39. yon Willebrand’ disease
(4) is the most common congenital Needing
disorder
(0) commonly results in hemarhrosis
(e) alfets malos only
(@ results in prolonged prothrombin time
(0) resection of the terminal ileum
(e) diuretic herapy
27. The optimal management of traumatic duodenal
hematoma i:
(2) angiography and emboization
() laparotomy and evacuation
(©) laparozomy and gastojejunostomy
(a) observation
2%. Hairy cll leukemia
(a) can be euro with splenectomy
(0) is am agressive form o leukemia
(e) death is usually related to infections com
plications
(8) Ba Teel leukemia
29. Overshelming postplenectomy sepsis
(6) commonly occurs after splenectomy for trauma
() does not ocr if accessory spleens ae present
(6) can be fata within hous of unset
(9) is most common in eldery patients
(e) most fatal cases oocur 10 to 15 years after
plenectomy
30. The development ofthrombocytopenia and atria
thrombosis wih heparin requires
(@) continuation of heparin and platelet tran
(6) continuation of heparin and thrombolysis.
(©) doubling the heparin dosage
(a) changing the route of Bepariaadminisraion
(e) siscontnustion of heparin
31. A trauma patient has a Glasgow Coma Scal core
ot 13, blood pressure 04) widened mediastino
on chest ray and Moody pesitoneal tap. The
Step in management e
(a) obtain head computed tomography scan
() perform thoracotomy
(e) perform rch angiography
(8) monitor intracranial pressure
(e) perform laparotomy
32. nsulinomas
(a) are often multiple
(0) are mostly henign
(6) are a common component of multiple endo-
ine acoplaia type 1 (MEN 1)
(4) are commonly located in the head of she
pancreas
a
38. Intussusception in adults
(a) is idiopathic in mast eases
(b) sally requires resetion
(e) is often suc treated with hydrostatic
reduction
(0) is seldom recurren
3%. Optimal treatment for an ¡cosigmoid fistula in
Crohn’ disease
(a) elosure ofthe Mula
() proximal leosiomy
{© proximal ileostomy and closure of tula
(8) Neocecectomy and sigmoid colectomy
(6) ileecesetomy and closure af the sigmoid
detect
(a) is most common in older women with
caceria
(0) is associated with pain in the scale nerve
distouion
(6) is repaied through a wansverse incision in the
upper medial thigh
(@) israrey sirmgulated
36. Gastrciestial bleeding in Mallory Weis
syndrome:
(6) is occ in ih vast majority af cases
(5) can be controles with balloon tamponade
(6) stops with nonoperative management in most
(4) is caused by mucosal tear inthe lower one-third
ofthe sophagıs.
7. The risk of overwhelming postplenectomy sepsis is
highest for patients requiring spenectomy for:
(a) thalesenia
48) trauma
(©) immune thrombocytopeaic purpura
(8) hereditary spherocyocs
(6) acquired hemolytic anemia
38. After mnasteciomy, winging of the scapua resul
ron: jur o:
(a) the medial pectoral nerve
(©) the lreral pectoral nerve
(6) the long torse ne
(@) the thoracodorsal nerve
(e) the intercostahbrachial nerve
39. yon Willebrand’ disease
(4) is the most common congenital Needing
disorder
(0) commonly results in hemarhrosis
(e) alfets malos only
(@ results in prolonged prothrombin time
u
40, Disc lesion hetwocn LA and LS wil end to
(a) reduced knee jerk
(0) reduced ankle jor
(©) weskness ol fot dorsitesio
(@) reduced sensation onthe small toc
1. Kidney transplant recipients are at increased risk
for:
(a) epidermoid skin cancer
(0) hang cance
(6) colon cancer
(a) breast cancer
(6) wien cancer
42. The optimum management of medullary thyroid
carcinoma in multiple endoctine neoplasia type 2
(MEN?) i
(a) thyroid tobeciomy
(0) thyeoid lobectomy and cervical hemphadenec-
‘ony
(6) racicactive iodine
(9) radiotherapy
(e) tot thyrokdetomy radical neck dissection
48, Optimum management fr a2:cm mas in the head
‘ofthe pancreas With hypoglycemia and high insulin
level
(@) total pancreaectony
(0) Whipple resection
(©) local exeision
(8) streptozotocin administration.
4. Wien ofthe following isnot a risk factor or wound
infec?
(a) prolonged operativo time
(6) prolonged preoperative hospitalization
(6) shaving he skin the night before surgery
(@) patient's having upper respiratory tract infec:
(6) surgeon's hand scr for Sinsicad uf 10 minutes
45. On the second day after abdominal aoricaneurysta
epa the patient pasos proxy bloody soo. The
next sep is
(a) immediate exploratory Inparotomy
(0) samoidoscony
(© computed tomogrenhy san ofthe abéomen
(2) barium enema
(©) aorogram
46. Spontaneous pneumothorax:
{@) is more common in young females
(9) i typically postexetional
(e) is recurren in at lea 30% of eases
(8) often requires thoracorony inthe fst episode
(e) is often asocisied with severe persisten pain
Part XVI Surgery Review Quectns and Answers
47. The most common cause of hypercalcems ers is
(a) sarcoidosis
(6) primary yperparathyroidien
(6) secondary hyperparathyroiisn
(4) malignancy
(e) renal flute
48. A sudden onset of glucose intolerance in patients
“eccivln total parenteral uteition often indicates
(a) diabetes melts
(6 sepsis
(© hypophosphatenia
(a) adrenal nsufcieney
(6) zinc liens
49, Pcs exeavatum:
(a) is usually associated with respiratory dysfunc
(9) is usvally associated with dysphagia
(6) sen associated with cardiac dysfunction
(8) cosmesisis usually the indicaton for surgery
50, Sacrococcygea teratoma:
(a) is us malignant
(©) is more common in males
(6) requires complete excision ofthe coceyx
(4) diagnosis ruled out cacifcation absent on
radiography
51. Dr seal pra ras onthe trunk and extremities
of a patient eociving total parenteral triton e
ene by:
(a) sine detciensy
in A dotieney
€ deficiency
(8) free tay aid defiency
52. The main cause of postoperative death in chilren
swith chroni diaphragmatic mia i
(a) increased tr abdominal pressure
(0) persistent lung collapse
(©) parent dacts airiosos
(0) almormal pulmonary microvasculature
53. A neonate has biious vomiting and a double
bubble sign on plain ay. The most appropriate
operation is
{@) division of anlar pancreas
(0) eustroenterostomy
(©) duodenoduodenostomy
(@) duodenal resection
40, Disc lesion hetwocn LA and LS wil end to
(a) reduced knee jerk
(0) reduced ankle jor
(©) weskness ol fot dorsitesio
(@) reduced sensation onthe small toc
1. Kidney transplant recipients are at increased risk
for:
(a) epidermoid skin cancer
(0) hang cance
(6) colon cancer
(a) breast cancer
(6) wien cancer
42. The optimum management of medullary thyroid
carcinoma in multiple endoctine neoplasia type 2
(MEN?) i
(a) thyroid tobeciomy
(0) thyeoid lobectomy and cervical hemphadenec-
‘ony
(6) racicactive iodine
(9) radiotherapy
(e) tot thyrokdetomy radical neck dissection
48, Optimum management fr a2:cm mas in the head
‘ofthe pancreas With hypoglycemia and high insulin
level
(@) total pancreaectony
(0) Whipple resection
(©) local exeision
(8) streptozotocin administration.
4. Wien ofthe following isnot a risk factor or wound
infec?
(a) prolonged operativo time
(6) prolonged preoperative hospitalization
(6) shaving he skin the night before surgery
(@) patient's having upper respiratory tract infec:
(6) surgeon's hand scr for Sinsicad uf 10 minutes
45. On the second day after abdominal aoricaneurysta
epa the patient pasos proxy bloody soo. The
next sep is
(a) immediate exploratory Inparotomy
(0) samoidoscony
(© computed tomogrenhy san ofthe abéomen
(2) barium enema
(©) aorogram
46. Spontaneous pneumothorax:
{@) is more common in young females
(9) i typically postexetional
(e) is recurren in at lea 30% of eases
(8) often requires thoracorony inthe fst episode
(e) is often asocisied with severe persisten pain
Part XVI Surgery Review Quectns and Answers
47. The most common cause of hypercalcems ers is
(a) sarcoidosis
(6) primary yperparathyroidien
(6) secondary hyperparathyroiisn
(4) malignancy
(e) renal flute
48. A sudden onset of glucose intolerance in patients
“eccivln total parenteral uteition often indicates
(a) diabetes melts
(6 sepsis
(© hypophosphatenia
(a) adrenal nsufcieney
(6) zinc liens
49, Pcs exeavatum:
(a) is usually associated with respiratory dysfunc
(9) is usvally associated with dysphagia
(6) sen associated with cardiac dysfunction
(8) cosmesisis usually the indicaton for surgery
50, Sacrococcygea teratoma:
(a) is us malignant
(©) is more common in males
(6) requires complete excision ofthe coceyx
(4) diagnosis ruled out cacifcation absent on
radiography
51. Dr seal pra ras onthe trunk and extremities
of a patient eociving total parenteral triton e
ene by:
(a) sine detciensy
in A dotieney
€ deficiency
(8) free tay aid defiency
52. The main cause of postoperative death in chilren
swith chroni diaphragmatic mia i
(a) increased tr abdominal pressure
(0) persistent lung collapse
(©) parent dacts airiosos
(0) almormal pulmonary microvasculature
53. A neonate has biious vomiting and a double
bubble sign on plain ay. The most appropriate
operation is
{@) division of anlar pancreas
(0) eustroenterostomy
(©) duodenoduodenostomy
(@) duodenal resection
174, Surgery Review Questions
54. The most common source of bacteria in wound
infection after groin hernia repair:
(a) the paient skin
{() the pation’ nasopharyax
©) operating room air
(8) surgical instruments
(6) operating room satt
55. Emerooy
(a) argine
00) amino
(e) glutamine
(6) sysine
energy requirements ar provided by
6. Inia les, inmune funcion can be enhanced
by
(a) arginine
(D) slutamine
(o) alanine
(0) alycne
57, Inia-aotic ballon pump:
(a) increases pulmonary wedge procure
(0) increases sferoad
(6) increases distoi pressure
(A) increases duration of systole
(e) deerenes duration of diastole
58, Popliteal artery aneurysms
(a) are es common than femoral aneurysm
(0) are often bilateral
(0) are more common in females
(68) seldom result in mb inchemia
59, The most common cause of pneumaturi is:
(a) Cros disease
(6) leertive colitis
(©) malignancy
(@) radiation emerts
(e) diveriular disease
(60. The most common benign hepatic sion I
(a) hemangioma
20) adenoma
(e focal nodular hyperplasia
(@) ramartoma
61. ‘The most common etiologic factor for hepatocellu-
lar carcinoma more
(2) Bapanis C vis
(6) hepatitis B virus
(©) alcoholic crhesis
(©) aflatoxin ingestion
(6) schistosomiasis
a.
6.
64
6
en
6
Pulmonary hilar adenopathy with noneaseating
‘ranuloma is consistent with:
(a) Houghin’ disease
(6) lymphoma
(0 sarcoid
(a) tuberculosis
(e) metastatic carcinoma
A solitary lung nodule with à popeom pattem of
sfeation e most key
(a) a primary lung cancer
(0) à meiste lesion
(e) aa old tuberculoss lesion
(@) bisoplasmesis
(e) ahamartoma
‘The most common presentation of gasti Iym-
phoma is
(a) adoainal pain
(0) weight los
(©) upper gastrointestinal bleeding
(a) gasti perforation
(e) nausea and vomiing
“The protective immune function of immunoglob
lin Ais mediated through:
(a) inhiition of bacterial adherence 10 epithelial
col
() activation of complement
(o) opsonization
(9) direct destuction of mieroorgenirs
“The mos potent sómos for antiusetie hormone
secretion le
(a) hypovolemia
(6) hyponatremia
(©) bsperkalemia
(4) raised serum osmolarity
‘Which of following singe arenal insu
{sony fom spss?
{@) hypotension
0) foe
(©) tachyaria
(©) tered ment tus
CEE
For penetrating chest injury, thoracotomy is ind
catedit
da) nia chest tube ouput is 5000
(6) ¿nia ehest tube output i 1.000ee
(©) ita chest tube output is 1.50
(8) inital chest tube output i 20006
de) persistent chest tubo output of 100eche
54. The most common source of bacteria in wound
infection after groin hernia repair:
(a) the paient skin
{() the pation’ nasopharyax
©) operating room air
(8) surgical instruments
(6) operating room satt
55. Emerooy
(a) argine
00) amino
(e) glutamine
(6) sysine
energy requirements ar provided by
6. Inia les, inmune funcion can be enhanced
by
(a) arginine
(D) slutamine
(o) alanine
(0) alycne
57, Inia-aotic ballon pump:
(a) increases pulmonary wedge procure
(0) increases sferoad
(6) increases distoi pressure
(A) increases duration of systole
(e) deerenes duration of diastole
58, Popliteal artery aneurysms
(a) are es common than femoral aneurysm
(0) are often bilateral
(0) are more common in females
(68) seldom result in mb inchemia
59, The most common cause of pneumaturi is:
(a) Cros disease
(6) leertive colitis
(©) malignancy
(@) radiation emerts
(e) diveriular disease
(60. The most common benign hepatic sion I
(a) hemangioma
20) adenoma
(e focal nodular hyperplasia
(@) ramartoma
61. ‘The most common etiologic factor for hepatocellu-
lar carcinoma more
(2) Bapanis C vis
(6) hepatitis B virus
(©) alcoholic crhesis
(©) aflatoxin ingestion
(6) schistosomiasis
a.
6.
64
6
en
6
Pulmonary hilar adenopathy with noneaseating
‘ranuloma is consistent with:
(a) Houghin’ disease
(6) lymphoma
(0 sarcoid
(a) tuberculosis
(e) metastatic carcinoma
A solitary lung nodule with à popeom pattem of
sfeation e most key
(a) a primary lung cancer
(0) à meiste lesion
(e) aa old tuberculoss lesion
(@) bisoplasmesis
(e) ahamartoma
‘The most common presentation of gasti Iym-
phoma is
(a) adoainal pain
(0) weight los
(©) upper gastrointestinal bleeding
(a) gasti perforation
(e) nausea and vomiing
“The protective immune function of immunoglob
lin Ais mediated through:
(a) inhiition of bacterial adherence 10 epithelial
col
() activation of complement
(o) opsonization
(9) direct destuction of mieroorgenirs
“The mos potent sómos for antiusetie hormone
secretion le
(a) hypovolemia
(6) hyponatremia
(©) bsperkalemia
(4) raised serum osmolarity
‘Which of following singe arenal insu
{sony fom spss?
{@) hypotension
0) foe
(©) tachyaria
(©) tered ment tus
CEE
For penetrating chest injury, thoracotomy is ind
catedit
da) nia chest tube ouput is 5000
(6) ¿nia ehest tube output i 1.000ee
(©) ita chest tube output is 1.50
(8) inital chest tube output i 20006
de) persistent chest tubo output of 100eche
“0
n.
n.
n.
m.
7.
Wach colt ype is cent for wound healing?
(a) neutropht
(0) microphago
de) Mbrobst
(8) lymphocyte
de) endothotiat
‘The treatment for ostcosarcoma ofthe distal mur
(1) aboveknee ampuration
(6) chemotherapy followed by sbove-knce amp
tation
(o) chemoradiation
(@) chemotherapy alone
(© chemorherapy and Umb-spaing surgery
Abnormal bleeding with normal prothrombin time
cms wi:
(a) hepasin overdose
(0) iros
© hemophilia
(0) von Willebrand’ disease
‘The mos: significant prognostic factor for sof sve
(a) sie
(0 size
(e) grade
Welpe
Al reduction of posterior knee dislocation, the
paint shoul under:
{@) olsen
{discharge
(© sing
(9 ngiogram
(e) inter fai
Metaboliucidosissa completion o topical poli
cation of
(a) sodium mafenide
8) Ser nitrate
(6) sir sultaiaine
(8) Betadine
(©) butaca
Stored ood is decent in
(a) etor tn
(6) factor VII
(9) factor vith
(@) fer IX
de) factor XL
Part XVI. Surgery Review Questions and Ans
76. Postaramplant Iymphoprlierative disorders are
related to:
(a) etomegaloviras
(0) EpstelaeBare vias
(e) human immunodeficiency vies (HIV)
(@) hespesvras
(6) hepatic Bviras
77. Which o the following requires surgical drainage?
(a) amebie iver abseess
1) pordivericlar abcess
(©) appendiccalabsess
(6) pancreai abscess
(6) subphronie abscess
78. The main complication of topical iver nitrate is
(4) motaboti acidosis
(6) metaboli alkalosis
(6) hyperksiemia
(4) hypocacem
(6) hyponatremia
73. The adverse effects of steroids on wound healing
an be revered wit
(a) viamin €
(6) vitamin A
(©) copper
(2) vain D
(e) vieanin E
80. The most common source of infecion in bum
potenti
(a) burn wound
(6) ainary tae infection
(©) pneumonia
(0) tombophiebitis
(e) endocarditis
SL. The most common cause of death after Kidney
transplantation i
(6) operative technical complications
(0) atherosclerotic complications
(e) infection
(© cancer
(e) galt ejection
82. Which of the following is least appropriate
when cvaluting a Leur old gil with brea
lump?
(a) ultrasound
(6) ie follow-up
(©) mammography
(8) Imeneedle aspiration
(e) excisional biopsy
n.
n.
n.
m.
7.
Wach colt ype is cent for wound healing?
(a) neutropht
(0) microphago
de) Mbrobst
(8) lymphocyte
de) endothotiat
‘The treatment for ostcosarcoma ofthe distal mur
(1) aboveknee ampuration
(6) chemotherapy followed by sbove-knce amp
tation
(o) chemoradiation
(@) chemotherapy alone
(© chemorherapy and Umb-spaing surgery
Abnormal bleeding with normal prothrombin time
cms wi:
(a) hepasin overdose
(0) iros
© hemophilia
(0) von Willebrand’ disease
‘The mos: significant prognostic factor for sof sve
(a) sie
(0 size
(e) grade
Welpe
Al reduction of posterior knee dislocation, the
paint shoul under:
{@) olsen
{discharge
(© sing
(9 ngiogram
(e) inter fai
Metaboliucidosissa completion o topical poli
cation of
(a) sodium mafenide
8) Ser nitrate
(6) sir sultaiaine
(8) Betadine
(©) butaca
Stored ood is decent in
(a) etor tn
(6) factor VII
(9) factor vith
(@) fer IX
de) factor XL
Part XVI. Surgery Review Questions and Ans
76. Postaramplant Iymphoprlierative disorders are
related to:
(a) etomegaloviras
(0) EpstelaeBare vias
(e) human immunodeficiency vies (HIV)
(@) hespesvras
(6) hepatic Bviras
77. Which o the following requires surgical drainage?
(a) amebie iver abseess
1) pordivericlar abcess
(©) appendiccalabsess
(6) pancreai abscess
(6) subphronie abscess
78. The main complication of topical iver nitrate is
(4) motaboti acidosis
(6) metaboli alkalosis
(6) hyperksiemia
(4) hypocacem
(6) hyponatremia
73. The adverse effects of steroids on wound healing
an be revered wit
(a) viamin €
(6) vitamin A
(©) copper
(2) vain D
(e) vieanin E
80. The most common source of infecion in bum
potenti
(a) burn wound
(6) ainary tae infection
(©) pneumonia
(0) tombophiebitis
(e) endocarditis
SL. The most common cause of death after Kidney
transplantation i
(6) operative technical complications
(0) atherosclerotic complications
(e) infection
(© cancer
(e) galt ejection
82. Which of the following is least appropriate
when cvaluting a Leur old gil with brea
lump?
(a) ultrasound
(6) ie follow-up
(©) mammography
(8) Imeneedle aspiration
(e) excisional biopsy
174 Surgery Review Questions
$5. An absolute contraindication to renal rans-
plantation i
(a) chronic steomyetiis
() diabetes mellitus
(6) age 555 years
(0) hang cancer treated 19 years ago
(e) exermonal angina
14. Changes occuring instore blood include
(a) ineisedH
Kb) increased 23 diphosphogyecrate
(©) decreased red cel rity
(a) decreased K
(6) incresed Ca
85, The most efetive method of treating hyperkalemia
(@) intavenous calcium gluconate
() inuavenous sodiur bicarbonate
(e) hemodialysis
(@) cation exchange resin
(6) intrvenows glucose-nsin
86. The most common cause of hypercalemis in hos-
pitalized patiems is
e tect
© eos
(2) immobility
(e) milk aka syndrome
7. Smoke inhalation is most oily excluded by:
(a) absence of carbonsccou sputum
(©) normal carboxyemoglobin level
(e) normal xenon-133 inhalation scan
(8) normal chest way
(e) normal flexible bronchoscopy
{88 Which ofthe Following igands bind to ell surface
receptors?
{@) steroids
(0) catecholamines
(e) retinoids
{@) thyroid hormones
(e) vilamin D
89. von Wilcbrand's disease
(a) is awosomal domirant
(®) resalis in prolonged prothrombin time
(e) result in Ihromboeytopenin
(6) i associated with normal bleeding tine
(6) is cortctod by factor VII therapy
os
sx.
3s
au
‘Coumadin-ndced skin necrosis due to:
(a) protein § decieney
(0) protein C deficiency
(ec) antithrombin IT déiiency
(©) dissominated intesvaseular coagulation
A patent receiving 1 800ea/day in til parenteral
tion wil require
(6) 1258 proteinday
(0) 1508 proteins
(e) 2008 protciniday
(3) 2508 protein
(6) 3008 proteins
Apoptosis:
(a) isan energy-dependent cell death
(0) results in col steling
(e) is astocate with an inflammatory response
(a) is usually toxin induced.
(e) is indistingushable from necrosis
Splenic artery aneurysm
(a) is usually asymptomatic
(0) is usualy a pseudoaneurysm
(6) is mote common in young males
(8) rupture is sehdom fatal
The ste ol action of oldosterone is
(a) proximal renal ubules
(9) discal renal bates
(e) collecting duets
(@) gomera
(e) loop of Henle
“The site of action of antidiuretic hormone is:
(a) eollesting ducts
(0) lomera
Le) prosimal ubules
(8) Sisa uhules
(e) loop of Frente
“The common hile duet
(a) eso the Fight of the hepatic artery
(0) is posterior 10 th hepati artery
(6) les to the right ofthe porta ein
(8) is posterior tothe poral ein
(e) lest the et ofthe hepatic artery
A respiratory quotient (RO) of 1 indicates thatthe
main source of ful is:
(a) fay aci
(0) protein
(o) carbohyerate
(a) ketone
(o) acero!
$5. An absolute contraindication to renal rans-
plantation i
(a) chronic steomyetiis
() diabetes mellitus
(6) age 555 years
(0) hang cancer treated 19 years ago
(e) exermonal angina
14. Changes occuring instore blood include
(a) ineisedH
Kb) increased 23 diphosphogyecrate
(©) decreased red cel rity
(a) decreased K
(6) incresed Ca
85, The most efetive method of treating hyperkalemia
(@) intavenous calcium gluconate
() inuavenous sodiur bicarbonate
(e) hemodialysis
(@) cation exchange resin
(6) intrvenows glucose-nsin
86. The most common cause of hypercalemis in hos-
pitalized patiems is
e tect
© eos
(2) immobility
(e) milk aka syndrome
7. Smoke inhalation is most oily excluded by:
(a) absence of carbonsccou sputum
(©) normal carboxyemoglobin level
(e) normal xenon-133 inhalation scan
(8) normal chest way
(e) normal flexible bronchoscopy
{88 Which ofthe Following igands bind to ell surface
receptors?
{@) steroids
(0) catecholamines
(e) retinoids
{@) thyroid hormones
(e) vilamin D
89. von Wilcbrand's disease
(a) is awosomal domirant
(®) resalis in prolonged prothrombin time
(e) result in Ihromboeytopenin
(6) i associated with normal bleeding tine
(6) is cortctod by factor VII therapy
os
sx.
3s
au
‘Coumadin-ndced skin necrosis due to:
(a) protein § decieney
(0) protein C deficiency
(ec) antithrombin IT déiiency
(©) dissominated intesvaseular coagulation
A patent receiving 1 800ea/day in til parenteral
tion wil require
(6) 1258 proteinday
(0) 1508 proteins
(e) 2008 protciniday
(3) 2508 protein
(6) 3008 proteins
Apoptosis:
(a) isan energy-dependent cell death
(0) results in col steling
(e) is astocate with an inflammatory response
(a) is usually toxin induced.
(e) is indistingushable from necrosis
Splenic artery aneurysm
(a) is usually asymptomatic
(0) is usualy a pseudoaneurysm
(6) is mote common in young males
(8) rupture is sehdom fatal
The ste ol action of oldosterone is
(a) proximal renal ubules
(9) discal renal bates
(e) collecting duets
(@) gomera
(e) loop of Henle
“The site of action of antidiuretic hormone is:
(a) eollesting ducts
(0) lomera
Le) prosimal ubules
(8) Sisa uhules
(e) loop of Frente
“The common hile duet
(a) eso the Fight of the hepatic artery
(0) is posterior 10 th hepati artery
(6) les to the right ofthe porta ein
(8) is posterior tothe poral ein
(e) lest the et ofthe hepatic artery
A respiratory quotient (RO) of 1 indicates thatthe
main source of ful is:
(a) fay aci
(0) protein
(o) carbohyerate
(a) ketone
(o) acero!
«2
98.
100,
ao.
m.
mn
Magnesia:
(a) defcioney can be accurately diagnosed with
Serum le messurement
(0) hypomagnesemia 13 awocited with Ayper-
Kalen
(©) hypomagnesemia is associated with acuromis-
colar ext
(0 hype à compton of ren
(6) isa major extracelular cation
‘The management of pancreatic pleural fistula is:
(a) distal puneremectomy
(6) panereaiojejunostomy
(6) Oniogustrostany
(4) tubo thoracotomy
(e) thoracotomy and decoration
48 hours after coronary artery bypass grating,
sua with epigastr pai ané tenderness re most
Lily duet:
(a) perforated peptic ulcer
(6) acute choles
(6) acute pancreatitis
(0) acue myocardial infarction
(e) mesenterie schema
Hypotension develops after pneumoperitoncum
tnd tocar placement for hparoscopie clecstee-
tomy. The next action sto:
{@) convert 10 open cholecystectomy
(3) defate the abdomen
(© give intravenous Muids
8) place the patil in head down position
(6) ec for bowel injury
Delayed primary wound closure:
(a) results in rend angiogenesis
(6) remit in decreased wound strength
(6) results in lower collagen content.
(4) result in a wider sear
‘The most common cause of esophageal perforation
(a) penetrating neck injury
1) atrogenie
(9 spontaneous
(a) foreign body
(6) malignancy
Multicentriiy is characteristic of
(6) squamous cl carcinoma ofthe
(0) stall cell ang cancer
{) bronchoalveolar carcinoma
(4) bronchial adenocarcinoma
(e) Bronchial carino
10s,
106.
vo.
a.
na,
Pan XVI. Surgery Review Quests and Anemers
DNA alkylation is the chemotherapeutic action of
(a) cylophosphamide
(0) sinenstine
(©) methotrexate
(8) doxorubicin
Spontaneous perforation of he esophagus:
(a) is usally seen in eldely females
(6) isthe most common cause of esophageal pelo
(e) is usually located in the midesophagus
(8) is usualy precoded by history of dysphagia
(6) typcall presents with sudden onset
7 Femangl
(a) is toxmally found in the body
(8) 5 100 times more potent Ihan morphine
(6) has twice as Tong a duration of action as mor-
line
(4) result in hypotension because of histamine
release
Poplteal artery aneurysms:
(a) are commonly complicated by rupture
(0) occur equally in both sexes
(e) are not surely reel unless size i >4em
(@) are bilateral in more than 50% of cases
“The lower esophageal sphinter (LES) tone:
(a) is increased by gastin
(0) is decreased by motociopramide
(e) is increased by nicotine
(G) is increased by chocolate
‘Tachycardia is the main sido effet of
(a) Cents
(0) succnsleotine
(o) morphine
(2) pancuroniom
Intralobar pulmonary sequestration often presents
with
(a) chest pain
(0) dyspnea
(©) recurren pneumonia
(0 hemopayss
Doxorubicin:
(a) isan alkylating agent
() isan animetabe
(6) isan alkaloid
(8) isan athracyline antibiotic
98.
100,
ao.
m.
mn
Magnesia:
(a) defcioney can be accurately diagnosed with
Serum le messurement
(0) hypomagnesemia 13 awocited with Ayper-
Kalen
(©) hypomagnesemia is associated with acuromis-
colar ext
(0 hype à compton of ren
(6) isa major extracelular cation
‘The management of pancreatic pleural fistula is:
(a) distal puneremectomy
(6) panereaiojejunostomy
(6) Oniogustrostany
(4) tubo thoracotomy
(e) thoracotomy and decoration
48 hours after coronary artery bypass grating,
sua with epigastr pai ané tenderness re most
Lily duet:
(a) perforated peptic ulcer
(6) acute choles
(6) acute pancreatitis
(0) acue myocardial infarction
(e) mesenterie schema
Hypotension develops after pneumoperitoncum
tnd tocar placement for hparoscopie clecstee-
tomy. The next action sto:
{@) convert 10 open cholecystectomy
(3) defate the abdomen
(© give intravenous Muids
8) place the patil in head down position
(6) ec for bowel injury
Delayed primary wound closure:
(a) results in rend angiogenesis
(6) remit in decreased wound strength
(6) results in lower collagen content.
(4) result in a wider sear
‘The most common cause of esophageal perforation
(a) penetrating neck injury
1) atrogenie
(9 spontaneous
(a) foreign body
(6) malignancy
Multicentriiy is characteristic of
(6) squamous cl carcinoma ofthe
(0) stall cell ang cancer
{) bronchoalveolar carcinoma
(4) bronchial adenocarcinoma
(e) Bronchial carino
10s,
106.
vo.
a.
na,
Pan XVI. Surgery Review Quests and Anemers
DNA alkylation is the chemotherapeutic action of
(a) cylophosphamide
(0) sinenstine
(©) methotrexate
(8) doxorubicin
Spontaneous perforation of he esophagus:
(a) is usally seen in eldely females
(6) isthe most common cause of esophageal pelo
(e) is usually located in the midesophagus
(8) is usualy precoded by history of dysphagia
(6) typcall presents with sudden onset
7 Femangl
(a) is toxmally found in the body
(8) 5 100 times more potent Ihan morphine
(6) has twice as Tong a duration of action as mor-
line
(4) result in hypotension because of histamine
release
Poplteal artery aneurysms:
(a) are commonly complicated by rupture
(0) occur equally in both sexes
(e) are not surely reel unless size i >4em
(@) are bilateral in more than 50% of cases
“The lower esophageal sphinter (LES) tone:
(a) is increased by gastin
(0) is decreased by motociopramide
(e) is increased by nicotine
(G) is increased by chocolate
‘Tachycardia is the main sido effet of
(a) Cents
(0) succnsleotine
(o) morphine
(2) pancuroniom
Intralobar pulmonary sequestration often presents
with
(a) chest pain
(0) dyspnea
(©) recurren pneumonia
(0 hemopayss
Doxorubicin:
(a) isan alkylating agent
() isan animetabe
(6) isan alkaloid
(8) isan athracyline antibiotic
174, surgery Review Questions
113, A 4S:yearold man hasan x dem soft issue mass
in hs ight thigh. The mos appropriate method 10
confirm the disgrosis 6 sarcoma I:
(6) fine-needle aspiration
(0) core biopsy
(e) local excision
(4) incisional biopsy
(e) enucleation
114. Appropriate treatment of mai
intravenous:
(0) morphine sulfate
(6) dantrolene
(6) benzodiazepines
(a) KL
(e) calcium ghuconate
115. Volkaana'scontactro isa complication of
a) humeral head retire
(6) femoral neck racture
(e) posterior dislocation ofthe knee
(a) Supracondylar Fumer fracture
(e) Colles fracture
116. Decreasing glucose and increasing fat in total pate
enteral ution wit:
(a) increase respiratory quotient
(0) increase Co, production
(6) decrease minute ventilation
(8) delay weaning from mechanical vntation
117, Acute appendicitis in pregnancy
(a) hae e higher incidence of wound intestion
Teast common inthe third trimestr
@
nosis suspected
118. Bight hours after esophagopasirodundenescony
(EGD), a patient complains of severe substernal
pain. Chest tray lm shows left pleural efusion,
The nex es
(e) repeated EGD
(6) cchotomy
(©) computed tomography san ofthe chest
(8) atersoluble esophagogran
(e) thoracotomy
119. The initial ste of distant metastasis in breast
(a) lunes
(0) liver
de) bones
(@) brin
ve.
am.
12.
1,
ns.
m2
as
Arrest of ol ele inthe metaphase he ación
(2) cyclophosphamide
(0) methotrexate
(6) doxorubicin
(8) vincristine
fier an acute myocardial infarction. elective ope
ation should be postponed fr at last
(e) 6 months
(A) 1 year
CES
‘Succnylchotine is contraindicated for:
(a) patients with hepatitis
(0) emergency intubation of burn victims
(6) cciotomy 2 weeks after spinal cord injury
(@) parotiestomy
(e) thyzoidectomy
Splenic srry aneurysm
(a) ean present wit double-uptute phenomenon
(0) is more common in males
(6) is seldom multiple
(4) wil continue tm enlarge if eft treated
One week after Coumadin therapy patent devela
‘ops severe pain in the right eg with areas of skin
necrosis Approprint action is
(6) transfusion o tresh-tozea plasma
(0) intravenous vitamin K therapy
(6) wound debridement and antibotes
(4) stopping Coumadin and starting heparin
(e) lumbar sympathectomy,
Mixed venous saturation is inrensed in
(a) hypovolemie shock
(0) septic shook
(6) cardiogenic shock
(8) neurogeni shock
(€) amaphylucti shock
Paraneoplastic syndrome is most commonly asocio
sted with:
(a) bronchial adenocarcinoma
(0) small col lang cancer
(6) bronchoalveolar carcinoma
(4) ronchialcarcioid
‘The endotelial cells are the source of
(a) cor
(@) factor X
|
113, A 4S:yearold man hasan x dem soft issue mass
in hs ight thigh. The mos appropriate method 10
confirm the disgrosis 6 sarcoma I:
(6) fine-needle aspiration
(0) core biopsy
(e) local excision
(4) incisional biopsy
(e) enucleation
114. Appropriate treatment of mai
intravenous:
(0) morphine sulfate
(6) dantrolene
(6) benzodiazepines
(a) KL
(e) calcium ghuconate
115. Volkaana'scontactro isa complication of
a) humeral head retire
(6) femoral neck racture
(e) posterior dislocation ofthe knee
(a) Supracondylar Fumer fracture
(e) Colles fracture
116. Decreasing glucose and increasing fat in total pate
enteral ution wit:
(a) increase respiratory quotient
(0) increase Co, production
(6) decrease minute ventilation
(8) delay weaning from mechanical vntation
117, Acute appendicitis in pregnancy
(a) hae e higher incidence of wound intestion
Teast common inthe third trimestr
@
nosis suspected
118. Bight hours after esophagopasirodundenescony
(EGD), a patient complains of severe substernal
pain. Chest tray lm shows left pleural efusion,
The nex es
(e) repeated EGD
(6) cchotomy
(©) computed tomography san ofthe chest
(8) atersoluble esophagogran
(e) thoracotomy
119. The initial ste of distant metastasis in breast
(a) lunes
(0) liver
de) bones
(@) brin
ve.
am.
12.
1,
ns.
m2
as
Arrest of ol ele inthe metaphase he ación
(2) cyclophosphamide
(0) methotrexate
(6) doxorubicin
(8) vincristine
fier an acute myocardial infarction. elective ope
ation should be postponed fr at last
(e) 6 months
(A) 1 year
CES
‘Succnylchotine is contraindicated for:
(a) patients with hepatitis
(0) emergency intubation of burn victims
(6) cciotomy 2 weeks after spinal cord injury
(@) parotiestomy
(e) thyzoidectomy
Splenic srry aneurysm
(a) ean present wit double-uptute phenomenon
(0) is more common in males
(6) is seldom multiple
(4) wil continue tm enlarge if eft treated
One week after Coumadin therapy patent devela
‘ops severe pain in the right eg with areas of skin
necrosis Approprint action is
(6) transfusion o tresh-tozea plasma
(0) intravenous vitamin K therapy
(6) wound debridement and antibotes
(4) stopping Coumadin and starting heparin
(e) lumbar sympathectomy,
Mixed venous saturation is inrensed in
(a) hypovolemie shock
(0) septic shook
(6) cardiogenic shock
(8) neurogeni shock
(€) amaphylucti shock
Paraneoplastic syndrome is most commonly asocio
sted with:
(a) bronchial adenocarcinoma
(0) small col lang cancer
(6) bronchoalveolar carcinoma
(4) ronchialcarcioid
‘The endotelial cells are the source of
(a) cor
(@) factor X
|
1.
m.
130
am.
1m.
1
1
15.
ich ofthe following is key 10 be multiple?
(2) gastinoma
(6) insulinoma
(6) somatostatinoma
(a) vasoactive intestinal peptide-producin tumor
(e) sluconoma
"The mechanism of ation of heparin fs
(a) dire: inhibition of thomsbin
(6) prevention of factor I synthesis
(6) inhibition of eyelo-oxygenase
(@) potenition of antidwombia IT seston
Which ofthe following isan aminocs
(a) tetacaino
(©) lidocaine
(©) bupivacaine
(4) mepivacaine
(e) etidocaine
Vitamin K:
(a) is require for factor VI synthesis
(8) is water soluble
(6) is absorbed inthe proximal small owel
(8) requires ie salts or absorption
Hyponatremia is a complication of topical ap:
plication of:
(a) bacitracin
(0) povidene-odine
(e) silver sulfadiazine
(3) Suifamyton
(e) silver irate
Which of the following is an etiologic factor in
‘ovclsive vacila diseases?
(©) xt
Cardiomyopathy is «complication of
(@) methotrexate
(0) most
(©) doxorabicin
(8 geehrte
‘Spontaneous animer activity function of
{@) macrophages
(0) Biymphosytes
(©) etotieT cals
(0) helper ces
(© natural Kile cts
136. Pulmonary fibrosis «comp
1m.
138. Adıen
1.
wi
on
18,
Par XVI. Surgery Res
Ouesion and Answers
a of
(a) Beomycin
(9) yclophosphamide
(tamoxifen
(6) vineistine
©) methotrexate
The best indicator of adequate resuscitation in
shock is
(2) normal blood pressure
{) normal pulse
(e) adequate urine output
(e) improved mental status
(9) decreased lactato lever
incidetatoma:
da) are commonly malignant
(o) require endocrine evaluation
(©) re commonly associated with hyperaldostero
(4) ae not resected unless they are >6em
Peaked ave on eletrocardogram i feature o:
(@) hypernatremia
(© tspocalcemia
(e) Ayponateemia
Distinction bes
est made by
(a) urine sodium level
(6) serum sodium level
Le) urine creatinine vel
(a) serum ereatinine level
(e) urine microscopy
prete and renal azotemia is
During prolonged starvation, the brain's main
fuel
(a) glucose
(0) amino acids
(©) ketones
Short chain fatty acids
butane
(a) has a major chronotropic action
(0) decreases cardiac filing presure
(6) increases systemic vascular resistance
8) directly nerases renal blood ow
Epidermal growth factor stimulates:
(a) angiogenesis
(6) wound contraction
(6) fibroblast proliferation
(0) epitheliaization
m.
130
am.
1m.
1
1
15.
ich ofthe following is key 10 be multiple?
(2) gastinoma
(6) insulinoma
(6) somatostatinoma
(a) vasoactive intestinal peptide-producin tumor
(e) sluconoma
"The mechanism of ation of heparin fs
(a) dire: inhibition of thomsbin
(6) prevention of factor I synthesis
(6) inhibition of eyelo-oxygenase
(@) potenition of antidwombia IT seston
Which ofthe following isan aminocs
(a) tetacaino
(©) lidocaine
(©) bupivacaine
(4) mepivacaine
(e) etidocaine
Vitamin K:
(a) is require for factor VI synthesis
(8) is water soluble
(6) is absorbed inthe proximal small owel
(8) requires ie salts or absorption
Hyponatremia is a complication of topical ap:
plication of:
(a) bacitracin
(0) povidene-odine
(e) silver sulfadiazine
(3) Suifamyton
(e) silver irate
Which of the following is an etiologic factor in
‘ovclsive vacila diseases?
(©) xt
Cardiomyopathy is «complication of
(@) methotrexate
(0) most
(©) doxorabicin
(8 geehrte
‘Spontaneous animer activity function of
{@) macrophages
(0) Biymphosytes
(©) etotieT cals
(0) helper ces
(© natural Kile cts
136. Pulmonary fibrosis «comp
1m.
138. Adıen
1.
wi
on
18,
Par XVI. Surgery Res
Ouesion and Answers
a of
(a) Beomycin
(9) yclophosphamide
(tamoxifen
(6) vineistine
©) methotrexate
The best indicator of adequate resuscitation in
shock is
(2) normal blood pressure
{) normal pulse
(e) adequate urine output
(e) improved mental status
(9) decreased lactato lever
incidetatoma:
da) are commonly malignant
(o) require endocrine evaluation
(©) re commonly associated with hyperaldostero
(4) ae not resected unless they are >6em
Peaked ave on eletrocardogram i feature o:
(@) hypernatremia
(© tspocalcemia
(e) Ayponateemia
Distinction bes
est made by
(a) urine sodium level
(6) serum sodium level
Le) urine creatinine vel
(a) serum ereatinine level
(e) urine microscopy
prete and renal azotemia is
During prolonged starvation, the brain's main
fuel
(a) glucose
(0) amino acids
(©) ketones
Short chain fatty acids
butane
(a) has a major chronotropic action
(0) decreases cardiac filing presure
(6) increases systemic vascular resistance
8) directly nerases renal blood ow
Epidermal growth factor stimulates:
(a) angiogenesis
(6) wound contraction
(6) fibroblast proliferation
(0) epitheliaization
114, Surgery Review Questions
144, Magnesium:
(a) à an intracelular ion
(5) deficiency lends to hyporefenia
(6) depletion is common in shock sates
(G) is excreted mostly in stool
145, The most commonly injured org
scale signi
(a) the liver
(©) the spleen
(© the colon
(4) the pancreas
(e) the smal intestino
patient wäh
146. The development of nccroyt eythematous rech in
diabetic gaient requires assessment of he serum
set of
(0) insulin
(0) somatostatin
(6) corso
A) gastrin
(@) lucagon
197. Appearanee of a Usvave on clectrocerdiogram
(@) byperkalomia
(9) Nypokalemia
(©) hypermagnesenis
{(@) kypomognessmie
(6) hypercalemia
148. Seizures can be associated with the use of
@ aztreonam
(0) Flay!
(©) elindanyein
(@) ciprofoxacitin
(e) imipenem etai
149. Nasotracusl incubation:
(a) is contraindicated for suspected cervical spine
injury
(0) is coneaindicaed for apnée patients
(e) i usually suocesfl on the state
(8) is less tolerated by patients han is douches
intubation
150. The most important initial management of sus
pected blunt myocardial injury x:
(a) electroonecphalographic monitoring
(6) chest computed tomography scan
(e) assessment of crdic enzymes
(@) insertion o pulmonary artery catheter
(e) echocarogran
as
151. Headache, vomiting, and seizure may develop with
rapid correction of.
(a) hyponatremia
{@) hypernatremia
(6) inpokalemia
(8) hyperkalemia
(6) hypereakemin
152. The most common microbial agent transmitted
Hood rar ann e = Y
(2) Cytomegalovirs
(6) human immunodeficiency vins
(6) Repas C virus
(8) hepatitis B virus
153, The most frequent mei
transtusis i
(a) volume overload
(2) hemolytic reaction
(©) human mmunodeheieney ins infection
(2) hepatitis ©
(6) hepatitis
complication of Mood
154. adenosine dipbosphate-induced placket usgrege-
tion is inhibited by
(a) aspirin
() heparin
(©) dipytidamote
(@) Coumadin
155, Malignant hyperthermia
(a) ira in chien
(0) isan autosomal dominant disorder
(6) results in respirtoryalaloss
(8) is provente by inwavenous calcium gluconate
156, Colonie perforation in a patient with acquired
fmmunadebicney syndrome i most likely due to:
(9) Clostridium aie
(0) Gromegalovins
(©) Bacterides
(9) Salmonella ph
(6) Fscherchi coli
197. Which of the following ren
aspiration ini
(a) anode
(0) eumps of folicular ci,
(© anaplastic thyroid col
@) Iymphoma
of hytoid ne needle
15%. Somatostatin
da) is produced by anual G cell
(6) has a haie ot
(e) inhibits gate moult
(a) increases port! loud Row
144, Magnesium:
(a) à an intracelular ion
(5) deficiency lends to hyporefenia
(6) depletion is common in shock sates
(G) is excreted mostly in stool
145, The most commonly injured org
scale signi
(a) the liver
(©) the spleen
(© the colon
(4) the pancreas
(e) the smal intestino
patient wäh
146. The development of nccroyt eythematous rech in
diabetic gaient requires assessment of he serum
set of
(0) insulin
(0) somatostatin
(6) corso
A) gastrin
(@) lucagon
197. Appearanee of a Usvave on clectrocerdiogram
(@) byperkalomia
(9) Nypokalemia
(©) hypermagnesenis
{(@) kypomognessmie
(6) hypercalemia
148. Seizures can be associated with the use of
@ aztreonam
(0) Flay!
(©) elindanyein
(@) ciprofoxacitin
(e) imipenem etai
149. Nasotracusl incubation:
(a) is contraindicated for suspected cervical spine
injury
(0) is coneaindicaed for apnée patients
(e) i usually suocesfl on the state
(8) is less tolerated by patients han is douches
intubation
150. The most important initial management of sus
pected blunt myocardial injury x:
(a) electroonecphalographic monitoring
(6) chest computed tomography scan
(e) assessment of crdic enzymes
(@) insertion o pulmonary artery catheter
(e) echocarogran
as
151. Headache, vomiting, and seizure may develop with
rapid correction of.
(a) hyponatremia
{@) hypernatremia
(6) inpokalemia
(8) hyperkalemia
(6) hypereakemin
152. The most common microbial agent transmitted
Hood rar ann e = Y
(2) Cytomegalovirs
(6) human immunodeficiency vins
(6) Repas C virus
(8) hepatitis B virus
153, The most frequent mei
transtusis i
(a) volume overload
(2) hemolytic reaction
(©) human mmunodeheieney ins infection
(2) hepatitis ©
(6) hepatitis
complication of Mood
154. adenosine dipbosphate-induced placket usgrege-
tion is inhibited by
(a) aspirin
() heparin
(©) dipytidamote
(@) Coumadin
155, Malignant hyperthermia
(a) ira in chien
(0) isan autosomal dominant disorder
(6) results in respirtoryalaloss
(8) is provente by inwavenous calcium gluconate
156, Colonie perforation in a patient with acquired
fmmunadebicney syndrome i most likely due to:
(9) Clostridium aie
(0) Gromegalovins
(©) Bacterides
(9) Salmonella ph
(6) Fscherchi coli
197. Which of the following ren
aspiration ini
(a) anode
(0) eumps of folicular ci,
(© anaplastic thyroid col
@) Iymphoma
of hytoid ne needle
15%. Somatostatin
da) is produced by anual G cell
(6) has a haie ot
(e) inhibits gate moult
(a) increases port! loud Row
as
15.
161
16,
165,
‘The most common site for accesony splenic
(0) gasirosplenc game
(6) gactrcoseligamont
(6) splenic hm
(8) splemocolie Hyament
(o) the polis
‘The most sensitive indicator of increased hemolysis
sith Aypersplenie à
(a) reteaoeyte court
(4) hemoglobin leve!
(©) haptogiin level,
Vlowship Rombery sign is eharacteriste of
(@) femoral hernia
(©) Spigelin heria
(6) obtratar hernia
(a) lumbar hernia
(©) epigastric here
‘Which of the following i east indicated for evalu
ating adrenal inidentaloma?
(a) magnetic resonance imaging
(2) 2 hour urinary catecholamine testing
(e) hour urinary corso testing
(a) lew denamethasone suppeesion test
(6) fine-needle aspiration
“Lobular carcinoma in an
(a) is mostly found in premenopausal women
(0) usually presents as a breast Jump
(e) has charnteisclcfcaion parten on mam-
rmography
(8) is precancerous
(e) associated cancer is lobular in nature
Sequence of return of gastrointestinal moti ater
surgery is
(a) intestine stomach. colon
(0) stomach intestine, colon
(e) colon intestine, stomach
(@) colon, somach intestine
(e) stomach, colon intestino
‘The treatment of choice for Bar
with severe djsplasia is
(a) follow-up endoscopy and biopsy
(0) esophagectomy
(9) Nissen fundoplcstion
(8) Proton pump inibitors
5 esophagus
Par XVI Surgery Review Quesos and Anne
166, Beophageal diverticula:
(a) traction diverticula are false diverticula
(9) pulsion diveticula are common in the
micesophagas
(6) puision diverticula are usually associated with
Enlarge Iymph nodes
(4) myotomy i always indicated for pulsion
ere
161. The primary fuel source for enteroytes is
(a) shortechain fatty acids
() ace
(©) tngyceridos
(8) lactulose
© glutamine
168. Infection caused by dog and cat bites is due to
(a) Pastewrll species
(0) Mycobacterium
(©) Saphylococeus aureus
(@) Actinomyces
(e) Candida
169. Which ofthe following s preserved in radical neck
disen?
da) internal jugular vein
(6) sternomastoid muscle
(6) spinal aeessory nerve
(@) submandibular salivary gland
(e) posterior belly ofthe digastric muscle
170. The organ most commoaly involved in graf versus
host reaction
(a tangs
(0) kidneys
(o) hear
(6) skin
The most characteris
pancreatic neoplas is
la) size >6em
(b) val ealeietion
(©) multiple culations
(@) dense vascularity
of malignancy in à cystic
172. Which ofthe followings contraindicated fra par
gie undergoing laparotomy?
(a) benzodizepines
(©) sodium thiopemat
(©) sucinyeholne
(9) propofal
(e) fent
15.
161
16,
165,
‘The most common site for accesony splenic
(0) gasirosplenc game
(6) gactrcoseligamont
(6) splenic hm
(8) splemocolie Hyament
(o) the polis
‘The most sensitive indicator of increased hemolysis
sith Aypersplenie à
(a) reteaoeyte court
(4) hemoglobin leve!
(©) haptogiin level,
Vlowship Rombery sign is eharacteriste of
(@) femoral hernia
(©) Spigelin heria
(6) obtratar hernia
(a) lumbar hernia
(©) epigastric here
‘Which of the following i east indicated for evalu
ating adrenal inidentaloma?
(a) magnetic resonance imaging
(2) 2 hour urinary catecholamine testing
(e) hour urinary corso testing
(a) lew denamethasone suppeesion test
(6) fine-needle aspiration
“Lobular carcinoma in an
(a) is mostly found in premenopausal women
(0) usually presents as a breast Jump
(e) has charnteisclcfcaion parten on mam-
rmography
(8) is precancerous
(e) associated cancer is lobular in nature
Sequence of return of gastrointestinal moti ater
surgery is
(a) intestine stomach. colon
(0) stomach intestine, colon
(e) colon intestine, stomach
(@) colon, somach intestine
(e) stomach, colon intestino
‘The treatment of choice for Bar
with severe djsplasia is
(a) follow-up endoscopy and biopsy
(0) esophagectomy
(9) Nissen fundoplcstion
(8) Proton pump inibitors
5 esophagus
Par XVI Surgery Review Quesos and Anne
166, Beophageal diverticula:
(a) traction diverticula are false diverticula
(9) pulsion diveticula are common in the
micesophagas
(6) puision diverticula are usually associated with
Enlarge Iymph nodes
(4) myotomy i always indicated for pulsion
ere
161. The primary fuel source for enteroytes is
(a) shortechain fatty acids
() ace
(©) tngyceridos
(8) lactulose
© glutamine
168. Infection caused by dog and cat bites is due to
(a) Pastewrll species
(0) Mycobacterium
(©) Saphylococeus aureus
(@) Actinomyces
(e) Candida
169. Which ofthe following s preserved in radical neck
disen?
da) internal jugular vein
(6) sternomastoid muscle
(6) spinal aeessory nerve
(@) submandibular salivary gland
(e) posterior belly ofthe digastric muscle
170. The organ most commoaly involved in graf versus
host reaction
(a tangs
(0) kidneys
(o) hear
(6) skin
The most characteris
pancreatic neoplas is
la) size >6em
(b) val ealeietion
(©) multiple culations
(@) dense vascularity
of malignancy in à cystic
172. Which ofthe followings contraindicated fra par
gie undergoing laparotomy?
(a) benzodizepines
(©) sodium thiopemat
(©) sucinyeholne
(9) propofal
(e) fent
174, Sorry Review Queso
173. Which of the following is consistent with plural
transudate?
(a) red Wood cells count of 1.0005!
(5 white Blood oss count of 150m?
(e) specie gravity of 1.120
(8) protein concensration of 33d,
174, Appropriate management of real el carcinoma
txtending ito the inferior vera cava
(0 radiotherapy
() chemotherapy
(e) ehemoracation
(6) radical nephrectomy and caval tumor extra:
(e) radical nephrectomy eval resection, and graft
fnterposion
175. The gastroduodenal artery is a branch of the:
(a) sein ais
(0) sgh patrie artery
(©) common hepate artery
(6) sight hepa artery
(6) Je hepai artery
176, Inlammatory aortic aneurysm:
(6) repair is associated with higher incidence of
rl infecion
(0) is more likely to rupture than is a nonilam«
matory aneurym
(6) lead to creumferetal thickening ofthe aorta
(ma resent with boi pan the ase
of rupture
177. The int management ofa diabetic patient with
Jover, plantar ler, and foot edema is
(a) antibiosics and elevation |
(©) hyperbaric oxygen
(6) exploration and ulcer debridement
(4) midtarsal amputation
(6) femoropopiea arterial bypass
178. Mate breast cancer i associated with:
(a) BRCA gene
©) BRCA2 gene
(© APC gene
(6) pS gene
179. The diagnosis of inflammatory breast cancer is
confeme by
(a) maramography
(3) fine-needle aspiration
(6) lteasound
(© skin biopsy
10,
is
m
16.
197
ar
‘The most common reroperitaneal sarcoma is
(a) liposareoma
(0) florosareome
(© letomyosarcoma
(8) neurosarcoma
Piel dysfunction in uremia can be corrected
wi:
(2) ireshfozen plasma
©) eyoprecipiate
(©) desmopresin (DDAVP)
(8) factor VIM concentato
(e) vitamin K
‘Gynecomastia is aside effet of
(a) Keioconazole
(6) amphotericin B
(©) fluconazole
(9) miconazole
Optimum approuch to infmmatory breast car
(a) total mastectomy
(0) modified radical mastectomy
(©) lumpectomy aad radiotherapy
(0) chemotherapy
(6) chemotherapy. modified radical mastectomy,
and rakotherapy
A poten inhibitor of
da) transforming growth fact
(0) platelet-derived growth factor
(6) epidermal growth factor
(0) Basie Abrohlaı growth factor
rohferation is:
The most reliale indicator of sucessful endore
heal intubation is
(a) chest xs
() endtidal CO,
(6) cord visualization
(a) chest auscultation
(6) puke oximetry
‘The layer responsible forthe strength of an inter
tinal anastomosis is he:
(a) mucosa
(8 submucoss
(©) museuars propria
(0) rosa
Healing ofthe donor ste fr a split ten skin
salts accelerted by
(a) transforming growth factor
(0) recombinant human growth hormone
(e) epidermal growth factor
(9) acte growth factor
173. Which of the following is consistent with plural
transudate?
(a) red Wood cells count of 1.0005!
(5 white Blood oss count of 150m?
(e) specie gravity of 1.120
(8) protein concensration of 33d,
174, Appropriate management of real el carcinoma
txtending ito the inferior vera cava
(0 radiotherapy
() chemotherapy
(e) ehemoracation
(6) radical nephrectomy and caval tumor extra:
(e) radical nephrectomy eval resection, and graft
fnterposion
175. The gastroduodenal artery is a branch of the:
(a) sein ais
(0) sgh patrie artery
(©) common hepate artery
(6) sight hepa artery
(6) Je hepai artery
176, Inlammatory aortic aneurysm:
(6) repair is associated with higher incidence of
rl infecion
(0) is more likely to rupture than is a nonilam«
matory aneurym
(6) lead to creumferetal thickening ofthe aorta
(ma resent with boi pan the ase
of rupture
177. The int management ofa diabetic patient with
Jover, plantar ler, and foot edema is
(a) antibiosics and elevation |
(©) hyperbaric oxygen
(6) exploration and ulcer debridement
(4) midtarsal amputation
(6) femoropopiea arterial bypass
178. Mate breast cancer i associated with:
(a) BRCA gene
©) BRCA2 gene
(© APC gene
(6) pS gene
179. The diagnosis of inflammatory breast cancer is
confeme by
(a) maramography
(3) fine-needle aspiration
(6) lteasound
(© skin biopsy
10,
is
m
16.
197
ar
‘The most common reroperitaneal sarcoma is
(a) liposareoma
(0) florosareome
(© letomyosarcoma
(8) neurosarcoma
Piel dysfunction in uremia can be corrected
wi:
(2) ireshfozen plasma
©) eyoprecipiate
(©) desmopresin (DDAVP)
(8) factor VIM concentato
(e) vitamin K
‘Gynecomastia is aside effet of
(a) Keioconazole
(6) amphotericin B
(©) fluconazole
(9) miconazole
Optimum approuch to infmmatory breast car
(a) total mastectomy
(0) modified radical mastectomy
(©) lumpectomy aad radiotherapy
(0) chemotherapy
(6) chemotherapy. modified radical mastectomy,
and rakotherapy
A poten inhibitor of
da) transforming growth fact
(0) platelet-derived growth factor
(6) epidermal growth factor
(0) Basie Abrohlaı growth factor
rohferation is:
The most reliale indicator of sucessful endore
heal intubation is
(a) chest xs
() endtidal CO,
(6) cord visualization
(a) chest auscultation
(6) puke oximetry
‘The layer responsible forthe strength of an inter
tinal anastomosis is he:
(a) mucosa
(8 submucoss
(©) museuars propria
(0) rosa
Healing ofthe donor ste fr a split ten skin
salts accelerted by
(a) transforming growth factor
(0) recombinant human growth hormone
(e) epidermal growth factor
(9) acte growth factor
as
188,
10,
190,
sn.
12
195,
194
Prevention of empyema in a patient with residual
hemothoras and a chest tube in place is hast
achieved by:
(6) intavenous third-generation cephalosporins
(©) placement uf à second chest ue
(e) needle thoracentess
(@) intavencws vancomcin
Popliteal artery entrapmcat
(a) is more common in female than males
(6) is diagnosed by passive dorsifexion of te foot
(6) results rom compression bythe medial head of
the gasroenemis
(4) requires intra exploration in most eases
Cervical anastomosis
(a) has lower lak rate than thoracic anastomesis
(0) leak is key to hal spootancousl
(©) has a higher long-term morality
(4) has a lower operative mortality rte than tho-
ter esophagectomy for
te then tho
Appropriate management of em squamous cell
carcinoma ofthe ana eazal i
(0) chemotherapy
(0) shdominoperineal resection
{6) local excision
{) radiotherapy + oca excision
(6) chemotherapy radiation
Idiopathic trombone purpur:
(4) i caused by antiplatelet immunoglobulin G
originating in the spleen
(6) associated with splenomegely
(e) i associated with prolonged prothrombi time
(8) splenectomy ls required for mos: peciatic ases
(6) occurs with a male o female ratio of 3:1
“The most common cause of death related to a
corral venous ter
(a) air embolic
(0) central vein perforation
(6) tension pneumothorax
(@) catheter embolsa
(e) catietercelated sepsis
Postoperative. morbidity after splensctony
hematologic diseases is highest fr:
(@) itiopathiethromboeytopenie purpara
(0) hereditary spherocytosis
(e) myeloid dysplasia
(0 sickle cell anemia
(6) asset
Ws,
197.
198,
1.
200.
201
2m.
Pan XVI Surgery Review Questions and An
“Te respi
Go) 10
(0) 12
(o) 08
(907
try quotient in prolonged starvation is
“The most abunds
(a) alanine
(0) valine
© leucine
(4) glutamine
(e) arginine
Maximum elfcency of glucose uso
‘olor asin cours at the infusión ra
(@) ingenio
© Smpkymin
© 6mpkyimin
(4) TmeKgmia
Refeeding syndrome is most commonly related 1:
(a) hyponsitemia
(b) hypocalcemia
(e) bypophospa
(6) hypokalemia
amino acid in he body is
tou pur
ol
Eczemaloid rash al isteiinous ares with pro
Jonged otal parenteral nur caused by
(a) zine deficiency
(o) Katy aci defcieney
(e) copper deficiency
(8) magnesium defenoy
(©) niacin defcieney
‘The volume of at moved with taxis exhaltion
after decp inhalation measures
(a) vital capaci
(0) inspiratory reserve volume
(e) tidal volume
(4) residual volume
Ke) tou lg volume
Bleeding after adequate heparin reversal with pro-
‘amine is usually caus by
(a) protamine toxicity
(0) heparin rebound
(o) hypothermia
(a) thrombocytopenia
(©) factor VIH depletion
Meetic intussusception in children:
(8) presents with rectal Bleeding in 90% of cases
(9) common caused by an undering pthology
(©) is ideally treated by operative reduction
(@) isthe most common ease of intestinal bts:
sion hero the age of 3 years
188,
10,
190,
sn.
12
195,
194
Prevention of empyema in a patient with residual
hemothoras and a chest tube in place is hast
achieved by:
(6) intavenous third-generation cephalosporins
(©) placement uf à second chest ue
(e) needle thoracentess
(@) intavencws vancomcin
Popliteal artery entrapmcat
(a) is more common in female than males
(6) is diagnosed by passive dorsifexion of te foot
(6) results rom compression bythe medial head of
the gasroenemis
(4) requires intra exploration in most eases
Cervical anastomosis
(a) has lower lak rate than thoracic anastomesis
(0) leak is key to hal spootancousl
(©) has a higher long-term morality
(4) has a lower operative mortality rte than tho-
ter esophagectomy for
te then tho
Appropriate management of em squamous cell
carcinoma ofthe ana eazal i
(0) chemotherapy
(0) shdominoperineal resection
{6) local excision
{) radiotherapy + oca excision
(6) chemotherapy radiation
Idiopathic trombone purpur:
(4) i caused by antiplatelet immunoglobulin G
originating in the spleen
(6) associated with splenomegely
(e) i associated with prolonged prothrombi time
(8) splenectomy ls required for mos: peciatic ases
(6) occurs with a male o female ratio of 3:1
“The most common cause of death related to a
corral venous ter
(a) air embolic
(0) central vein perforation
(6) tension pneumothorax
(@) catheter embolsa
(e) catietercelated sepsis
Postoperative. morbidity after splensctony
hematologic diseases is highest fr:
(@) itiopathiethromboeytopenie purpara
(0) hereditary spherocytosis
(e) myeloid dysplasia
(0 sickle cell anemia
(6) asset
Ws,
197.
198,
1.
200.
201
2m.
Pan XVI Surgery Review Questions and An
“Te respi
Go) 10
(0) 12
(o) 08
(907
try quotient in prolonged starvation is
“The most abunds
(a) alanine
(0) valine
© leucine
(4) glutamine
(e) arginine
Maximum elfcency of glucose uso
‘olor asin cours at the infusión ra
(@) ingenio
© Smpkymin
© 6mpkyimin
(4) TmeKgmia
Refeeding syndrome is most commonly related 1:
(a) hyponsitemia
(b) hypocalcemia
(e) bypophospa
(6) hypokalemia
amino acid in he body is
tou pur
ol
Eczemaloid rash al isteiinous ares with pro
Jonged otal parenteral nur caused by
(a) zine deficiency
(o) Katy aci defcieney
(e) copper deficiency
(8) magnesium defenoy
(©) niacin defcieney
‘The volume of at moved with taxis exhaltion
after decp inhalation measures
(a) vital capaci
(0) inspiratory reserve volume
(e) tidal volume
(4) residual volume
Ke) tou lg volume
Bleeding after adequate heparin reversal with pro-
‘amine is usually caus by
(a) protamine toxicity
(0) heparin rebound
(o) hypothermia
(a) thrombocytopenia
(©) factor VIH depletion
Meetic intussusception in children:
(8) presents with rectal Bleeding in 90% of cases
(9) common caused by an undering pthology
(©) is ideally treated by operative reduction
(@) isthe most common ease of intestinal bts:
sion hero the age of 3 years
174, Surgery Review Questions
am.
20.
Alopecia wih prolonged total parenteral nutrition
‘may be cased by
a) zine deficiency
(9) magnesium dficioney
(©) vtamin A imovcaion
(8) sential fatty aids defeieney
(e) selenium dice
AA 1-cm carcinoid found inthe midappend
ppendeetony requires
(0) octreotide therapy
() right hemicolecony
(6) steptozotocn therapy
(8) no further action
“The most common
with protamine is
(o) brad
(0) hypotension
(6) thrombeie ri
(0) Ihonbesyiopenia
(e) leakoponia
rmplieion of heparin reversal
“The moet common se effet of pancuronium i:
(a) tachycardia
(6) hypotension
(©) hyperkalemia
(8) hyperthermia
(6) renal insuffeieney
“The most common cause of massive lower
gistroinesial beodig in children:
(a) anal ss
() intussusceprion
(6) Meckels dierieutum
(©) angioaysplasi
Fine nccale aspiration of bilateral upper cervical
lymphadenopathy shows squamous cell carcinoma.
No primary lesion is found on clinical examination.
“The mos kay source is
(a) lungs
db) esophagus
(o tongue
(9) tonsils
(e) nasopharynx
Analysis of pleural effusion shows red blood call
‘count of mm, while Mood cell coun! of
SOU, proscin level of LS. and specie
‘gravity of L010. The mos ely diagnosis is
(&) congestive heat faire
(9) patapacumoniceffasion
(©) hemothorax
{@) bronchogenic carcinoma
210,
au
a.
an.
as,
as
a.
ar.
a9
Pulmonary sequestration
(a) commonly oczurs on the right ide
(0) intralobar sequestration i suppticd by the pul
onary artery.
(© extalobar sequestration is supplied by the
(9) inialodar sequestration drains into steric
(6) cxtralohar sequestration drains ino pulmonary
“The most important diagnosis test (or a thyroid
module is
(a) ulrasound
(0) radioactive isotope sean
(6) thyroid funtion est
{A eee aspiration
(e) computed tomography sen
Pleomorphie paid adenoma
(a) requires core biopsy before resection
(0) is adequataly rec with enucleation
(9) commonly undergoes malignant transformation
(4) common results in fail palsy
(6) isthe most common parat neoplasm
‘The mean arterial pressure
(a) deso pressure +12 pulse pressure
(0) systolic pressure + pul pressure
(e) sole presse +13 pulse pressure
(0) desto presse + LA pulse pressure
‘A contraindication to breast-consering therapy i
(a) age more than 70 years
(0) coronary artery disease
(6) family history of breast cancer
(a) collagen vascular disease
Death from tension pneumothorax
(a) decreased ven
(0) cardiac arthythmia
(e) acute hypoxia
@) acute bypercapnia
‘The most important element in the history of an
infant with vomiting is
(@) the frequency of vomiting
(6) the amount of vomling
(6) the presence of fever
(a) if vomiting is projectile
(e) if vomiting i bile stained
he substrate for nti oxide synthese is
(a) slutamine
() alanine
© Laine
©) saline
|
am.
20.
Alopecia wih prolonged total parenteral nutrition
‘may be cased by
a) zine deficiency
(9) magnesium dficioney
(©) vtamin A imovcaion
(8) sential fatty aids defeieney
(e) selenium dice
AA 1-cm carcinoid found inthe midappend
ppendeetony requires
(0) octreotide therapy
() right hemicolecony
(6) steptozotocn therapy
(8) no further action
“The most common
with protamine is
(o) brad
(0) hypotension
(6) thrombeie ri
(0) Ihonbesyiopenia
(e) leakoponia
rmplieion of heparin reversal
“The moet common se effet of pancuronium i:
(a) tachycardia
(6) hypotension
(©) hyperkalemia
(8) hyperthermia
(6) renal insuffeieney
“The most common cause of massive lower
gistroinesial beodig in children:
(a) anal ss
() intussusceprion
(6) Meckels dierieutum
(©) angioaysplasi
Fine nccale aspiration of bilateral upper cervical
lymphadenopathy shows squamous cell carcinoma.
No primary lesion is found on clinical examination.
“The mos kay source is
(a) lungs
db) esophagus
(o tongue
(9) tonsils
(e) nasopharynx
Analysis of pleural effusion shows red blood call
‘count of mm, while Mood cell coun! of
SOU, proscin level of LS. and specie
‘gravity of L010. The mos ely diagnosis is
(&) congestive heat faire
(9) patapacumoniceffasion
(©) hemothorax
{@) bronchogenic carcinoma
210,
au
a.
an.
as,
as
a.
ar.
a9
Pulmonary sequestration
(a) commonly oczurs on the right ide
(0) intralobar sequestration i suppticd by the pul
onary artery.
(© extalobar sequestration is supplied by the
(9) inialodar sequestration drains into steric
(6) cxtralohar sequestration drains ino pulmonary
“The most important diagnosis test (or a thyroid
module is
(a) ulrasound
(0) radioactive isotope sean
(6) thyroid funtion est
{A eee aspiration
(e) computed tomography sen
Pleomorphie paid adenoma
(a) requires core biopsy before resection
(0) is adequataly rec with enucleation
(9) commonly undergoes malignant transformation
(4) common results in fail palsy
(6) isthe most common parat neoplasm
‘The mean arterial pressure
(a) deso pressure +12 pulse pressure
(0) systolic pressure + pul pressure
(e) sole presse +13 pulse pressure
(0) desto presse + LA pulse pressure
‘A contraindication to breast-consering therapy i
(a) age more than 70 years
(0) coronary artery disease
(6) family history of breast cancer
(a) collagen vascular disease
Death from tension pneumothorax
(a) decreased ven
(0) cardiac arthythmia
(e) acute hypoxia
@) acute bypercapnia
‘The most important element in the history of an
infant with vomiting is
(@) the frequency of vomiting
(6) the amount of vomling
(6) the presence of fever
(a) if vomiting is projectile
(e) if vomiting i bile stained
he substrate for nti oxide synthese is
(a) slutamine
() alanine
© Laine
©) saline
|
«0
a.
219
zu
m.
am.
2,
‘The most frequent complication of giant gastric
weer i
(a) gust outlet obstruction
(9) perforation
(©) upper gastrointestinal ecding
(@) gastroenere fistula
Mucosal defense i provided by immunoglobulin:
MA
& G
PE
&D
(E
“The mos common cause of nipple discharge is
(a) due etasia
4b) breast cancer
(©) intaductal papilloma
(4) pituitary aderoma
(6) broca disease
‘The most common agent transmitted by blood
cansion i
(a) human immuncdefceney virus
(0) hepatis B virus
(6) hepatitis C virus
(0) Cotomegaloviras
Advantage of ful hikes over split thickness skin
afte
(a) less wound contseton
() better ake
(e) more resistance to infection
(a) better sensory function
Cyelosporin A inhibits the production of
(a) interieakin-t
(0) iatrleukin-2
(9 iereukin 6
£2) tumor necrosis actora
‘The main component of uria:y stones complica
ing esccion of terminal eu i
(a) urate
0) om
(e) phosphate
(6) ammonium
A characteristic feature of toxic shock syndrome in
children with burs i:
(a) paralent wound drainage
() leukopenia
(©) hypothe
(0) bradycardia
2%,
zn.
2.
m.
zu.
mm,
Par XVI. Surgery Review Questions né Amore
“The rate of axonal regeneration after ner inary
(a) Leavmonth
©) Lamy
(0 Immincok
(8) Teme
‘The optimal weatment for bleeding gastric vances
in chronic parer:
(a) sul panereaectomy
(0) splenorenal shunt
(e) portocaras shunt
(6) splenectomy
(e) tramgjugalr intrahepatie portosystemis shunt
procedure
Electrical bara inary:
(a) can be estimated by the extent of skin damage
(6) ppialy affects the wunk more than the
(6) requires close cardiac monitoring
(8) is nverel related 0 Hs resistance
The highest rate of metastasis occurs in carcinoid
arising rom:
(appendix
() bronchus
(e) deu
(4) stomach
“The most common presentation o eta carcinoma
(a) breast pain.
(0) breast lump
(e) nipple dicherge
(8) microcsiceation
“The wan source of fel in sepsis
(@) elucoee
LD) tatty acids
(6) Ketones
(8) amino acids
A patient with electrical burn of the Leg complains
‘ot pain on passive movement o the foot The pedal
Poles are diminished, The next step
(o) escharotomy
(0) femoral angiogram
(6) leg elevation and intravenous Pepsin
(8) fascotomy
a.
219
zu
m.
am.
2,
‘The most frequent complication of giant gastric
weer i
(a) gust outlet obstruction
(9) perforation
(©) upper gastrointestinal ecding
(@) gastroenere fistula
Mucosal defense i provided by immunoglobulin:
MA
& G
PE
&D
(E
“The mos common cause of nipple discharge is
(a) due etasia
4b) breast cancer
(©) intaductal papilloma
(4) pituitary aderoma
(6) broca disease
‘The most common agent transmitted by blood
cansion i
(a) human immuncdefceney virus
(0) hepatis B virus
(6) hepatitis C virus
(0) Cotomegaloviras
Advantage of ful hikes over split thickness skin
afte
(a) less wound contseton
() better ake
(e) more resistance to infection
(a) better sensory function
Cyelosporin A inhibits the production of
(a) interieakin-t
(0) iatrleukin-2
(9 iereukin 6
£2) tumor necrosis actora
‘The main component of uria:y stones complica
ing esccion of terminal eu i
(a) urate
0) om
(e) phosphate
(6) ammonium
A characteristic feature of toxic shock syndrome in
children with burs i:
(a) paralent wound drainage
() leukopenia
(©) hypothe
(0) bradycardia
2%,
zn.
2.
m.
zu.
mm,
Par XVI. Surgery Review Questions né Amore
“The rate of axonal regeneration after ner inary
(a) Leavmonth
©) Lamy
(0 Immincok
(8) Teme
‘The optimal weatment for bleeding gastric vances
in chronic parer:
(a) sul panereaectomy
(0) splenorenal shunt
(e) portocaras shunt
(6) splenectomy
(e) tramgjugalr intrahepatie portosystemis shunt
procedure
Electrical bara inary:
(a) can be estimated by the extent of skin damage
(6) ppialy affects the wunk more than the
(6) requires close cardiac monitoring
(8) is nverel related 0 Hs resistance
The highest rate of metastasis occurs in carcinoid
arising rom:
(appendix
() bronchus
(e) deu
(4) stomach
“The most common presentation o eta carcinoma
(a) breast pain.
(0) breast lump
(e) nipple dicherge
(8) microcsiceation
“The wan source of fel in sepsis
(@) elucoee
LD) tatty acids
(6) Ketones
(8) amino acids
A patient with electrical burn of the Leg complains
‘ot pain on passive movement o the foot The pedal
Poles are diminished, The next step
(o) escharotomy
(0) femoral angiogram
(6) leg elevation and intravenous Pepsin
(8) fascotomy
174, Surgery Review Questions
233. The most common complication of blood wranstu-
(2) hemolytic reaction
(®) human immunodefiieney virus transmission
(©) allergi reaction
(3) volume overload
(e) coule
254. The highest concentration of immunoglobulin A=
producing cells is in
(a) Bloodstream
(0) oral cavity
(6) bronchial tee
(4) smal intestine
(e) wogenital tae:
255. In the treatment of coagulopathy:
(a) calcium should be routinely infused with
massive transfsion
(6) desmopressin (DDAVP) stimulates the release
‘factor VIEL
(©) von Wilebrand's disease can be treated with
tor VIM concentrate
(8) the elect of aspirin can be reversed by Irsh-
froven plasma
236. The most common source of metastatic small bowel
(a) lungs
(0) melanoma
© breast,
(8) soft sue sarcoma
237. Myeloid metaplasia:
{@) à diene of young females
Gb) e rarely assorted With splenomegaly
(6) rests in extramedulary hematopoiesis
(8) resul in increased bone marrow megakary
258. Which ofthe allowing is on in mane
dein coros copii
0 paste vase
À Soptagnasroduoderonopy
© conteoterae
9 om
239, Which ofthe followings effective in treating refrac
sory Croburs Seul?
(a) total parenteral nutria
(8 prednisone
(o) iniimab
(8) azathioprine
wu
240. Hypothcemie coagulopathy
(a) is asocaied with clotting factor depletion
(5) can be corrected with feshfrozen_ plasma
teansusion
(6) is associated with prolonged prothrombin time
and patil thromboplastin time
(8) is x complication of massive Branson
24%. Secret
(a) stimulates gasrin section
(6) stimulates pasezeaticenzyme secretion
(e) ini imesial modi
(9) stimulates guste acid section
242. The uso of inver ratio ventilation wi:
(a) decrease auto positive end-sxpiratory pre
0) improve alveolar ventilation
(6) increase incidence of pneumonia
{decrease mean away pressure
243, The optimal management of esophageal efomyoma
(8) IvorLewis efophogeal resection
(3) transhiatal esophageal resection
(6) segmental esophageal resection
(a) esophagompotomy and enucleation
(e) endoscope resection
244, Hand infection caused by a human bite is due o:
(a) Suphylococeus aureus
(0) Chou dic
(©) Herpes simples
(@) Eikenela corrodens
(e) Candida species
245, Gastric nti actor i seerctod from:
(a) parietal els
() Oi cells
(6) antral G cel
(@) Deals
246. 246 Which of the following direct induces
‘nagulation?
(a) serge
(0) oxidized celoso
(e) sbsotbablegcatin sponge
(8) microñiorilar collagen (Avitene)
247. Which of he folowing inhibits gastric bicarbonate
(a) prostaglandins
(6) vagal stimulation
(e) aspirin
(8) gain
233. The most common complication of blood wranstu-
(2) hemolytic reaction
(®) human immunodefiieney virus transmission
(©) allergi reaction
(3) volume overload
(e) coule
254. The highest concentration of immunoglobulin A=
producing cells is in
(a) Bloodstream
(0) oral cavity
(6) bronchial tee
(4) smal intestine
(e) wogenital tae:
255. In the treatment of coagulopathy:
(a) calcium should be routinely infused with
massive transfsion
(6) desmopressin (DDAVP) stimulates the release
‘factor VIEL
(©) von Wilebrand's disease can be treated with
tor VIM concentrate
(8) the elect of aspirin can be reversed by Irsh-
froven plasma
236. The most common source of metastatic small bowel
(a) lungs
(0) melanoma
© breast,
(8) soft sue sarcoma
237. Myeloid metaplasia:
{@) à diene of young females
Gb) e rarely assorted With splenomegaly
(6) rests in extramedulary hematopoiesis
(8) resul in increased bone marrow megakary
258. Which ofthe allowing is on in mane
dein coros copii
0 paste vase
À Soptagnasroduoderonopy
© conteoterae
9 om
239, Which ofthe followings effective in treating refrac
sory Croburs Seul?
(a) total parenteral nutria
(8 prednisone
(o) iniimab
(8) azathioprine
wu
240. Hypothcemie coagulopathy
(a) is asocaied with clotting factor depletion
(5) can be corrected with feshfrozen_ plasma
teansusion
(6) is associated with prolonged prothrombin time
and patil thromboplastin time
(8) is x complication of massive Branson
24%. Secret
(a) stimulates gasrin section
(6) stimulates pasezeaticenzyme secretion
(e) ini imesial modi
(9) stimulates guste acid section
242. The uso of inver ratio ventilation wi:
(a) decrease auto positive end-sxpiratory pre
0) improve alveolar ventilation
(6) increase incidence of pneumonia
{decrease mean away pressure
243, The optimal management of esophageal efomyoma
(8) IvorLewis efophogeal resection
(3) transhiatal esophageal resection
(6) segmental esophageal resection
(a) esophagompotomy and enucleation
(e) endoscope resection
244, Hand infection caused by a human bite is due o:
(a) Suphylococeus aureus
(0) Chou dic
(©) Herpes simples
(@) Eikenela corrodens
(e) Candida species
245, Gastric nti actor i seerctod from:
(a) parietal els
() Oi cells
(6) antral G cel
(@) Deals
246. 246 Which of the following direct induces
‘nagulation?
(a) serge
(0) oxidized celoso
(e) sbsotbablegcatin sponge
(8) microñiorilar collagen (Avitene)
247. Which of he folowing inhibits gastric bicarbonate
(a) prostaglandins
(6) vagal stimulation
(e) aspirin
(8) gain
248. A chiarsteisc of preven aztemin ie
(6) abnormal wine sediment
(®) fractional exertion of sodium valve <1%
(e) urine sodium level Am EL.
(©) Blood urea nizogeniserum éretnine level 10
249. At an operation {or smal bowel obstruction, esa
volvalus à diagnosed The cecum is vale, Te pe:
adore of choice 8
(a) cecopeny
(6) tube cecosomy
(e) right hemisolectomy
(a) rescetin, lesions, and mous Aula
280. For a patient with u serum potassium level of
TEL end an absent P-wave on cleczosurdio~
gram ths iia management ie
da) intravenous aix
(0) iravenous glucosensulin
(©) Kayosalato enema
(9) intvenow sodium bicarbonate
(e) inavenous calcium gluconnie
251. Optimal management of mucos-sssoited lym
‘pho sue (MALT) lymphoma i
(a) chemotherapy
(D) lou gastrectomy
(©) chemoradiation
(4) anbot
252. Positive end-expiratory pressure therapy wil result
(a) decrease in extravascular ung water
€) inerese in cardiac preload
(€) decrise in ar nature peptide
(8) decrease in funcional resida capacity
253. At the intation of swallowing the pressure at the
lower csopragea! sphincter
(a) remains vachanged
(0) dzeweses and then increases
(©) increases and then decreases
(9) increases and then rete to bassline
254, The serum sodium level in a 0-pear- man who
weighs Ak 126 ig. His sodio deli
G) Loma,
(9) 2i0meq
(o) mEq
(8) mEq
e) «Some
Part XVI. Surgery Review Questions nd Annes
255. A colorectal tumor shat invades through the mus
us propria int he subsers is à
(a) Ti lesion
() T2 lesion
(©) TBiesion
(@) Tétesion
Glutamine:
(a) is supplied in total parenteral nutrition
(6) increases intestinal eeuanty
(e) isan essential amino acid
(a) is substrato for gconcogenesis
257. Which ofthe following in a defect in the hemoglo»
Pin chain that responds to splenectomy’?
(a) iiopatiethromboeytopenie purpura
(0) hercdiary soherveyiosis
(6) thalasemia
A) ghucose--phosphate deficiency
258. A central scar in a hepatic cons characters of
(a) fost modular hyperplasia
(0) hepatic adenoma
(@) hemangioma.
(9) himartoms
(e) hepatocellular carcinoma
259. The initial step in management of a hypercatccmie
visi i intravenous
5) steroids
(6) calcitonin
(o) saine
(@) furosemide
(©) mithramycin
Hepatic focal nodular hyperplasia
(a) tual occurs in Women of reproductive a
() is related to oral contraceptive use
(©) presents with abdominal pin in most cases
(G) cartes he risk of spontaneous rupture
261. The most accurate measure of adequacy of nui
tional suppor is
(@) serum albumin eve
(6) body weight
(e) triceps Sinto measurement
(a) serum pralhumin ove
262. Refractory hypokalemia can be caused by
€) hypocaicemia
©) hyponawemia
€) Aypophonphtemin
(4) typomagnesemia
(6) abnormal wine sediment
(®) fractional exertion of sodium valve <1%
(e) urine sodium level Am EL.
(©) Blood urea nizogeniserum éretnine level 10
249. At an operation {or smal bowel obstruction, esa
volvalus à diagnosed The cecum is vale, Te pe:
adore of choice 8
(a) cecopeny
(6) tube cecosomy
(e) right hemisolectomy
(a) rescetin, lesions, and mous Aula
280. For a patient with u serum potassium level of
TEL end an absent P-wave on cleczosurdio~
gram ths iia management ie
da) intravenous aix
(0) iravenous glucosensulin
(©) Kayosalato enema
(9) intvenow sodium bicarbonate
(e) inavenous calcium gluconnie
251. Optimal management of mucos-sssoited lym
‘pho sue (MALT) lymphoma i
(a) chemotherapy
(D) lou gastrectomy
(©) chemoradiation
(4) anbot
252. Positive end-expiratory pressure therapy wil result
(a) decrease in extravascular ung water
€) inerese in cardiac preload
(€) decrise in ar nature peptide
(8) decrease in funcional resida capacity
253. At the intation of swallowing the pressure at the
lower csopragea! sphincter
(a) remains vachanged
(0) dzeweses and then increases
(©) increases and then decreases
(9) increases and then rete to bassline
254, The serum sodium level in a 0-pear- man who
weighs Ak 126 ig. His sodio deli
G) Loma,
(9) 2i0meq
(o) mEq
(8) mEq
e) «Some
Part XVI. Surgery Review Questions nd Annes
255. A colorectal tumor shat invades through the mus
us propria int he subsers is à
(a) Ti lesion
() T2 lesion
(©) TBiesion
(@) Tétesion
Glutamine:
(a) is supplied in total parenteral nutrition
(6) increases intestinal eeuanty
(e) isan essential amino acid
(a) is substrato for gconcogenesis
257. Which ofthe following in a defect in the hemoglo»
Pin chain that responds to splenectomy’?
(a) iiopatiethromboeytopenie purpura
(0) hercdiary soherveyiosis
(6) thalasemia
A) ghucose--phosphate deficiency
258. A central scar in a hepatic cons characters of
(a) fost modular hyperplasia
(0) hepatic adenoma
(@) hemangioma.
(9) himartoms
(e) hepatocellular carcinoma
259. The initial step in management of a hypercatccmie
visi i intravenous
5) steroids
(6) calcitonin
(o) saine
(@) furosemide
(©) mithramycin
Hepatic focal nodular hyperplasia
(a) tual occurs in Women of reproductive a
() is related to oral contraceptive use
(©) presents with abdominal pin in most cases
(G) cartes he risk of spontaneous rupture
261. The most accurate measure of adequacy of nui
tional suppor is
(@) serum albumin eve
(6) body weight
(e) triceps Sinto measurement
(a) serum pralhumin ove
262. Refractory hypokalemia can be caused by
€) hypocaicemia
©) hyponawemia
€) Aypophonphtemin
(4) typomagnesemia
174, Surgery Review Quesions
268. A respiratory quotient of 12 indicates:
(a) rogenesie
(0) ketogencsis
(©) pure fat utilization
(a) carbohydrates as he source of fuel
(6) protins ar the source of fuel
Mallory: Weiss tar is located:
(a) in the distal esophagus
(0) anteriorly across the gastroesophageal Junction
(©) posteriorly across the gastoesophagsal june:
(2) om the lessee curve ofthe caía
(6) on the greater curve of ine ardía
265. The Blood supply of the horacio somach used for
esophageal replacement depends on:
(a) the left gas artery
(b) the short gate ves
(e) the right gasteocpipoic artery
(@) the let gasroepplic artery
266. The most serios complication of gate bypass pro-
sure i
(a) hepatic fire
49) anastomotic leak
(©) veias
(8) intestinal obstruction
(o) hypocalcemia
267. Helicobacter pylori
(a) colonization s highest in childhood
(0) eradication does not influence uler recurrence
(©) is isolated in up to 90% of duodenal ler cases
(@) metronidazole achieves eradication as singe,
agent
258, LS-S1 die lesion wil rest in
(@) weak plantar flexion
(0) weak donsiexion
(©) abvent knee jerk
(8) lost sensation inthe big toe
A paient with head injury opens his eyes and with-
rows his arm o pai. He is making incompreher-
sible sounds His Glasgow Coma Seal core i
&w 2
() 10
(98
ws
270. Periana Crohn's disease:
(2) typically occurs late in the course ofthe disease
(0) fstuls are usvally multiple
(6) (Gea diversion i usually curative
(0) lesions ar typically loeted posteriorly
(e) granulonas ae seldom found on biopsy
271, Appropriate management of chronic pancreatitis
‘eth panereati detectas is
(4) puncreaicoduodenectony
(6) distal panereatiojejunosiomy
(6) longitudinal pancreaticojejenotomy
(0) near ttl panceatectomy
(©) sphincteroplasy
272. The most common cause of massive bloding in
chronic pancreatitis is
(a) pseudonneunysm
(6) arteriovenous Fstula
(9) mycotic aneurysm
(a) Ahromuseular dysplasia
273. Colonie distension in toxic megacolon is most
prominent inthe:
(a) cecum
() ascending colon
(6) transverse colon
(4) descending colon
(e) sigmoid colon
274. At the Jong functional residual expacity
(a) chest wall exerts inward elastic recoil
(0) lungs exer outward elastic reco!
(6) alveolar pressure equals pleural pressure
16) lungs and chest wall exert equal and opposing
Which ofthe following inhibits nts
(0) gastrin
(0) &hocystokinin
(o) epinephrine
(9) moin
(6) serotonin
276. The most common site of etopie pheoehromecy-
(a) lower pole ofthe kidney
(0) para-aortic issue
(e) mediastinum
(9) paris
268. A respiratory quotient of 12 indicates:
(a) rogenesie
(0) ketogencsis
(©) pure fat utilization
(a) carbohydrates as he source of fuel
(6) protins ar the source of fuel
Mallory: Weiss tar is located:
(a) in the distal esophagus
(0) anteriorly across the gastroesophageal Junction
(©) posteriorly across the gastoesophagsal june:
(2) om the lessee curve ofthe caía
(6) on the greater curve of ine ardía
265. The Blood supply of the horacio somach used for
esophageal replacement depends on:
(a) the left gas artery
(b) the short gate ves
(e) the right gasteocpipoic artery
(@) the let gasroepplic artery
266. The most serios complication of gate bypass pro-
sure i
(a) hepatic fire
49) anastomotic leak
(©) veias
(8) intestinal obstruction
(o) hypocalcemia
267. Helicobacter pylori
(a) colonization s highest in childhood
(0) eradication does not influence uler recurrence
(©) is isolated in up to 90% of duodenal ler cases
(@) metronidazole achieves eradication as singe,
agent
258, LS-S1 die lesion wil rest in
(@) weak plantar flexion
(0) weak donsiexion
(©) abvent knee jerk
(8) lost sensation inthe big toe
A paient with head injury opens his eyes and with-
rows his arm o pai. He is making incompreher-
sible sounds His Glasgow Coma Seal core i
&w 2
() 10
(98
ws
270. Periana Crohn's disease:
(2) typically occurs late in the course ofthe disease
(0) fstuls are usvally multiple
(6) (Gea diversion i usually curative
(0) lesions ar typically loeted posteriorly
(e) granulonas ae seldom found on biopsy
271, Appropriate management of chronic pancreatitis
‘eth panereati detectas is
(4) puncreaicoduodenectony
(6) distal panereatiojejunosiomy
(6) longitudinal pancreaticojejenotomy
(0) near ttl panceatectomy
(©) sphincteroplasy
272. The most common cause of massive bloding in
chronic pancreatitis is
(a) pseudonneunysm
(6) arteriovenous Fstula
(9) mycotic aneurysm
(a) Ahromuseular dysplasia
273. Colonie distension in toxic megacolon is most
prominent inthe:
(a) cecum
() ascending colon
(6) transverse colon
(4) descending colon
(e) sigmoid colon
274. At the Jong functional residual expacity
(a) chest wall exerts inward elastic recoil
(0) lungs exer outward elastic reco!
(6) alveolar pressure equals pleural pressure
16) lungs and chest wall exert equal and opposing
Which ofthe following inhibits nts
(0) gastrin
(0) &hocystokinin
(o) epinephrine
(9) moin
(6) serotonin
276. The most common site of etopie pheoehromecy-
(a) lower pole ofthe kidney
(0) para-aortic issue
(e) mediastinum
(9) paris
m
am.
2.
zu.
=.
Which of the following is poorly absorbed in
achlochyia?
(e) bie sats
(4) sitamin D
(© vitamia Bj.
‘The most common cause of hypophosphatemia in
hospitalized patients
(a) renal failure
(0) sr
(e) glucose overload
(a) diarrhea
“The main fel for colonocytes i
(a) glutamine
(0) Sort chain fatty acids
(o) alanine
(4) glucose
{6} ketones
Peimonary brosis is a complication ot
(a) dovorabki
(0) mothouexate
(6) bleomycin
@) cyclophosphamide
(e) vincristine
“The most useful serum marker for cancer screening
(a) prosate-speii antigen
(o) CA 199
(©) @feioprotin
(8) carcinoembryonic antigen
‘The inferior parathyroid gland originates from
the:
(a) frst pharyngeal pouch
(9) second pharyngeal pouch
(6) third pharyngeal pouch
(6) fourm pharyagest pouch
Hypotension and decreased end
laparoscopy ae likely due
(a) tension paeumothor
(5 inferior vena seva compression
(6) CO; embolism
(8) anesthetic overdose
“The main fac for most cancer cll
(0) slutamine
(0) Larginine
(0) glucose
(e) ketones
Fat XVI Surrey Review Questons and Answers
285. Which of the folowing is an inhibitor of wound
(a) gueoconicoids
(0) d penicillamine
(o) colchicine
(8) sspiin
286. Fetal wound healing is characterized by
(a) increased angiogenesis
(0) increased hyaluranic acid synthesis
(6) increased iammatory response
(6) decreased collagen
287. Death fom postoperative renal failures mot com.
only due to:
(a) myocar infarction
() Bleeding
(o sepsis
(9) fiver fare
288, Regarding graft ejection:
(a) hyperacute rection is antibody mediated
(0) hyperacute rejection is reversed wih steroids
(@) acute rejection is B cll mediated
(0) acute rejection eceurs over month
289. The most important prognostic variable for
melanom is
(a) gender
(0) age
(9) Ghark’s level
(8) Breslows thiskness
(e) complexion
290. Follicular ehyroidcatenoma:
(a) isthe most common thyroid cancer
() is readily diagnosed with Ane-needie aspire
(6) spreads via hematogenous route
(4) is commonly malito
291. Multiple endocrine neoplasia is associated: with
germline mutation in.
(a) p53 gene
(0) RET proto-ancogene
© Neme gone
(8) APC gene
‘Optimal treatment ofeloncogeni carcinoma of anal
cana is:
(a) Toca excision
() ahdominoperineal resection
(©) chemotherapy alone
(@) radiotherapy alone
(e) ehemoradation
am.
2.
zu.
=.
Which of the following is poorly absorbed in
achlochyia?
(e) bie sats
(4) sitamin D
(© vitamia Bj.
‘The most common cause of hypophosphatemia in
hospitalized patients
(a) renal failure
(0) sr
(e) glucose overload
(a) diarrhea
“The main fel for colonocytes i
(a) glutamine
(0) Sort chain fatty acids
(o) alanine
(4) glucose
{6} ketones
Peimonary brosis is a complication ot
(a) dovorabki
(0) mothouexate
(6) bleomycin
@) cyclophosphamide
(e) vincristine
“The most useful serum marker for cancer screening
(a) prosate-speii antigen
(o) CA 199
(©) @feioprotin
(8) carcinoembryonic antigen
‘The inferior parathyroid gland originates from
the:
(a) frst pharyngeal pouch
(9) second pharyngeal pouch
(6) third pharyngeal pouch
(6) fourm pharyagest pouch
Hypotension and decreased end
laparoscopy ae likely due
(a) tension paeumothor
(5 inferior vena seva compression
(6) CO; embolism
(8) anesthetic overdose
“The main fac for most cancer cll
(0) slutamine
(0) Larginine
(0) glucose
(e) ketones
Fat XVI Surrey Review Questons and Answers
285. Which of the folowing is an inhibitor of wound
(a) gueoconicoids
(0) d penicillamine
(o) colchicine
(8) sspiin
286. Fetal wound healing is characterized by
(a) increased angiogenesis
(0) increased hyaluranic acid synthesis
(6) increased iammatory response
(6) decreased collagen
287. Death fom postoperative renal failures mot com.
only due to:
(a) myocar infarction
() Bleeding
(o sepsis
(9) fiver fare
288, Regarding graft ejection:
(a) hyperacute rection is antibody mediated
(0) hyperacute rejection is reversed wih steroids
(@) acute rejection is B cll mediated
(0) acute rejection eceurs over month
289. The most important prognostic variable for
melanom is
(a) gender
(0) age
(9) Ghark’s level
(8) Breslows thiskness
(e) complexion
290. Follicular ehyroidcatenoma:
(a) isthe most common thyroid cancer
() is readily diagnosed with Ane-needie aspire
(6) spreads via hematogenous route
(4) is commonly malito
291. Multiple endocrine neoplasia is associated: with
germline mutation in.
(a) p53 gene
(0) RET proto-ancogene
© Neme gone
(8) APC gene
‘Optimal treatment ofeloncogeni carcinoma of anal
cana is:
(a) Toca excision
() ahdominoperineal resection
(©) chemotherapy alone
(@) radiotherapy alone
(e) ehemoradation
1, Surgery Review Questions
293. The most common hernia in women is
(a) femoral hernia
(©) obturator hernia
(©) inguinal hernia
(a) umbilical hernia
(e) spigelian hernia
294. Gastroschiis:
(a) is usually associated with ther anomalies
(6) is usually associated with chromosomal dise
orders
(6) is located on he et of te umbilical cord
(@) repair is followed by prolongod eus
295. The most common visceral aneurysm is
(a) cole
9) superior mesenteric arery
(9 splenic
(8) repare
Gastroschisisis asocated with an increased risk of
(a) hepatomegaly
(0) intestinal tres
(e) microcephaly
(8) cardiac anomalies
207. The cremastor muscle is derived from:
(a) the external oblique muscle
(6) the internal oblique muscle
(6) the ransversus abdominis muscle
(8) the transversal fascia
a.
‘The time for platelet transfusion during splenec
‘omy for idiopathic thromboeyiopenie purpura i
(a) om making the incision
() after ligation ofthe splenic artery
(6) on induction of anesthesia
(8) alter removal ofthe spleen
‘The most common congenital ale dote:
(a) tra septal defect.
(0) ventricular septal defect
(6) transposition of great veses
(@) sortie coarctation
300. The most appropriate method 10 diagnose small
bowel injury in a conscious trauma patient with
seatbelt injury i:
(a) iagnostic peritoneal iavage
(0) atraso
(©) computed tomography sean
(ad) serial abdomina, examination
(e) plain abdominal ln
301. On postoperative day 1, a patient develops à
temperature of 100 and foul-smeling wound
“rainage. The mos key isolate e
(a) Gramncgative reds
(0) Gram-positive reds
(©) Gram negativo coco
(8) Gram positivo coc
302. A hemodynamic consequence of carbon dioxide
‘prournopertoneu i
(a) decrease in cardiac index
(0) decrease in system vascular resistance
(6) decrease in mean arterial pressure
(4) increase in carne preload
In the diabetic foo:
(a) atherosclerosis often involves the pedal arteries
() foot sepsis ofen polvmicrai
(e) ankie-brachi index accurately measures the
ogee loca
(@) diabetic neuropathy involves only sensory
Decreased hemoglobin affinity 10 oxygen at the
tissue level i caused by
(a) increased body temperature
(0) decreased 2 ciphosphoglycerate
(0 decremed pCO:
(@) incrcasod pH
A patient wit pelvic recurs hypotensive aná has
grosiy postive dingnostie peritoncal Iavage. The
next step
(6) angiography and embolizaion
(©) computed tomography of the abdomen and
pels
(o) eeliotomy
(8) application of Camp
(6) applcaion of pneumatic antishock arme
Heparin
(a) presents platelet aggregation
(6) prevens factor VI synthesis
(e) Isa cylo-orygenase inhibitor
(a) potemiates the action of anthrombin It
Cholecystokinin:
(a) stimulates the sphincter of Oda
(6) is secreted bythe tral mucosa.
(6) stimulates pancreatic enzyme secretion
(4) stimulates gastric emptying
293. The most common hernia in women is
(a) femoral hernia
(©) obturator hernia
(©) inguinal hernia
(a) umbilical hernia
(e) spigelian hernia
294. Gastroschiis:
(a) is usually associated with ther anomalies
(6) is usually associated with chromosomal dise
orders
(6) is located on he et of te umbilical cord
(@) repair is followed by prolongod eus
295. The most common visceral aneurysm is
(a) cole
9) superior mesenteric arery
(9 splenic
(8) repare
Gastroschisisis asocated with an increased risk of
(a) hepatomegaly
(0) intestinal tres
(e) microcephaly
(8) cardiac anomalies
207. The cremastor muscle is derived from:
(a) the external oblique muscle
(6) the internal oblique muscle
(6) the ransversus abdominis muscle
(8) the transversal fascia
a.
‘The time for platelet transfusion during splenec
‘omy for idiopathic thromboeyiopenie purpura i
(a) om making the incision
() after ligation ofthe splenic artery
(6) on induction of anesthesia
(8) alter removal ofthe spleen
‘The most common congenital ale dote:
(a) tra septal defect.
(0) ventricular septal defect
(6) transposition of great veses
(@) sortie coarctation
300. The most appropriate method 10 diagnose small
bowel injury in a conscious trauma patient with
seatbelt injury i:
(a) iagnostic peritoneal iavage
(0) atraso
(©) computed tomography sean
(ad) serial abdomina, examination
(e) plain abdominal ln
301. On postoperative day 1, a patient develops à
temperature of 100 and foul-smeling wound
“rainage. The mos key isolate e
(a) Gramncgative reds
(0) Gram-positive reds
(©) Gram negativo coco
(8) Gram positivo coc
302. A hemodynamic consequence of carbon dioxide
‘prournopertoneu i
(a) decrease in cardiac index
(0) decrease in system vascular resistance
(6) decrease in mean arterial pressure
(4) increase in carne preload
In the diabetic foo:
(a) atherosclerosis often involves the pedal arteries
() foot sepsis ofen polvmicrai
(e) ankie-brachi index accurately measures the
ogee loca
(@) diabetic neuropathy involves only sensory
Decreased hemoglobin affinity 10 oxygen at the
tissue level i caused by
(a) increased body temperature
(0) decreased 2 ciphosphoglycerate
(0 decremed pCO:
(@) incrcasod pH
A patient wit pelvic recurs hypotensive aná has
grosiy postive dingnostie peritoncal Iavage. The
next step
(6) angiography and embolizaion
(©) computed tomography of the abdomen and
pels
(o) eeliotomy
(8) application of Camp
(6) applcaion of pneumatic antishock arme
Heparin
(a) presents platelet aggregation
(6) prevens factor VI synthesis
(e) Isa cylo-orygenase inhibitor
(a) potemiates the action of anthrombin It
Cholecystokinin:
(a) stimulates the sphincter of Oda
(6) is secreted bythe tral mucosa.
(6) stimulates pancreatic enzyme secretion
(4) stimulates gastric emptying
26
sx
10,
au.
an.
su.
zu
Te cart and most speciesign of mal
ypeihermia is
(a) high fever
(©) hypotension
(e) increase in end i
(8) tachycardia
(e) hopoxa
‘The most frequent manifestation of Blunt myocar
dial contusion is:
(a) atrioventricular block
6) atta Autor
Le) premature ventricular contractions
(8) premature ara contractions
(6) arial ation
‘The most commonly injred nerve under general
anesthesia e
(a) radia nerve
(6) alar nerve
(© median nerve
(8) Boch loss
(6) common peroncalnerte
Respiratory distress associated with goiter is most
commonly caused by:
(@) recurrent laryngeal nerve pay
() malignant tracheal invasion
(6) retrosteralgotrous extension
(8) hemorhage in large goiter
Maligna hyperthermia:
(a) can be induced by local anesthe
() can te induced by nondepolarzing muscle
relaxants
(6) canbe induced by nitrous oxide
(@) is related 10 disordered K' metal
(e) is more common in children than sults
‘The most common cards anomal found in sus
(a) atrial septal defect.
(0) ventricular septal detect
(e) sransposiion of great vessols
(a) coarctation ofthe aorta
‘The most common complication of epidural sua
ges is
{@) hypotension
(@) area
(9) respiratory depression
(8) desp ven thrombosis
316.
ar.
as.
sv.
En
Pan XVI. Surgery Review Questions and Answers
@
db) she femoral artery
(9) the femoral vein
(a) the ocunar lgament
A characteristic of primary hyperadesteronism is
(a) hyperkalemia
() hyperseninisn
(9) hypertension
KA) hyperplasia of zona retiutris
(6) hyperplasia of ona faculta
‘Regarding the adrenal gland:
(@) the adrenal cortex does not have nerve supply
(0) the adrenal medula is supplied by postgan-
gllnicadrenergi ber
(6) te right adrenal vin drains ino the real vein
(8) the It adrenal vein drains into the inferior
At an operation for appendicitis he append is
found to be normal andthe fallopian ube is found
tobe thickened with surouading purulem exudate
The operative management should be:
(0) appendectomy
() appendectomy and slpingectomy
(6) salingectomy
(8) no operative intervention
Tn the preoperative preparation of pheochromocy«
toma, medications are given in te following order.
(a) diuretics and thea c-bockers
{(b) eeblockers and then publockers
{6} lockers and then a-blockers
LE) Aires and then blockers
Hyperinsuliie in a nowborn is mos likely caused
vy.
(2) nesdiobastoss
(0) alycogen storage disease
(6) Denn insulinoma,
(8) malignant insulinoma
A patient with abdominal wall desmoid tumor
should be sereened for
(a) lung cancer
(0) colon polyps
(o) breast cancer
(2) medullary yroie curcnoma.
(e) pancreatic cancer
sx
10,
au.
an.
su.
zu
Te cart and most speciesign of mal
ypeihermia is
(a) high fever
(©) hypotension
(e) increase in end i
(8) tachycardia
(e) hopoxa
‘The most frequent manifestation of Blunt myocar
dial contusion is:
(a) atrioventricular block
6) atta Autor
Le) premature ventricular contractions
(8) premature ara contractions
(6) arial ation
‘The most commonly injred nerve under general
anesthesia e
(a) radia nerve
(6) alar nerve
(© median nerve
(8) Boch loss
(6) common peroncalnerte
Respiratory distress associated with goiter is most
commonly caused by:
(@) recurrent laryngeal nerve pay
() malignant tracheal invasion
(6) retrosteralgotrous extension
(8) hemorhage in large goiter
Maligna hyperthermia:
(a) can be induced by local anesthe
() can te induced by nondepolarzing muscle
relaxants
(6) canbe induced by nitrous oxide
(@) is related 10 disordered K' metal
(e) is more common in children than sults
‘The most common cards anomal found in sus
(a) atrial septal defect.
(0) ventricular septal detect
(e) sransposiion of great vessols
(a) coarctation ofthe aorta
‘The most common complication of epidural sua
ges is
{@) hypotension
(@) area
(9) respiratory depression
(8) desp ven thrombosis
316.
ar.
as.
sv.
En
Pan XVI. Surgery Review Questions and Answers
@
db) she femoral artery
(9) the femoral vein
(a) the ocunar lgament
A characteristic of primary hyperadesteronism is
(a) hyperkalemia
() hyperseninisn
(9) hypertension
KA) hyperplasia of zona retiutris
(6) hyperplasia of ona faculta
‘Regarding the adrenal gland:
(@) the adrenal cortex does not have nerve supply
(0) the adrenal medula is supplied by postgan-
gllnicadrenergi ber
(6) te right adrenal vin drains ino the real vein
(8) the It adrenal vein drains into the inferior
At an operation for appendicitis he append is
found to be normal andthe fallopian ube is found
tobe thickened with surouading purulem exudate
The operative management should be:
(0) appendectomy
() appendectomy and slpingectomy
(6) salingectomy
(8) no operative intervention
Tn the preoperative preparation of pheochromocy«
toma, medications are given in te following order.
(a) diuretics and thea c-bockers
{(b) eeblockers and then publockers
{6} lockers and then a-blockers
LE) Aires and then blockers
Hyperinsuliie in a nowborn is mos likely caused
vy.
(2) nesdiobastoss
(0) alycogen storage disease
(6) Denn insulinoma,
(8) malignant insulinoma
A patient with abdominal wall desmoid tumor
should be sereened for
(a) lung cancer
(0) colon polyps
(o) breast cancer
(2) medullary yroie curcnoma.
(e) pancreatic cancer
174, Surgery Review Questions
322, Which ofthe following i vasoconstrictor?
(a) procaine
(6) bupivacaine
(o) lidocaine
(@) cocsine
323. Paralyti ileus is a complication Of
(a) yclophosphamide
(0) vinca alkaloids
(o) methotrexate
à) cisplatin
(©) doxorubicin
Neutropenie entero!
(a) cytarabine
() geophosphamise
(© doxorubicin
(6) cian
sis a complication of:
Severe peripheral neuropathy i a complication of
(a) vinca alkaloids
(0) elophosphamide
(©) cabine
(9) plain
326. Water disrrhes hypokalemia, hypochloremia, and
acidosis are features of
(2) insulinoma
(0) gastrinoma
(6) Yasoacive intestinal pepide-producing tumor
(@) slucagonoma
327. Characteristics of somatostainoma.
(a) mild diabetes skin rash, pls
(6) uloerdithess, darthea
(©) mild diabetes dare, gallstones
à) direis, hypokalemia, ypochorem
“An inhibitor of platelet aggregation is
{a prostacylin |
(0) thromboxane A;
de) adenosine iphosphate
(a) serotonin
de) von Willebrand’ factor
Regarding gstroinesial bleeding in children:
(6) anal sure i the leading cause
(6) clear nasogase aspirate rules out upper gas
troinestinl bleeding
(©) Meckels diverticulum is seldom the cause of
massive bleeding
(4) bleeding is the most common presentation of
Intussusception
a
330. The colon secretes:
water
(0) sodium
(e) erde
(@) potassium
31, Mild diabetes, skin ash and gloss are Features of:
(6) somtostatinome
(6) gastrinoma
(©) gucagonome
(a) insainoma
352. The most common inca abdominal oli tumor in
ein i
(a) nephroblastoma
() neuroblastoma
(©) habdomyesttcome
(@) fibrosarcoma
353, Distinction between toxic epidermal necrolysis and
staphylococcal scalding skin syndrome ic based on:
(0) degree of erytnema
(0) bullae formation
(6) level o exfoliation
(8) response to steroids
(6) diended bowel loops
(0) thickened bowel wall
(6) abdominal wall erythema
(0) pneunatsis inestinls
395. Regarding congenital disphragmati herla
(a) requires emergency operation if respiratory dis
tees is present
() foramen of Boch
common type
(6) foramen of Morgagni hernia presents with re
ratory distress.
(6) Ssteely sociated with underting hang pathol
ony
ck hernia is the most
356. Regarding neonstal Hirschprung's disease:
(diagnosis is confined by banum enema
(0) enterocolitis i the leading cause of death
(©) mainly afets females
(8) shore absent nerve trunks in he aganglionic
Segments
397. Prostheti graf infection is most commonly due 10:
(a) Staphylococcus epidermidie
(0) Stphslococeus aureus
(©) Escherichia coli
(8) Srepincoccas faecalis
322, Which ofthe following i vasoconstrictor?
(a) procaine
(6) bupivacaine
(o) lidocaine
(@) cocsine
323. Paralyti ileus is a complication Of
(a) yclophosphamide
(0) vinca alkaloids
(o) methotrexate
à) cisplatin
(©) doxorubicin
Neutropenie entero!
(a) cytarabine
() geophosphamise
(© doxorubicin
(6) cian
sis a complication of:
Severe peripheral neuropathy i a complication of
(a) vinca alkaloids
(0) elophosphamide
(©) cabine
(9) plain
326. Water disrrhes hypokalemia, hypochloremia, and
acidosis are features of
(2) insulinoma
(0) gastrinoma
(6) Yasoacive intestinal pepide-producing tumor
(@) slucagonoma
327. Characteristics of somatostainoma.
(a) mild diabetes skin rash, pls
(6) uloerdithess, darthea
(©) mild diabetes dare, gallstones
à) direis, hypokalemia, ypochorem
“An inhibitor of platelet aggregation is
{a prostacylin |
(0) thromboxane A;
de) adenosine iphosphate
(a) serotonin
de) von Willebrand’ factor
Regarding gstroinesial bleeding in children:
(6) anal sure i the leading cause
(6) clear nasogase aspirate rules out upper gas
troinestinl bleeding
(©) Meckels diverticulum is seldom the cause of
massive bleeding
(4) bleeding is the most common presentation of
Intussusception
a
330. The colon secretes:
water
(0) sodium
(e) erde
(@) potassium
31, Mild diabetes, skin ash and gloss are Features of:
(6) somtostatinome
(6) gastrinoma
(©) gucagonome
(a) insainoma
352. The most common inca abdominal oli tumor in
ein i
(a) nephroblastoma
() neuroblastoma
(©) habdomyesttcome
(@) fibrosarcoma
353, Distinction between toxic epidermal necrolysis and
staphylococcal scalding skin syndrome ic based on:
(0) degree of erytnema
(0) bullae formation
(6) level o exfoliation
(8) response to steroids
(6) diended bowel loops
(0) thickened bowel wall
(6) abdominal wall erythema
(0) pneunatsis inestinls
395. Regarding congenital disphragmati herla
(a) requires emergency operation if respiratory dis
tees is present
() foramen of Boch
common type
(6) foramen of Morgagni hernia presents with re
ratory distress.
(6) Ssteely sociated with underting hang pathol
ony
ck hernia is the most
356. Regarding neonstal Hirschprung's disease:
(diagnosis is confined by banum enema
(0) enterocolitis i the leading cause of death
(©) mainly afets females
(8) shore absent nerve trunks in he aganglionic
Segments
397. Prostheti graf infection is most commonly due 10:
(a) Staphylococcus epidermidie
(0) Stphslococeus aureus
(©) Escherichia coli
(8) Srepincoccas faecalis
es
358. Slnistral portal hypertension is most commonly due
(a) bypercoagulable states
(0) schiiosominis
(o) alcoholism
(6) chrome pancreatitis
339. Cervical sympathectomy is est key to improve:
(a) hyperhidrosis
(@) scleroderma
(e) causal
(0) feostbite
340, Management of deep vein thrombosis. during
pregnancy is;
(9) 10-day intravenous heparin and thea Coumadin
(0) 10 «ay intravenous heparin and then Coumadin
for 6 months
(6) 10-day intravenous heparn and then prophy-
Lacie subcutaneous heparin ant erm
(4) 10-day intravenousheparin and then (herapeu-
tie subcutaneous paria un term
41. A pleural fui pH >6.5:
(a) is normal
(0) indicates esophageal perforation
(6) indicate plural transudato
(8) indicates bacterial infection
342. The most accurate method to diagnose traumatic
ori are inary
(a) upright ches ray
(b) ches computed tomography
(e) magnetic resonance imaging
(8) transesophageal echocardiogram
Lung rsccion is contraindicated if
ive PO 60
(9) FeV.
(4) FEVIVC Es 75%
le) MBC is 60%
Immediately after intravenous (IV) injection of
5.0001 of hepati, the effect can be reversed with
im
(2) 10mg protamine sulfate
() 20m protamine sulfate
(e) 30mg protamine sulfato
(6) 4omg protamine sulfato
(e) Some prommine slate
Pa XVI Surgery Review Quesos and Answers
345, The most common cause ofsmall bowl obstruction
during pregnancy is
(a) incarcrated groin hernia
(6) adhesions.
(e) aalstene ileus
(8) intestinal voles
(e) intussusception
Which ofthe following is an analgesic?
(a) sodium thiopental
(0) ketamine
(© etomidate
(4) propesot
347. A contraindication tothe use of Ketamine is
(a) hypoteasion
(0) head injury
(o) asıhma
(8) hypoventiaton
348. The cytokine directly responsible for hepatic acute
phase response i
(a) interoukia-t
() ierenkine2
(© interleukins
(0) tumor necrosis actora
In multiple endocrine neoplasia type
(a) almos: all patients have parathyroid. hyper
lin
(0) Almost al! patients have pancreatic endocrine
(6) almost all patents have pituitary adenoma
(8) all paticns have hyperparathyroiism, parer
ic and pituitary lesions
350. Postoperative carne evens are most Key if pre=
‘operative clectrocardiogram shows
(@) SET wave changes
() bundle branch block
(6) left ventieulr hypertopiy
(@) Owave
SL. An indication for preoperative angiography for
lective abdominal aortic aneurysm surgery i
(a) suspected contained rupture
(6) suspected inflammatory aneurysm
(e) anouryin larger than Fem
(6) history of edition
352. An early feature of lidocaino toxicity
(a) arms
(6) muslo twitching
(e) respiratory depression
(8) hypotension
358. Slnistral portal hypertension is most commonly due
(a) bypercoagulable states
(0) schiiosominis
(o) alcoholism
(6) chrome pancreatitis
339. Cervical sympathectomy is est key to improve:
(a) hyperhidrosis
(@) scleroderma
(e) causal
(0) feostbite
340, Management of deep vein thrombosis. during
pregnancy is;
(9) 10-day intravenous heparin and thea Coumadin
(0) 10 «ay intravenous heparin and then Coumadin
for 6 months
(6) 10-day intravenous heparn and then prophy-
Lacie subcutaneous heparin ant erm
(4) 10-day intravenousheparin and then (herapeu-
tie subcutaneous paria un term
41. A pleural fui pH >6.5:
(a) is normal
(0) indicates esophageal perforation
(6) indicate plural transudato
(8) indicates bacterial infection
342. The most accurate method to diagnose traumatic
ori are inary
(a) upright ches ray
(b) ches computed tomography
(e) magnetic resonance imaging
(8) transesophageal echocardiogram
Lung rsccion is contraindicated if
ive PO 60
(9) FeV.
(4) FEVIVC Es 75%
le) MBC is 60%
Immediately after intravenous (IV) injection of
5.0001 of hepati, the effect can be reversed with
im
(2) 10mg protamine sulfate
() 20m protamine sulfate
(e) 30mg protamine sulfato
(6) 4omg protamine sulfato
(e) Some prommine slate
Pa XVI Surgery Review Quesos and Answers
345, The most common cause ofsmall bowl obstruction
during pregnancy is
(a) incarcrated groin hernia
(6) adhesions.
(e) aalstene ileus
(8) intestinal voles
(e) intussusception
Which ofthe following is an analgesic?
(a) sodium thiopental
(0) ketamine
(© etomidate
(4) propesot
347. A contraindication tothe use of Ketamine is
(a) hypoteasion
(0) head injury
(o) asıhma
(8) hypoventiaton
348. The cytokine directly responsible for hepatic acute
phase response i
(a) interoukia-t
() ierenkine2
(© interleukins
(0) tumor necrosis actora
In multiple endocrine neoplasia type
(a) almos: all patients have parathyroid. hyper
lin
(0) Almost al! patients have pancreatic endocrine
(6) almost all patents have pituitary adenoma
(8) all paticns have hyperparathyroiism, parer
ic and pituitary lesions
350. Postoperative carne evens are most Key if pre=
‘operative clectrocardiogram shows
(@) SET wave changes
() bundle branch block
(6) left ventieulr hypertopiy
(@) Owave
SL. An indication for preoperative angiography for
lective abdominal aortic aneurysm surgery i
(a) suspected contained rupture
(6) suspected inflammatory aneurysm
(e) anouryin larger than Fem
(6) history of edition
352. An early feature of lidocaino toxicity
(a) arms
(6) muslo twitching
(e) respiratory depression
(8) hypotension
174 Surgery Review Questions
353. The superior parereticoduodenal artery is 8
branch of
(a) the celine axis
(0) the superior mesentri tery
(6) the hepatic artery
(A) the right gastric artery
(e) the pastraduodena artery
354, Which of the following pancreatic enzymes is se
reten an active form?
a) nme
(6) phospholipase À
(©) topsin
(a) elastase
385. A tracheostompzelted tscheoinnominate Mula
Is best managed by:
(@) division of innominate artery and ligation of
both ends
(6) division of innominate artery and vein graf
(© division of innominate artery and polyictrafu-
rociero graft
(4) primary repair ofthe innominate artery
356. Optimun ealorie/nitrogen ratio for protein syn
(a) 25-501
005:
fe) 75-100:1
(a) 100-5051
357. Aldosterone:
(a) stimulates sodium resorption in proximal renal
tubules
10) stimulates sodium resorption in distal renal
tubules
(©) stimulates pousium resorption in proximal
renal rules
358. Hypertension in cates of extraadrenal pheochro
moeytoma is caused by
(a) combined epinephrine and norepinephrine
LE) pore epinephrine
(e) pure norepinephrine
(@) rennin, epinephrine, and norepinephrine
359. The highest bicarbonate concentration ound in
(a) salva
() gasti seretions
(6) biliary secretion
(4) pancreatic secretion
(e) small intestine
am.
En
368,
366.
E)
A Tg malo with 50% Body surface area seconde
degree burn requires
(a) 7000mL lactated Ringer's solution over the
first hours
(0) 7.00mL of etated Ringer's solution over the
fis 8 hours
(©) 8000mL of lactated Ringer solution over the
fist hours
(8) 100001 of eeated Ringers solution over the
Ans hours
A complication that enteral and parenteral feeding
ave in common i:
(4) increased incidence of sepsis
(0) intestinal vilous atrophy
(©) elevated liver transaminases
(8) hyperosmolar nonketoti coma
(e) derma
“The most common organism isolated from bie is
(a) Escherichia col
(6) Kehl
(6) Stphplcocens re
(0) Bacteroides
(6) Proteus
The protein loss equivalent to 100g of negative
nitrogen balance is
(a) 758
(0) 1508
CES
RES
(o OE
“The mos common cause of cancer related death in
males is
{) breast cancer
(0) colon cancer
(©) ovarian cancer
(4) pancreatic cancer
(e) lang cancer
‘The highest potassium concentration is found in
(a) salva
(0) gasıie secretion
(o) bile
(0) smal intestine
(@) panereai secretion
The risk of regional node metastases in 070mm,
(ick melanoma is
(a) se
© 10%
(o 20%
(a) 300%
(e) 50%
353. The superior parereticoduodenal artery is 8
branch of
(a) the celine axis
(0) the superior mesentri tery
(6) the hepatic artery
(A) the right gastric artery
(e) the pastraduodena artery
354, Which of the following pancreatic enzymes is se
reten an active form?
a) nme
(6) phospholipase À
(©) topsin
(a) elastase
385. A tracheostompzelted tscheoinnominate Mula
Is best managed by:
(@) division of innominate artery and ligation of
both ends
(6) division of innominate artery and vein graf
(© division of innominate artery and polyictrafu-
rociero graft
(4) primary repair ofthe innominate artery
356. Optimun ealorie/nitrogen ratio for protein syn
(a) 25-501
005:
fe) 75-100:1
(a) 100-5051
357. Aldosterone:
(a) stimulates sodium resorption in proximal renal
tubules
10) stimulates sodium resorption in distal renal
tubules
(©) stimulates pousium resorption in proximal
renal rules
358. Hypertension in cates of extraadrenal pheochro
moeytoma is caused by
(a) combined epinephrine and norepinephrine
LE) pore epinephrine
(e) pure norepinephrine
(@) rennin, epinephrine, and norepinephrine
359. The highest bicarbonate concentration ound in
(a) salva
() gasti seretions
(6) biliary secretion
(4) pancreatic secretion
(e) small intestine
am.
En
368,
366.
E)
A Tg malo with 50% Body surface area seconde
degree burn requires
(a) 7000mL lactated Ringer's solution over the
first hours
(0) 7.00mL of etated Ringer's solution over the
fis 8 hours
(©) 8000mL of lactated Ringer solution over the
fist hours
(8) 100001 of eeated Ringers solution over the
Ans hours
A complication that enteral and parenteral feeding
ave in common i:
(4) increased incidence of sepsis
(0) intestinal vilous atrophy
(©) elevated liver transaminases
(8) hyperosmolar nonketoti coma
(e) derma
“The most common organism isolated from bie is
(a) Escherichia col
(6) Kehl
(6) Stphplcocens re
(0) Bacteroides
(6) Proteus
The protein loss equivalent to 100g of negative
nitrogen balance is
(a) 758
(0) 1508
CES
RES
(o OE
“The mos common cause of cancer related death in
males is
{) breast cancer
(0) colon cancer
(©) ovarian cancer
(4) pancreatic cancer
(e) lang cancer
‘The highest potassium concentration is found in
(a) salva
(0) gasıie secretion
(o) bile
(0) smal intestine
(@) panereai secretion
The risk of regional node metastases in 070mm,
(ick melanoma is
(a) se
© 10%
(o 20%
(a) 300%
(e) 50%
367.
30.
En
m.
an.
m.
‘The initial id bolus fr an injure child is
(2) mL of lactated Ringer's solution
(6) 20mL/ of lactated Ringer's solution
(9) 0m of lactated Ringers solution
(6) domes of lactated Ringers solution
Elevation of urinary Shydronyindole ae ac e
disgnoti of
(a) pheochromocytoma
(0) Castings disease
(6) carcinoid syndrome
(@) aldosieronoma
Regarding hypertrophic plore senos
(a) more common in males
(0) most commonly presents in the ft week fife
(©) vomit i ypicaly ie stained
(G) diagnosis shoul be confirmed with upper gas
twointestinal contrast study
‘A colon polyp withthe highest maligeant potential
(a) Lem tubular adenoma
(b) dem hypeeplastie polyp
(e) 2em villous adenoma
(4) 2em ubulovilus adenoma
(e) 3em juvenile polyp
Gastric smooth mascle tumors present most com:
mon as
(a) upper gastrointestinal hemorrhage
() incidental finding. oa esophagogisroduode-
noseopy
(6) gaste outlet obstruction
(4) intermittent epigastric pain
(6) weight loss
‘The desired minimum distal margin of rescctod
rectal cancer is
(a) tem
() 2em
(© 3m
(a) tem
(e) Sem
Regarding gastric adenocarcinoma
(@) the intestinal type is more common in younger
patents
(6) the intestinal ype i often associated with peri
{oneal spread
(6) the intestinal ype has worse prognosis than
fe type
(0) the intestinal type is often distal in location
Part XVI. Surgry Review Questions and Answers
37%. In dhe TNM staging stage I colorectal cancer is
(a) T.NLMO
(0) 72, NO.MO
(9) T4,N0, Mo
(©) TAN MI
378. Postoperative radiation without chemotherapy:
(2) improves survival i stage I colon cancer
(0) improves local recurence in stage TT colon
(6) improves local recurrence in stage IT rectal
(4) improves local recurrence and survival in stage
recul cancer
376. Rsk of iceversibie sue damage in pressure sores
ie highest wit
(a) constant pressure of S0mm Hg for 2 hours
(0) constant pressure of 70mm Hg for 2 hours
(6) constant pressure of 10Oom Hg for 30 minutes
(@) constant pressure of 150mm Hg for 20 minutes
377. In caustic esophageal injury:
y ls contraindcated inthe acute
(0) aly induced emesis is helpful in minimizing
the period of mucosal contact
(©) alkali cause eoagelative tissue necrosis
(8) acide cause severe gasto rather i
phageal injury
sn.
monly related to:
(a) Pseudomonas aeriginose
(6) Escherichia coli
(e) Saphylococcur aureus
(6) Srpincnerus prewmoniae
379. The most essential step in management of
‘esophageal efx and Barrett's change
(a) Nisn fundoplication
(0) dose endoscopic surveillance
(e) esophageal resection
(&) medical management of reflux disease
A prominet 2 wur oth igh aia ens
waveform indicates: i
¿E ep save rguraica
(9 st tn
{© pana em
(8) Sty dt
(© at er
30.
En
m.
an.
m.
‘The initial id bolus fr an injure child is
(2) mL of lactated Ringer's solution
(6) 20mL/ of lactated Ringer's solution
(9) 0m of lactated Ringers solution
(6) domes of lactated Ringers solution
Elevation of urinary Shydronyindole ae ac e
disgnoti of
(a) pheochromocytoma
(0) Castings disease
(6) carcinoid syndrome
(@) aldosieronoma
Regarding hypertrophic plore senos
(a) more common in males
(0) most commonly presents in the ft week fife
(©) vomit i ypicaly ie stained
(G) diagnosis shoul be confirmed with upper gas
twointestinal contrast study
‘A colon polyp withthe highest maligeant potential
(a) Lem tubular adenoma
(b) dem hypeeplastie polyp
(e) 2em villous adenoma
(4) 2em ubulovilus adenoma
(e) 3em juvenile polyp
Gastric smooth mascle tumors present most com:
mon as
(a) upper gastrointestinal hemorrhage
() incidental finding. oa esophagogisroduode-
noseopy
(6) gaste outlet obstruction
(4) intermittent epigastric pain
(6) weight loss
‘The desired minimum distal margin of rescctod
rectal cancer is
(a) tem
() 2em
(© 3m
(a) tem
(e) Sem
Regarding gastric adenocarcinoma
(@) the intestinal type is more common in younger
patents
(6) the intestinal ype i often associated with peri
{oneal spread
(6) the intestinal ype has worse prognosis than
fe type
(0) the intestinal type is often distal in location
Part XVI. Surgry Review Questions and Answers
37%. In dhe TNM staging stage I colorectal cancer is
(a) T.NLMO
(0) 72, NO.MO
(9) T4,N0, Mo
(©) TAN MI
378. Postoperative radiation without chemotherapy:
(2) improves survival i stage I colon cancer
(0) improves local recurence in stage TT colon
(6) improves local recurrence in stage IT rectal
(4) improves local recurrence and survival in stage
recul cancer
376. Rsk of iceversibie sue damage in pressure sores
ie highest wit
(a) constant pressure of S0mm Hg for 2 hours
(0) constant pressure of 70mm Hg for 2 hours
(6) constant pressure of 10Oom Hg for 30 minutes
(@) constant pressure of 150mm Hg for 20 minutes
377. In caustic esophageal injury:
y ls contraindcated inthe acute
(0) aly induced emesis is helpful in minimizing
the period of mucosal contact
(©) alkali cause eoagelative tissue necrosis
(8) acide cause severe gasto rather i
phageal injury
sn.
monly related to:
(a) Pseudomonas aeriginose
(6) Escherichia coli
(e) Saphylococcur aureus
(6) Srpincnerus prewmoniae
379. The most essential step in management of
‘esophageal efx and Barrett's change
(a) Nisn fundoplication
(0) dose endoscopic surveillance
(e) esophageal resection
(&) medical management of reflux disease
A prominet 2 wur oth igh aia ens
waveform indicates: i
¿E ep save rguraica
(9 st tn
{© pana em
(8) Sty dt
(© at er
174, Surgery Review Questions
381, The mainstay of treatment of Blan carotid artery
382. Regarding the anatomy ofthe esophagus:
(a) the cervical esophagus lis tthe right of the
ide
(9) the thoraie esophagus is anterior 10 the aortic
arch
(6) the left vagus nerve pases posterior 10 the
esophagus
(8) the cervical esophagus is supplied by the inex
rior thyroid artery
(6) the atslominal esophagus is supplied by the
right gastric artery
389. The most common cause of early postoperative
death in elective abdominal aortic aneurysm repair
(a) acute renal tubular necrosis
(6) isebemie stroke
(6) acute myocardial infarction
(8) respiratory fre
(e) extampuination from anastomotc disruption
384. The initial test in eases of suspected gastroc-
sophageal reflux should be:
(a) Barium swallow
(0) upper endossopy
(9) gasto pH monitoring
(a) esophageal manometry
385. Which of the following organisms is simo»
producing?
(a) Candide albicans
(8) Staphylococcus azens
(e) Stphvococcus epidermis
(@) Klebsiella pneumoniae
(©) Enterobacter aerogenes
386, An increased incidence of adenocarcinoma ofthe
esophagus is asocated wi:
(a) achalasia.
(6) Ise ingestion
(6) Barret esophagus
(0) Plummer Vinson syndrume
387. nsulinomas:
(&) are usually benign
(9) are usually multiple
10) Ar commonly located the ul o the pancreas
(8) ae less common than exstinoma
an
388. The initial stop in management of à 25-yearold
male with a pains Srota mass
(2) finesncedie aspiration and eology
(6) abdominal computed tomography
(©) observation and repeat examination in 2 weeks
(à scrotal ultrasound
(e) orchicctomy
389. The most common anterior mediastinal tumor is
(a) thymoma
(D) reiosternal goiter
(e) lymphoma
(8) teratoma
390. The hallmark of multiple endocrine neoplasia type
2eyndromes i
(a) hypenparatyroids
(6) pheochromosytoma
(©) medullary thyroid carcinoma
(6) pituitary adenoma
(e) neural gangiomas
391. The cranial nerve most commonly ijured during
carotid endarterectomy is
@ x
& x
(o x
(9 xa
392. Inadvertent tissue extravasation of intravenous
‘dopamine is best managed with:
(6) topical steroid and elevation
(0) local ice packs and clevation
(6) local inflation of ntroglerin
(6) local initration of phentolamine
(e) local infitration of 1% Hdocaine
393. Huthle ce thyron carcinoma:
(a) is adequate treated with thyroid lobectomy
(0) is seldom bilateral
(6) often metastsizes o the cervical mph nodes
(8) is ocn related to previous neck radiation
391. Which of the following contributes to the arterial
aly ofthe thoracic csophagss?
(a) sia gsi artery
(o) bronchial artery
(©) pulmonary artery
(8) innominate artery
381, The mainstay of treatment of Blan carotid artery
382. Regarding the anatomy ofthe esophagus:
(a) the cervical esophagus lis tthe right of the
ide
(9) the thoraie esophagus is anterior 10 the aortic
arch
(6) the left vagus nerve pases posterior 10 the
esophagus
(8) the cervical esophagus is supplied by the inex
rior thyroid artery
(6) the atslominal esophagus is supplied by the
right gastric artery
389. The most common cause of early postoperative
death in elective abdominal aortic aneurysm repair
(a) acute renal tubular necrosis
(6) isebemie stroke
(6) acute myocardial infarction
(8) respiratory fre
(e) extampuination from anastomotc disruption
384. The initial test in eases of suspected gastroc-
sophageal reflux should be:
(a) Barium swallow
(0) upper endossopy
(9) gasto pH monitoring
(a) esophageal manometry
385. Which of the following organisms is simo»
producing?
(a) Candide albicans
(8) Staphylococcus azens
(e) Stphvococcus epidermis
(@) Klebsiella pneumoniae
(©) Enterobacter aerogenes
386, An increased incidence of adenocarcinoma ofthe
esophagus is asocated wi:
(a) achalasia.
(6) Ise ingestion
(6) Barret esophagus
(0) Plummer Vinson syndrume
387. nsulinomas:
(&) are usually benign
(9) are usually multiple
10) Ar commonly located the ul o the pancreas
(8) ae less common than exstinoma
an
388. The initial stop in management of à 25-yearold
male with a pains Srota mass
(2) finesncedie aspiration and eology
(6) abdominal computed tomography
(©) observation and repeat examination in 2 weeks
(à scrotal ultrasound
(e) orchicctomy
389. The most common anterior mediastinal tumor is
(a) thymoma
(D) reiosternal goiter
(e) lymphoma
(8) teratoma
390. The hallmark of multiple endocrine neoplasia type
2eyndromes i
(a) hypenparatyroids
(6) pheochromosytoma
(©) medullary thyroid carcinoma
(6) pituitary adenoma
(e) neural gangiomas
391. The cranial nerve most commonly ijured during
carotid endarterectomy is
@ x
& x
(o x
(9 xa
392. Inadvertent tissue extravasation of intravenous
‘dopamine is best managed with:
(6) topical steroid and elevation
(0) local ice packs and clevation
(6) local inflation of ntroglerin
(6) local initration of phentolamine
(e) local infitration of 1% Hdocaine
393. Huthle ce thyron carcinoma:
(a) is adequate treated with thyroid lobectomy
(0) is seldom bilateral
(6) often metastsizes o the cervical mph nodes
(8) is ocn related to previous neck radiation
391. Which of the following contributes to the arterial
aly ofthe thoracic csophagss?
(a) sia gsi artery
(o) bronchial artery
(©) pulmonary artery
(8) innominate artery
oy
295. Regarding postoperative myocardial infarction
(a) itis often associated with chest pain
(0) ischemic injury is more common postopera-
"ely rather than intraoperatively
(©) Fave changes ae he most spec finding for
acute myocardial infarction
(0) it oceurs most commonly within the fst 48
ours after surgery
396. The least appropriate test the ital evaluation of
adrenal incidentaloma e
(a) magne resonance imaging ofthe abdomen
(b) inenoedte aspiration biopsy
(6) follow-up computed lomography ofthe abdax
men in € months
(4) 24 hour urinary vanylmandelic acid (VMA)
tere
(6) serum potassium level
397. A S8yearol female vit
should be treated wits
(a) antbites and laparoscope drainage
(6) amibities with hysterectomy and bilateral
Sslpingo-oophorectomy,
a tubo-ovarian abscess
(©) anbbiotcs and unilateral salpingo-
ophoreciomy
(@) antibiotics and computed tomosraphy-anided
desinage
Le) antibiotics and observation
(Cannon "a" waves on a right arial waveform racing
inate:
(a) atria tt
(0) atra! brition
Le) cup regurgitation
(d) pulmonary embolism
(e) atrioventricular block
399. Inuelobar pulmonary sequestration
(a) is supplied by tke aora
(o) le drained by tho ay os venous system.
(6) is commonly asceated with diaphragmatic d=
feet
(@) has a separa pleural covering
Specific therapy for heparininduced rombo»
topeni e
(a) lowemolecu
(9) Coumadin
(o) dextan-60
(8) spina
de) lepiadin
weight heparin
Par XVI Suysty Review Quesos and Anere
401, Hurl cell hyroid carcinoma:
(a) can be readily diagnosed with Sne-needle
aspiration
is ten associated with previous neck radiation
ls more aggressive than felicula thyroid eae
‘ypically shows avid uptake
©
©
©
Burmassocated inhilaion injury can be exe
elude i
(a) the chest ar on admision i normal
(©) thete is no abnormal finding on flexible one
shoscopy
Le) the arterial oxygen saturation is over 90%
(8) the FEVITVO is normal
“The Iteral houndary of et paraduodenal he
(a) the splenic tery
(0) the let renal vein
(e) the superior mesenteric ein
(a) the inferior mesenter artery
(e) the inferior mesenteric vin
404. The carota body
(a) iss pressure receptor
() isan osmoreeepior
(6) isa subitinal structure
(8) is located in the adventia
(e) is locas in the media
‘arett’ esophagus
(a) commen congeaial in origin
(9) is associated with epidermoid carcinoma ofthe
‘vophagus
(6) is reversed by a success antireflux surgery
(@) 5 an indication for Melong endoscopic
surveillance
406. The most common eawali agent in nosocomial
sinusitis in the ICU i
(a) Pseudomonas aeruginosa
(6) Staphylococcus aureus
(0) Siaphyiccoceus epidermidis
(@) Sireptacocens pneumoniae
407. The treatment of hyperacute kidney runsplant
een i
(a) administration of ORTO
(0) administration of massive doses of steroids
() immediate transplant nepkrestuny,
(8) observation and dialysis.
295. Regarding postoperative myocardial infarction
(a) itis often associated with chest pain
(0) ischemic injury is more common postopera-
"ely rather than intraoperatively
(©) Fave changes ae he most spec finding for
acute myocardial infarction
(0) it oceurs most commonly within the fst 48
ours after surgery
396. The least appropriate test the ital evaluation of
adrenal incidentaloma e
(a) magne resonance imaging ofthe abdomen
(b) inenoedte aspiration biopsy
(6) follow-up computed lomography ofthe abdax
men in € months
(4) 24 hour urinary vanylmandelic acid (VMA)
tere
(6) serum potassium level
397. A S8yearol female vit
should be treated wits
(a) antbites and laparoscope drainage
(6) amibities with hysterectomy and bilateral
Sslpingo-oophorectomy,
a tubo-ovarian abscess
(©) anbbiotcs and unilateral salpingo-
ophoreciomy
(@) antibiotics and computed tomosraphy-anided
desinage
Le) antibiotics and observation
(Cannon "a" waves on a right arial waveform racing
inate:
(a) atria tt
(0) atra! brition
Le) cup regurgitation
(d) pulmonary embolism
(e) atrioventricular block
399. Inuelobar pulmonary sequestration
(a) is supplied by tke aora
(o) le drained by tho ay os venous system.
(6) is commonly asceated with diaphragmatic d=
feet
(@) has a separa pleural covering
Specific therapy for heparininduced rombo»
topeni e
(a) lowemolecu
(9) Coumadin
(o) dextan-60
(8) spina
de) lepiadin
weight heparin
Par XVI Suysty Review Quesos and Anere
401, Hurl cell hyroid carcinoma:
(a) can be readily diagnosed with Sne-needle
aspiration
is ten associated with previous neck radiation
ls more aggressive than felicula thyroid eae
‘ypically shows avid uptake
©
©
©
Burmassocated inhilaion injury can be exe
elude i
(a) the chest ar on admision i normal
(©) thete is no abnormal finding on flexible one
shoscopy
Le) the arterial oxygen saturation is over 90%
(8) the FEVITVO is normal
“The Iteral houndary of et paraduodenal he
(a) the splenic tery
(0) the let renal vein
(e) the superior mesenteric ein
(a) the inferior mesenter artery
(e) the inferior mesenteric vin
404. The carota body
(a) iss pressure receptor
() isan osmoreeepior
(6) isa subitinal structure
(8) is located in the adventia
(e) is locas in the media
‘arett’ esophagus
(a) commen congeaial in origin
(9) is associated with epidermoid carcinoma ofthe
‘vophagus
(6) is reversed by a success antireflux surgery
(@) 5 an indication for Melong endoscopic
surveillance
406. The most common eawali agent in nosocomial
sinusitis in the ICU i
(a) Pseudomonas aeruginosa
(6) Staphylococcus aureus
(0) Siaphyiccoceus epidermidis
(@) Sireptacocens pneumoniae
407. The treatment of hyperacute kidney runsplant
een i
(a) administration of ORTO
(0) administration of massive doses of steroids
() immediate transplant nepkrestuny,
(8) observation and dialysis.
174. surgery Review Questions
406, Blunt cards ju
(a) most commonly affects the left verre
(0) most commonly results in ventricular arıyıh-
(6) canbe reliably excluded if cardiac enzymes are
normal
(4) shouldbe suspecto if admision eletrocurdio-
‘ram à abnor
409. A characteristic of Bucrgers diese js
(a) superficial migratory thrombophebiós
(6) female predominance
(e) severe involvement of he sortie segment
(8) the disease is restricted to the lower extremities
410. Recurrence of thyroid carcinoma after definitive
eutmen: à best detected by
(a) altzsound ofthe neck
(6) ihroidstinulatig hormone Tovel measure:
(9 thyrogloin serum measurement
(@) computed tomography sean ofthe neck
(©) wlodaihyronineihyroxine measurement
411. The primary regulator of aldosterone secretion is
(a) angiotensin 1
(0) serum K level
(6) adronocortcoeepic hormone
(©) prostaglandins
412. The optimum management of a Te breast cancer
(2) modified rica mastectomy and radiation
(6) chemoradiation oy
de) simple mastectomy and radiation
(@) chemotherapy followed by masicotomy and
ration
(€) radiation therapy omy
415, The dignes soph acai icone
Fe
(©) tiras beak appsrans où sam sallow
© setaronpheteintlunie! esophageal pres
(6) endoscope nee a ia esohagi
(0) fe lower sophgeal sphincter relation
(6) pompas ofthe body ofthe csophagas
414, Factor VII elote antigen is a marker ot
(a) Kaposi's sarcoma
(0) melanoma
(e) postmastecomy angiosarcoma.
(0) desmoid tumors
(6) Merkel cel carcinoma
sis.
us
a.
as,
419,
0.
ry
‘The indication for fe-ncode aspiration biopsy of
an adrenal incgensaonna
(a) suspected pheochtemoeytoma
(6) suspected aldostronoma
(6) suspecte adrenal carcinoma
(4) suspected adrenal metastases
Mole breast cancer
(a) has peak incidence a the ge of 40 years
{(b) e typically hormonally dependent
(©) tyicll presents with bloody nippe discharge
(4) e seldom un indcation for tamoxien therapy
A nonanion gap metabolic acidosis i associated
i
abat ketoacidosis
(9) hemonhage sock
(©) excesivo sodium chloride administration
(e) uremia
(e) ingestion of ethyone yea!
Inverse ratio ventilation:
(a) decreases mean airway pressure and increases
inrathorci pressure
(6) decreases mean airway pressure and decreases
intrathorace pressure
(6) increases mean aivway pressure and increases
intrathoracic pressure
(a) incresses mean sirway pressure and decreases
intratnorace prose
Duodenal reso
(a) is cased by intrauterine mesenteric vascular
meiden:
(6) commonly exhibits normal muscular wall with
mucosal web
(6) is seldom associated with normal passage of
eco at bith
(6) is rarely associated with other congenital
anomalies
Angio
in-converting enzyme is produced by:
(a) type 1 pneamocytes
(0) ype I pneumocytes
(o) hepatoeyes
{0 jax
Hereditary nonpotyposs colorectal cancer:
(a) is an autosomal recewive disorder
(0) is associated with higher incidence of ovarian
(6) is associated with
‘wal cancer
(4) is monly lie colon caer
incidence of endome-
406, Blunt cards ju
(a) most commonly affects the left verre
(0) most commonly results in ventricular arıyıh-
(6) canbe reliably excluded if cardiac enzymes are
normal
(4) shouldbe suspecto if admision eletrocurdio-
‘ram à abnor
409. A characteristic of Bucrgers diese js
(a) superficial migratory thrombophebiós
(6) female predominance
(e) severe involvement of he sortie segment
(8) the disease is restricted to the lower extremities
410. Recurrence of thyroid carcinoma after definitive
eutmen: à best detected by
(a) altzsound ofthe neck
(6) ihroidstinulatig hormone Tovel measure:
(9 thyrogloin serum measurement
(@) computed tomography sean ofthe neck
(©) wlodaihyronineihyroxine measurement
411. The primary regulator of aldosterone secretion is
(a) angiotensin 1
(0) serum K level
(6) adronocortcoeepic hormone
(©) prostaglandins
412. The optimum management of a Te breast cancer
(2) modified rica mastectomy and radiation
(6) chemoradiation oy
de) simple mastectomy and radiation
(@) chemotherapy followed by masicotomy and
ration
(€) radiation therapy omy
415, The dignes soph acai icone
Fe
(©) tiras beak appsrans où sam sallow
© setaronpheteintlunie! esophageal pres
(6) endoscope nee a ia esohagi
(0) fe lower sophgeal sphincter relation
(6) pompas ofthe body ofthe csophagas
414, Factor VII elote antigen is a marker ot
(a) Kaposi's sarcoma
(0) melanoma
(e) postmastecomy angiosarcoma.
(0) desmoid tumors
(6) Merkel cel carcinoma
sis.
us
a.
as,
419,
0.
ry
‘The indication for fe-ncode aspiration biopsy of
an adrenal incgensaonna
(a) suspected pheochtemoeytoma
(6) suspected aldostronoma
(6) suspecte adrenal carcinoma
(4) suspected adrenal metastases
Mole breast cancer
(a) has peak incidence a the ge of 40 years
{(b) e typically hormonally dependent
(©) tyicll presents with bloody nippe discharge
(4) e seldom un indcation for tamoxien therapy
A nonanion gap metabolic acidosis i associated
i
abat ketoacidosis
(9) hemonhage sock
(©) excesivo sodium chloride administration
(e) uremia
(e) ingestion of ethyone yea!
Inverse ratio ventilation:
(a) decreases mean airway pressure and increases
inrathorci pressure
(6) decreases mean airway pressure and decreases
intrathorace pressure
(6) increases mean aivway pressure and increases
intrathoracic pressure
(a) incresses mean sirway pressure and decreases
intratnorace prose
Duodenal reso
(a) is cased by intrauterine mesenteric vascular
meiden:
(6) commonly exhibits normal muscular wall with
mucosal web
(6) is seldom associated with normal passage of
eco at bith
(6) is rarely associated with other congenital
anomalies
Angio
in-converting enzyme is produced by:
(a) type 1 pneamocytes
(0) ype I pneumocytes
(o) hepatoeyes
{0 jax
Hereditary nonpotyposs colorectal cancer:
(a) is an autosomal recewive disorder
(0) is associated with higher incidence of ovarian
(6) is associated with
‘wal cancer
(4) is monly lie colon caer
incidence of endome-
sn.
4
a.
25,
2.
en.
Auto positive end-expiratory pressure in mechani-
cal ventilation is most key o develop Wits
(a) high rats and prolonged LE ra
(b) big rats and decreased LE rt
(e) decreased rate and decresed LE ratio
(a) decreased rate sad prolonged 1: ratio
Initial management of TA invasive lobular breast,
(a) tamoxifen therapy
(6) modified radical masteetony
(©) radiation therapy tothe breast and ipsilateral
sil
(2) neoadjuvant chemotherapy
‘The Muidof cylothora is composed oft
(a) pare fot
(©) fatand neutrophils
(e) fat and lymphocytes
(a) fat and macrophages
“The most common couse of renovascular hyperten-
(a) aneurysm of the
(6) Abromuscu
artery
yprplasia
Merkel cel carcinoma:
(a) is highly radesonsit
(0) has the best prognosis when it occur on the
‘rune
(6) seldom spreads to regional lymph nodes
A) à testikely than melanoma to recu after local
A complication of trous therapy iss
(a) new-onset diabetes
(0) upper gastrointestinal bleeding
(©) thrombocytopenia
(8) cardiac erhyıhmia
(©) broachospasm
Extralobar pulmonary sequestration:
(@) typical posent with repeated pulmonary info
(0) is drained by the pulmonary veins
(e) is supplied by the aora
8) is more common onthe right side
(©) is commonly connected with the bronchial tree
=.
su.
a.
a.
as.
a.
ss.
Pat XVI, Surgery Review Questions and Answers
Appropriate management of radiation mastitis
(2) local heat application
(0) danazol ter
(©) therapeutic breast massage
(d) simple mastectomy
(e) pentoxfylin therapy
Optimum therapy fr effort tombs ofthe ax.
Jury vein
(a) therapeutic heparin followed by Coumadin for
3 months
(6) therapeutic heparin followed by Coumadin for
6 monts
(© hams antago ad pas it
(4) thrombolysis antioagutation, and balloon an
ioplasty
(6) thrombectomy anticoagulation and stent place.
Drooling fom the coer ofthe mouth after sub
‘mandibulse gland excision is due 10:
(a) injury of the lingual nerve
(6) injury of the ana cervcalis
(0 injury of the hypoglossal nerve
(8) injury of the marginal mandibular nerve
‘The component of hood transfusion responsible for
immunosuppresion is
(a) red eels
(6) immunoglobulins
(6) white blood cells
(© platelets
In therapeutic immunosuppression, rapamycin:
(a) blocks intrlukin-1 production
(6) Blocks intereukin ation.
(e) blocks intrlekin 2 production
à) blocks inerleukin.2
Gallstones diagnosed during pregnancy:
(a) may resolve spontaneous after delivery
(6) are the most common cause of jaundice during.
pregnancy
(6) Are seldom the exuse of recurren culo cots
‘tts during the same pregnancy
(@) are most commonly pigment stones
Trauma cesarean section is indicated ifthe fetus i
viable and
(a) the mother is unstable and cardiac arrest is ani-
ipeied
(6) Sminutesoveardiopulmonaryresusiaton were
successful
{0 Sminutesufeandiopulmonaryresuschationwere
unsucscful
(4) cardiopuimonary resuscitation has just been
ied
4
a.
25,
2.
en.
Auto positive end-expiratory pressure in mechani-
cal ventilation is most key o develop Wits
(a) high rats and prolonged LE ra
(b) big rats and decreased LE rt
(e) decreased rate and decresed LE ratio
(a) decreased rate sad prolonged 1: ratio
Initial management of TA invasive lobular breast,
(a) tamoxifen therapy
(6) modified radical masteetony
(©) radiation therapy tothe breast and ipsilateral
sil
(2) neoadjuvant chemotherapy
‘The Muidof cylothora is composed oft
(a) pare fot
(©) fatand neutrophils
(e) fat and lymphocytes
(a) fat and macrophages
“The most common couse of renovascular hyperten-
(a) aneurysm of the
(6) Abromuscu
artery
yprplasia
Merkel cel carcinoma:
(a) is highly radesonsit
(0) has the best prognosis when it occur on the
‘rune
(6) seldom spreads to regional lymph nodes
A) à testikely than melanoma to recu after local
A complication of trous therapy iss
(a) new-onset diabetes
(0) upper gastrointestinal bleeding
(©) thrombocytopenia
(8) cardiac erhyıhmia
(©) broachospasm
Extralobar pulmonary sequestration:
(@) typical posent with repeated pulmonary info
(0) is drained by the pulmonary veins
(e) is supplied by the aora
8) is more common onthe right side
(©) is commonly connected with the bronchial tree
=.
su.
a.
a.
as.
a.
ss.
Pat XVI, Surgery Review Questions and Answers
Appropriate management of radiation mastitis
(2) local heat application
(0) danazol ter
(©) therapeutic breast massage
(d) simple mastectomy
(e) pentoxfylin therapy
Optimum therapy fr effort tombs ofthe ax.
Jury vein
(a) therapeutic heparin followed by Coumadin for
3 months
(6) therapeutic heparin followed by Coumadin for
6 monts
(© hams antago ad pas it
(4) thrombolysis antioagutation, and balloon an
ioplasty
(6) thrombectomy anticoagulation and stent place.
Drooling fom the coer ofthe mouth after sub
‘mandibulse gland excision is due 10:
(a) injury of the lingual nerve
(6) injury of the ana cervcalis
(0 injury of the hypoglossal nerve
(8) injury of the marginal mandibular nerve
‘The component of hood transfusion responsible for
immunosuppresion is
(a) red eels
(6) immunoglobulins
(6) white blood cells
(© platelets
In therapeutic immunosuppression, rapamycin:
(a) blocks intrlukin-1 production
(6) Blocks intereukin ation.
(e) blocks intrlekin 2 production
à) blocks inerleukin.2
Gallstones diagnosed during pregnancy:
(a) may resolve spontaneous after delivery
(6) are the most common cause of jaundice during.
pregnancy
(6) Are seldom the exuse of recurren culo cots
‘tts during the same pregnancy
(@) are most commonly pigment stones
Trauma cesarean section is indicated ifthe fetus i
viable and
(a) the mother is unstable and cardiac arrest is ani-
ipeied
(6) Sminutesoveardiopulmonaryresusiaton were
successful
{0 Sminutesufeandiopulmonaryresuschationwere
unsucscful
(4) cardiopuimonary resuscitation has just been
ied
176, Sugey Revcw Questions
436, The single most common abdominal operation for
the eden is
(6) adhesiolyss for small bowel obseution
(b) closure of perforated duodenal user
(0 resection of colon cancer
(4) cholecystectomy
(e) appendectomy
437. An agerelated change in respiratory Function is
(a) increased toral lung capacity (TLC)
(0) decrease total lung capacity (TLC)
‘created functional residual capacity (FRC)
(8) increased residual volume (RV)
{@) increased vital capacity (VC)
436. Fetal death during pregnancy is most commonly due
(a) abruptio placentae
1) subarachnoid hemorrhage
(e) penetrating fetal injury
(8) materal demise
439, A physiologic change of aging is:
(a) increased total body water
(6) decreased amidiuree hormone seccion
(AD)
(©) decreased aldoserone secretion
(8) exaggerated his response
(0) decreased ari! natriuretic peptide (ANP)
440. Which of the following is constandicated during
pregnancy or eating breast cancer?
(a) methouexate
(0) Setvoroarac
(o) doxorubicin
(4) eylophosphamide
441. Inthe elder
(a) there is decreased insensible water loss
A) there e increased antidiuretic hormone re=
sponse
(©) there is increased volume of dstbution of
watersolule medications
(@) there is decreased volume of distribution of
Tipdsoluble medications
442, During pregnancy:
(a) acute appendicitis more common than inthe
nonpregnant state
(0 intestinal obstruction is most commonly caused
by adhesions
(9) laparoscopic cholegstectomy is contain
cated
(9) leukoeytosis i often indicative of a surgical
abdominal pathology
as
443. An 80 car male is confused lthargic, and has
toni spasms He has boon receving intravenous 3%
Sextrose in water in one-half normal saline for 3
Gays after right hemicolecomy. The most likely
(a) hypokalemin
(0) hyperkalemia
(©) hypocatcemia
(8) hypematremia
(6) hyponstremia
444. physiologic change in pregnancy i
(a) increased gallbladder contacts
(0) elevated saline phosphatase
(©) elevated alanine aminotransferase (AST)
Aspartate aminotransferase (ALT)
(8) direct hyperilirubineni
€) indirect hyperbiliabinenía
45. Inthe elderly
(1) the myocardium is overtone tothe effet of
cstecholamines
(6) sol fuen is more impaired than diastolic
function
(6) diastole funtion is more impsired than systole
function
(8) sche and diastole functions are equally
inpeired
46. A Cosh’ laca tra a:
ds) mos common green wi ord sepsis
(©) mou common presents with Cohn dase
ps
(6) rani econ ofboth ena ire fo
(0) mon common vos sal bone os
owe eaten
(0 regs steal Intervention s soon ot the
‘Rogues eae
47. In infammation, early “toting” of neutrophils on
endotelio 4 function of
(a) selectins
(o) Reahedrins
(©) immunoglobulin superfamily
(integrins
(6) complement activation
448. A paraesophageal hernia:
a) à a type 1 hit hernia
(6) is most common in men <SD years of age
(©) may present with chronic anemia
(8) is often associated with refx
(6) requires surgery only if symptomatic
436, The single most common abdominal operation for
the eden is
(6) adhesiolyss for small bowel obseution
(b) closure of perforated duodenal user
(0 resection of colon cancer
(4) cholecystectomy
(e) appendectomy
437. An agerelated change in respiratory Function is
(a) increased toral lung capacity (TLC)
(0) decrease total lung capacity (TLC)
‘created functional residual capacity (FRC)
(8) increased residual volume (RV)
{@) increased vital capacity (VC)
436. Fetal death during pregnancy is most commonly due
(a) abruptio placentae
1) subarachnoid hemorrhage
(e) penetrating fetal injury
(8) materal demise
439, A physiologic change of aging is:
(a) increased total body water
(6) decreased amidiuree hormone seccion
(AD)
(©) decreased aldoserone secretion
(8) exaggerated his response
(0) decreased ari! natriuretic peptide (ANP)
440. Which of the following is constandicated during
pregnancy or eating breast cancer?
(a) methouexate
(0) Setvoroarac
(o) doxorubicin
(4) eylophosphamide
441. Inthe elder
(a) there is decreased insensible water loss
A) there e increased antidiuretic hormone re=
sponse
(©) there is increased volume of dstbution of
watersolule medications
(@) there is decreased volume of distribution of
Tipdsoluble medications
442, During pregnancy:
(a) acute appendicitis more common than inthe
nonpregnant state
(0 intestinal obstruction is most commonly caused
by adhesions
(9) laparoscopic cholegstectomy is contain
cated
(9) leukoeytosis i often indicative of a surgical
abdominal pathology
as
443. An 80 car male is confused lthargic, and has
toni spasms He has boon receving intravenous 3%
Sextrose in water in one-half normal saline for 3
Gays after right hemicolecomy. The most likely
(a) hypokalemin
(0) hyperkalemia
(©) hypocatcemia
(8) hypematremia
(6) hyponstremia
444. physiologic change in pregnancy i
(a) increased gallbladder contacts
(0) elevated saline phosphatase
(©) elevated alanine aminotransferase (AST)
Aspartate aminotransferase (ALT)
(8) direct hyperilirubineni
€) indirect hyperbiliabinenía
45. Inthe elderly
(1) the myocardium is overtone tothe effet of
cstecholamines
(6) sol fuen is more impaired than diastolic
function
(6) diastole funtion is more impsired than systole
function
(8) sche and diastole functions are equally
inpeired
46. A Cosh’ laca tra a:
ds) mos common green wi ord sepsis
(©) mou common presents with Cohn dase
ps
(6) rani econ ofboth ena ire fo
(0) mon common vos sal bone os
owe eaten
(0 regs steal Intervention s soon ot the
‘Rogues eae
47. In infammation, early “toting” of neutrophils on
endotelio 4 function of
(a) selectins
(o) Reahedrins
(©) immunoglobulin superfamily
(integrins
(6) complement activation
448. A paraesophageal hernia:
a) à a type 1 hit hernia
(6) is most common in men <SD years of age
(©) may present with chronic anemia
(8) is often associated with refx
(6) requires surgery only if symptomatic
46
ss.
492.
453,
ass
485,
“The most common caso of large bow! obstruction
(a) colorectal cancer
(8) Croan’ cola
(©) divers
(8) adhesions
(e) volvulus
Hypophosphatemia is associated with
(a) increased hemozlohin pSO, respiratory fare,
and encephalopathy
(0) decreased hemoglobin 950, hemolysis andres
piratry ale
(©) respiratory failure, hypothyroidism, and hemo!
sis
(8) aaa, cardiomyopathy, and Aypaklıyroidien
Preoperative radio
(2) improves survival
(b) increases postoperative morbidity
(0) downstages tumor in up 0 50% of eases
(a) is es effective thin postoperative ration
for rectal adenocarci=
‘The pricipal sie ff: of ganciclovir orapy is
(a) bone marrow suppression
(8) elevated iver cames
(e) acute panereat
(a) acute tonal fare
(e) prolonged eus
In contrat to ulertive clits, Crohn's disease
(a) is nor associated with increased cancer risk
(0) may spare the rect
(e) is more commonly associated with slerosing
cholangitis
(@) ismore commonly associated with toxic mega
colon
"The negative predictivo vale ol testi
(&) the proportion of patents with the disuse who
Rave a postive test
(6) the proportion of patients without the disease
who hive a negative test
(6) the proportion of patents without the disease
ho have a postive test
(4) the proportion of patient with a positive tet
‘who have the dico
(6) the proportion of patents with negative test
so do not have the disease
[Radiation enteritis of the large bowel most com-
only ales
(a) the cceun
(6) the spleic Dexure
(e) the sigmoid
(8) the rectum
Par XVI Surgery Review Question and Answers
456. Bight hours aftr treatment fora sald injury, an
Infant has a temperature of 40°C and a white blood
count of 500m, The burn wound is clean. The
‘most likely diagnose
(0) Cytomegalovirus infection.
(0) elstiial wound infection
de) toxic shock syncrome
(8) Pseudomonas wound infection
(6) Preumoeysis pneumonie
457. The medial boundary of the femoral can! ist
(a) the femoral vain
(0) the femoral artery
(e) the lacunar ligament
(8) the inguisa gara
(6) the femoral nerve
45%. Hemorhogie dermal bullae axe characterise of
‘wound infection caused by
(4) cosgulase-nepaive Smphyloeoceus
(0) Streptococcus pyogenes
(©) Clostridium perfringens
(8) Closed tant
(e) Ekenella
459. A marker with prognonte significance in cases of
(a) acfetoprotein
(6) human chorionic gonadotropin $
(6) alkaline phosphatase of hepatic origin
(@) testosterone Love
(e) serum lactato dehydrogenase
460. Collagen synthesis inthe actively healing wound is
best assessed by.
(a) glutamine conten:
(6) gine concent
(6) hydroxyprotine content
(@) alanine content
461. The main motor nerve supply othe urinary bladder
(2) the pee nene
() the hypogastric nerve
(©) the pudendal nerve
(@) the presacral nerve
Compared with hepatitis B vias, hepatitis € virus
(a) ¡san RNA vias
(0) less commonly results in persistent viremia
(©) can be prevent with eecie vaccinaion
(8) can be fansrtted va the foalorel route
ss.
492.
453,
ass
485,
“The most common caso of large bow! obstruction
(a) colorectal cancer
(8) Croan’ cola
(©) divers
(8) adhesions
(e) volvulus
Hypophosphatemia is associated with
(a) increased hemozlohin pSO, respiratory fare,
and encephalopathy
(0) decreased hemoglobin 950, hemolysis andres
piratry ale
(©) respiratory failure, hypothyroidism, and hemo!
sis
(8) aaa, cardiomyopathy, and Aypaklıyroidien
Preoperative radio
(2) improves survival
(b) increases postoperative morbidity
(0) downstages tumor in up 0 50% of eases
(a) is es effective thin postoperative ration
for rectal adenocarci=
‘The pricipal sie ff: of ganciclovir orapy is
(a) bone marrow suppression
(8) elevated iver cames
(e) acute panereat
(a) acute tonal fare
(e) prolonged eus
In contrat to ulertive clits, Crohn's disease
(a) is nor associated with increased cancer risk
(0) may spare the rect
(e) is more commonly associated with slerosing
cholangitis
(@) ismore commonly associated with toxic mega
colon
"The negative predictivo vale ol testi
(&) the proportion of patents with the disuse who
Rave a postive test
(6) the proportion of patients without the disease
who hive a negative test
(6) the proportion of patents without the disease
ho have a postive test
(4) the proportion of patient with a positive tet
‘who have the dico
(6) the proportion of patents with negative test
so do not have the disease
[Radiation enteritis of the large bowel most com-
only ales
(a) the cceun
(6) the spleic Dexure
(e) the sigmoid
(8) the rectum
Par XVI Surgery Review Question and Answers
456. Bight hours aftr treatment fora sald injury, an
Infant has a temperature of 40°C and a white blood
count of 500m, The burn wound is clean. The
‘most likely diagnose
(0) Cytomegalovirus infection.
(0) elstiial wound infection
de) toxic shock syncrome
(8) Pseudomonas wound infection
(6) Preumoeysis pneumonie
457. The medial boundary of the femoral can! ist
(a) the femoral vain
(0) the femoral artery
(e) the lacunar ligament
(8) the inguisa gara
(6) the femoral nerve
45%. Hemorhogie dermal bullae axe characterise of
‘wound infection caused by
(4) cosgulase-nepaive Smphyloeoceus
(0) Streptococcus pyogenes
(©) Clostridium perfringens
(8) Closed tant
(e) Ekenella
459. A marker with prognonte significance in cases of
(a) acfetoprotein
(6) human chorionic gonadotropin $
(6) alkaline phosphatase of hepatic origin
(@) testosterone Love
(e) serum lactato dehydrogenase
460. Collagen synthesis inthe actively healing wound is
best assessed by.
(a) glutamine conten:
(6) gine concent
(6) hydroxyprotine content
(@) alanine content
461. The main motor nerve supply othe urinary bladder
(2) the pee nene
() the hypogastric nerve
(©) the pudendal nerve
(@) the presacral nerve
Compared with hepatitis B vias, hepatitis € virus
(a) ¡san RNA vias
(0) less commonly results in persistent viremia
(©) can be prevent with eecie vaccinaion
(8) can be fansrtted va the foalorel route
14, Surgery Review Questions
463. The postive predictivo value of test
(a) the proportion of patents withthe disease who
have a postive test
(0) the proportion of persons without the disease
‘who have a negative test,
(6) the proportion of persons with a positive test
‘who have the disease
(4) the proportion of persons witha negative tet
‘who do not have the diene
461. The cieviting evel of which cytokine can bo used
(4) inertie
(€) tumor necro acord
465, Nitric oxide
(a) à à potent vasoconstrictor
() prevents plareetsaggreation
(6) requires tic aenosino monophosphate for
(4) is normal stored ia endotheta cells
466, The mos common cause of aca nerve paralysis
(a) proud surgery
(0) faciowmailary injtey
(©) Bells palsy
(8) pleomorphic adenoma of the parotid gland
(e) carcinoma of the parotid gland
467. Most renal absorption of sedium takes place in
(a) the pronimal thus
0) the loop ol Henle
(6) the distal bates
(0) the collecting ducts
68. Distinction between hemorrhagic and cardiogenic
shock canbe baie on
(a) level of
dh) ventral
(6) stem vascular resistance
(8) serum lactate level
(©) mised venons oxygen saturation
449, Renin-angotensin system is activated by:
(a) hyposatremie
(©) hypernatremia
(©) bypokaleni
(@) dypocaeemia
(e) ayperealcemia
un
0. The Ihoracadenal nerve:
(a) is purely motor
(6) supplies motor innervation othe serratus ante-
foe muscle
(6) injury during axlary disection will lad 10
winged scapula
(9) injury wi result in loss of sensation on the
‘media surface of the upper an
ATI. Hypocaleemin is a complication of chemaiherapy
ath
(a) gclophocphamide
() incisine
(©) methotrexate
(4) mithranyeio
(o) Adriamycin
472, Mal breast cancer most commonly presents with
(a) masiodynia
(©) bleeding per nipple
(6) breast mas only
(6) breast mass and beeding per pple
(e) breast mass with ulosration
473. Which of the following is a cls
ange fr neerolizing enerocol
(a) generalized gas distension of the intestino
(0) Bleeding rectum
(e) pneumatsis intestinalis
4) gs in the portal ein
de) Pneumoperitoneum
indiation of
4474 An infected dog bite is most readily treated with
{gentamicin
(0) spin
(o) vancomyein
(4) dindamyein
475. During CO, preumepertoneun:
(a) the mean arterial presses Increases
(0) the mean arterial pressure decreases
(6) the systemic vascular resistance increases
(9) the ystemievascular resin decrees
(e) the cardio output increases
416, In diabetic foot wees:
(a) europathy i restricted to somatic nerves
(0) the heel isthe most common location
(e) motor neuropathy most ales toe exo
(8) col, dy foot i classic nding
(6) the ankle-brachil index isan accurate measure
ofthe degree of ischemia
463. The postive predictivo value of test
(a) the proportion of patents withthe disease who
have a postive test
(0) the proportion of persons without the disease
‘who have a negative test,
(6) the proportion of persons with a positive test
‘who have the disease
(4) the proportion of persons witha negative tet
‘who do not have the diene
461. The cieviting evel of which cytokine can bo used
(4) inertie
(€) tumor necro acord
465, Nitric oxide
(a) à à potent vasoconstrictor
() prevents plareetsaggreation
(6) requires tic aenosino monophosphate for
(4) is normal stored ia endotheta cells
466, The mos common cause of aca nerve paralysis
(a) proud surgery
(0) faciowmailary injtey
(©) Bells palsy
(8) pleomorphic adenoma of the parotid gland
(e) carcinoma of the parotid gland
467. Most renal absorption of sedium takes place in
(a) the pronimal thus
0) the loop ol Henle
(6) the distal bates
(0) the collecting ducts
68. Distinction between hemorrhagic and cardiogenic
shock canbe baie on
(a) level of
dh) ventral
(6) stem vascular resistance
(8) serum lactate level
(©) mised venons oxygen saturation
449, Renin-angotensin system is activated by:
(a) hyposatremie
(©) hypernatremia
(©) bypokaleni
(@) dypocaeemia
(e) ayperealcemia
un
0. The Ihoracadenal nerve:
(a) is purely motor
(6) supplies motor innervation othe serratus ante-
foe muscle
(6) injury during axlary disection will lad 10
winged scapula
(9) injury wi result in loss of sensation on the
‘media surface of the upper an
ATI. Hypocaleemin is a complication of chemaiherapy
ath
(a) gclophocphamide
() incisine
(©) methotrexate
(4) mithranyeio
(o) Adriamycin
472, Mal breast cancer most commonly presents with
(a) masiodynia
(©) bleeding per nipple
(6) breast mas only
(6) breast mass and beeding per pple
(e) breast mass with ulosration
473. Which of the following is a cls
ange fr neerolizing enerocol
(a) generalized gas distension of the intestino
(0) Bleeding rectum
(e) pneumatsis intestinalis
4) gs in the portal ein
de) Pneumoperitoneum
indiation of
4474 An infected dog bite is most readily treated with
{gentamicin
(0) spin
(o) vancomyein
(4) dindamyein
475. During CO, preumepertoneun:
(a) the mean arterial presses Increases
(0) the mean arterial pressure decreases
(6) the systemic vascular resistance increases
(9) the ystemievascular resin decrees
(e) the cardio output increases
416, In diabetic foot wees:
(a) europathy i restricted to somatic nerves
(0) the heel isthe most common location
(e) motor neuropathy most ales toe exo
(8) col, dy foot i classic nding
(6) the ankle-brachil index isan accurate measure
ofthe degree of ischemia
ss
477. A son of carly sepsis is
(a) metabolic alkalosis
(D) metaboli acidosis
(6) respiratory alkalosis
(à) respiratory acidosis,
478. In contrast to loi, a ypertopie sar
(a) is more likely to be familial
(6) may subside spontancously
(© may develop in delayed fashion years after
initia injury
(@) often extends beyond the limits of the original
wound
479, tn transplant recipients thee i an increased inc
sence of
da) colon cancer
(0) anal cancer
(6) Jung cancer
(G) breast cancer
(6) prostate cancer
480, ‘The most common cause of mal bowel bleeding in
adul is
(a) Crobn diese
(0) arteriovenous malformation
(©) leiomyosarcoma
(8) Mecke's diverticulum
(e) carcinoid neoplasms
ASI. À type IV hiatal hernia:
da) fea sling hiatus hernia
(6) 5 eaumatie diaphragmatic hernia
(©) is hernia that contains the stomach
(6) iso hernia that contains pars of the intestine
and colon
82. Isosulfan ble injection for seainel node biopsy
may result
(a) cardiac arhythmi
(0) inaccurate pulse oxime
(©) malignant hyperthermia
(0) hypercapnia
(e) skin sloughing
483. ‘The most common complication of gastric ule is
(a) malignant transformation
(b) perforation
Le) upper gastrointestinal booting
(8) gti outlet obstruction
‘The prefecod newromuscular-ocking agent in a
ver fue paient i
da) vecuroniom
(@) pipecuronium
Part XVI. Surgery Review Questions and Answers
185. The most common fatal infection burn victims I
(a) prcumonia
(6) Senouslne-reluted sepis
(6) barn wounds sepsis
(@) srinary tact infection
“The cana ejection fraction:
(a) is normaly 45%
(9) isan accurate indicator of eardie dstunction
in the cier
(6) is increased in mitral stenosis
(a) is decreased in mitral competence
de) is increased in vontriular sept detect
After years ein graf ihre in the lower extrem
ites most caused by
(6) technical complications
(0) anastomotic aneuryen.
(e) atherosclerosis of the grat
(@) intial thickening
‘The predominant parathyroid pathology in multiple
endocrine neoplasia is
(a) a singe parathyroid adenoma
(0) mall parathyroid adenomas
(6) parathyroid hyperplasia
(@) parathyroid carcinoma,
In renal artery stenosis, anglotensn-converting
naves inhibitor wil:
(a) decrease glomerular ration rate
(6) increase glomeruar lation rate
(6) rent m dation of the afferent arterioles
(a) result in constriction af the afferent arterioles
(e) result in constricion ofthe serent ateriles
490. The appropriate agent for prophylaxis in elective
colestomy e
(a) Flagyl
(0) imipenem
(o) vancomycin
(9) cetotean
(e) cetazoin
91. Which of the following i dopamine antagonist?
(2) phentolamine
) propofol
(©) haloperidot
(9) conidine
Peripheral neuropathy ithe main sido effect of
(a) Gclophosphamide
(D) sincrne
(© methotrexate
@) mithramycin
(e) Adriamycin
477. A son of carly sepsis is
(a) metabolic alkalosis
(D) metaboli acidosis
(6) respiratory alkalosis
(à) respiratory acidosis,
478. In contrast to loi, a ypertopie sar
(a) is more likely to be familial
(6) may subside spontancously
(© may develop in delayed fashion years after
initia injury
(@) often extends beyond the limits of the original
wound
479, tn transplant recipients thee i an increased inc
sence of
da) colon cancer
(0) anal cancer
(6) Jung cancer
(G) breast cancer
(6) prostate cancer
480, ‘The most common cause of mal bowel bleeding in
adul is
(a) Crobn diese
(0) arteriovenous malformation
(©) leiomyosarcoma
(8) Mecke's diverticulum
(e) carcinoid neoplasms
ASI. À type IV hiatal hernia:
da) fea sling hiatus hernia
(6) 5 eaumatie diaphragmatic hernia
(©) is hernia that contains the stomach
(6) iso hernia that contains pars of the intestine
and colon
82. Isosulfan ble injection for seainel node biopsy
may result
(a) cardiac arhythmi
(0) inaccurate pulse oxime
(©) malignant hyperthermia
(0) hypercapnia
(e) skin sloughing
483. ‘The most common complication of gastric ule is
(a) malignant transformation
(b) perforation
Le) upper gastrointestinal booting
(8) gti outlet obstruction
‘The prefecod newromuscular-ocking agent in a
ver fue paient i
da) vecuroniom
(@) pipecuronium
Part XVI. Surgery Review Questions and Answers
185. The most common fatal infection burn victims I
(a) prcumonia
(6) Senouslne-reluted sepis
(6) barn wounds sepsis
(@) srinary tact infection
“The cana ejection fraction:
(a) is normaly 45%
(9) isan accurate indicator of eardie dstunction
in the cier
(6) is increased in mitral stenosis
(a) is decreased in mitral competence
de) is increased in vontriular sept detect
After years ein graf ihre in the lower extrem
ites most caused by
(6) technical complications
(0) anastomotic aneuryen.
(e) atherosclerosis of the grat
(@) intial thickening
‘The predominant parathyroid pathology in multiple
endocrine neoplasia is
(a) a singe parathyroid adenoma
(0) mall parathyroid adenomas
(6) parathyroid hyperplasia
(@) parathyroid carcinoma,
In renal artery stenosis, anglotensn-converting
naves inhibitor wil:
(a) decrease glomerular ration rate
(6) increase glomeruar lation rate
(6) rent m dation of the afferent arterioles
(a) result in constriction af the afferent arterioles
(e) result in constricion ofthe serent ateriles
490. The appropriate agent for prophylaxis in elective
colestomy e
(a) Flagyl
(0) imipenem
(o) vancomycin
(9) cetotean
(e) cetazoin
91. Which of the following i dopamine antagonist?
(2) phentolamine
) propofol
(©) haloperidot
(9) conidine
Peripheral neuropathy ithe main sido effect of
(a) Gclophosphamide
(D) sincrne
(© methotrexate
@) mithramycin
(e) Adriamycin
174 Surgery Review Questions
493, In fiver transplantation, Milly complications are
most commonly related o:
(9) adequacy of hepatic venous outtow
(6) adequacy of poral venous Row
(©) acequacy of hepatic arteria Bow
{A length ofthe donors common bile dust
494, The optimum management of aspiration preu
(a) endotracheal inubotion and mechanical ven
lation
(6) endotracicel intubation, mechanical venta
tion, and bronchial lavage
(©) endotrachcal intubation, ventilation,
lavage, and steroids
(8) endotracheal intubation, ventilation, bronchat
lavage, and antibiotics
hil
48S. Malignant nyperthermis:
(9) is trggored hy the sree of surgery or anesthe
sinon
(0) a containication to future general anesthe-
(9) can be prevented by perioperative calcium
channel Blockers
(6) is associated with intraoperative ise of end
tidal CO,
496, The long thrase neve:
(a) is purely motor
(6) provides sensation to the medial wall of the
ax
(6) provides sensation o the m
tipper arm
(4) stpplies motor innovation to the latisimus
dorsi muscle
injury ress in weakness of arm abduc
al aspect of the
©
“The likelihood of malignancy in ys panereat
neoplasm i elated to:
(a) hh gycogen content
(6) mucin content
{6) sunburst appearance on computed tomography
(4) previous history of pancreatitis
498. Colovesical fistulae
(a) is mos commonly caused by colon cancer
(6) is more common i females than In males
(©) isreadly diagnosed with brio enema in most
(4) requires segmental colectomy and partial es
tectomy for weatment
(6) most commonly presents with preumatuia
499, The optimum management fr stage hyro y
phoma is
(a) total ehyroidestomy
(0) total thyroidectomy and radical neck dissection
Le) tou thyroidectomy and chemotherapy
(a) chemoradiation
(6) cervical radiation
‘The most reliable indicator of sucesfu ventilatory
weaning is
(a) PO, >100 with FO, of 40%
(6) PCO, mg
(©) negative inspiratory force Les (more negative)
than -30cm HO;
er
501. Chronic allograft ejection:
la) can be prevented with adequate immun-
‘suppression
(0) fe the main cause of death after Iner trans.
plantation
(6) % more common with fiver than heart tans-
plantation
(4) % more common with kidney than liver tans-
plantation
‘02, The most eecurate test to determine the need for
neoadjavan therapy in sophagcal carcinoma I
(a) endoluminal ultrasound
(5) chest computed tomography scan
(e) bronchoseopy
(a) barium swatow
(e) csophagonastrodsodenoscopy
503. The most characteristic metabolic abnormality ia
glucagonoma is:
(a) hypoglycemia
(0) hypoaminoacdemia
(© hypocholesterolemia
(4) hyperehotesterolemia
S04, A local anesthetic that
‘wih tetracaine allergy is
(a) lidoctine
(0) cocaine
(o) procaine
18) chloroprocaine
q be safely adminisorcd
508. Clonidine i
(a) an agonist
(6) an geantagonist,
(e) anecagonist
(a) aBragonist
493, In fiver transplantation, Milly complications are
most commonly related o:
(9) adequacy of hepatic venous outtow
(6) adequacy of poral venous Row
(©) acequacy of hepatic arteria Bow
{A length ofthe donors common bile dust
494, The optimum management of aspiration preu
(a) endotracheal inubotion and mechanical ven
lation
(6) endotracicel intubation, mechanical venta
tion, and bronchial lavage
(©) endotrachcal intubation, ventilation,
lavage, and steroids
(8) endotracheal intubation, ventilation, bronchat
lavage, and antibiotics
hil
48S. Malignant nyperthermis:
(9) is trggored hy the sree of surgery or anesthe
sinon
(0) a containication to future general anesthe-
(9) can be prevented by perioperative calcium
channel Blockers
(6) is associated with intraoperative ise of end
tidal CO,
496, The long thrase neve:
(a) is purely motor
(6) provides sensation to the medial wall of the
ax
(6) provides sensation o the m
tipper arm
(4) stpplies motor innovation to the latisimus
dorsi muscle
injury ress in weakness of arm abduc
al aspect of the
©
“The likelihood of malignancy in ys panereat
neoplasm i elated to:
(a) hh gycogen content
(6) mucin content
{6) sunburst appearance on computed tomography
(4) previous history of pancreatitis
498. Colovesical fistulae
(a) is mos commonly caused by colon cancer
(6) is more common i females than In males
(©) isreadly diagnosed with brio enema in most
(4) requires segmental colectomy and partial es
tectomy for weatment
(6) most commonly presents with preumatuia
499, The optimum management fr stage hyro y
phoma is
(a) total ehyroidestomy
(0) total thyroidectomy and radical neck dissection
Le) tou thyroidectomy and chemotherapy
(a) chemoradiation
(6) cervical radiation
‘The most reliable indicator of sucesfu ventilatory
weaning is
(a) PO, >100 with FO, of 40%
(6) PCO, mg
(©) negative inspiratory force Les (more negative)
than -30cm HO;
er
501. Chronic allograft ejection:
la) can be prevented with adequate immun-
‘suppression
(0) fe the main cause of death after Iner trans.
plantation
(6) % more common with fiver than heart tans-
plantation
(4) % more common with kidney than liver tans-
plantation
‘02, The most eecurate test to determine the need for
neoadjavan therapy in sophagcal carcinoma I
(a) endoluminal ultrasound
(5) chest computed tomography scan
(e) bronchoseopy
(a) barium swatow
(e) csophagonastrodsodenoscopy
503. The most characteristic metabolic abnormality ia
glucagonoma is:
(a) hypoglycemia
(0) hypoaminoacdemia
(© hypocholesterolemia
(4) hyperehotesterolemia
S04, A local anesthetic that
‘wih tetracaine allergy is
(a) lidoctine
(0) cocaine
(o) procaine
18) chloroprocaine
q be safely adminisorcd
508. Clonidine i
(a) an agonist
(6) an geantagonist,
(e) anecagonist
(a) aBragonist
sos
sn.
m.
510,
sn
se.
A definitive diagnosis o infammatory brest cancer
is provided by
(a) unique mammographic appearance
(0) finding tumor embol in dem lymphatics,
(e) Anding extensive inammator cel inflation
ofthe tumor
(a) elevated white ce count,
lymphadenopathy
(6) allrasound sppestance of cavitation
fever, axillary
Tissue loss almost always result rom ligetion of
be
(2) popliteal artery
(b) common femoral artery
0) supera femoral artery
(©) brachial artery
(6) postal ein
Male breast cancer:
(a) is asocated withthe BRCA- gene mu
(0) can only be of ducal origin
{6) is seldom hormone receptor postive
(6) develops at mae yong as then mae
Keloid formation has been associated with an
Increased amount of
(6) transorming growth factor
LE) platle derived growth (actor
(©) epidermal growth actor
(8) base Ahroblas growth factor
(6) tumor necrosis actor
The anteroposterior anomie relationship at the
sera il i
(@) vein—arteyoroter
() artery—veia—urcter
(6) vreter—artery—vein
(8) wreter—vein artery
Endopithalmiós is characteris of
(a) Escherichia col sepsis
(0) toxic shock syndrome
(6) systemic candidiasis
(0) Kain nerotizing asis
‘The most important determinant of survival of
retropeitoneal sarcoma i
(a) the use of adjuvant chemotherapy
(0) the sie of the primary tumor
(e) the histologic ype ofthe primary
(@) the use of intraoperative radiotherapy
(6) complete surgical resection
sis
su.
ES
si“
si.
sis.
so.
Par XVI Surgery Revow Questions and Answers
A pulmonary embolus is sociated with
(2) decrease in pulmonary capillary wedge presure
(0) decrease in mean pulmonary artery pressure
(©) decrease in central venous pressure
(8) decrease in dead space/idal volume ratio
Pyoderma gangrenosum i typically associated with:
(a) advanced colonic adenocarcinoma
(0) rectal carcinoi.
(e) aleraive cols
(8) villous adenoma of the colon
Poplist artery ancuryams
(2) commonly present with rupture
() seldom result in nb ischemia
(6) ate the most common peripheral arterial ancy
rym
(8) require operation only if they resul in em
bollstion
(6) are most commonly fake ancarpeme
After vigorous exercise, an athlete develops pain on
¿orsieion ofthe foot and decreased sensation In
the ist web space. Appropriate ation should be:
(a) color duplex scan and immediate heparina:
(6) leg elevation, ie packs, and nonsteoi
inflammatory medications
(6) immediate citons
(0) immediate femoral ateriogram
The most common presentation of testicular cancer
(a) à panes serotal mass
(0) acute tested pain
(6) a secondary hydrocele
(3) gynecomasin
(e) retroperitones!iymphadenopathy
Which of the fllowing is most likely to cause a
{alse-positive fecal cut Boo test?
(a) oral iron therapy
(0) Coumadin therapy
(e) aspirin therapy
(6) nonsteroidal an-nlarmatory medications
(e) dictary peroridases
Aldosteronoma is asocited with
(2) hypertension, hypokalemia, high aldosterone
and high rein levels
(6) hypertension, hyperkalemi, high aldosterone
nd low renin levels
(6) hypertension, hyperkalemi. high aldosterone
and high rein levels.
(4) hypertension, hypokalemia, high aldosterone
and low renin levels
sn.
m.
510,
sn
se.
A definitive diagnosis o infammatory brest cancer
is provided by
(a) unique mammographic appearance
(0) finding tumor embol in dem lymphatics,
(e) Anding extensive inammator cel inflation
ofthe tumor
(a) elevated white ce count,
lymphadenopathy
(6) allrasound sppestance of cavitation
fever, axillary
Tissue loss almost always result rom ligetion of
be
(2) popliteal artery
(b) common femoral artery
0) supera femoral artery
(©) brachial artery
(6) postal ein
Male breast cancer:
(a) is asocated withthe BRCA- gene mu
(0) can only be of ducal origin
{6) is seldom hormone receptor postive
(6) develops at mae yong as then mae
Keloid formation has been associated with an
Increased amount of
(6) transorming growth factor
LE) platle derived growth (actor
(©) epidermal growth actor
(8) base Ahroblas growth factor
(6) tumor necrosis actor
The anteroposterior anomie relationship at the
sera il i
(@) vein—arteyoroter
() artery—veia—urcter
(6) vreter—artery—vein
(8) wreter—vein artery
Endopithalmiós is characteris of
(a) Escherichia col sepsis
(0) toxic shock syndrome
(6) systemic candidiasis
(0) Kain nerotizing asis
‘The most important determinant of survival of
retropeitoneal sarcoma i
(a) the use of adjuvant chemotherapy
(0) the sie of the primary tumor
(e) the histologic ype ofthe primary
(@) the use of intraoperative radiotherapy
(6) complete surgical resection
sis
su.
ES
si“
si.
sis.
so.
Par XVI Surgery Revow Questions and Answers
A pulmonary embolus is sociated with
(2) decrease in pulmonary capillary wedge presure
(0) decrease in mean pulmonary artery pressure
(©) decrease in central venous pressure
(8) decrease in dead space/idal volume ratio
Pyoderma gangrenosum i typically associated with:
(a) advanced colonic adenocarcinoma
(0) rectal carcinoi.
(e) aleraive cols
(8) villous adenoma of the colon
Poplist artery ancuryams
(2) commonly present with rupture
() seldom result in nb ischemia
(6) ate the most common peripheral arterial ancy
rym
(8) require operation only if they resul in em
bollstion
(6) are most commonly fake ancarpeme
After vigorous exercise, an athlete develops pain on
¿orsieion ofthe foot and decreased sensation In
the ist web space. Appropriate ation should be:
(a) color duplex scan and immediate heparina:
(6) leg elevation, ie packs, and nonsteoi
inflammatory medications
(6) immediate citons
(0) immediate femoral ateriogram
The most common presentation of testicular cancer
(a) à panes serotal mass
(0) acute tested pain
(6) a secondary hydrocele
(3) gynecomasin
(e) retroperitones!iymphadenopathy
Which of the fllowing is most likely to cause a
{alse-positive fecal cut Boo test?
(a) oral iron therapy
(0) Coumadin therapy
(e) aspirin therapy
(6) nonsteroidal an-nlarmatory medications
(e) dictary peroridases
Aldosteronoma is asocited with
(2) hypertension, hypokalemia, high aldosterone
and high rein levels
(6) hypertension, hyperkalemi, high aldosterone
nd low renin levels
(6) hypertension, hyperkalemi. high aldosterone
and high rein levels.
(4) hypertension, hypokalemia, high aldosterone
and low renin levels
174 Surgery Review Questions
520, A PO; of 9 tore, PCO of 28 tor, and pH of 7.16
on room air ae indicative of
(a) hypovolemic shock
(alveolar hypoventilation
(e) prolonged nasogati suctioning
(4) hyperventilation
521. Idiopathic thrombocytopenic purpura is most kel
10 respond to splenectomy it
(a) the spleen is enlarged
(6) the paint isa female
(6) the disease Is chronic
à) the disease responded 10 steroids
A marker that would distinguish nonseminome
fom seminoma i:
(a) lactate dehydrogenase
(©) alkaline phosphatases
(©) human chorionic gonadotropin
(e) efetopresia
sa.
Positive end-expiratory pressure:
(a) increases cardiac output
(0) decreases funciona residual capacity
(e) inercaos right to left shunting
(8) lowers PCO,
(e) decrensesalvelar=artril oxygen gradient
rogen therapy for postmenopausal women is
associated wih
(a) increased incidence of thrombophlsbii
(9) inerssed inciden of hepatic adenoma
(e) increased incidence of endometrial cancer
(a) increased incidence of breast cancer
525, A 103carold boy comes from a family of “bleed
ers” His coagulation profile shows: prolonged
eeding time, normal prothrombin ime, and pro
longed pati thromboplastin time. His platelet
count is 000mm Tae most likely diagnosis
(a) idiopathic thrombocytopenic purpura
(0) thrombotic thromboeytopenie purpura
(©) hemophilia
() Chrismas disease
(e) von Willebrand's disease
526, A single orgasm is usually the causative agent i
(a) pehic inflammatory dscase
(0) perforated diverticulitis,
(6) acute cholet
(a) primary peritonitis
(e) diabetic fot infections
ES
su
m.
with ntact bladder
(a) nerve injury with abdorinoperineal resection
(6) cada equina lesion
(6) inyelomeningocele
(@) peraplesia
(6) cerebrovascular accident
‘Tumor necrosis factor-a anlagonist is useful in
treating:
(a) disseminered intravascular coagulopathy
(9) septic shock
de) Crohn diene
(@) mette melanoma
‘An 89-yearold female presents with vomiting and
“domina distension, She complains of pain in the
‘media aspect ofthe ight thigh anda palpable lump
an be felt on the right sie on rectal examination.
‘The appropriate action
(a) nasogastric tube, istrovenous Auids, and
tbservation
(5) flexible sigmoidoscopy and drainage of he
rectal mass
(6) argent laparotomy
(6) Gastrograña study with small bowet follow
‘through
(e) right groin exploration and hernia repair
A normalized spleen is found in:
(a) idiopathic thrombocytopenic purpura
(6) myclodyepla
(©) Gaucher’ disease
(à) thalassemia
(e) schistosomiasis
Neurogeni blader after extensive pelvic surgery is
eharacterized by:
(a) painful urns retention
(6) large bladder capacity with overfow incon
(6) smal residual volume and uninhibited Mader
(@) autonomic dysretesia
Regarding cytokines:
(a) serum level is not related to the seventy of
illness
(0) are stored intracellularly as preformed molo-
cules
(6) ate produced by a limited number of spediic
cole
(4) most commonly function in an endocrine
fashion
(e) low serum levels ae normally detected in hal
hy indivi
520, A PO; of 9 tore, PCO of 28 tor, and pH of 7.16
on room air ae indicative of
(a) hypovolemic shock
(alveolar hypoventilation
(e) prolonged nasogati suctioning
(4) hyperventilation
521. Idiopathic thrombocytopenic purpura is most kel
10 respond to splenectomy it
(a) the spleen is enlarged
(6) the paint isa female
(6) the disease Is chronic
à) the disease responded 10 steroids
A marker that would distinguish nonseminome
fom seminoma i:
(a) lactate dehydrogenase
(©) alkaline phosphatases
(©) human chorionic gonadotropin
(e) efetopresia
sa.
Positive end-expiratory pressure:
(a) increases cardiac output
(0) decreases funciona residual capacity
(e) inercaos right to left shunting
(8) lowers PCO,
(e) decrensesalvelar=artril oxygen gradient
rogen therapy for postmenopausal women is
associated wih
(a) increased incidence of thrombophlsbii
(9) inerssed inciden of hepatic adenoma
(e) increased incidence of endometrial cancer
(a) increased incidence of breast cancer
525, A 103carold boy comes from a family of “bleed
ers” His coagulation profile shows: prolonged
eeding time, normal prothrombin ime, and pro
longed pati thromboplastin time. His platelet
count is 000mm Tae most likely diagnosis
(a) idiopathic thrombocytopenic purpura
(0) thrombotic thromboeytopenie purpura
(©) hemophilia
() Chrismas disease
(e) von Willebrand's disease
526, A single orgasm is usually the causative agent i
(a) pehic inflammatory dscase
(0) perforated diverticulitis,
(6) acute cholet
(a) primary peritonitis
(e) diabetic fot infections
ES
su
m.
with ntact bladder
(a) nerve injury with abdorinoperineal resection
(6) cada equina lesion
(6) inyelomeningocele
(@) peraplesia
(6) cerebrovascular accident
‘Tumor necrosis factor-a anlagonist is useful in
treating:
(a) disseminered intravascular coagulopathy
(9) septic shock
de) Crohn diene
(@) mette melanoma
‘An 89-yearold female presents with vomiting and
“domina distension, She complains of pain in the
‘media aspect ofthe ight thigh anda palpable lump
an be felt on the right sie on rectal examination.
‘The appropriate action
(a) nasogastric tube, istrovenous Auids, and
tbservation
(5) flexible sigmoidoscopy and drainage of he
rectal mass
(6) argent laparotomy
(6) Gastrograña study with small bowet follow
‘through
(e) right groin exploration and hernia repair
A normalized spleen is found in:
(a) idiopathic thrombocytopenic purpura
(6) myclodyepla
(©) Gaucher’ disease
(à) thalassemia
(e) schistosomiasis
Neurogeni blader after extensive pelvic surgery is
eharacterized by:
(a) painful urns retention
(6) large bladder capacity with overfow incon
(6) smal residual volume and uninhibited Mader
(@) autonomic dysretesia
Regarding cytokines:
(a) serum level is not related to the seventy of
illness
(0) are stored intracellularly as preformed molo-
cules
(6) ate produced by a limited number of spediic
cole
(4) most commonly function in an endocrine
fashion
(e) low serum levels ae normally detected in hal
hy indivi
ss
ss.
536,
sv.
Hypothermic coagulopathy is characterized by
(a) normal protirombi time and normal partial
Ühromboplasin timo
(6) normal prothrombin time and prolonge patil
thromboplastin time
(6) prolonged prothrombin tine and normal partial
‘aromboplastin time
(0) depletion of factor VIE
de) depletion ol factor VIT
A patent wi diagnosed. pseudomembranous
colis developing a Worsening clinical picture and
istaken fr argent parotomy The appropriate sr-
il procedure should nce:
(3 sent econ ad ration o the
(9) total abdominal colectomy
(6) diverting proxima! colostomy
{) segmental colectomy and primary anastomosis
(e) segmental coletomy, primary anastomosis and
vering colostomy
“The specitciy of testis
(@) the proportion of patients with the disease who
ave a postive test
(6) the proportion of patients without the disease
who have a negative test
(© the proportion of patients with a postive test
ho have the disease
(4) the proportion of patients witha negative test
who do not have the disease
A 45enrold-mals complains of severe chest pain
alter à diagnose upper endoscopy. He has crepitus
‘on palpation of his neck. The next sep in manage
tment should be
(3) repeated upper endoscopy
(0) immediate endotrachea intubation
€) Gastrografin swallow
(3) administration "of aspiin and sublingual
(©) admission 10 ICU, administration. of intra
‘enous narcotic, and ebservtion
Fan adenomatous pop
(ON ented by ciao fa temor sppcsos
(9) ha norma! Ko expectaney alter prophpaie
(0 sedes with incresed ol gi
(6) ante so comal recesivo ti
Pare XVI. Surgery Review Questions and Anse
538. The most common posterior mediastinal mas in
clon i
(a) neuroblasioma
(0) teratoma
(o) lymphoma
(0) pheochromocytoma
539. In the absence of sepis, glucose intolerance wth
a may indicate:
() in define
(<) mapaesium deficiency
(4) chromium éetcency
‘The most common presentation of gasri cancer is
(a) hematemesis and melena
(6) acute abdominal pain due o perforation
0) vague abdominal pain and weight Joss
(8) an epigastrio mass
SU. In burn victims, the finding most indicative of
inhalation injury ie
(a) singe nasal hir
(0) soot around the mouth
(9 dyspnea
(0) carbonaceous sputum
A child with anaphylactoid purpura develops an
acute colicky abdominal pain and bleeding per
rectum, The mos likely dingnosi
(a) perforated duodenal uler
(0) Needing Meckel divertcalum
(e) enterocolis with perforation
(8) intussusception
S48. The most reliable moans of preoperative mutitional
assessment i:
(a) clinical history of weightloss
(0) serum albumin level
(6) impaired cell mediated immunity
(©) es skinfold measurement
S44, In contrast to adult, fetal wound healing
a) has a higher content of type HI collagen
(0) has a higher level ‘of ansforming growth
factor
(9) fas an exaggerated inlammatory phase
(@ has much ls hyaluronic aci content
ss.
536,
sv.
Hypothermic coagulopathy is characterized by
(a) normal protirombi time and normal partial
Ühromboplasin timo
(6) normal prothrombin time and prolonge patil
thromboplastin time
(6) prolonged prothrombin tine and normal partial
‘aromboplastin time
(0) depletion of factor VIE
de) depletion ol factor VIT
A patent wi diagnosed. pseudomembranous
colis developing a Worsening clinical picture and
istaken fr argent parotomy The appropriate sr-
il procedure should nce:
(3 sent econ ad ration o the
(9) total abdominal colectomy
(6) diverting proxima! colostomy
{) segmental colectomy and primary anastomosis
(e) segmental coletomy, primary anastomosis and
vering colostomy
“The specitciy of testis
(@) the proportion of patients with the disease who
ave a postive test
(6) the proportion of patients without the disease
who have a negative test
(© the proportion of patients with a postive test
ho have the disease
(4) the proportion of patients witha negative test
who do not have the disease
A 45enrold-mals complains of severe chest pain
alter à diagnose upper endoscopy. He has crepitus
‘on palpation of his neck. The next sep in manage
tment should be
(3) repeated upper endoscopy
(0) immediate endotrachea intubation
€) Gastrografin swallow
(3) administration "of aspiin and sublingual
(©) admission 10 ICU, administration. of intra
‘enous narcotic, and ebservtion
Fan adenomatous pop
(ON ented by ciao fa temor sppcsos
(9) ha norma! Ko expectaney alter prophpaie
(0 sedes with incresed ol gi
(6) ante so comal recesivo ti
Pare XVI. Surgery Review Questions and Anse
538. The most common posterior mediastinal mas in
clon i
(a) neuroblasioma
(0) teratoma
(o) lymphoma
(0) pheochromocytoma
539. In the absence of sepis, glucose intolerance wth
a may indicate:
() in define
(<) mapaesium deficiency
(4) chromium éetcency
‘The most common presentation of gasri cancer is
(a) hematemesis and melena
(6) acute abdominal pain due o perforation
0) vague abdominal pain and weight Joss
(8) an epigastrio mass
SU. In burn victims, the finding most indicative of
inhalation injury ie
(a) singe nasal hir
(0) soot around the mouth
(9 dyspnea
(0) carbonaceous sputum
A child with anaphylactoid purpura develops an
acute colicky abdominal pain and bleeding per
rectum, The mos likely dingnosi
(a) perforated duodenal uler
(0) Needing Meckel divertcalum
(e) enterocolis with perforation
(8) intussusception
S48. The most reliable moans of preoperative mutitional
assessment i:
(a) clinical history of weightloss
(0) serum albumin level
(6) impaired cell mediated immunity
(©) es skinfold measurement
S44, In contrast to adult, fetal wound healing
a) has a higher content of type HI collagen
(0) has a higher level ‘of ansforming growth
factor
(9) fas an exaggerated inlammatory phase
(@ has much ls hyaluronic aci content
14, Surgery Review Questions
545, The greatest amount of maintenance intravenous
Avid required for:
(a) 2L-yearold male sihlete
(6) SS yearold obese male office worker
(9 Arjearold housevile
(8) 7S3yeatold female with recent weht loss
Sté. The most accurate test 10 detect subeliical
Inypothyoidism is
(a) tadioctive iodine uptake
() thyroi stimalating hormone level
(e) total thyroxine level
(8) fre thyroxine level
547. A D8yyesrold male has a closcd head injury, pa:
monary contusion, grade TT splenic injury and
lowed femoral shat fracture. The ideal manage-
ment of his fracture is
(a) external ration
(6) skeletal traction
(©) intraedallary naling within 24 hours of injury
(6) intramedullary naling} weck after the injury
(6) use of metal plates and scrons
‘548. Accessory spleens are most commonly found in
{a idiopathic thrombocytopenic purpura
(9 ambos rombosopeie purs
() schistosomiasis
(4) hereditary spherocytosis
549, The elleiveness of prophylactic antibiotics in
surgery i mostly related tothe:
(a) use of broad-spectrum agents
(0) continuation of antibiotics for 24 hours after
surgery
(9) timing of inital administration
(8) use of two synergistic agents
de) use of hactriidal agents
550. A Gycarold boy has aright undescended teste,
Hi parents should be advised that
(2) right orchiectomy shouldbe performed
() a course of endocrine treatment is advisable
(e) orchiopexy is performed to improve spermato
genesis and prevent cancer
(4) exchiopery is performed but with no effect on
spermatogenesis or cancer prevention
(6) the right testi is probably atrophic and canbe
left undisturbed
“0
551. The sensitivity ofthe esti
(2) the proportion of patents withthe disease who
have a postive test
(©) the proportion af patients without the disease
wo have negative test
(6) the proportion of patients with a positive test
‘who have the disease
(@) the proportion of patients with a negacive test,
‘who do not have he disease
82, Regarding an amebic liver abscess:
(8) surgical drainage is usually required
(0) negative siool testing for amebiasis ules out the
disease
(©) itshovld be drained pereutancousl under com
puted tomography guidance
(@) His treated with metronidazole
55%. An infant has been having episodic coughing for 48
hours. On examination, he is wheezing. with
‘decreased aeration of the left chest, A chert xray
‘shows an overinlated et lung, The next step in
management should be:
(a) insertion of left-side chest tube
©) insertion of righeside chest tube
(©) endorrachcal intubation
(&) administration of steroid inhaler and observa.
(©) rigid bronchoscopy
584. A 4OycaroI female has acm hemangioma inte
right lobe of the liver on computed tomography
scan. She is asymptomatic. Appropriate action
should be:
(a) fine-needle biopsy
(0) arrangement or eletve resto.
(e) no further action
(@) angiographic embolization
585. À non-anion gap metabolie acidosis is associated
wi
(2) methane intoxication
(0) large amount of saline resuscitation
(6) diabetic ketossidosis
(9) cardiogenic shock
(e) hemorthogi shock
556. The gok standard or th diagnosis of pelvic iaftam
matory disease i
(a) vaginal microbiology swab
(9) peli lirsound
(6) laparoscopy
(@) pelvic computed tomography scan
(e) endomeiral biopsy
545, The greatest amount of maintenance intravenous
Avid required for:
(a) 2L-yearold male sihlete
(6) SS yearold obese male office worker
(9 Arjearold housevile
(8) 7S3yeatold female with recent weht loss
Sté. The most accurate test 10 detect subeliical
Inypothyoidism is
(a) tadioctive iodine uptake
() thyroi stimalating hormone level
(e) total thyroxine level
(8) fre thyroxine level
547. A D8yyesrold male has a closcd head injury, pa:
monary contusion, grade TT splenic injury and
lowed femoral shat fracture. The ideal manage-
ment of his fracture is
(a) external ration
(6) skeletal traction
(©) intraedallary naling within 24 hours of injury
(6) intramedullary naling} weck after the injury
(6) use of metal plates and scrons
‘548. Accessory spleens are most commonly found in
{a idiopathic thrombocytopenic purpura
(9 ambos rombosopeie purs
() schistosomiasis
(4) hereditary spherocytosis
549, The elleiveness of prophylactic antibiotics in
surgery i mostly related tothe:
(a) use of broad-spectrum agents
(0) continuation of antibiotics for 24 hours after
surgery
(9) timing of inital administration
(8) use of two synergistic agents
de) use of hactriidal agents
550. A Gycarold boy has aright undescended teste,
Hi parents should be advised that
(2) right orchiectomy shouldbe performed
() a course of endocrine treatment is advisable
(e) orchiopexy is performed to improve spermato
genesis and prevent cancer
(4) exchiopery is performed but with no effect on
spermatogenesis or cancer prevention
(6) the right testi is probably atrophic and canbe
left undisturbed
“0
551. The sensitivity ofthe esti
(2) the proportion of patents withthe disease who
have a postive test
(©) the proportion af patients without the disease
wo have negative test
(6) the proportion of patients with a positive test
‘who have the disease
(@) the proportion of patients with a negacive test,
‘who do not have he disease
82, Regarding an amebic liver abscess:
(8) surgical drainage is usually required
(0) negative siool testing for amebiasis ules out the
disease
(©) itshovld be drained pereutancousl under com
puted tomography guidance
(@) His treated with metronidazole
55%. An infant has been having episodic coughing for 48
hours. On examination, he is wheezing. with
‘decreased aeration of the left chest, A chert xray
‘shows an overinlated et lung, The next step in
management should be:
(a) insertion of left-side chest tube
©) insertion of righeside chest tube
(©) endorrachcal intubation
(&) administration of steroid inhaler and observa.
(©) rigid bronchoscopy
584. A 4OycaroI female has acm hemangioma inte
right lobe of the liver on computed tomography
scan. She is asymptomatic. Appropriate action
should be:
(a) fine-needle biopsy
(0) arrangement or eletve resto.
(e) no further action
(@) angiographic embolization
585. À non-anion gap metabolie acidosis is associated
wi
(2) methane intoxication
(0) large amount of saline resuscitation
(6) diabetic ketossidosis
(9) cardiogenic shock
(e) hemorthogi shock
556. The gok standard or th diagnosis of pelvic iaftam
matory disease i
(a) vaginal microbiology swab
(9) peli lirsound
(6) laparoscopy
(@) pelvic computed tomography scan
(e) endomeiral biopsy
sn Par XVI Surgery Review Questions and Answers
857. A 6®.jcarold alcoholic male presents with severe 558. Medinstial granulomas may be associated with:
‘chest pain ater repeated vomiting. A chest wray (8) epiphrenie esophageal dveniulum
Shows small ef pleural effusion. The next step in (D) Zenkers divertieulum
‘management is (e) esophageal traction diverticulum
(a) obtin cardiac enzymes and admit to coronary (8) achalasia
(6) insert masogasiri tube, administer intravenous
Mids ana observe
(6) inser asogastic and lftside chest tbe and i
antics
(4) administer Gastrgraña swallow test
(e) perform upper endoscopy
857. A 6®.jcarold alcoholic male presents with severe 558. Medinstial granulomas may be associated with:
‘chest pain ater repeated vomiting. A chest wray (8) epiphrenie esophageal dveniulum
Shows small ef pleural effusion. The next step in (D) Zenkers divertieulum
‘management is (e) esophageal traction diverticulum
(a) obtin cardiac enzymes and admit to coronary (8) achalasia
(6) insert masogasiri tube, administer intravenous
Mids ana observe
(6) inser asogastic and lftside chest tbe and i
antics
(4) administer Gastrgraña swallow test
(e) perform upper endoscopy
E
Part XVI. Surgery Review Questions and Answers
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Part XVI. Surgery Review Questions and Answers
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Surgery Review Answers
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Surgery Review Answers
BSSREBBES
arepa
BARARARASSRARARARSSRaE
ÉBSRSRSESSSSSRGRRREREES
us.
u.
1m.
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m.
12
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ms.
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