SURGERY QUIZ FOR 2020

1. Which of the following statements about homeostasis are false?

Correct! Wrong!

E Return to normal homeostasis after an operation would depend upon the presence of co-morbid conditions.

2. Which of the following statements about epiphrenic diverticula of the esophagus is/are correct?

Correct! Wrong!

The operation of choice is a stapled diverticulectomy, long esophagomyotomy, and partial fundoplication is the correct answer

3. Which of the following statements about Schatzki’s ring is correct?

Correct! Wrong!

B. Dysphagia occurs when the ring diameter is 13 mm. or less is the correct answer

4. Which of the following statements about pathology encountered at esophagoscopy is/are correct?

Correct! Wrong!

B. In patients with Barrett’s mucosa, the squamocolumnar epithelial junction occurs 3 cm. or more proximal to the anatomic esophagogastric junction is the correct answer

5. Which of the following statements about the diagnosis and treatment of esophageal leiomyomas is/are correct?

Correct! Wrong!

D. Endoscopic ultrasonography is a reliable means of following leiomyomas conservatively is the correct answer

6. The most common hernia in females is:

Correct! Wrong!

C. Indirect inguinal hernia is the correct answer

7. Staples may safely be placed during laparoscopic hernia repair in each of the following structures except:

Correct! Wrong!

D. Tissues inferior to the lateral iliopubic tract.

8. The following Nyhus classification of hernias is correct except for:

Correct! Wrong!

E. Indirect inguinal hernia with destruction of the transversalis fascia of Hesselbach’s triangle—Type II is the correct answer

9. The following statements about the repair of inguinal hernias are true except:

Correct! Wrong!

A. The conjoined tendon is sutured to Cooper’s ligament in the Bassini hernia repair is the correct answer

10. The following statement(s) is/are true concerning umbilical hernias in adults.

Correct! Wrong!

b. A paraumbilical hernia typically occurs in multiparous females is the correct answer

11. In “catabolic” surgical patients, which of the following changes in body composition do not occur?

Correct! Wrong!

A. Lean body mass increases is the correct answer

12. The characteristic changes that follow a major operation or moderate to severe injury do not include the following:

Correct! Wrong!

D. Hyperphagia is the correct answer

13. All of the following may be useful in the treatment of cardiogenic shock except:

Correct! Wrong!

C. Pneumatic antishock garment is the correct answer.

14. An 18-year-old man shot once in the left chest has a blood pressure of 80/50 mm. Hg, a heart rate of 130 beats per minute, and distended neck veins. Immediate treatment might include:

Please select 2 correct answers

Correct! Wrong!

A. Administration of one liter of Ringer’s lactate solution and C. Needle decompression of the left chest in the second intercostal space are the correct answers

15. Which of the following statements about head injury and concomitant hyponatremia are true?

Correct! Wrong!

A. There are no primary alterations in cardiovascular signs is the correct answer

16. Which of the following is/are not associated with increased likelihood of infection after major elective surgery?

Correct! Wrong!

C. Controlled diabetes mellitus is the correct answer.

17. All of the following are true about neurogenic shock except:

Correct! Wrong!

C. The use of an alpha agonist such as phenylephrine is the mainstay of treatment is the correct answer

18. Which of the following are not determinants of a postoperative cardiac complication?

Correct! Wrong!

B. Clinical evidence of congestive heart failure in a patient with 8.5 gm. per dl. hemoglobin is the correct answer

19. A 50-year-old patient develops sudden left lower chest pain and epigastric pain after vomiting. The patient shows diaphoresis, breath sounds are decreased on the left, and there is abdominal guarding. The most appropriate diagnostic test is:

Correct! Wrong!

20. Nasotracheal intubation:

Correct! Wrong!

B. Is preferred for patients with suspected cervical spine injury is the correct answer

21. Cardiac contusions caused by blunt chest trauma:

Please select 2 correct answers

Correct! Wrong!

B. Occur in up to 20% to 40% of patients with major blunt thoracic trauma and D. Demonstrate arrhythmia as the most common complication are the correct answers

22. Which of the following statements about maxillofacial trauma is/are false?

Correct! Wrong!

B. The mandible is the most common site of facial fracture is the correct answer

23. Trauma deaths most commonly occur at three distinct time periods after injury. Which of the following statement(s) is/are true concerning the time pattern of trauma mortality?

Correct! Wrong!

b. A second mortality peak occurs within hours of injury with deaths in this time period being markedly reduced with the development of trauma and rapid transport systems is the correct answer

24. A 22-year-old male is hospitalized with multiple extremity fractures including a comminuted fracture of the femur and multiple rib fractures. Which of the following statement(s) is/are true concerning his hospital course?

Correct! Wrong!

c. Early fracture fixation would decrease the incidence of fat emboli is the correct answer

25. Which of the following physical factors of irradiation is/are related to the potential for radiation injury?

Correct! Wrong!

All of the above options are correct.

26. The effect of high positive end-expiratory pressures (PEEP) on cardiac output is:

Correct! Wrong!

D. Decreased cardiac output because of decreased effective preload to the left ventricle is the correct answer

27. Which of the following statements about bronchoscopy is false?

Correct! Wrong!

E. Early postoperative bronchoscopy for atelectasis is contraindicated following pulmonary resection is the correct answer

28. Which is not true of cardiopulmonary resuscitation (CPR)?

Correct! Wrong!

A. Closed chest massage is as effective as open chest massage is the correct answer.

29. The most important factor that influences the outcome of penetrating cardiac injuries is:

Correct! Wrong!

C. Coronary artery injury is the correct answer

30. The most useful incision in the operating room for patients with penetrating cardiac injury is:

Correct! Wrong!

D. median sternotomy is the correct answer