Professional Documents
Culture Documents
Syrgery Mock 2
Syrgery Mock 2
References:
1. Which of the following are the most important and clinically useful risk
factors for breast cancer?
A. Fibrocystic disease, age, and gender.
B. Cysts, family history in immediate relatives, and gender.
C. Age, gender, and family history in immediate relatives.
D. Obesity, nulliparity, and alcohol use.
Answer: C
2. Which of the following pathologic findings is the strongest contraindication
to breast preservation (lumpectomy with breast radiation) as primary
treatment for a newly diagnosed breast cancer?
A. Grade 3, poorly differentiated, infiltrating ductal carcinoma.
B. Extensive intraductal cancer around the invasive lesion.
C. Tumor size greater than 3 cm.
D. Positive surgical margin for invasive cancer.
Answer: D
3. Axillary lymph node dissection is routinely used for all of the following
conditions except:
A. 2-cm. pure comedo-type intraductal carcinoma.
B. 1-cm. infiltrating lobular carcinoma.
C. 8-mm. infiltrating ductal carcinoma.
D. A pure medullary cancer in the upper inner quadrant.
Answer: A
4. A 35-year-old premenopausal woman whose mother had breast cancer
comes into your office
and has been told that she has fibrocystic breasts. On examination she has
multiple areas of thickening but no discrete mass. Of the following diagnostic
tests, which should be performed?
(A) Re-examination in 6 months
(B) Bilateral breast ultrasound
(C) Thermography
(D) Bilateral breast magnetic resonance imaging (MRI) with gadolinium
resection. Following extension of the tumor into the chest wall, radiotherapy
and subsequent extensive resection carried out in selected cases may
occasionally be indicated. Small-cell carcinoma (also known as oat-cell
carcinoma) accounts for 2025% of cases of bronchogenic
carcinoma, arises centrally and tends to metastasize widely. The initial
treatment is combination
chemotherapy followed by radiotherapy in those whose cancer responds.
8. The following Nyhus classification of hernias is correct except for:
A. Recurrent direct inguinal herniaType IVa.
B. Indirect inguinal hernia with a normal internal inguinal ringType I.
C. Femoral herniaType IIIc.
D. Direct inguinal herniaType IIIa.
E. Indirect inguinal hernia with destruction of the transversalis fascia of
Hesselbach's triangleType II.
Answer: E
9. Which of the following statements about the causes of inguinal hernia is
correct?
A. Excessive hydroxyproline has been demonstrated in the aponeuroses of
hernia patients.
B. Obliteration of the processus vaginalis is a contributing factor for the
development of an indirect inguinal hernia.
C. Physical activity and athletics have been shown to have a protective effect
toward the development of inguinal hernias.
D. Elevated levels of circulating serum elastalytic activity have been
demonstrated in patients with direct herniation who smoke.
E. The majority of inguinal hernias are acquired.
Answer: D
10. The following statements about the repair of inguinal hernias are true
except:
A. The conjoined tendon is sutured to Cooper's ligament in the Bassini hernia
repair.
B. The McVay repair is a suitable option for the repair of femoral hernias.
C. The Shouldice repair involves a multilayer, imbricated repair of the floor of
the inguinal canal.
D. The Lichtenstein repair is accomplished by prosthetic mesh repair of the
inguinal canal floor in a tension-free manner.
E. The laparoscopic transabdominal preperitoneal (TAPP) and totally
extraperitoneal approach (TEPA) repairs are based on the preperitoneal
repairs of Cheattle, Henry, Nyhus, and Stoppa.
Answer: A 7.
d. Contrast enema
e. Observation
Answer: c
15. For which of the following consequences of radiation injury of the
intestine is urgent laparotomy required?
A. Small bowel obstruction.
B. Colonic perforation.
C. Rectovaginal fistula.
D. Malabsorption and diarrhea.
E. Rectal stenosis.
Answer: B
16. In addition to its absorptive and digestive roles, the small bowel also
plays a significant role in the bodys immune system. Gut-associated
lymphoid tissue (GALT) represents a major division of the immune system.
Which of the following statement(s) is/are true concerning the immunologic
functions of the small intestine?
a. The B lymphocytes of the small intestine do not produce immunoglobulin
A (IgA)
b. Peyers patches, an example of an aggregated cellular portion of the gutassociated lymphoid system tissue, are large collections of lymphoid follicles
found on the antimesenteric border of the ileum
c. The major immunoglobulin of the intestinal immune system is IgM
d. IgA produced by the intestinal immune system produces the classic Fcmediated inflammatory reactions to antigen stimulus
Answer: b
17. A64-year-old woman with arthritis is a chronic NSAID user. She develops
severe epigastric
pain and undergoes an upper endoscopy. She is told that she has an ulcer
adjacent to the pylorus. Which of the following is TRUE about the pylorus?
(A) It cannot be palpated at laparaotomy.
(B) It is not covered completely by omentum.
(C) It is a distinct anatomic entity that can
be distinguished during laparotomy.
(D) It is a true physiologic sphincter.
(E) It is a site where cancer is rarely found.
Answer: (C) The pylorus is palpable but it is not a true physiologic
sphincter. It does not demonstrate reciprocal contraction when the stomach
relaxes, nor does it relax when the stomach
contracts. The pylorus is normally in tonic contraction It is partially covered
by omentum and cancer is commonly found there.
18. A 35-year-old man has known ulcerative colitis. Which of the following is
an indication for total proctocolectomy?