Professional Documents
Culture Documents
MCQ Surgery 12-2014
MCQ Surgery 12-2014
MCQ Surgery 12-2014
4. All of the following are part of the Child-Pugh scoring system EXCEPT:
A Overall nutritional state.
B Presence of ascites.
C Presence of encephalopathy.
D Serum bilirubin.
E International normalized ratio.
11- With
14. Which of the following is the most effective definitive therapy for both prevention of recurrent
variceal hemorrhage and control of ascites?
A. Endoscopic sclerotherapy.
B. Distal splenorenal shunt.
C. Esophagogastric devascularization (Sugiura procedure).
D. Side-to-side portacaval shunt.
E. End-to-side portacaval shunt.
15. Which of the following statement(s) is/are true concerning tissue sampling techniques for
breast masses?
a. The sensitivity of fine needle aspiration biopsy is such that mastectomy can be performed in
the case of malignant diagnosis
b. The accuracy of mammographic-directed fine needle aspiration biopsy is comparable to that
achieved for that of palpable lesions
c. Core-needle biopsy showing normal breast tissue is an acceptable diagnosis
d. The technique of core-needle biopsy is not applicable to radiographically detected lesions
16. Which of the following statement(s) is correct concerning cystosarcoma phyllodes?
a. The tumor is most commonly seen in post-menopausal women
b. Total mastectomy is necessary for all patients with this diagnosis
c. Axillary lymph node dissection is not necessary for malignant cystosarcoma phyllodes
d. Most patients with the malignant variant of cystosarcoma phyllodes die of metastatic disease
17-Which of the following surgical procedures has the lowest incidence of recurrent jaundice when
used in the context of unresectable carcinoma of the head of the pancreas?
a.Choledochoduodenostomy
b.Cholecystojejunostomy
c.Cholecystoduodenostomy
d. Choledochojejunostomy
22.A midline longitudinal incision through the roof of the popliteal fossa will expose as the most
superficial major structure:
A.Popliteal artery
B.Tibial nerve
C.Common peroneal nerve
D.Popliteal vein
E.Popliteus muscle
26. In a 55-year-old grocery store cashier with an 8-month history of leg edema increasing over
the course of a work day, associated with moderate to severe lower leg bursting pain, the most
appropriate investigative study or studies are:
A. Doppler duplex ultrasound.
B. Brodie-Trendelenburg test.
C. Ascending and descending phlebography.
D. Measurement of ambulatory and resting foot venous pressure.
E. Venous reflux plethysmography.
29. In neonates with necrotizing enterocolitis, which of the following findings is an indication of significant bowel
ischemia?
A. Increased gastric residuals.
B. Septic shock.
C. Cardiac failure due to a patent ductus arteriosus.
D. Elevated platelet count.
E. Erythema of the abdominal wall.
30. Renal adenocarcinomas:
A. Are of transitional cell origin.
B. Usually are associated with anemia.
C. Are difficult to diagnose.
D. Are extremely radiosensitive.
E. Frequently are signaled by gross hematuria.
33. The most common malignant neoplasm of the kidney is the hypernephroma or renal cell carcinoma. Which
of the following statement(s) are true concerning renal neoplasms?
a. Renal cell carcinomas can produce a variety of hormone or hormone-like substances
b. Bilateral multifocal renal cell cancers can be associated with the multiple endocrine neoplasia syndrome
c. A tumor deformity on IVP is diagnostic of a renal cell carcinoma
d. Patients with renal cell carcinoma in a solitary kidney will inevitably require total nephrectomy and long-term
dialysis for the resultant renal failure
34.A tension haematoma deep to the cervical fascia following thyroid surgery is usually due to
A) bleeding from anterior jugular veins
B) slipping ligature of the superior thyroid artery
C) bleeding from substance of thyroid gland
D) injury to external carotid artery
35. regarding post splenectomy sepsis?
a. The incidence in children is generally reported as less than 5%
b. Haemophilus influenzae, Streptococcus pneumoniae and Neiseria meningitidis are the most common
causative
organisms
c. The mortality rate is now approximately 50%
d. The incidence in adults in approximately 1%
e.all are ture
a)
b)
c)
d)
e)
40-A diabetic patient has an ulcer on their great toe, which statement is false regarding its
healing
a)
b)
c)
d)
e)
41. Which of the following is consistent with syndrome of inappropriate antidiuretic hormone (SIADH)?
(a) hypovolemia
(b) increased urine sodium
(c) hypernatremia
(d) plasma hyperosmolarity
(e) excessive diuresis
47. A 37-year-old man is involved in a motor vehicle accident. His chest x-ray shows a widened
mediastinum. An aortogram demonstrates a descending thoracic aortic injury. He is also noted to
have a grade II splenic injury. Which of these approaches should not be used to repair the aortic
injury?
a. total cardiopulmonary bypass
b. partial cardiopulmonary bypass using a Gott shunt
c. left atrial to left femoral bypass using a nonheparinized pump
d. clamp and sew without cardiopulmonary bypass
e. none of the above
48. A 17-year-old man is stabbed in the axilla. He is noted to have loss of function of the ulnar
nerve. If nonoperative therapy is used for treatment of this nerve injury, at what rate is the nerve
expected to regenerate?
a. 1 mm/wk
b. 1 mm/mo
c. 1 mm/d
d. 10 mm/mo
e. 1 cm/wk
49.-Which of the following statements regarding the arterial blood supply of the rectum are
correct?
A.the principal blood supply of the rectum is from the inferior rectal artery
B.the superior rectal artery crosses the ureter anterior to the bifurcation of the left common iliac
artery
C.the inferior rectal artery has few anastomoses with the middle and superior rectal arteries
D.the inferior mesenteric artery becomes the superior rectal artery on crossing the pelvic brim
E.the superior rectal artery divides into branches at S1 vertebral level, where the rectum begins
50.. A patient presents after a motor vehicle collision at which he was found ambulatory at the
scene. He is anxious, smells of alcohol, and has a heart rate of 110 beats/min, a blood pressure
of 110/90 mm Hg, a normalcapillary refill, and normal urinary output. This patient is assessed in
which one of the following ways?
A He is intoxicated and an early head computed tomography (CT) scan should be planned to rule
out head injury.
B He may be in class I hemorrhage (up to 15% of blood volume loss).
C He may be in class II hemorrhage (15%30% of blood volume loss).
D He may be in class III hemorrhage (30%40% of blood volume loss).
E He may be in class IV hemorrhage (40% of blood volume loss).