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Surgery MCQs PDF
Surgery MCQs PDF
by
R. W. Parks
MD, FRCSI, FRCS (Ed)
Senior Lecturer/Honorary Consultant Surgeon
Department of Clinical and Surgical Sciences (Surgery)
University of Edinburgh
T. Diamond
BSc, MD, FRCS, FRCSI
Consultant Surgeon
Mater Hospital
Belfast
www.greenwich-medical.co.uk
© 2003
ISBN 1841101869
While the advice and information in this book is believed to be true and accurate, neither
the authors nor the publisher can accept any legal responsibility or liability for any loss or
damage arising from actions or decisions based in this book. The ultimate responsibility for
the treatment of patients and the interpretation lies with the medical practitioner. The
opinions expressed are those of the authors and the inclusion in this book of information
relating to a particular product, method or technique does not amount to an endorsement
of its value or quality, or of the claims made by its manufacturer. Every effort has been
made to check drug dosages; however, it is still possible that errors have occurred.
Furthermore, dosage schedules are constantly being revised and new side-effects recognised.
For these reasons, the medical practitioner is strongly urged to consult the drug companies'
printed instructions before administering any of the drugs mentioned in this book.
Apart from any fair dealing for the purposes of research or private study, or criticism or
review, as permitted under the UK Copyright Designs and Patents Act 1988, this publication
may not be reproduced, stored, or transmitted, in any form or by any means, without the
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only in accordance with the terms of the licences issued by the appropriate Reproduction
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stated here should be sent to the publishers at the London address printed above.
The rights of R. W. Parks and T. Diamond to be identified as authors of this Work have been
asserted by them in accordance with the Copyright Designs and Patents Act 1988.
The publisher makes no representation, express or implied, with regard to the accuracy of
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Contents
Preface ........................................................................................................viii
List of Abbreviations ....................................................................................ix
v
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vi
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vii
Sme(MCQs)_Question.qxd 25/06/03 2:32 PM Page 1
Section 1
Multiple Choice
Questions (MCQs)
Preoperative Management – Questions ......................................................3
Principles of Anaesthesia – Questions ..........................................................6
Postoperative Management – Questions......................................................8
Nutritional Support – Questions ................................................................10
Surgical Sepsis: Prevention & Therapy – Questions....................................12
Surgical Techniques & Technology – Questions..........................................14
Trauma: General Principles of Management – Questions ........................16
Intensive Care – Questions ..........................................................................19
Principles of Cancer Management – Questions..........................................21
Ethics, Legal Aspects & Assessment of Effectiveness – Questions ............24
Haemopoietic & Lymphoreticular Systems – Questions ............................25
Alimentary System – Questions ..................................................................26
Vascular Surgery – Questions ......................................................................33
Endocrine Surgery – Questions....................................................................35
Breast – Questions........................................................................................39
Thoracic Surgery – Questions ......................................................................42
Genitourinary System – Questions ..............................................................44
Head & Neck – Questions ............................................................................46
Central Nervous System – Questions ..........................................................48
Musculoskeletal System – Questions ..........................................................50
Paediatric Surgery – Questions....................................................................52
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Preoperative
Questions
Management
Q 3. Hypertension
A. Prednisolone
B. Progesterone-only oral contraceptive pill
C. Aspirin
D. Propranolol
E. Warfarin
Preoperative Management
D. Dextran 70 is widely used to reduce the incidence of
postoperative deep vein thrombosis
E. Age ⬎35 years, obesity and malignancy are all significant risk
factors for the development of deep vein thrombosis
Questions
Principles of
Questions
Anaesthesia
A. Propofol
B. Etomidate
C. Sevoflurane
D. Thiopentone
E. Halothane
A. Suxamethonium
B. Atracurium
C. Vecuronium
D. Pancuronium
E. Atracurium
Principles of Anaesthesia
Q 5. The following are significant advantages of regional
anaesthesia
A. Avoidance of unconsciousness
B. Absence of respiratory depression
C. Sympathetic blockade
D. Blockade of motor function
E. Avoidance of Hypotension
Q 6. Local anaesthesia
Questions
E. May not be used in the region of an end-artery
Q 7. In general anaesthesia
Postoperative
Questions
Management
A. Urticaria
B. Hypokalaemia
C. Hepatitis C
D. ARDS
E. Jaundice
Q 2. Atelectasis
Postoperative Management
D. The risk of deep venous thrombosis and pulmonary embolism
is increased with malignancy
E. Acute tubular necrosis due to inadequate renal perfusion is
irreversible
Questions
Q 6. Postoperative pyrexia may occur secondary to
A. Subphrenic abscess
B. Deep venous thrombosis
C. Urinary tract infection
D. Atelectasis
E. Blood transfusion
Nutritional
Questions
Support
A. Serum albumin
B. Triceps skin-fold thickness
C. White cell count
D. Handgrip strength
E. Prothrombin time
Q 3. Enteral nutrition
A. 35–40 kCal/kg/day
B. 1–2 g nitrogen/day
C. 15 g protein/day
D. 70 mmol K⫹/day
E. 2500 ml water/day
Q 5. TPN
Nutritional Support
D. Should be administered using an infusion pump
E. May induce hepatocyte dysfunction
Questions
Surgical Sepsis:
Questions
Prevention & Therapy
A. Temp ⬎38.4⬚C
B. Temp ⬍35.6⬚C
C. WCC ⬍4 cells/ml
D. Respiratory rate ⬎20/min
E. PaCO2 ⬎32 mmHg
A. Pro-inflammatory cytokines
B. Anti-inflammatory cytokines
C. Complement
D. Platelet activating factor (PAF)
E. Endotoxin antibodies
Q 7. Regarding antibiotics
Questions
A. Penicillins act by disrupting the peptidoglycan of the
bacterial cell wall
B. Ampicillin is effective against pseudomonas infections
C. Cephalosporans are usually prescribed as a monotherapy
D. Vancomycin is the treatment of choice for MRSA
E. Aminoglycosides may cause nephrotoxicity
Surgical Techniques
Questions
& Technology
Q 2. Diathermy
Q 3. Wound healing
Q 6. Burn injuries
Questions
D. Requires fluid replacement of 2–4 ml/kg per percent body
surface burn within the first 24 h
E. To the head and neck have the lowest mortality rates
Trauma: General
Principles of Questions
Management
Q 8. Liver injuries
Trauma: General Principles of Management
Q 1. Cardiac output
Q 2. Cardiac tamponade
Q 4. Artificial ventilation
response
Q 7.
Questions