SURGERY UNIT EXAM Answer: B

(VENOUS AND LYMPHATIC 5. Most commonly performed test to detect DVT

SYSTEM, A. DUS
B. Plethysmography
SKIN AND SUBCUTANEOUS C. MRI
TISSUE) D. Venography
E. None of the above
1. Which of the following is the main target organ Answer: A. DUS
of Chronic Venous Insufficiency? Reference: ppt Venous and lhmohatic diseases
A. Veins Ratio:
B. Artery
C. Skin 6. Definitive tear to detect DVT
D. Subcutaneous Tissue A. DUS
E. Muscle B. Plethysmography
ANS: C C. MRI
Rationale: Chronic Venous Insufficiency may D. Venography
lead to characteristic changes in the skin and E. None of the above
subcutaneous tissues in the affected limb. Answer: D. Venography
However it is important to remember that Reference: ppt. Venous and lymphatic diseases
although CVI originates with abnormalities of the Ratio:
veins, the target organ in the skin.
Reference: Schwartz/Handout 7. Valveless veins except
A. Superior vena cava
2. Factor associated to development of VTE B. Common iliac
A. Stasis of blood flow C. Portal Venous
B. Smooth endothelium D. Cranial sinuses
C. Heparinized patients E. None
D. All of the above Ans: A
E. None of the above
ANS: A 8. Considered as a deep vein of the lower
Rationale: Common factors that contribute to extremity
Venous Thromboembolism formation includes A. Great saphenous vein
stasis of blood flow, endothelial damage and B. SSV
hypercoagulability. However relative C. Femoral
hypercoagulability appeara most important in D. Crockett
most cases of "spontaneous DVT" E. Boyd perforator
Reference: Schwartz/ Handout Ans: c

3. Extensive DVT of the major axial deep venous 9. The following factors contribute to the
channels with relative sparing of collateral veins development of Venous thromboembolism ?
A. Phlegmasia cerulea dolens A. Stasis of blood
B. Phlagmasia alba dolens B. Smooth endothelium
C. Chronic Venous Insufficiency C. Heparinized patient
D. All D. All of the above
E. None Ans. A.
Answer: A
10. Possible sign of superficial Venous
4. Extensive DVT that extends to the collateral insufficiency?
veins with massive fluid sequestration and A. Torturosity
edema B. Presence of Venous saccule
A. Phlegmasia cerulea dolens C. Distended intradermal venules
B. Phlagmasia alba dolens D. All of the above
C. Chronic Venous Insufficiency Ans. D. All of the above.
D. All Ref: hand outs page 2.
E. None
13. Which of the following is NOT a function of Ref: p. 930
the veins?
A. Transports oxygenated blood to the heart 20. Lymphedema is curable, symptoms cannot
B. Reservoir to prevent overload be controlled.
C. Transport blood from the heart to the Ans: FALSE
peripheral Ref: p. 936
D. All of the above
Answer: C. Transport blood from the heart to 21. Risk factors for CVI include obesity, female,
the peripheral inactivity, and family history
Rationale: Arteries deliver blood from heart and Ans. FALSE
to peripheral tissues. Ref:
Doc’s notes Function of veins: transport blood
toward heart,serve as reservoir to prevent 22. Large varicose veins are best treated by
intravascular volume overload. surgical excision using "stab avulsion" technique
Source: Handouts Ans. TRUE
Ref: ppt
14. Which of the following is considered a
Deep Vein in the Upper Extremity? 23. DUS cannot be used in evaluate reflux in the
A. Cephalic individual segment of the legs.
B. Basilic ans: FALSE
C. Axillary
D. Subclavian 24. Anticoagulation therapy should be initiated in
Answer: C. Axillary upper extremity vein thrombosis
Rationale: doc’s notes upper extremities Deep: ans: TRUE
brachial, axillary
Resource: Handouts 25. Compression therapy is the mainstay for
CVT management.
15. Which of the following is a possible sign of Ans.: TRUE
superficial venous abnormalities
A. Tortuosity of veins 26. 75 year old man newly noted 1.5 cm pearly
B.presence of venous saccules nodule with superficial telangiectasia. What is
C. Distended intradermal venules the initial management?
D. All of the above a. Punch Biopsy
E. None of the above b. Topical imiquimod
Ans: d all of the above C. Curettage
Source: doc gallo’s handouts D. Surgical incision
E. Radiotherapy
16. IVC filter is indicated for patients who
develop recurrent dvt or pe despite anticoag 29. The treatment of hydrofluoric acid skin burn
therapy Ans: C. Application of calcium carbonate gel
Ans: true
Source: doc gallo’s handouts 30. Associated with pyoderma gangrenosum
A. monoclonal IgA gammopathy
TRUE OR FALSE B. Degenerative arthritis
C cancer of colon
17. CT scanning is the diagnostic study of D. Glioblastoma
choice for Superficial Vein Thrombophlebitis. Ans: A
ANS: FALSE
31. Most common skin cancer,
18.Venography is the most definitive test for the A. SCCA
diagnosis of DVT. B. Basal cell Ca
ANS: TRUE C. Melanoma
D. Kaposi sarcoma
19.Venous photoplethysmography evaluates Answer: B. Basal Cell CA
venous function using infrared light.
Ans: TRUE 32. Second most common skin cancer?
A. SCCA Rationale:
B. Basal cell Ca Hidradenitis suppurativa is characterized by
C. Melanoma multiple abscesses, internetworking sinus
D. Kaposi sarcoma tracts, foul smelling exudate from draining
Answer: A. SCCA sinuses,inflammation in dermis,both atrophic
Ref: Handouts and hyperatrophic scars, ulceration and
infection.
33. Most common form of Basal Cell Carcinoma. Reference: Schwartz 10th Ed (page 476 )
Answer: Nodular
Ref: Schwartz 40. Characteristically slow
growing,asymptomatic,violaceous plaque
34. Marjolin’s ulcer arises from exposure to: involving the trunk, head,neck or extremities.
A. Thermal a. Melanoma
B. Radiation b. Kaposi's sarcoma
C. Pressure c . Pyoderma protuberans
D. Lymphadenopathy d. Dermatofibrosarcoma protuberans
Answer: A. Ans: D
Ref: Schwartz Reference: Schwartz 10th Ed (page 492)

35. Melanoma with best prognosis 41. Acidic injuries typically cause this type of
A. Superficial spreading necrosis:
B. Nodular A. Coagulative
C. B. Liquefactive
D. C. Both
Answer: D. Neither
Answer: A. Coagulative
36. Angiosarcoma associated with Ste Reference: page 479 of Schwartz
A. Radiation
B.thermal injury 42. A chronic inflammatory disease presenting
C.pressure as painful subcutaneous nodules characterized
D.lymphedema by multiple abscesses, internetworking sinus
Answer: tracts, foul-smelling exudate from draining
sinuses and inflammation in the dermis:
37. The most common type of melanoma A. Folliculitis
A. Superficial spreading B. Furuncle
B. Nodular C. Pyoderma gangrenosum
C. Acral lentiginous D. Hidradenitis suppurativa
D. desmoplastic Answer: D. Hidradenitis suppurativa
Ans: SUPERFICIAL SPREADING Reference: page 476 of Schwartz

38. Chemotherapeutic agent for 43. Minimum preasure of the microcirculation

dermatofibrosarcoma protuberans before it result to tissue ischemia
A. Imiquinod A. 15 mmhg
B. Imatinib B. 150 mmhg
C. Carboplatin C. 30 mmhg
D. Methotrexate D. 300 mmhg
Ans: B. IMATINIB Ans: C. 30 mmhg

39. Characterized by multiple abscesses, 44. Most common area of peominence prone to
internetworking sinus tracts, fouls melling ischemia
exudate from draining sinuses A. Ischial tuberosity
a. Cellulitis B. Trichanter
b. Furuncle C. Sacrum
c. Pyoderma gangrenosum D. Heel
d.Hidradenitis suppurativa Ans: A. Ischial tuberosity
Answer: D
47. Which of the following is the most common
source of necrotizing soft tissue infections?
A. Monomicrobial source including
betahemolytic
streptococci and staphylococcus
B. V. vulnificus
C. Type 2
D. Polymicrobial source including gram
positive cocci, gram negative rods, and
anaerobes

ANSWER: D. Polymicrobial source including

gram positive cocci, gram negative rods, and
anaerobes
•REFERENCE: Schwartz textbook: Chapter
16, page 483

48. Verruca vulgaris is caused by what serotype

of the HPV?
A. 1, 2, 4
B. 4, 6
C. 5, 8
D. 4, 5, 8
•ANSWER: A. 1, 2, 4
•REFERENCE: Schwartz textbook, Chapter
16, page 485

49. condyloma acuminatum will lead to

a. squamous cell CA
b. basal cell ca
c. no risk for malignancy
d. none of the above
ANSWER: D?

50. not a risk factor for melanoma

Answer: blond hair