2010 Flashcards
48.A 32 year old woman with 2.5 thyroid nodules. She showed no clinical signs of hyperthyroidism and thyroid function tests were within normal. The nodule was cold and FNA suggested follicular neoplasia of the thyroid. What should you do next? 2010
a. Total thyroidectomy
b. Lobectomy with LN dissection
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While performing a cholecystectomy, the surgeon elaborates on the boundaries of the triangle of Calot in order to safely remove the gallbladder without injuring the surrounding structures. Which of the following structures passes through the triangle of Calot? 2011,
2010
a. Cystic artery
b. Cystic duct
c. Right hepatic artery
d. Left hepatic artery
a. Cystic artery
Note: The triangle of Calot is bounded by the common hepatic duct medially, the cystic duct laterally and the liver edge superiorly according to the modern definition. The cystic artery and Calot’s lymph node being the contents.
24.What are the borders of the Hesselbach’s triangle?
Inguinal ligament, Inferior epigastric artery, and Lateral border of rectus abdominis.
17.What is the best radiological term to describe a fracture of the humeral shaft that is displaced side to side in lateral direction without angulations?
a. Lateral translation
26.An elderly man with a history of resistant helicobacter pylori infection. What malignant tumor is he at highest risk of developing?
a. Gastric lymphoma
b. GIST
c. Gastric adenocarcinoma
a. Gastric lymphoma
20.Patient presented with gallstone pancreatitis. How to manage? 2010
a. ERCP
b. Cholecystectomy on same admission when the pain is relieved
c. Cholecystectomy when amylase normal
a. ERCP
(probably, confirm pls cause you do cholecystectomy for these patients eventually as well, but to prevent recurrence, not treat current situation.)
25.A 70 year old with osteoporosis fell from height, most common type of fracture?
Wedge
Female complaining of mass in the breast. What is the initial imaging?
Ultrasound
When should antibiotics be given in a Clean contaminated surgery? 2013, 2010
a. 4 hours before skin incision
b. 8 hours before skin incision
c. Within 1 hr of skin incision
d. After skin incision
c. Within 1 hr of skin incision
49.A patient after thyroidectomy developed perioral numbness. How to treat it? 2010
a. IV calcium gluconate
b. Oral vit D supplements
a. IV calcium gluconate
Which of the following would be the best method to diagnose prostate cancer? 2013, 2010
a. PSA only
b. CT scan
c. Transrectal ultrasound
d. PSA and transrectal ultrasound biopsy
d. PSA and transrectal ultrasound biopsy
Which of the following is responsible for bone resorption? 2010
a. Osteoclasts
b. Osteoblasts
c. Chondroblasts
d. Fibroblasts
a. Osteoclasts
What is the best imaging modality to detect the earliest abnormalities in AVN?
MRI
28.Diarrhea after broad spectrum antibiotics. How to treat it?
Metronidazol
22.Patient came with a 2 days history of SBO due to adhesions after he had a surgery. What is your management? 2010
a. IV fluid and NGT
b. NPO
c. Lysis of adhesion
c. Lysis of adhesion
12.A patient with septic arthritis developed secondary osteoarthritis. Which of the following is contraindicated?
Total hip replacement
(history of infection is contraindication)
41.Female with solid mass in the breast. How to confirm your diagnosis?
Core biopsy
Hot thyroid nodule, high T4, low TSH. How to treat this patient? 2010
a. Radioactive iodine
b. Surgical removal
a. Radioactive iodine
A 7-year-old child comes to the clinic with his mother complaining of limping. While examining the gait of the child, the doctor notices that his trunk shifts over the hip quickly and then shifts back to the opposite side due to pain in his lower limb. What type of gait is described here?
a. Antalgic gait
b. Waddling gait
c. Ataxic gait
d. Diplegic gait
a. Antalgic gait
Which of the following is associated with the highest risk of transmission with needle stick injury? 2017, 2016, 2013, 2010
a. Epstien-Barr virus
b. Hepatitis A virus
C. Hepatitis B virus
d. Hepatitis C virus
e. HIV
C. Hepatitis B virus
CDC data from most common to least: HBV (6-30%), HCV (1-2%), HIV (0.3%)
10.Diaphyseal fracture treated with open reduction and intramedullary nail. Goal of surgery?
2010
a. Anatomic reduction
b. Restore length and alignment
c. Promote primary healing
d. Formation of callus
e. Maintain absolute stability
b. Restore length and alignment
A 25-year-old man has a history of varicoceles in the right scrotum. Upon lying flat, the dilated veins do not disappear. Which of the following structures is likely to be obstructed?
2013, 2011, 2010
a. Inferior vena cava
b. External iliac artery
c. Internal iliac artery
d. Right renal artery
a. Inferior vena cava
Left-sided varicoceles are more common due to the indirect drainage of the left gonadal vein into the IC via the left renal vein. Right-sided varicoceles, on the other hand, should raise the suspicion of a retroperitoneal mass compressing the IVC and hence, predisposing to varicoceles
Which of the following has the highest malignant potential? 2011, 2010
a. Adenomatous polyp
b. Inflammatory polyp
c. Hamartomatous polyp
d. Hyperplastic polyp
a. Adenomatous polyp
21.What best describes symptoms of BPH? 2010
a. Hesitancy
b. Post void dribbling
c. Dysuria
d. Hematuria
?
17.Patient had an accident and was given blood, later on he became tachycardic, tachypneic and hypotensive. Why is that? 2010
a. Catheter-related infection
b. Disseminated intravascular coagulation
c. Transfusion reaction
c. Transfusion reaction
27.A 23 year old patient complains of a 6 week history of bloody diarrhea with mucus, and tenderness without guarding. Vitals were stable. What is your diagnosis?
Ulcerative Colitis
43.Breast mass found to be infiltrating ductal carcinoma on biopsy but without clinical evidence of lymphadenopathy. What is your management? 2010
a. Wide local excision
b. Wide local excision with axillary lymph node dissection
c. Wide local excision with axillary lymph node radiation
d. Wide local excision with sentinel node biopsy and radiation
d. Wide local excision with sentinel node biopsy and radiation
17.15 hrs history of retention. Immediate action is?
Immediate insertion of a folly’s
10.What do carcinoid tumor cells arise from?
Enterochromaffin cells.
47.Which nerve is commonly injured during a parotidectomy?
Facial nerve
A 72-year-old man after hip replacement surgery presented with abdominal pain, bloating, nausea and vomiting. He was diagnosed with Ogilvie’s syndrome (Acute Colonic Pseudo-Obstruction ACPO). Which of the following drugs is used for treatment?
Neostigmine
A 6-month-old baby was brought by his parents to the urology clinic to get circumcised. On physical examination of the baby, the urethral meatus was on the ventral aspect of his penis. The parents are so willing to have their child circumcised. What advice would be recommended for the parents regarding their child’s circumcision? 2013, 2011, 2010
a. Circumcision is contraindicated in hypospadias
b. They should wait when their son is older
c. It should be performed immediately
a. Circumcision is contraindicated in hypospadias
Hypospadias are an absolute contraindication for circumcision which should be deferred as the foreskin may be utilized in the correction.
16.Supracondylar fracture w/ no palpable radial pulse, what is the management? 2010
a. Urgent surgical exploration
b. Open reduction
c. Closed reduction
d. Call vascular surgeon
a. Urgent surgical exploration
13.MVA with pelvic fracture and bleeding, which is most likely the source of bleeding?
Bone marrow and veins
(80%
Which of the following is a radiological finding in malignant bone tumors?
Wide transition zone
31.A patient with a history of breast cancer that was resected now presented with back pain.
She is diagnosed with a compression fracture. What imaging technique will you perform next? 2012, 2010
a. Bone scan
b. No further imaging is needed
a. Bone scan
24.A 39-year-old man presented to the surgery OPD with a groin swelling that he noticed while taking a shower. The doctor was not able to manually reduce it. However, the mass was not tender to palpation, and no overlying skin changes were present. How should this patient be managed?
a. Elective repair
b. Immediate surgical exploration
a. Elective repair
A patient with left scrotal pain with absent cremasteric reflex and high riding testes. What is your diagnosis?
Testicular torsion
22.Which of the following depicts a correct sequence of the steps done at the emergency room to manage an open fracture?
Intravenous antibiotics for 72 hours -> debridement and irrigation -> external fixation