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Surgery Final > 2014 > Flashcards

2014 Flashcards

1
Q

A question about the nerve that supplies the anterior scrotum.

A

-

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2
Q

A patient brought to the ER after a road traffic accident. After resuscitation, pulse rate was high, blood pressure was low and FAST was negative. The pelvis was unstable so a pelvic binder was applied. What is the next likely step in management? 2015, 2014
a. Apply more pelvic binder
b. Exploratory laparotomy
c. Start cardiopulmonary resuscitation
d. Angioembolization
e. Pelvis packing in the operating room

A

d. Angioembolization

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3
Q

A patient had a humerus fracture associated with an injury to the radial nerve. One month later, the nerve injury was resolved. What is the most likely type of this peripheral nerve injury?

A

Neuropraxia

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4
Q

A 15 year old boy presents with a distal femur painful mass. Xray showed a wide transition zone with sunburst periosteal reaction. What is the next step? 2014
a. Resection
b. Neoadjuvant chemotherapy
c. Bone biopsy
d. Radiation therapy

A

c. Bone biopsy

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5
Q

A patient with elbow dislocation posterolaterally, what is the most likely injured nerve in this case?

A

Radial nerve

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6
Q

A male patient with LUTS, presented with 15 hours of acute urinary retention. What is the next step?

A

Foley’s catheter

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7
Q

Which of the following offers the maximum stabilization of a fracture?

A

Compression plate

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8
Q

A question about a smoker/DM patient with a fracture that was managed appropriately. On follow up, the x-ray showed features of hypertrophic nonunion. What is the most likely cause of nonunion? 2014
a. Decreased blood perfusion to the site of fracture
b. Mechanical instability

A

b. Mechanical instability

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9
Q

A patient with incomplete distal fibular fracture with intact syndesmosis, what is the treatment?

A

Ankle-foot orthosis

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10
Q

A patient who had a road traffic accident was brought to the ER with an open elbow fracture. What is the most important step to prevent infection?

A

Immediate IV antibiotics

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11
Q

A sexually active man had urethral discharge 2 weeks ago now presents with knee pain. On examination, there was knee effusion, tenderness, erythema and antalgic gait. What is the next step in management? 2014
a. Debride
b. Antibiotics
c. Knee aspiration under local anesthesia

A

c. Knee aspiration under local anesthesia

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12
Q

Which of the following methods will result in primary bone healing?

A

Compression screws

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13
Q

A patient had Monteggia fracture (ulnar fracture with dislocation of the proximal head of the radius). What is management?

A

ORIF

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14
Q

In addition to sclerotherapy, what other modality is used to prevent rebleeding during hospital stay of a patient with variceal bleeding?

A

Somatostatin

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15
Q

A patient had a total hip replacement surgery under an epidural anesthesia. On the next day he developed loss of sensation and weakness of the lower limbs associated with sphincter dysfunction. On CT, he had an epidural hematoma. How will you manage the case? 2014
a. Urgent decompression
b. Aspiration under US guidance

A

a. Urgent decompression

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16
Q

A football player who heard a sudden pop while running, followed by immediate swelling and knee locking. On examination, the Lachman test was positive, the McMurray test was positive, but the posterior drawer test was negative. What is the diagnosis?

A

ACL and meniscus injury

17
Q

A typical scenario of pseudogout, asking about the diagnosis.

A

-

18
Q

Regarding Gustilo-Anderson classification, what is significant about type 3b fracture?

A

No skin or soft tissue, need for soft tissue coverage

19
Q

A patient brought to the ER after a road traffic accident. After resuscitation, pulse rate was high, blood pressure was low and FAST was positive. Examination ruled out any possible fracture. What is the most important next step in management?

A

Exploratory laparotomy

20
Q

A 25-year-old male presented with a mass in the midline of his neck. The mass moved with swallowing and also upon protrusion of the tongue. What is the most likely diagnosis? 2016,
2014, 2013, 2012
a. Branchial cleft cyst
b. Follicular nodule
c. Lipoma
d. Thyroglossal duct cyst

A

d. Thyroglossal duct cyst

21
Q

What is the management of thyroglossal cyst in a 20-year-old patient? 2017, 2014
a. Observation
b. Incision and drainage
c. Excision
d. Excision of entire tract and a part of hyoid bone
e. Total thyroidectomy

A

d. Excision of entire tract and a part of hyoid bone

22
Q

A patient who fell down presents with areflexia, hypotonicity, and inability to move limbs below the umbilicus. What is the most likely cause? 2014
a. Anterior cord syndrome
b. Central cord syndrome
c. Spinal shock
d. Neurogenic shock

A

c. Spinal shock

23
Q

What is the most common cause of septic arthritis in adults? 2014
a. Staphylococcus Epidermidis
b. Streptococcus
c. N. Meningitides
d. N. Gonorrhoeae

A

d. N. Gonorrhoeae

24
Q

Regarding follicular and papillary thyroid cancer, how does their staging system differ from other types of cancer? 2017, 2014
a. Age
b. Sex

A

a. Age

25
Q

A patient brought to the ER after a road traffic accident. After resuscitation, pulse rate was high, blood pressure was low and FAST was positive. A pelvic fracture was diagnosed. On examination, there was tracheal deviation, associated with no air entry and hyperresonance on the opposite side. What is the most important next step in the management?

A

Needle thoracostomy

26
Q

A newborn with multiple long bones fractures, what is the diagnosis?

A

Osteogenesis imperfecta

27
Q

A patient presents with LUTS: increased urine frequency, urgency, intermittency, weak stream and hematuria. What is the best next investigation test? 2014
a. Abdominal US
b. IV pyelogram
c. Urine routine and culture

A

c. Urine routine and culture (most likely)

28
Q

A patient with posterior knee dislocation, what is the most likely injured nerve in this case?

A

Common peroneal nerve

29
Q

A 10 year old boy with multiple masses around the knee, arm and elbow joints. On palpation, the masses are hard. On x-ray, they are osteoblastic mushroom-like masses with no periosteal reaction, and they are joined to the metaphysis by a pedicle. What is the diagnosis? 2014

A

a. Osteochondroma

30
Q

ECG showed sine waves, diagnosis is hyperkalemia.

A

-

31
Q

A child who fell down on his elbow. He had pain and a bruise on his elbow. X Ray showed no fracture but the ulna was bent so that its apex was towards the anterior side. What is this type of injury called?

A

Plastic deformation

32
Q

What is the most common isolated bacteria from the bile? 2014
a. E.coli
b. Enterococcus
c. Klebsiella

A

a. E.coli

33
Q

A 34-year-old female in a motorcycle accident, laparotomy and splenectomy was done. What should be given to her before discharge? 2017, 2016, 2014, 2012
a. Meningococcal, H. influenza, pneumococcal
b. Pneumococcal and tetanus
c. Varicella zoster, meningococcal and tetanus
d. Meningococcal and hepatitis B
e. Tetanus only

A

a. Meningococcal, H. influenza, pneumococcal

34
Q

What is the advantage of synthetic mesh in the repair of inguinal hernia? 2017, 2014, 2012
a. Reduces Infection
b. Reduces Recurrence
c. Reduces operative time
d. Reduces risk of scrotal hematoma

A

b. Reduces Recurrence

35
Q

An IV drug abuser presents with a 2 week history of tibial pain, and fever. He had elevated WBCs and ESR. What is management? 2014
a. IV antibiotics
b. Oral antibiotics
c. Debride
d. Antibiotics beads
e. Debride and stabilize

A

a. IV antibiotics

36
Q

A young man had fallen from a building (vertically resulting in axial load on the body). He had loss of sensation in both lower limbs. On investigation, fracture of L2 vertebra was diagnosed. What type of injury/ fracture to the vertebra would you expect in this scenario?
a. Burst fracture with central canal compression
b. Wedge fracture with less than 10% loss of height

A

a. Burst fracture with central canal compression

37
Q

A patient who had inguinal hernia repair with a mesh. After the surgery, the patient heard a pop sound associated with inguinal bulge, what is the best investigation? 2014
а. СТ
b. MRI
c. US

A

-

38
Q

What is the absolute contraindication for ORIF in clavicular fracture?

A

Vascular injury

39
Q

A middle aged female with weight loss, anxiety, and visual problems. On examination of the neck, no mass was felt on palpation, however, on auscultation of the neck, a bruit was heard. What is the diagnosis?

A

Graves disease

Surgery Final (10 decks)

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