2017 Flashcards
What procedure removes bacteria spores, fungi, and viruses from an object? 2017, 2016
a. Sterilization
b. Pasteurization
c. Boiling
d. Antisepsis
e. Disinfection
a. Sterilization
A patient is a known case of DM, HT and is on clopidogrel. He is scheduled for an elective hernia repair. When should he discontinue clopidogrel preoperatively? 2017
a. 6 hours
b. 1 day
c. 3 days
d. 7 days
e. 10 days
d. 7 days
How is anterior instability of the knee assessed? 2017
a. Plain X-ray
b. Posterior drawer test
c. Anterior drawer test
d. McMurry
e. Vagus stress test
c. Anterior drawer test
During a routine screening mammogram, a 62 year old teacher was informed that she has changes on mammogram and she should consult her physician. Which of the following indicates benign finding? 2017, 2016
a. Clearly defined mass with irregular borders
b. Coarse calcifications
c. Discrete non-palpable mass that has increased in size compared to a previous mammogram
d. Linear branching calcifications
e. Solid, clearly defined mass with irregular edges
b. Coarse calcifications
A gentleman involved in a car accident sustained an open fracture and was bleeding profusely. What measure would you do while waiting to be transferred to the hospital?
2017
a. Apply pressure on wound and elevate limb
b. Elevate limb
c. Apply a tourniquet
d. Apply pressure over the femoral artery
e. Clamp bleeding vessel
a. Apply pressure on wound and elevate limb
Hep C has a risk of what
HCC risk
What is an absolute contraindication of BC vaccination? 2017
a. Previous BCG treatment
b. Previous TB
C. Immunosuppression
C. Immunosuppression
Which radiological finding indicates pelvic instability? 2017, 2016, 2011
a. Symphysis diastasis 5 mm
b. Sacroiliac impaction
c. Sacroiliac diastasis 1cm
d. Fracture of superior pubic rami
e. Fracture of inferior pubic ram
c. Sacroiliac diastasis 1cm
What diagnostic test best differentiates testicular torsion from epididymo-orchitis? 2017
a. Absent cremasteric reflex
b. Testes in horizontal lie
c. US color doppler with no blood flow
d. High riding testis
e. Surgical exploration
c. US color doppler with no blood flow
(They want to rule in testicular torsion)
A 9-year-old boy came with abdominal distension and discharge from the umbilicus. He also had tenderness on his lower abdomen. What is the diagnosis? 2017
a. Patent urachus
b. Umbilicus sinus
b. Umbilicus sinus
Smoker patient had abdominoplasty and got hypoxia and fever 2 days later. What is the next step? 2017
a. Systemic anticoagulant
b. Pulmonary thrombolysis
c. Physiotherapy
d. Bronchoscopy and lavage
c. Physiotherapy
Which nerve supplies pectoralis minor muscle? 2017, 2016, 2013
a. Medial pectoral nerve
b. Lateral pectoral nerve
c. Long thoracic
d. Thoracodorsal nerve
a. Medial pectoral nerve
A 10-year-old boy presented with left testicular pain associated with tenderness over the upper pole of the testes and blue discoloration. There was no history of trauma and no fever, what will you find on scrotal exploration? 2017
a. Normal
b. Testicular torsion
c. Testicular appendix torsion
d. Bell clapper deformity
c. Testicular appendix torsion
What is the best thing to reverse heparin in an emergency surgery? 2017, 2015
a. Dantrolene
b. Halothane
c. Naloxone
d. N-acetylcysteine
e. Protamine
e. Protamine
Post radical prostatectomy, when do you measure PSA level? 2017
a. 14 days
b. 21 days
c. 28 days
d. 48 days
d. 48 days
A 63-year-old male present with painless jaundice and pruritus. He reports to drink alcohol daily. Examination of his abdomen revealed a palpable non-tender gallbladder. What is the likely diagnosis? 2017, 2013
a. Alcoholic hepatitis
b. Gallstones
c. PBC
d. Pancreatic cancer
d. Pancreatic cancer
Chronic alcoholism causes chronic pancreatitis which is a risk factor for pancreatic cancer.
Courvoisier law supports the diagnosis.
A 30-year-old patient underwent small bowel resection for closed loop obstruction. He is having persistent hypokalemia despite K+ replacement. What could be the cause? 2017
a. Hypocalcemia
b. Hypomagnesemia
c. Hypophosphatemia
d. Hyponatremia
e. Hypochloremia
b. Hypomagnesemia
A 30 year old male patient came after a motorcycle accident with a GCS score of 15, heart rate was 120 beats per minute, blood pressure was 80/50 mHg. C-collar was placed. Chest exam was normal. FAST was negative. Pelvic exam revealed pelvic instability. What should be done next? 2017, 2016
a. Pelvic wrapping
b. Pelvic packing
c. External fixation
d. Internal fixation
e. Angioembolization
a. Pelvic wrapping
What’s the main source of nutrients for enterocytes?
Glutamine
What surgical specialties are required for management of an open fracture (GA grade 3b)?
2017
a. Orthopedic trauma surgeons only
b. Orthopedic & vascular surgeon
c. Orthopedic & plastic surgeon
d. Orthopedic & infection control specialist
c. Orthopedic & plastic surgeon
An 8 cm homogeneously dense mass was found within the abdominal wall. What is it? 2017
a. Desmoid tumor
b. Lipoma
c. Hernia
a. Desmoid tumor
What is the earliest sign of Volkmann’s ischemia (compartment syndrome)? 2017
a. Pain
b. Pallor and poor capillary filling
c. Paresthesia of median nerve area
d. Contracture of fingers
e. Gangrene of tips of finger
a. Pain
A 60-year-old male with esophageal carcinoma and malnutrition and requires TPN. What would be his daily caloric intake? 2017
a. 1 kcal/kg body weight/day
b. 5 kcal/kg body weight/day
c. 30 kcal/kg body weight/day
d. 50 kcal/kg body weight/day
e. 100 kcal/kg body weight/day
c. 30 kcal/kg body weight/day
A patient was recently diagnosed with peptic ulcer disease. H. pylori was successfully eradicated. How to check H. pylori eradication? 2017
a. Culture and sensitivity
b. Serology
c. Stool polymerase chain
d. Urea breath test
d. Urea breath test
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%)
Following laparoscopic hernia repair for indirect right inguinal hernia, a 60-year-old male patient presents with pain and burning sensation that radiates to the lateral aspect of the ipsilateral thigh. The likely cause is injury to which of the following? 2017, 2016
a. loinguinal nerve
b. Iliohypogastric nerve
c. Femoral nerve
d. Genitofemoral nerve
e. Lateral Cutaneous nerve
e. Lateral Cutaneous nerve
A 22 year old male presented with anemia, endoscopy showed a gastric, small bowel and colon polyps in addition to dark pigmentation around his mouth. What is the diagnosis?
2017, 2013
a. Cronkhite-Canada syndrome
b. Familial adenomatous polyposis
c. Non-polyposis colonic cancer
d. Juvenile polyposis
e. Peutz-Jegher syndrome
e. Peutz-Jegher syndrome
A patient had a total thyroidectomy for a large goiter. On the third day, he complained of numbness and his hands contracted in response to increase cuff pressure. The ECG showed prolonged QT. What is the most likely abnormality? 2017, 2015
a. Hypokalemia
b. Hyperkalemia
c. Hypocalcemia
d. Hypercalcemia
c. Hypocalcemia
A positive Trousseau’s sign is defined by flexion of the wrist, the thumb, and the joints located between the palm of the hand and the fingers, along with the extension of the fingers.
A 52-year-old man noticed prolapse in the anal area during defecation that he couldn’t reduce manually. The patient had a colonoscopy 1 year ago for internal hemorrhoids.
What’s the diagnosis? 2017
a. Grade I hemorrhoids
b. Grade Il hemorrhoids
c. Grade Ill hemorrhoids
d. Grade IV hemorrhoids
e. Low rectal cancer
d. Grade IV hemorrhoids
Patient with obstructive jaundice (dilated CBD). Which of the following is absent in the patient’s urine?
Urobilinogen
What nutritional deficiency is associated with floating stool? 2017
a. Vitamin A
b. Vitamin B6
c. Vitamin C
d. Vitamin E
a. Vitamin A
What forms the superior border of the ischiorectal fossa? 2017, 2013
a. Gluteus major
b. Obturator Internus
c. Levator Ani Complex
c. Levator Ani Complex
A 27-year-old female in her late first trimester was diagnosed with acute bacterial cystitis on routine U/A (urinalysis).What is the most appropriate treatment? 2017, 2012
a. Nitrofurantoin for 3 days
b. Trimethoprim for 5 days
c. Cephalosporin for 7 days
d. Cefazolin for 7 days
e. Ciprofloxacin for 7 days
f. Levofloxacin for 7 days
a. Nitrofurantoin for 3 days
Flu-like illness and a painful neck. Tests show high T4, ESR, and a low TSH. What is the diagnosis?
Subacute thyroiditis
During a surgery, something went wrong and required anastomosis. What is the correct step to do?
a. Tell the patient and write it down
What forms the portal vein? 2017, 2011, 2010
a. Splenic vein and Inferior Mesenteric vein
b. Superior Mesenteric vein and Splenic vein
c. Superior Mesenteric vein and Inferior Mesenteric vein
b. Superior Mesenteric vein and Splenic vein
A 57-year-old patient underwent ERCP for choledocholithiasis. Five days later she presented with tachycardia and hypotension. Physical examination revealed a distended abdomen.
Erect chest X-ray showed black shadow below the diaphragm. What’s the management?
Exploratory laparotomy