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SURG 2 > 2017 EXAM > Flashcards

2017 EXAM Flashcards

1
Q

. Of the following, the congenital disorder is the,
a. In-toeing
b. Flat foot
c. Knock knee and bow leg
d. Club foot

A

a. In-toeing
b. Flat foot
c. Knock knee and bow leg
d. Club foot

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2
Q

A student, 19 year old, had pain in the distal side of the femur for 3 months, especially a night. Physical examination: localized tumescent mass at the bottom of the right femur, with slightly higher skin temperature and superficial vein engorgement, apparent tenderness, knee joint motion is limited. Plain radiographs demonstrate an osteolytic bone destruction in the distal femur, the Codman triangle. The diagnosis is
a. Ewing sarcoma
b. Osteosarcoma
c. Giant cell tumor of bone
d. Chondrosarcoma
e. Fibrosarcoma

A

a. Ewing sarcoma
b. Osteosarcoma
c. Giant cell tumor of bone
d. Chondrosarcoma
e. Fibrosarcoma

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3
Q
  1. A 55-year-old woman was found with a right kidney mass during routine checkup. CT scan revealed the mass was about 3 cm located in the upper pole of the kidney. Which option is not considered for the patient?
    a. Radiofrequency therapy
    b. Partial nephrectomy
    c. Biopsy
    d. Radical nephrectomy
A

a. Radiofrequency therapy
b. Partial nephrectomy
c. Biopsy
d. Radical nephrectomy

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4
Q

. A 75-year-old man comes to the hospital with dysuria for 5 years and 2 months of low back pain. Digital rectal examination shows that a 1cm diameter hard node is in the left lobe of prostate. PSA>100ng/ml. which examination should be done to establish the diagnosis?
a. CT
b. Prostate biopsy
c. Bone scan
d. MRI
e. US

A

a. CT
b. Prostate biopsy
c. Bone scan
d. MRI
e. US

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5
Q

Which of the following statements is not true regarding pelvic fracture complications?
a. Mechanical compression of lower limb is necessary to prevent DVT and PE
b. Low risk of massive bleeding and transfusion
c. Neurological injuries are quite common
d. High risk of urogenital injuries

A

a. Mechanical compression of lower limb is necessary to prevent DVT and PE
b. Low risk of massive bleeding and transfusion
c. Neurological injuries are quite common
d. High risk of urogenital injuries

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6
Q

. The most common primary malignant tumors of bone in children is the
a. Ewing’s sarcoma
b. Osteochondroma
c. Osteosarcoma
d. Chondrosarcoma

A

a. Ewing’s sarcoma
b. Osteochondroma
c. Osteosarcoma
d. Chondrosarcoma

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7
Q

. Which is the most likely histologic types of renal cell carcinoma?
a. Papillary RCC
b. Granular RCC
c. Clear cell RCC
d. Collecting duct cancer
e. Chromophobe RCC

A

a. Papillary RCC
b. Granular RCC
c. Clear cell RCC
d. Collecting duct cancer
e. Chromophobe RCC

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8
Q

Which of the following are relative indications for mechanical, as opposed to tissue, valve replacement?
a. Patient younger than 30 years
b. Tricuspid valve replacement
c. Young female patient who desires children
d. An elderly patient

A

a. Patient younger than 30 years
b. Tricuspid valve replacement
c. Young female patient who desires children
d. An elderly patient

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9
Q

A 43-year-old man was found with a left kidney stone with the size of 455cm. Which treatment is the most appropriate for him?
a. Nephrectomy
b. PNCL
c. Flexible ureteroscopic lithotripsy
d. Rigid ureteroscopic lithotripsy
e. ESWL

A

a. Nephrectomy
b. PNCL
c. Flexible ureteroscopic lithotripsy
d. Rigid ureteroscopic lithotripsy
e. ESWL

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10
Q
  1. Thoracic spinal cord injury, complete paralysis of both lower limbs, the muscle strength at this time is
    a. Level 4
    b. Level 0
    c. Level 1
    d. Level 2
    e. Level 5
A

a. Level 4
b. Level 0
c. Level 1
d. Level 2
e. Level 5

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11
Q

. Which of the following may appear after a radial nerve injury?
a. Vertical wrist deformity
b. Claw hand deformity
c. Goose neck deformity
d. Ape like hand malformation
e. None of the above

A

a. Vertical wrist deformity
b. Claw hand deformity
c. Goose neck deformity
d. Ape like hand malformation
e. None of the above

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12
Q

After the fracture of the upper fibula, the failure of eversion and dorsiflexion of feet suggested that
a. Injury of common peroneal nerve
b. Obturator nerve injury
c. Femoral nerve injury
d. Tibial nerve injury
e. Sciatic nerve injury

A

a. Injury of common peroneal nerve
b. Obturator nerve injury
c. Femoral nerve injury
d. Tibial nerve injury
e. Sciatic nerve injury

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13
Q

Which of the following tests is most helpful for diagnosing rib fracture?
a. Blood gas analysis
b. Subcutaneous emphysema
c. X-ray
d. Local tenderness
e. Trauma

A

a. Blood gas analysis
b. Subcutaneous emphysema
c. X-ray
d. Local tenderness
e. Trauma

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14
Q

A 66-year-old woman has a urine leak without urinary urgency or difficulty for 3 years. The symptom occurred after cough and exercising and aggravated over time. Which diagnosis is more appropriate?
a. Stress incontinence
b. Neurogenic bladder
c. Overflow incontinence
d. Bladder outlet obstruction (BOO)
e. Urgency incontinence

A

a. Stress incontinence
b. Neurogenic bladder
c. Overflow incontinence
d. Bladder outlet obstruction (BOO)
e. Urgency incontinence

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15
Q

Prostate cancer?
a. Increasing age is not a well-established risk factor
b. Can be detected reliably by measuring PSA
c. If graded T4, it is confined to the gland
d. Arises in the periphery of the gland
e. Is hormone independent

A

a. Increasing age is not a well-established risk factor
b. Can be detected reliably by measuring PSA
c. If graded T4, it is confined to the gland
d. Arises in the periphery of the gland
e. Is hormone independent

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16
Q

The sequence of physical exam of the kinematic system is?
a. Measurement, moving, observation, toughing, special tests
b. Moving, measurement, touching, observation, special tests
c. Special tests, observation, touching, moving, Measurement
d. Touching, observation, measurement, special tests
e. Observation, touching, moving, measurement, special tests

A

a. Measurement, moving, observation, toughing, special tests
b. Moving, measurement, touching, observation, special tests
c. Special tests, observation, touching, moving, Measurement
d. Touching, observation, measurement, special tests
e. Observation, touching, moving, measurement, special tests*

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17
Q

A 2-month year old baby is found to be in congestive heart failure manifested by
tachypnea, tachycardia and diaphoresis with poor weight gain. The physical findings
suggest a VSD. Which of the following management is correct?
a. Urgent closure if VSD is found on echo
b. Medical treatment only with digitalis and diuretics
c. If a VSD is found, repair is unlikely to be possible because of elevated pulmonary
a. vascular resistance
d. Pulmonary artery banding

A

a. Urgent closure if VSD is found on echo
b. Medical treatment only with digitalis and diuretics*
c. If a VSD is found, repair is unlikely to be possible because of elevated pulmonary
a. vascular resistance
d. Pulmonary artery banding

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18
Q

. The typical deformities of posterior hip dislocation are?
a. Abduction, extension, external rotation
b. Abduction, flexion, internal rotation
c. Adduction, flexion, external rotation
d. Adduction, flexion, internal rotation

A

a. Abduction, extension, external rotation
b. Abduction, flexion, internal rotation
c. Adduction, flexion, external rotation
d. Adduction, flexion, internal rotation*

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19
Q
  1. How many centimeters is the beginning of the esophagus from the incisors?
    a. 20cm
    b. 8cm
    c. 12cm
    d. 15cm
    e. 10cm
A

a. 20cm
b. 8cm
c. 12cm
d. 15cm*
e. 10cm

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20
Q

Which of the following does not typically occur during the first few minutes of
cardiopulmonary bypass?
a. Interstitial fluid increases
b. Blood flow becomes non- pulsatile
c. Platelet count decreases
d. Systemic vascular resistance falls
e. Complement is activated

A

a. Interstitial fluid increases
b. Blood flow becomes non- pulsatile
c. Platelet count decreases
d. Systemic vascular resistance falls
e. Complement is activated

21
Q

Female, 25-year-old, with a gradually tumescent mas outside the left knee of the body for 6 months. Plain radiographs demonstrate that the distal side of the left femur has a well-define lytic lesion with soap bubble in the middle of the lesion. No obvious periosteal evaluation was observed. Its diagnosis to consider:
a. Bone cysts
b. Osteosarcoma
c. Fibrous dysplasia
d. Giant cell tumor of bone
e. Myeloma

A

a. Bone cysts
b. Osteosarcoma
c. Fibrous dysplasia
d. Giant cell tumor of bone
e. Myeloma

22
Q

Orthopedic examination including:
a. Inspection, palpation, percussion, auscultation
b. Inspection, palpation, percussion, measure
c. Inspections, palpation, auscultation, measure
d. Inspection, palpation, move, measure

A

a. Inspection, palpation, percussion, auscultation
b. Inspection, palpation, percussion, measure
c. Inspections, palpation, auscultation, measure
d. Inspection, palpation, move, measure

23
Q

Positive floating patella sign, indicating knee joint:
a. Patella fracture
b. Joint effusion
c. Intra-articular adhesion
d. Synovial hyperplasia
e. Patellar tendon injury

A

a. Patella fracture
b. Joint effusion
c. Intra-articular adhesion
d. Synovial hyperplasia
e. Patellar tendon injury

24
Q

Which one is not a complication of benign prostatic hyperplasia (BPH)
a. Bone pain
b. Bladder stones
c. Urinary incontinence
d. Hematuria

A

a. Bone pain
b. Bladder stones
c. Urinary incontinence
d. Hematuria

25
Q

A 32-year-old female sustains a closed scaphoid fracture 6 months ago. For unknown reasons she has refused treatment. What is the most likely results of the injury?
a. Healed uneventfully
b. Wrist dislocation
c. Non union
d. Heterotopic ossification

A

a. Healed uneventfully
b. Wrist dislocation
c. Non union
d. Heterotopic ossification

26
Q

A 45-year-old man came and complained of right loin pain, urine tests showed
microscopic hematuria, no positive results were found on KUB film. But a stone was
found on the right upper ureter. What is the most likely type of stone?
a. Cystine calculus
b. Uric acid calculus
c. Oxalate calculus
d. Phosphate calculus
e. xanthine calculus

A

a. Cystine calculus
b. Uric acid calculus
c. Oxalate calculus
d. Phosphate calculus
e. xanthine calculus

27
Q

What is the mostly happened complication after a femoral neck fracture?
a. osteoarthritis
b. Non- union of femoral neck
c. Avascular necrosis of femoral head
d. Heterotopic ossification

A

a. osteoarthritis
b. Non- union of femoral neck
c. Avascular necrosis of femoral head
d. Heterotopic ossification

28
Q

For a patient with spinal cord injury, he can move his lower extremity, full ROM of the joint powered by the muscle against gravity, but cannot against moderate resistance, what is the motor level?
a. 4
b. 2
c. 3
d. 5

A

a. 4
b. 2
c. 3
d. 5

29
Q

. Which if the following statements is true regarding zone II flexor tendon injuries?
a. Repairing FDS and FDP simultaneously carries a minimal risk of adherence
a. between tendons
b. FDP repair has been shown to improve outcomes
c. At this level, FDS and FDP are located within separate tendon sheaths
d. The injury must be treated conservatively

A

a. Repairing FDS and FDP simultaneously carries a minimal risk of adherence
a. between tendons
b. FDP repair has been shown to improve outcomes
c. At this level, FDS and FDP are located within separate tendon sheaths
d. The injury must be treated conservatively

30
Q

Which nerve injury maybe injured in the distal third humeral fracture?
a. Ulnar nerve
b. Median nerve
c. Axillary nerve
d. Radial nerve

A

a. Ulnar nerve
b. Median nerve
c. Axillary nerve
d. Radial nerve

31
Q

. Which if the following is not a common place for a urology of a kidney stone?
a. Vesicourethral junction
b. Ureteral pelvic junction
c. Pelvic brim
d. Ureteral vesical junction

A

a. Vesicourethral junction
b. Ureteral pelvic junction
c. Pelvic brim
d. Ureteral vesical junction

32
Q

Which is not included in the rotator cuff?
a. Supraspinatus
b. Teres major
c. Subscapularis
d. Infraspinatus

A

a. Supraspinatus
b. Teres major
c. Subscapularis
d. Infraspinatus

33
Q

. A 31-year-old male sustains an isolate ipsilateral displaced transverse acetabular
fracture. Which of the following treatment methods is appropriate?
a. Casting
b. Skin traction
c. Surgical treatment
d. Skeletal traction

A

a. Casting
b. Skin traction
c. Surgical treatment
d. Skeletal traction

34
Q

Humeral shaft fractures maybe combined with?
a. myocutaneous nerve injury
b. Radial nerve injury
c. Axillary nerve injury
d. Median nerve injury
e. Ulnar nerve injury

A

a. myocutaneous nerve injury
b. Radial nerve injury
c. Axillary nerve injury
d. Median nerve injury
e. Ulnar nerve injury

35
Q

Etiology of diseases of the bone, joints and connective tissues?
a. Genetic, metabolic, traumatic, viral
b. Genetic, metabolic, traumatic, antigenic
c. genetic, metabolic, degenerative, inflammatory
d. Genetic, metabolic, traumatic, inflammatory

A

a. Genetic, metabolic, traumatic, viral
b. Genetic, metabolic, traumatic, antigenic
c. genetic, metabolic, degenerative, inflammatory
d. Genetic, metabolic, traumatic, inflammatory

36
Q

Which structure is commonly engendered when posterior hip dislocation occurs?
a. Femoral nerve
b. Sciatic nerve
c. Femoral artery
d. Sub gluteal nerve

A

a. Femoral nerve
b. Sciatic nerve
c. Femoral artery
d. Sub gluteal nerve

37
Q

Which is not the cause of urinary urgency?
a. Low bladder compliance
b. Cystitis
c. Small capacity of the bladder
d. Tuberculosis of the bladder
e. High ladder compliance

A

a. Low bladder compliance
b. Cystitis
c. Small capacity of the bladder
d. Tuberculosis of the bladder
e. High ladder compliance

38
Q

A 72-year-old man had gross hematuria for 2 weeks. Urinary US revealed a 1.0*1.5cm mass located at the bottom of the bladder. Which examination is required for the final diagnosis?

a. Trans rectal biopsy
b. Cystoscopic examination and biopsy
c. CT scan
d. Cytology test
e. Pelvic MRI

A

a. Trans rectal biopsy
b. Cystoscopic examination and biopsy*
c. CT scan
d. Cytology test
e. Pelvic MRI

39
Q

Diseases of bone, joints, and connective tissues account for () outpatients in the
developed world.
a. 1/3
b. 1/5
c. ½
d. ¼

A

a. 1/3
b. 1/5
c. ½
d. ¼

40
Q

A 53-year-old woman was detected with about 2.0cm mass in the left kidney by US incidentally. On pre-contrast CT scan: a mass was seen in the left kidney. After contrast agent administration, enhancement was seen after the IV injection of contrast medium. The probable diagnosis is?
a. Renal cysts
b. Renal cell carcinoma
c. Renal tuberculosis
d. Renal calculi

A

a. Renal cysts
b. Renal cell carcinoma
c. Renal tuberculosis
d. Renal calculi

41
Q
  1. A 37-year-old man was sent to the ER due to straddle injury for 2 hours. The patient was unable to urinate with lower abdominal pain. X-rays showed that he had fractures of the bony pelvis and incomplete prostate membranous. Which of the following statements regarding the patient’s diagnosis is true?
    a. Anterior urethra
    b. Pelvic fracture
    c. Hematuria
    d. BPH
    e. Posterior urethra
A

a. Anterior urethra
b. Pelvic fracture
c. Hematuria
d. BPH
e. Posterior urethra

42
Q
  1. which of the following is not commonly associated with elbow dislocations?
    a. Pain
    b. deformity
    c. Paralysis of median nerved.
    d. Normal ROM
A

a. Pain
b. deformity
c. Paralysis of median nerved.
d. Normal ROM*

43
Q
  1. The most common cause of fracture disconnection is:
    a. Separation shift
    b. Rotation shift
    c. Angular shift
    d. Lateral shift
    e. Insertion shift
A

a. Separation shift
b. Rotation shift
c. Angular shift
d. Lateral shift
e. Insertion shift

44
Q

A 30-year-old man presents with flank pain and microscopic hematuria. The pre-contrast CT scan shows a dense, white object within the right renal collecting system. The probable diagnosis is?
a. Hydronephrosis
b. Renal cysts
c. Renal cell carcinoma
d. renal calculi

A

a. Hydronephrosis
b. Renal cysts
c. Renal cell carcinoma
d. renal calculi

45
Q

which type of traumatic hip dislocation happens mostly?
a. Inferior dislocation
b. Anterior dislocation
c. Posterior dislocation
d. Central dislocation

A

a. Inferior dislocation
b. Anterior dislocation
c. Posterior dislocation
d. Central dislocation

46
Q

Hand deformities after median nerve injury are often referred to as
a. Mirrored hands
b. Swearing hands
c. Ape shaped hands
d. Claw shaped hands
e. None of the above

A

a. Mirrored hands
b. Swearing hands
c. Ape shaped hands*
d. Claw shaped hands
e. None of the above

47
Q

Clinical manifestations of Osteochondroma?
a. Itself can be asymptomatic, but oppressive surrounding tissue can affect function
b. Without a clear transition zone between the tumor and surrounding bone
c. Grows fasts with obvious pain
d. X-ray examination present periosteal reaction
e. Obvious lumps, with visible vein engorgement

A

a. Itself can be asymptomatic, but oppressive surrounding tissue can affect function
b. Without a clear transition zone between the tumor and surrounding bone
c. Grows fasts with obvious pain
d. X-ray examination present periosteal reaction
e. Obvious lumps, with visible vein engorgement

48
Q

A 22-year-old left hand dominant laborer sustains the injury as the result of a fall from the ladder. The physical examination reveals bleeding and skin breakage at the site of middle clavicle. Which of the following has been shown to be true regarding operative vs non operative treatment of this injury?
a. Increased symptomatic malunion rate with operative treatment
b. Open fracture needs emergent debridement and stabilization
c. Increased time to union with operative treatment
d. Decreased chance if no union with non-operative treatment

A

a. Increased symptomatic malunion rate with operative treatment
b. Open fracture needs emergent debridement and stabilization
c. Increased time to union with operative treatment
d. Decreased chance if no union with non-operative treatment

49
Q

A fall with outstretched hand will produce a typical pattern of injury. This may include
a. Fractures of the forearm
b. Fractures of distal Humerus
c. Fracture of the clavicle
d. Fracture of distal radius
e. All of the above

A

a. Fractures of the forearm
b. Fractures of distal Humerus
c. Fracture of the clavicle
d. Fracture of distal radius*
e. All of the above

SURG 2 (6 decks)

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