Assessment 3

Question 1

An exploratory laparotomy for possible perforated bowel, less than 4 hrs will be classified as

Answer 1

Contaminated

Question 2

Patient had a total gastrectomy, surgeon performed a jejunojejunostomy to

Answer 2

Prevent regurgitation esophagitis

Question 3

Hip compression screw, the position of the lag screw

Answer 3

1 cm of femoral articular surface

Question 4

Identify the technique in the diagram to reduce a radius fracture

Answer 4

Traction-countertraction

Question 5

Using the diagram as a guide, identify A and B. These structures are important landmarks for an open appendectomy

Answer 5

A = Ileocecal value
B = Cecum

Question 6

Identify A in the diagram. During a AAA, this structure maybe detached and reanastomosed to the graft

Answer 6

Renal Artery

Question 7

Using the diagram as a guide, as shown in A, this structured was repositioned to the anterior aspect of the medial epicondyle

Answer 7

Ulnar Nerve
Surgery - Ulnar Transposition

Question 8

Differentiate between an indirect and direct inguinal hernia

Answer 8

Indirect: occurs at any age (usually young), congenital, lateral to inf epigastric a, often descend to scrotum, narrow neck ➔ more likely to strangulate Direct: uncommon in children and young adults, acquired, medial to inf epigastric a, rarely descend to scrotum, wide neck ➔ rarely strangulate

Question 9

Hernia lateral to rectus muscle

Answer 9

Spigelian

Question 10

Direct + indirect hernia

Answer 10

Pantaloon

Question 11

Most dreaded complication of lap cholecystectomy

Answer 11

CBD injury

Early: repair over a stent
Late: biliary reconstruction (hepaticojejunostomy)

Question 12

Colorectal carcinomas commonly metastasize to the

Answer 12

Liver

Question 13

McMurray and Lachmann positive

Answer 13

ACL and meniscal tear

Question 14

Smiths fx: is

Answer 14

Volar displacement

Question 15

Nerves of Laterjet: Branches to the

Answer 15

Body of stomach

Question 16

Largest artery to the stomach

Answer 16

Left gastric

Question 17

Diaphragmatic hernia: Structure that herniates into thorax in sliding hernia

Answer 17

Cardia

Question 18

Surgical treatment of choice for thyroglossal duct cyst is

Answer 18

Excision of cyst tract and portion of hyoid bone

Question 19

The Le Fort II fracture is also known as

Answer 19

Pyramidal fracture

Question 20

Massive bleeding from the lower GI tract (beyond the ligament of Treitz) is most often due to:

Answer 20

Diverticulosis

Question 21

A massively bleeding posterior duodenal ulcer, which of the following is most likely involved:

Answer 21

Gastroduodenal artery

Question 22

“Bird’s beak” deformity is a radiologic sign of

Answer 22

Sigmoid volvulus

Question 23

An imaginary line that divides the liver into right and left lobe that runs from the inferior vena cava to the tip of the gallbladder fossa:

Answer 23

Cantlie’s line

Question 24

A 3-year-old girl presents with cyanotic spells that have increased in severity and frequency since birth. X-ray shows a boot-shaped heart; ECG reveals right ventricular hypertrophy. The most probable diagnosis is:

Answer 24

tetralogy of Fallot

Question 25

A patient under anticoagulation therapy using warfarin, who is set to undergo surgery for acute cholecystitis, has decreased prothrombin concentration. Warfarin can be reversed by parenteral dose of:

Answer 25

vitamin K