†Surgery 1

Question 1

unfavorable breast cancer histology

Answer 1

medullary

Question 2

remarks on Orbital cellulitis

Answer 2

(+) RAPD
proptosis
Restricted ocular motility

Question 3

Ten Horn sign

Answer 3

appendicitis: pain caused by gentle traction of the spermatic cord

Question 4

cancer of the oral caity: what is compoite resection

Answer 4

excision of:

• malilgnant mass
• portion of mandible
• neck dissection

NOT vermillion surface of the lip

Question 5

gallstones of size _________ are assoc’d with 10-fold increased risk of gallbladder CA

Answer 5

> 3 cm

cholelithiasis is the most important risk factor for gallbladder CA

Question 6

herniation of 2 loops of bowel in the hernia sac

Answer 6

Maydl hernia

Question 7

gastric carcinoids arise from

Answer 7

gastric enterochromaffin-like cells

Question 8

most common cause of intoeing in children ≤2 years old

Answer 8

internal tibial torsion

internal femoral if aFter 2 y/o

Question 9

Which anti-reflux procedure involves 180 degrees ANTERIOR fundiplication of distal esophagus

Answer 9

DOR fundoplication

other types

• Nissen 360º
• Toupet: 270º POSTERIOR
• Belsev Mark IV: 240-270º through a thoracic approach

Question 10

a 44 y/o man who sustained a spinal cord injur after VMA wa found to have complete transection of spinal cord. ASIA grace?

Answer 10

ASIA A

B-D: incomplete
E: intact motor and sensory function

Question 11

90% of umbilical hernias may undergo spontaneous closure by

Answer 11

5 y/o

Question 12

venous channels involved in Mondor disease

Answer 12

“SaLoT”

Superficial epigastric vein
Lateral thoracic vein
Thoracoepigastric vein

Question 13

most common site of mets in breast CA

Answer 13

bones

Question 14

cancers that metastasize into the bones

Answer 14

prostate
breast
kidney
lungs

Question 15

Gail model

Answer 15

race
age
age at first live birth
age at menarche
atypcal hyperplaasia
# of previous breasts biopsies
# of first degree relatives with breast CA

Question 16

gail model as per Schwartz

Answer 16

age at menarche
age at first live birth
-# of first degree relatives with hx of breast CA
# of biopsy specimens / history of benign breast disease / AGE

Question 17

indicates surgical incurability

Answer 17

Couvoisier’s sign

jaundice with painless enlarged bladder

Question 18

fracture of radial styloid process

Answer 18

Chauffer’s fracture

Question 19

fracture of distal radius with dislocation of DRUJ

Answer 19

Pidemont / Galleazi fracture

Question 20

Boxer’s fracture

Answer 20

OBLIQUE fracture of the neck of the 5th and sometimes the 4th METACARPAL BONES.

The distal fragment is commonly displaced proximally, thus SHORTENING the finger posteriorly.

Question 21

fracture of the base of the metacarpal of the thumb

Answer 21

BENNETT’S FRACTURE

caused when violence is applied along the long axis of the thumb or the thumb is forcefully ABDUCTED.

The fracture is OBLIQUE and enters the carpometacarpal joint of the thumb, causing joint instability.

Question 22

Stage I tumors have no mets to either LN or distant mets. true or false

Answer 22

false?

Question 23

remarks on axillary ln

Answer 23

Level I LN: lateral to pectoralis mnor
II: deep to pn
III: medial to pn

Question 24

mosto common arrhytmia seen during laparoscopy

Answer 24

sinus bradycardia