Surgery Flashcards
- It is defined as dependence on Assistance with activities of Daily living.
a. Frailty
b. Disability
c. Comorbidities
d. Complication
B. Disability
- 59 y/o male was rushed to the emergency room after an accident. Patient was unconscious but with an available companion. The following are the important initial information you as the doctor on duty need to ask, except?
a. None of the above
b. Time of Injury
c. Mechanism of Injury
d. Area where the accident happened.
A. None of the above
- Order of abdomen examination:
a. Inspection, percussion, palpation, auscultation,
b. Inspection,auscultation,percussion,palpation
c. Inspection, percussion, auscultation, palpation
d. Auscultation, percussion, palpation, inspection,
B. Inspection, auscultation, percussion, palpation
- Renal complications are increased in elderly surgical patients in the perioperative period. This is an insensitive indicator of renal function in the elderly.
a. Creatinine clearance
b. Serum Creatinine
c. Glomerular filtration rate
d. Serum Albumin
Answer: B. Serum Creatinine
- Which communication strategy can make telephone orderslessmisunderstood?
a. SBAR
b. Handover or handoff
c. Call out
d. Checkback
D. Checkback
- Renal complications are increased in elderly surgical patients in the perioperative period. This is an insensitive indicator of renal function in the elderly.
A. Creatinine clearance
B. Serum creatinine
C. GFR
D. Serum albumin
B. Serum creatinine
- Part of the history taking that includes any additional information in the patient’s profile that might be helpful in the diagnosis.
A. Personal and Social History
B. History of Present Illness
C. Chief complaint
D. Past Medical History
A. Personal and Social history
- A patient came into the ER complaining of severe abdominal pain. In order to do something, OPQRST questions can be used. Which is not included:
A. Onset
B. Palliating
C. Quality
D. Recurrence
D. Recurrence
- A 59 y/o male was rushed to the emergency room after an accident. Patient was unconscious but with an available companion. The following are the important initial information you as the doctor on duty need to ask, except?
A. Time of Injury
B. Area where the accident happened.
C. Mechanism of Injury
D. None of the above
D. None of the above
- A 60-year-old man was transported to the emergency room due to a few hours of history of fall. The following are forming key to get your history, except;
a. Any history of alcohol intake or intoxication
b. Any known comorbidities such as Epilepsy, Diabetes or Hypertension
c. Any medication the patient is currently taking
d. None
D. None
- The HEENT (Head, Eyes, Ears, Nose and Throat) exam is usually the initial part of General Physical examination, after the vital signs. The usual sequence is:
A. Inspection, Percussion and Auscultation
B. Inspection, Auscultation and Percussion
C. Inspection, Auscultation and Palpation
D. Inspection, Palpation and Auscultation
D. Inspection, Palpation and Auscultation
- A 66 year old female came in with a 3 yrs enlarging patch on the back. Which of the following is not a feature of Malignant melanoma?
A. Asymmetry
B. Multiple color
C. Even Border
D. Lesion Greater than 6 mm
C. Even Border
- An 18 y/o male came in at the emergency department under the influence of alcohol. During physical examination, there is bluish discoloration noted at the postauricular area. This is suspicion of basal skull fracture.
A. Cullen sign
B. Racoon’s sign
C. Tillex sign
D. Battle’s sign
D. Battle’s sign
- Tongue Blade Test is used to screen
a. Lefort
b. Zygomatic fracture
c. Mandibular fracture
d. Maxillary frature
c. Mandibular fracture
During neck palpation, palpable mass on the deep middle cervical lymph node is under what level?
a. Level II
b. Level III
c. Level IV
d. Level V
b. Level III
Carotid bruits characterized by blowing and swishing sound can be auscultated in what area?
a. Angle of the jaw
b. Posterior base of the SCM
c. Anterior cervical
d. Upper sternal notch
a. Angle of the jaw
The following are Pulmonary examination findings of pneumothorax:
a. Decreased breath sound, Decreased tactile fremitus, dullness on percussion
b. Decreased breath sound, Increased tactile fremitus, dullness on percussion
c. Decreased breath sound, Decreased tactile fremitus, hyperresonant on percussion
d. Decreased breath sound, Increased tactile fremitus, hyperresonant on percussion
c. Decreased breath sound, Decreased tactile fremitus, hyperresonant on percussion
Axillary lymph node assessment level I except:
a. Axillary
b. Extramammary region
c. Subscapular
d. Scapular
C. Subscapular
- A 25 year old female with right breast mass came for consult. Which indicates benign lesion?
a. Firm with irregular borders
b. Movable breast mass with skin dimpling and bloody nipple discharge.
c. Movable breast mass with distinct border
d. Firm breast mass with regular border and bloody nipple discharge
c. Movable breast mass with distinct border
Sequence of Abdominal Exam:
a. Inspection, Auscultation, Palpation, Percussion
b. Inspection, Auscultation, Percussion, Palpation
c. Inspection, Percussion, Auscultation, Palpation
d. Inspection, Percussion, Palpation, Auscultation
ANSWER: B. Inspection, Auscultation, Percussion, Palpation
- 33 year old male, has been in a motor vehicular accident. He was rushed into the emergency room. Upon palpation to his abdomen, this finding described as board-like guarding of the abdominal wall that warrants emergent surgery.
a. Voluntary guarding
b. Involuntary guarding
c. Rigidity
d. Rebound tenderness
c. Rigidity
This maneuver is done by flexing the hip and knee and pulling your leg laterally causing internal rotation of the hip while maintaining knee position. Positive sign for appendicitis.
a. Psoas sign
b. Obturator sign
c. Sitkovsky sign
d. Rosenstein sign
b. Obturator sign
A 10 year old boy complains of scrotal swelling and pain. His parents noted that the size of his scrotum seems to fluctuate. On P.E., it is non-tender, translucent mass. What is the probable diagnosis?
a. Acute epididymitis
b. Hydrocele
c. Spermatocele
d. Testicular tumor
a. Acute epididymitis
32-year-old male complained of occasional dull ache scrotal pain. Examination on upright position revealed a left- sided scrotal engorge veins and feel like a bag of worms. The most likely diagnosis is
a. Hematocoele
b. Epididymoorchitis
c. Torsion of the spermatic cord
d. Varicocele
d. Varicocele
Cauliflower like mass near perianal
A. HSV
B. HPV
C. Gonorrhea
D. Chlamydia
B. HPV
A tense, hot, very tender labial swelling on the posterior third of the labia majora is suggestive of:
A. Urethritis
B. Bartholin gland abscess
C. Genital herpes
D. Femoral hernia
B. Bartholin gland abscess
An 8-week-old boy presents with his parents to your clinic due to abnormal urethral meatus position. On examination, the meatus is on the ventral surface just below the glans penis. What is the most likely diagnosis?
A. chordee
B. hypospadias
C. epispadia
D. phimosis
B. hypospadias
Common cause of death following transplantation is
A. Rejection and acute renal failure
B. MI
C. Malignancy
D. Sepsis
B. MI
- Leading cause of graft loss following renal transplant is
A. Recipient Death
B. Acute Rejection
C. Chronic Nephropathy
D. Pyelonephritis
A. Recipient Death