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safety > SMLE 11 (surgary) > Flashcards

SMLE 11 (surgary) Flashcards

1
Q
  1. Child examination: look to the wall , bend forward this examination of waht?
    A. Scoliosis
    B. Sexual abuse
    C. rectum prolapse
    Better recall: Doctor ask the child to face the wall and bend forward and hanging his
    arms unsupported, this test for :

A. scoliosis

B. leg length symmetry
C. rectal prolapse
D. sexual abuse

A

A. scoliosis

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2
Q
  1. female after MVA admitted for observation was vitaly stable x ray showed
    fracture in 3and7 rib …then she devolution shortness of breath (only) ..what is the
    cause ?
    A. flial chest
    B. PE
    C. tension pneumothorax
    D. ?
A

C. tension pneumothorax

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3
Q
  1. 43male have family history of colon cancer underwent sigmoidoscopy for
    polyp removal Histopathology showed tubular adenoma completely removed
    ..how to follow?
    A. 3-6 month
    B. 3years
    C. 5 years
    D. no need
    Another recall: Patient did a colonoscopy 1 polyp size 1.5cm and a biopsy showed
    tubular adenoma. Interval of screening?
    A. 6 month
    B. 3years
    C. 5-10 years
    D. no need
A

B. 3years

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4
Q
  1. 37 years old female her father has colon cancer when he was 55 and her mom
    had breast cancer when she was 43, asking about screening?
    A.She should do mammogram annually
    B.Start mammogram at 40
    C.Start mammogram at 40 and colonoscopy at 55
    D.Colonoscopy at 50
A

A.She should do mammogram annually

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5
Q
  1. X ray Picture: Elderly with abdominal pain, and vomiting. On abdominal x ray
    you see a cofffee been shape in the intestines with part of the large colon twisting
    to the upper right hypochondirum what’s the diagnosis?
A

A. Sigmoid volvulus

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6
Q
  1. A patient came to ER (long scenario) he has weakness and Paresthesia in left
    leg with power of 2/5. Other limbs normal. What is the cause?
    A- Migraine
    B- Right MCA
    C- Right ACA
    D- Basilar
A

C- Right ACA

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7
Q
  1. 18 years male came with stap wound injury next to umblicus with small
    opening clean and bleeding stopped
    Vitally stable with normal lab results
    Ct : smal splenic laciration with minemum fluid surrounding it .
    What is the best definite management
    A) wound closure
    B) AB
    C) splenictomy
    D) exploratory labromyomy
A

A) wound closure

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8
Q
  1. 36 year-old female presented with left neck mass 2x2cm in posterior angle of
    mandible. US: Normal thyroid, left large LN with cystic component. FNA: All
    smear shows follicular thyroid What is the most likely diagnosis?
    A. Metastatic thyroid cancer
    B. Apparent thyroid
    C. Ectopic thyroid (in the pathway of thyroid )
    D. Thryoglossal cyst
A

A. Metastatic thyroid cancer

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9
Q

33yo male with painless swelling in the posterior triangle of his neck. On US thyroid
is normal and the swelling has cystic component. FNA shows complete follicular
cells. What is the most likely diagnosis?
A- Papillary thyroid cancer
B- Follicular thyroid cancer
C- Ectopic thyroid
D- Thyroglossal cyst

A

A- Papillary thyroid cancer

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10
Q
  1. unilateral neck swelling in the RT side by investigations : hot thyroid nodule
    remaining of the gland cold TSH is low, T3, T4 high No LN enlargement (dx
    hyperthyroidism toxic nodule) What is the initial Treatment?
    A- Antithytoid med
    B- Radioactive ablation
    C- lobectomy
    D- Total thyrodectomy
A

A- Antithytoid med

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11
Q
  1. Cold thyroid nodule 3x3 was removed by thyroid lobectomy , 8mm papillary
    will defined focus was found distant to the leison, what is the appropriate?
    A. Complete thyroidectomy
    B. Follow up 3 months
    C .RAI
A

B. Follow up 3 months

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12
Q
  1. Middle age Pt with papillary thyroid cancer , planned for total
    thyroidectomy how to follow up ?
    1- serial post op US
    2- calcitonin
    3- TSH , T3 , T4
    4- Thyroglobulin
A

4- Thyroglobulin

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13
Q
  1. 28 year old female presented following radiation of neck with neck swelling.
    Ultrasound showed swelling in the left lobe of the thyroid of 3x4cm of papillary
    thyroid cancer. Which of the following is the best management?
    A) Left Lobectomy
    B) Left Lobectomy with Isthmusectomy
    C) Subtotal Thyroidectomy
    D) Total Thyroidectomy
A

D) Total Thyroidectomy

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14
Q
  1. 48 yo lady with diffuse goiter, high T4 low TSH, US show bilateral thyroid
    nodules , right 3x4 in size , left is 1x2 size what to do?
    A. FNA both
    B. FNA the larger one
    C. total thyroidectomy
A

C. total thyroidectomy

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15
Q
  1. 2 weeks post thyroidectomy came with high tsh how to manage?
    A. reevaluate after 2-3 months
    B. Increase or decrease the dose
A

A. reevaluate after 2-3 months

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16
Q
  1. old patient came with subdural hematoma with signs of lateralization imaging
    revealed 13 mm shifting. his GCS 7/15 then was intubated and resuscitated what
    to do next
    A- iv mannitol
    B- elevate head of bed
    C-hyperventilate
    D- urgent craniotomy
A

D- urgent craniotomy

17
Q
  1. Pediatric patient had a fall from 1 story high and direct trauma to the head,
    presents with hemotympanum No loss of consciousness, no vomiting , neuro exam
    Normal Ear : Ruptured tympanic membrane with intact external auditory canal
    Most likely bone fracture:
    A. Mastoid
    B. Maxillary
    C. Basal skull
A

C. Basal skull

18
Q
  1. stroke patient developed new weakness on ex papilledema CT finding:
    hemorrhagic stroke. Most definitive Mx ?
    A. Craniotomy and decompression
    B. Iv mannitol
    C. iv dexa
A

A. Craniotomy and decompression

19
Q
  1. A patient who presented with signs of stroke and a CT shows subarachanoid
    hemorrhage. He was resuscitated but he is still hypotensive. What is the next best
    step?
    A. Craniotomy and evacuation
    B. Iv mannitol
A

A. Craniotomy and evacuation

20
Q
  1. Old man after episode of cough has SOB and abdominal pain on X- ray there
    is air fluid level in the neck and under the diaphragm and left pleural effusion . BP:
    90/65 HR : 115/ min RR : 25 . SO2: 90 on room air what is the most important
    mangment ]
    A- Bulla of lung
    B- Laparotomy (perforated viscus )
    C- Chest tube drainage-
    D- Observation
A

B- Laparotomy (perforated viscus )

21
Q
  1. Female came to ER with sign and symptoms of appendicitis, appendectomy
    was done , surgeon discover the appendix was normal , what surgeon should be do
    ?
    A. Tell pt what happened and that was routine and no complication
    B. Not tell the pt
    C. Write report about what happened and give it to hospital committee
A

A. Tell pt what happened and that was routine and no complication

safety (15 decks)

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