Surgical gastroenterology Flashcards
The acute treatment of painful thrombotic haemorrhoids is:
A) use of laxatives and sit bath
B) haemorrhoidectomy
C) incision of the thrombosed haemorrhoids and the removal of the thrombus
D) rubber band ligation of haemorrhoids
E) local administration of sclerosing injection
C) incision of the thrombosed haemorrhoids and the removal of the thrombus
If there is no inguinal metastasis, the appropriate primary treatment of squamous cell carcinoma of the anus is:
A) radio-chemotherapy
B) supervoltage irradiation
C) cytostatic treatment
D) local excision with inguinal lymph node dissection
E) abdominoperineal resection with bilateral inguinal dissection
A) radio-chemotherapy
In a patient with a suspicion of appendicitis, in addition to intact appendix and cecum, regional enteritis is detected. The appropriate action to be taken is:
A) ileum biopsy to confirm enteritis
B) ileo-hemicolectomy
C) appendectomy
D) no further intervention
E) bypass ileotransversostomy
C) appendectomy
A patient with ulcerative colitis presents in severe condition, with high fever, bloody stool, and abdominal tenderness. Plain abdominal x-ray shows an extremely dilated colon with no free intra-abdominal air. The appropriate action to be taken is:
A) insertion of nasogastric probe, fluid replacement, antibiotic and steroid therapy
B) colectomy + creating a mucus fistula + creating an ileostomy
C) coecostomy
D) colonography
E) colonoscopy
B) colectomy + creating a mucus fistula + creating an ileostomy
All of the following treatment options are appropriate for the treatment of second-degree haemorrhoids, EXCEPT:
A) suppositories, ointments
B) radical excision
C) sclerotization
D) rubber band ligation
E) sitz bath
B) radical excision
All of the following statements are valid regarding villous adenomas. EXCEPT:
A) their lobuli give a typical macroscopic image
B) they may cause significant potassium loss
C) their malignant potential is lower than other adenomas’
D) their malignant potential increases proportionally with their size
E) they are accompanied by significant mucus production
C) their malignant potential is lower than other adenomas’
In the case of colorectal cancer causing no occlusion and solitary liver metastasis, the action that needs to be taken is:
A) radiotherapy of colorectal cancer
B) resection of colorectal carcinoma
C) local electrocoagulation
D) resection of the rectum and the removal of liver metastasis
E) creation of ileostomy
D) resection of the rectum and the removal of liver metastasis
What is UICC?
A) the international cancer organization of the United Nations
B) bowel stapler used to preserve the rectum
C) an international anti-cancer organization
D) chemotherapy regimen for colorectal cancer
E) a rare form of granulomatous colitis
C) an international anti-cancer organization
All of the following statements are valid regarding ulcerative colitis. EXCEPT:
A) severe bleeding
B) macroscopically coherent lesion
C) large, deep ulcers
D) responds well to drug therapy
E) perforation may occur
C) large, deep ulcers
Current treatment of acute cholecystitis is:
A) targeted antibiotic therapy and the application of ice packs
B) cholecystectomy within the first 48 hours following the onset of symptoms
C) radiation therapy to reverse the inflammatory process
D) anti-inflammatory, IV steroid treatment, combined with contact dissolution therapy
B) cholecystectomy within the first 48 hours following the onset of symptoms
What is Courvoisier’s sign?
A) painful, hydropic gallbladder
B) painless, palpable gallbladder
C) palpable pancreatic head tumour
D) palpable pseudocyst
B) painless, palpable gallbladder
Actions that need to be taken in the case of acute upper gastrointestinal haemorrhage are:
A) inserting a venous cannula, hematocrit (HCT) monitoring
B) fluid and blood replacement
C) esophagogastroscopy
D) all
E) A and B answers
D) all
All of the following statements are physical signs of an advanced gastric cancer, EXCEPT:
A) positive Blumer’s shelf finding
B) presence of ascites
C) palpable tumour in the epigastrium
D) presence of Virchow’s lymph node
E) palpable inguinal lymph node
E) palpable inguinal lymph node
The functional disorder of the oesophagus caused by Tripanosoma cruzii infection is:
A) oesophagus diverticulum
B) achalasia
C) reflux disease
D) diffuse oesophageal spasm
B) achalasia
The most common oesophagus diverticulum is:
A) Zenker’s diverticulum
B) epiphrenic diverticulum
C) middle third traction diverticulum
D) Meckel-diverticulum
A) Zenker’s diverticulum
In the case of massive, shock-inducing gastrointestinal haemorrhage, the most urgent action that needs to be taken is:
A) localization of bleeding
B) volume replacement
C) angiography
D) coagulation test
B) volume replacement
In portal hypertension, the following factors influence the development of ascites. EXCEPT:
A) increase in intravascular pressure in the portal system
B) hypoproteinemia
C) spider naevi
D) water electrolyte imbalances
C) spider naevi
The following procedures are surgical procedures performed due to portal hypertension in order to reduce direct bleeding. EXCEPT:
A) sclerotization of oesophageal varices
B) splenorenal shunt
C) oesophageal transection
D) endoscopic ligature
B) splenorenal shunt
The following collateral systems play an important role in portal hypertension. EXCEPT:
A) gastroesophageal collateral network
B) epigastric vein - internal thoracic vein system
C) haemorrhoid collaterals
D) umbilical veins
E) retroperitoneal network
B) epigastric vein - internal thoracic vein system
Which of the following cases of portal hypertension is an indication for surgery?
A) in patients with cirrhosis, in the case of oesophageal varices, if there is a history of bleeding
B) in the case of oesophageal varices for prophylactic purposes
C) in the case of ascites that cannot be influenced by internal medicine treatment
D) in the case of persistent icterus and poor liver functions
E) in poor general health condition
A) in patients with cirrhosis, in the case of oesophageal varices, if there is a history of bleeding
The prognosis of the treatment of the patient with acute oesophageal bleeding is good. EXCEPT if:
A) his consciousness is intact
B) he is not disoriented
C) he does not have cachexia
D) he has icterus
E) he has no ascites
D) he has icterus
The following disorders cause paralytic ileus. EXCEPT:
A) mesenteric artery occlusion
B) hypokalaemia
C) pancreatitis
D) gastrointestinal bleeding
E) perforation
D) gastrointestinal bleeding
The most common cause of portal hypertension is:
A) extrahepatic portal vein obstruction
B) cirrhosis
C) increased visceral arterial circulation
D) post hepatic venous outflow obstruction
E) right-sided heart failure
B) cirrhosis
Which of the test methods listed below can detect colorectal cancer with the greatest accuracy?
A) tumour marker test
B) colorectal thermography
C) stool analysis
D) colonoscopy
D) colonoscopy
