general surgery part exam 2022-1

A 45 year-old female is noted to have inflammatory breast cancer without ulceration. Which of the following is the most appropriate initial treatment?

• neoadjuvant chemotherapy

• radical mastectomy

• neoadjuvant radiation therapy

• “toilet mastectomy”

In which portion of the pancreas are insulinomas predominantly found?

• equal frequency throughout pancreas

• tail

• body

• head

When looking at carotid endarterectomies statistically, which of the following could be considered a continuous variable?

• smoking

• ulcerated plaque

• blood pressure

• TIAs

Which of the following is true concerning meperidine (demerol)?

• contraindicated in patients who are taking MAO inhibitors

• requires less naloxone to reverse than morphine

• preferable to use in renal failure over morphine

• is an agonist/antagonist drug

Which of the following equations is correct for the determination of oxygen delivery?

• [SaO2 x Hgb x 1.34] + PaO2 (0.003) x CO

• [SaO2 x PaO2 x 0.003] + 1.34 (Hgb) x CO

• [PaO2 x Hgb x 1.34] + SaO2 (0.003)

• [SaO2 x Hgb x 1.34] + PaO2 (0.003)

What is the initial management of a patient with a 5 cm amebic liver abscess?

• metronidazole

• percutaneous drainage

• mebendazole

• ampicillin, gentamicin, and flagyl

An otherwise healthy 22 year-old pregnant female who develops C. difficile colitis after antibiotic treatment should receive which of the following regimens?

• PO flagyl

• PO vancomycin

• IV flagyl

• No treatment in pregnant patients

Patients with kidney transplants have an increased incidence of developing cancer. Which of the following cancers has the highest incidence?

• Kaposi’s sarcoma

• lymphomas

• skin cancer

• vulvar cancer

Which of the following amino acids is an essential amino acid?

• alanine

• valine

• glutamine

• proline

In a patient with renal failure, which neuromuscular blocking agent would you give in order to maintain constant plasma levels?

• succinylcholine

• atracurium

• vecuronium

• D-tubocurarine