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Surgery

Total questions: 20

Worksheet time: 40mins

Name
Class
Date
1.

For a woman with no family history of breast carcinoma and has no risk factors for developing cancer of the breast, When should screening mammography on a yearly basis be commenced?

a)

at the age of 35

b)

at the age of 40

c)

at the age of 50

d)

at the age of 55

2.

The following are removed in Modified Radical Mastectomy EXCEPT:

a)

All breast tissues

b)

Nipple-areola complex

c)

Pectoralis Major

d)

Levels I-II axillary lymph nodes

3.

A patient suffered a burn wound over the dorsum of the right foot 15 years ago. 1 year prior to consult, he developed a non-healing wound over the site of the burn wound. Punch biopsy for the patient would likely reveal:

a)

chronic granulation

b)

basal cell carcinoma

c)

Squamous cell carcinoma

d)

Melanoma

4.

Among the four histologic types of melanoma, which is the most common?

a)

Superficial spreading

b)

Lentigo maligna

c)

Acral lentiginous

d)

Nodular

5.

Anatomically, hernias occuring within the Hesselbach’s triangle is:

a)

Indirect type

b)

Direct type

c)

Femoral

d)

Incarcerated

6.

Which of the following types of hernias is the most common in women:

a)

Femoral

b)

Indirect inguinal hernia

c)

Spigelian

d)

Direct inguinal hernia

7.

The most common presenting symptom in patients with esophageal carcinoma is:

a)

Chest pain

b)

Palpable lower cervical nodes

c)

Dysphagia

d)

Hematemesis

8.

A massively bleeding posterior duodenal ulcer, which of the following is most likely involved:

a)

Left gastric artery

b)

Gastroduodenal artery

c)

Short gastric artery

d)

Left gastroepiploic artery

9.

A patient was brought to the ER due to severe RUQ pain. Upon PE there was note of arrest of respiration when you palpated the RUQ. What is this sign?

a)

Murphy’s sign

b)

Boas’ sign

c)

Psoas sign

d)

Charcot’s sign

10.

True statement about the anatomy of the gallbladder:

a)

The fundus is the narrowest part of the gallbladder

b)

The cystic artery which supplies the gallbladder is usually a branch of the left hepatic artery

c)

he triangle of Calot is a useful landmark to locate the cystic artery

d)

The hepatoduodenal ligament is basically avascular

11.

In retroperitoneal hemorrhage from necrotic pancreatitis the blood can dissect to the periumbilical area.

a)

Grey-Turner sign

b)

Cullen’s sign

c)

Murphy’s sign

d)

Kehr’s sign

12.

Which of the following conditions will necessitate a pancreaticoduodenectomy?

a)

Klatskin’s tumor

b)

Gallbladder cancer

c)

Periampullary cancer

d)

Gastric cancer

13.

A 65-year old woman presents with massive melena and associated hypotension which is corrected by transfusion. The first procedure to be performed to determine the source of bleeding should be:

a)

Upper Gastrointestinal Endoscopy

b)

Colonoscopy

c)

Wide Excision

d)

Radionuclide Imaging

14.

A poorly differentiated rectal adenocarcinoma palpable at 5 cm from the anal verge in a 65-year old male patient. What is the procedure of choice?

a)

Abdominal excision

b)

Anterior resection

c)

Wide excision

d)

Hartmann’s procedure

15.

Which of the following is NOT a common place for impaction of a kidney stone?

a)

Ureteropelvic junction

b)

Pelvic brim

c)

Ureteral vesical junction

d)

Vesicourethral junction

16.

The most common histologic type of urinary bladder malignancy is:

a)

Adenocarcinoma

b)

Transitional cell carcinoma

c)

Squamous cell carcinoma

d)

Rhabdomyosarcoma

17.

Most common primary cardiac tumor

a)

Fibroma

b)

Myxoma

c)

Rhabdomyoma

d)

Sarcoma

18.

Which of the following vital signs most closely represents a patient with closed head trauma that results in loss of consciousness:

a)

Increased pulse, increased blood pressure

b)

Decreased pulse, increased blood pressure

c)

Increased pulse, decreased blood pressure

d)

Decreased pulse, decreased blood pressure

19.

The most common cause of esophageal rupture or perforation:

a)

Endoscopic injury

b)

Blunt chest trauma

c)

Boarhaave’s syndrome

d)

Carcinoma

20.

Progressive painless jaundice with positive “Courvoisier’s sign” suggest?

a)

Choledocholithiasis

b)

Hydrops of gallbladder

c)

Pancreatic head or peri ampullary neoplasm

d)

Choledochal cyst