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WorksheetsSurgery
Total questions: 20
Worksheet time: 40mins
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?
at the age of 35
at the age of 40
at the age of 50
at the age of 55
The following are removed in Modified Radical Mastectomy EXCEPT:
All breast tissues
Nipple-areola complex
Pectoralis Major
Levels I-II axillary lymph nodes
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:
chronic granulation
basal cell carcinoma
Squamous cell carcinoma
Melanoma
Among the four histologic types of melanoma, which is the most common?
Superficial spreading
Lentigo maligna
Acral lentiginous
Nodular
Anatomically, hernias occuring within the Hesselbach’s triangle is:
Indirect type
Direct type
Femoral
Incarcerated
Which of the following types of hernias is the most common in women:
Femoral
Indirect inguinal hernia
Spigelian
Direct inguinal hernia
The most common presenting symptom in patients with esophageal carcinoma is:
Chest pain
Palpable lower cervical nodes
Dysphagia
Hematemesis
A massively bleeding posterior duodenal ulcer, which of the following is most likely involved:
Left gastric artery
Gastroduodenal artery
Short gastric artery
Left gastroepiploic artery
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?
Murphy’s sign
Boas’ sign
Psoas sign
Charcot’s sign
True statement about the anatomy of the gallbladder:
The fundus is the narrowest part of the gallbladder
The cystic artery which supplies the gallbladder is usually a branch of the left hepatic artery
he triangle of Calot is a useful landmark to locate the cystic artery
The hepatoduodenal ligament is basically avascular
In retroperitoneal hemorrhage from necrotic pancreatitis the blood can dissect to the periumbilical area.
Grey-Turner sign
Cullen’s sign
Murphy’s sign
Kehr’s sign
Which of the following conditions will necessitate a pancreaticoduodenectomy?
Klatskin’s tumor
Gallbladder cancer
Periampullary cancer
Gastric cancer
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:
Upper Gastrointestinal Endoscopy
Colonoscopy
Wide Excision
Radionuclide Imaging
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?
Abdominal excision
Anterior resection
Wide excision
Hartmann’s procedure
Which of the following is NOT a common place for impaction of a kidney stone?
Ureteropelvic junction
Pelvic brim
Ureteral vesical junction
Vesicourethral junction
The most common histologic type of urinary bladder malignancy is:
Adenocarcinoma
Transitional cell carcinoma
Squamous cell carcinoma
Rhabdomyosarcoma
Most common primary cardiac tumor
Fibroma
Myxoma
Rhabdomyoma
Sarcoma
Which of the following vital signs most closely represents a patient with closed head trauma that results in loss of consciousness:
Increased pulse, increased blood pressure
Decreased pulse, increased blood pressure
Increased pulse, decreased blood pressure
Decreased pulse, decreased blood pressure
The most common cause of esophageal rupture or perforation:
Endoscopic injury
Blunt chest trauma
Boarhaave’s syndrome
Carcinoma
Progressive painless jaundice with positive “Courvoisier’s sign” suggest?
Choledocholithiasis
Hydrops of gallbladder
Pancreatic head or peri ampullary neoplasm
Choledochal cyst
