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Chest PE showed dull on percussion on the right chest C. Hemothorax on the right
without voice transmission on the same side. What is the
most
likely diagnosis?
A. Consolidated pneumonia on the right
B. Pleural effusion on the left
C. Hemothorax on the right
D. Pneumothorax on the left
Abdominal PE in acute cholecystitis may show which of A. Murphy's sign
the following finding?
A. Murphy's sign
B. Cullen's sign
C. McBurney's sign
D. Kehr's sign
A 25-year-old female consulted you as regards a 3 cm B. Fibroadenoma
painless mass on her left breast. This is freely movable
and
grows steadily without response to her cycle. What is the
most likely diagnosis?
A. Fibrocystic change
B. Fibroadenoma
C. Breast cancer
D. Polymastia
A pregnant female presents with a painful protruding anal A. Internal hemorrhoids
mass which is not reducible and with horizontal ridges
after
bowel movement. What is the most likely diagnosis?
A. Internal hemorrhoids
B. External hemorrhoids
C. Rectal cancer
D. Rectal prolapse
,Pneumothorax usually gives this finding C. Ipsilateral dull percussion with voice transmission
A. Ipsilateral tympany without voice transmission
B. Contralateral tympany without voice transmission
C. Ipsilateral dull percussion with voice transmission
D. Contralateral dull percussion with voice transmission
A 40year old male came at the ER with a 2-day history of B. Small bowel obstruction secondary to post operative adhesions
periumbilical pain, abdominal distention, nausea and
vomiting. No history of significant weight loss for the past
6 months. Past medical history revealed no known
illnesses
except for Appendectomy 25years ago. What is the most
possible diagnosis?
A. Gastric outlet obstruction secondary to gastric ulcer
disease . Small bowel obstruction secondary to post
operative adhesions
C. Large bowel obstruction secondary to colon
carcinoma
D. Small bowel obstruction secondary to inguinal hernia
70-year-old male came to your clinic complaining of Large bowel obstruction secondary to rectal adenocarcinoma
decreasing caliber of stools, weight loss and tenesmus.
Colonoscopy done outside revealed a 95% obstructing
mass located 11cm from the anal verge which was verified
by
rigid proctoscopy. What is your main impression
currently?
A. Large bowel obstruction secondary to cecal
carcinoma
B Large bowel obstruction secondary to descending
colon carcinoma
C Large bowel obstruction secondary to sigmoid colon
carcinoma
D. Large bowel obstruction secondary to rectal
adenocarcinoma
An 85-year-old male patient presented with abdominal Colostomy
pain, vomiting, abdominal distention and failure to pass
flatus
for the past 24hrs. Colonoscopy done revealed a
completely obstructing mass 5cm from the anal verge.
Abdominal
CT Scan revealed a 10cm rectal mass. What would be
your surgical plan?
A. Sigmoidectomy
B. Anterior resection
C. Low anterior resection
D. Colostomy
, A 45-year-old male came in with vomiting of previously A. Endoscopy
ingested food. He has recently attempted suicide with
small
amounts of caustic material for which he was hospitalized
6 weeks ago. Which diagnostic test will be the most
appropriate for this patient?
A. Endoscopy
B. Colonoscopy
C. CT Scan
D. Ultrasound
A 50-year-old male came in the ER due to severe right C. Strangulated inguinal hernia, right
groin pain with no associated vomiting or abdominal
distention.
On physical examination, a non-reducible mass was
noted at the right inguinal area. Which of the following is
the
most likely diagnosis?
A. Complete small bowel obstruction secondary to
Inguinal hernia, right
B. Incarcerated inguinal hernia, right
C. Strangulated inguinal hernia, right
D. Large bowel obstruction
The following are part of the physiologic monitoring in a B. Lipid Profile Monitoring
surgical patient, EXCEPT:
A. Arterial Blood Pressure Monitoring
B. Lipid Profile Monitoring
C. Respiratory Monitoring
D. Urinary Bladder Output/Pressure Monitoring
What is the most commonly used artery for invasive C. Radial
monitoring of arterial BP?
A. Axillary
B. Femoral
C. Radial
D. Subclavian
What is a part of the algorithmic interactive monitoring in B. Rothman Index
the hospital setting that uses 26 variables as a data
analysis
toolkit?
A. Electronic Medical Record
B. Rothman Index
C. Modified Early Warning Score System
D. International Data System
The following are the goals of resuscitation of sepsis- Urine Output more than or equal to 2mL/Kg/hr
induced hypoperfusion in an adult patient, EXCEPT:
A. CVP of 8-12mmHg
B. C. D. MAP more than or equal to 65mmHg
Urine Output more than or equal to 2mL/Kg/hr
Central Venous Oxygen Saturation (ScvO2) of 70%