Medicosmos Surgery MCQ spleen MCQ
Spleen MCQ
1. As the functional anatomy of the spleen is divided into red pulp, white pulp, and
marginal zone, what function is incorporated into the anatomy of the cortical zone that
relates to infection control?
A. Filtration of red cells, encapsulated bacteria, and other foreign material.
B. Red pulp for formation of red cells.
C. White pulp for its role in formation of granulocytes.
D. Gray areas, so formed because of the production of platelets.
E. Fibrous trabeculae.
Answer: A
2. During the evolution of the understanding of hematologic diseases, the indications for
splenectomy have changed. The most common indications for splenectomy are, in
descending order of frequency:
A. Traumatic injury, immune thrombocytopenia, hypersplenism.
B. Immune thrombocytopenic purpura, traumatic injury, hypersplenism.
C. Hypersplenism, traumatic injury, immune thrombocytopenia.
D. Immune thrombocytopenia, hypersplenism, traumatic injury.
E. None of the above.
Answer: A
3. Useful methods for detection of splenic injury, in descending order of sensitivity, are:
A. Diagnostic peritoneal lavage.
B. CT.
C. Ultrasonography.
D. Isotope scan.
E. Magnetic resonance imaging (MRI). Answer: B
4. The following statements about splenosis are correct:
A. Autotransplantation of splenic tissue is an etiology.
B. May protect against OPSS.
C. May over time be “born again” and regain some immune function.
D. May produce tuftsin and properdin.
E. All of the above.
Answer: E
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, Medicosmos Surgery MCQ spleen MCQ
5. The following comments about immune thrombocytopenic purpura (ITP) are accurate:
A. Platelet count is low.
B. Circulating antiplatelet factor is present.
C. Antiplatelet factor is immunoglobulin G (IgG) antibody.
D. Purpura is directed against a platelet-associated antigen.
E. May be fatal.
F. All of the above.
Answer: A
6. ITP:
A. Is most common in men in their 20s.
B. Is frequently cured in adults by corticosteroid administration.
C. Usually requires splenectomy in children.
D. Is most common in the sixth decade of life.
E. Is in remission in more than 80% of patients with splenectomy.
Answer: E
7. Splenectomy and perioperative therapy for ITP:
A. Follow successful steroid therapy.
B. Respond permanently to high-dose intravenous gamma globulin.
C. Are best preceded by polyvalent vaccines for Pneumococcus, Haemophilus influenzae,
and Neisseria meningitidis.
D. Cannot be done laparoscopically.
E. Are associated with splenomegaly.
Answer: C
8. Thrombotic thrombocytopenic purpura (TTP) is a syndrome characterized by all of the
following except:
A. Thrombocytopenia.
B. Microangiopathic hemolytic anemia.
C. Deposition of platelet microthrombi.
D. Fluctuating neurologic abnormalities.
E. Renal failure.
F. Afebrile.
Answer: F
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Edit by: Dr. Aimen yahia /Al-yarmook teaching hospital e-mail:
Spleen MCQ
1. As the functional anatomy of the spleen is divided into red pulp, white pulp, and
marginal zone, what function is incorporated into the anatomy of the cortical zone that
relates to infection control?
A. Filtration of red cells, encapsulated bacteria, and other foreign material.
B. Red pulp for formation of red cells.
C. White pulp for its role in formation of granulocytes.
D. Gray areas, so formed because of the production of platelets.
E. Fibrous trabeculae.
Answer: A
2. During the evolution of the understanding of hematologic diseases, the indications for
splenectomy have changed. The most common indications for splenectomy are, in
descending order of frequency:
A. Traumatic injury, immune thrombocytopenia, hypersplenism.
B. Immune thrombocytopenic purpura, traumatic injury, hypersplenism.
C. Hypersplenism, traumatic injury, immune thrombocytopenia.
D. Immune thrombocytopenia, hypersplenism, traumatic injury.
E. None of the above.
Answer: A
3. Useful methods for detection of splenic injury, in descending order of sensitivity, are:
A. Diagnostic peritoneal lavage.
B. CT.
C. Ultrasonography.
D. Isotope scan.
E. Magnetic resonance imaging (MRI). Answer: B
4. The following statements about splenosis are correct:
A. Autotransplantation of splenic tissue is an etiology.
B. May protect against OPSS.
C. May over time be “born again” and regain some immune function.
D. May produce tuftsin and properdin.
E. All of the above.
Answer: E
1 http://medcosmossurgery.blogspot.com
Edit by: Dr. Aimen yahia /Al-yarmook teaching hospital e-mail:
, Medicosmos Surgery MCQ spleen MCQ
5. The following comments about immune thrombocytopenic purpura (ITP) are accurate:
A. Platelet count is low.
B. Circulating antiplatelet factor is present.
C. Antiplatelet factor is immunoglobulin G (IgG) antibody.
D. Purpura is directed against a platelet-associated antigen.
E. May be fatal.
F. All of the above.
Answer: A
6. ITP:
A. Is most common in men in their 20s.
B. Is frequently cured in adults by corticosteroid administration.
C. Usually requires splenectomy in children.
D. Is most common in the sixth decade of life.
E. Is in remission in more than 80% of patients with splenectomy.
Answer: E
7. Splenectomy and perioperative therapy for ITP:
A. Follow successful steroid therapy.
B. Respond permanently to high-dose intravenous gamma globulin.
C. Are best preceded by polyvalent vaccines for Pneumococcus, Haemophilus influenzae,
and Neisseria meningitidis.
D. Cannot be done laparoscopically.
E. Are associated with splenomegaly.
Answer: C
8. Thrombotic thrombocytopenic purpura (TTP) is a syndrome characterized by all of the
following except:
A. Thrombocytopenia.
B. Microangiopathic hemolytic anemia.
C. Deposition of platelet microthrombi.
D. Fluctuating neurologic abnormalities.
E. Renal failure.
F. Afebrile.
Answer: F
2 http://medcosmossurgery.blogspot.com
Edit by: Dr. Aimen yahia /Al-yarmook teaching hospital e-mail:
