Exam (elaborations)
general surgery practice questions
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practice questions- systems based approach(general surgery)
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General Surgery1) Which of the following is NOT an indication 7) Which anastamosis is NOT present in a
for urgent operation whippple procedure?
a) Pulsatile abdominal mass, abdominal a) Gastrojejunostomy
pain, and hypotension b) Hepaticojejunostomy
b) Pancreatitis c) Choledochjejunostomy
c) Strangulated Hernia d) Pancreaticojejunostomy
d) Cecal Volvulus
8) Indications for operative intervention rather
2) Which of the following is a BENIGN tumor of than conservative management for arterial
the liver? insufficiency include all the following
a) Adenoma EXCEPT:
b) Angiosarcoma a) Nocturnal limb pain
c) Hepatoblastoma b) Ischemic ulceration
d) Hepatocellular carcinoma c) Absent pulse
d) Ischemic neuropathy
e) Toe gangrene
3) What is NOT part of Charcot's Triad?
a) Fever
b) Shock 9) Surgical indications for diverticula include all
c) Right upper quadrant pain of the following EXCEPT:
d) Jaundice a) Peritonitis
b) Persisting hemorrhage
c) Fistula
4) Which is an indication for operation in d) Greater than two severe attacks
Diverticulitis e) Palpable abdominal mass in left lower
a) Hinchey Stage 3 quadrant
b) Previous appendiceal phlegmon
c) After 1 attack in an otherwise healthy
individual 10) Six days following a hemicolectomy for
d) Patient preference colorectal carcinoma, a 54 year-old woman
experiences calf pain unilaterally. On
physical examination, the affected side has
5) What is NOT on the differential diagnosis of a greater diameter than the other, and there
acute appendicitis? is tenderness to palpation. Which of the
a) Ovarian torsion following investigations would be the next
b) Dicerticulosis step?
c) Crohns disease a) Venogram
d) Ulcerating colon cancer b) Compression venous Doppler flow
studies
c) X-ray of the affected calf
6) Which of the following neoplasms is NOT d) Ventilation/perfusion scan
associated with HNPCC? e) Compartment pressure monitoring
a) Gastric
b) Renal
c) Pancreatic
d) Endometrial
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