surgeon
MCQ Abdominal surgery
1
All of the following are true concerning acute appendicitis EXCEPT
A
It classically affects people 10–30 years of age
B
The classic presentation of anorexia—periumbilical pain with nausea followed by migration of the pain to the right lower quadrant—is present approximately 60% of the time
C
The incidence is the same in pregnant and non pregnant women
D
Negative Ultrasound examination of the appendix excludes appendicitis
Answer
2
All of the following are risk factors for perforated viscus EXCEPT
A
steroid use
B
alcohol use
C
pregnancy
D
Crohn’s disease
Answer
3
Symptoms of painful defecation with blood spotting on the toilet tissue are
MOST suggestive of
A
external haemorrhoids
B
fistula in ano
C
anal fissure
D
internal haemorrhoids
Answer
4
In regards to acute pancreatitis, which set of admission lab values is MOST predictive of severe disease?
A
WBC 18,000; LDH 370; Glucose 20
B
Amylase 650; WBC 18,000; PaO2 65
C
LDH 370; Amylase 800; Albumin 3.2
D
HCT 33; LDH 370; AST 250
Answer
5
A 50-year-old man presents with fever 3 days after having an inguinal hernia repaired. The MOST likely etiology of his fever is
A
urinary tract infection
B
postoperative atelectasis
C
surgical wound infection
D
abdominal abscess
Answer
6
Which of the following statements about anorectal abscesses is true?
A
Ischiorectal and supralevator abscesses are usually associated with inguinal adenopathy B
Intersphincteric abscesses can usually be adequately managed with incision and drainage in the emergency department
C
Symptoms include pain which increases with defecation, and fever is variably present
D
After incision and drainage in the emergency department, antibiotics are usually indicated
Answer
7
You deliver a child at 36-weeks gestation and notice intestines protruding from a
1
All of the following are true concerning acute appendicitis EXCEPT
A
It classically affects people 10–30 years of age
B
The classic presentation of anorexia—periumbilical pain with nausea followed by migration of the pain to the right lower quadrant—is present approximately 60% of the time
C
The incidence is the same in pregnant and non pregnant women
D
Negative Ultrasound examination of the appendix excludes appendicitis
Answer
2
All of the following are risk factors for perforated viscus EXCEPT
A
steroid use
B
alcohol use
C
pregnancy
D
Crohn’s disease
Answer
3
Symptoms of painful defecation with blood spotting on the toilet tissue are
MOST suggestive of
A
external haemorrhoids
B
fistula in ano
C
anal fissure
D
internal haemorrhoids
Answer
4
In regards to acute pancreatitis, which set of admission lab values is MOST predictive of severe disease?
A
WBC 18,000; LDH 370; Glucose 20
B
Amylase 650; WBC 18,000; PaO2 65
C
LDH 370; Amylase 800; Albumin 3.2
D
HCT 33; LDH 370; AST 250
Answer
5
A 50-year-old man presents with fever 3 days after having an inguinal hernia repaired. The MOST likely etiology of his fever is
A
urinary tract infection
B
postoperative atelectasis
C
surgical wound infection
D
abdominal abscess
Answer
6
Which of the following statements about anorectal abscesses is true?
A
Ischiorectal and supralevator abscesses are usually associated with inguinal adenopathy B
Intersphincteric abscesses can usually be adequately managed with incision and drainage in the emergency department
C
Symptoms include pain which increases with defecation, and fever is variably present
D
After incision and drainage in the emergency department, antibiotics are usually indicated
Answer
7
You deliver a child at 36-weeks gestation and notice intestines protruding from a