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Surgery Final 6th yr

Old-Q. Surgery

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Kartei Details

Karten	30
Lernende	27
Sprache	English
Kategorie	Medizin/Pharmazie
Stufe	Universität
Erstellt / Aktualisiert	28.01.2017 / 04.06.2022
Lizenzierung	Keine Angabe
Weblink	https://card2brain.ch/box/20170128_biophysics
Einbinden	<iframe src="https://card2brain.ch/box/20170128_biophysics/embed" width="780" height="150" scrolling="no" frameborder="0"></iframe>

Flip-Modus

1) In pharmacological treatment in patients after traumatic brain injury, the following should not be used:

a) steroids

b) Furosemide

c) Carbamazepine

d) Mannitol

e) Propofol

2) Which of the following statements describing thoracic acute aortic dissection is true:

Hint: about two thirds of people with aortic dissection, pulses in the arms and legs are diminished or absent.

a) treatment with medications that raise blood pressure should be conducted

b) Chest x-ray is essential in diagnostics, as mediastinal widening can be detected

c) routine diagnostics do not require ECG, as myocardial infarction gives completely different symptoms

d) during an Initial physical examination, we will most likely find hypotension

e) the patient complains of sharp, ripping chest pain and/or interscapular pain

3) The symptoms of increased intracranial pressure are:

1/ nausea
2/ headache
3/ increased blood pressure
4/ bradycardia
5/ deteriorating of consciousness

The correct answer is:

HINT:

Cushing triad: irregular breathing, widening pulse pressure (HTN), and bradycardia
TX: Mannitol, Hypertonic saline (Steroids only if ICP 2ndary to neoplams/infection; CI in TBI)

a) all of the above

b) 1 and 2

c) 3 and 4

d) only 4

e) none of the above answers

4) A 67-year-old man with intermittent claudication after 10-20 meters of pain free walking, with symptoms definitely worsened since several weeks. The patient has been conservatively treated for several years, including the use of anti-aggregation drugs. What should be suggested to such a person?

a) continuation of conservative treatment has that been ordered so far

b) continuation of conservative treatment, including increasing the dose of mediations that have been taken so far

c) lower limb amputation without an attempt to improve the limb blood flow

d) urgent admission to the hospital and arterial embolectomy in lower limbs

e) elective admission to the hospital, angio-CT and/or lower-extremity arteriography, possibly an operation preceded by on these tests.

5) Acute lower limb ischemia can be caused by:

a) arterial embolism

b) injury to the artery

c) arterial thrombosis

d) acute dissection of the artery

e) all of the above

6) Chemical pleurodesis procedure is performed in patients:

a) with pleural empyema

b) young with pneumothorax

c) with pleural hemorrhage

d) with recurrent cancer pleural effusion

e) who are not qualified to radical surgery of lung cancer

7) The unconscious patient who does not open his eyes to pain, reacts in this situation defensively (flexion/withdrawal movements) and makes incomprehensible sounds, on the GCS scale will be assessed as score:

Hint:

motor: command > localize pain > withdrawel from pain (w/ flexion) > decorticated (abnormal flexion to pain) > decerebrated (extension to pain) > nothing

a) 1

b) 6

c) 7

d) 8

e) 9

8) The consequences of a chest trauma which is not directly life threatening:

HINT:

Flail chest describes a situation in which a portion of the rib cage is separated from the rest of the chest wall, usually due to a severe blunt trauma, such as a serious fall or a car accident.

a) transverse sternal fracture without bones displacement

b) tension pneumothorax

c) pleural hemorrhage > 200 mL

d) flail chest

e) bilateral pneumothorax