Scribd Logo
Upload

Welcome to Scribd!

  • 4K views

    Surgical Tutor MCQ

    Uploaded by

    freeuser3
    The document contains 10 questions about various medical topics. Question 1 asks about types of absorbable sutures and the correct answers are catgut, polyglyconate, and polyglactin. Question 2 is about Peutz-Jeghers syndrome, an inherited condition characterized by pigmented lesions and intestinal polyps, some of which can become malignant. Question 3 covers topics related to peptic ulcer disease like the role of H. pylori bacteria and treatments. The key provides the answers to each question.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Surgical Tutor MCQ

    Uploaded by

    freeuser3
    4K views2 pages
    The document contains 10 questions about various medical topics. Question 1 asks about types of absorbable sutures and the correct answers are catgut, polyglyconate, and polyglactin. Question 2 is about Peutz-Jeghers syndrome, an inherited condition characterized by pigmented lesions and intestinal polyps, some of which can become malignant. Question 3 covers topics related to peptic ulcer disease like the role of H. pylori bacteria and treatments. The key provides the answers to each question.

    Original Description:

    mcq

    Original Title

    Surgical Tutor Mcq

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document contains 10 questions about various medical topics. Question 1 asks about types of absorbable sutures and the correct answers are catgut, polyglyconate, and polyglactin. Question 2 is about Peutz-Jeghers syndrome, an inherited condition characterized by pigmented lesions and intestinal polyps, some of which can become malignant. Question 3 covers topics related to peptic ulcer disease like the role of H. pylori bacteria and treatments. The key provides the answers to each question.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    4K views2 pages

    Surgical Tutor MCQ

    Uploaded by

    freeuser3
    The document contains 10 questions about various medical topics. Question 1 asks about types of absorbable sutures and the correct answers are catgut, polyglyconate, and polyglactin. Question 2 is about Peutz-Jeghers syndrome, an inherited condition characterized by pigmented lesions and intestinal polyps, some of which can become malignant. Question 3 covers topics related to peptic ulcer disease like the role of H. pylori bacteria and treatments. The key provides the answers to each question.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 2

    Questions 1-10

    1. The following are absorbable sutures


    a. Catgut
    b. Silk
    c. Polyamide (Nylon)
    d. Polyglyconate (Maxon)
    e. Polyglactin (Vicryl)

    2. Peutz Jeghers Syndrome
    a. Is an autosomal recessive condition
    b. Often presents with anaemia in childhood
    c. Is characterised by circumoral
    mucocutaneous pigmented lesions
    d. Is associated with adenomatous polyps of the
    small intestine
    e. Malignant change occurs in 2-3% of polyps

    3. Regarding peptic ulceration
    a. H. pylori is a gram-positive bacillus
    b. Duodenal is more common than gastric
    ulceration
    c. Zollinger-Ellison syndrome is associated with
    gastrin hyposecretion
    d. H2-blockers will heal 85-95% of duodenal
    ulcers in 8 weeks
    e. Triple therapy can eradicate H. pylori in 80%
    of patients in one week

    4. Head Injuries
    a. More than 1 million people are seen in UK
    hospitals each year with head injuries
    b. Skull X-rays can exclude an intracerebral
    haematoma
    c. Raised intracranial pressure is associated
    with an increase in cerebral perfusion
    d. Cushing's response consists of a rise in blood
    pressure and fall in heart rate
    e. Pupillary dilatation usually occurs on the
    same side as the intracerebral haematoma

    5. During surgery on the submandibular gland
    a. An incision on the lower border of the
    mandible is safe
    b. The submandibular gland is seen to wrap
    around the posterior border of mylohyoid
    c. The facial artery and vein are divided as they
    course through the deep part of the gland
    d. The hypoglossal nerve is seen to loop under
    the submandibular duct
    e. Damage to the lingual nerve will cause loss
    of sensation to the posterior third of the tongue

    6. Regarding pancreatic carcinoma
    a. 90% are ductal adenocarcinomas
    b. Less than 20% occur in the head of the gland
    c. The usual presentation is with pain, weight
    loss and obstructive jaundice
    d. Ultrasound has a sensitivity of 80-90% in the
    detection of the tumour
    e. Less than 20% of patients are suitable for
    curative surgery

    7. Regarding the management of major trauma
    a. Deaths follow a trimodal distribution
    b. X-rays after the primary survey should be of
    AP Cervical spine, chest and pelvis
    c. Cardiac tamponade is characterised by raised
    BP, low JVP and muffled heart sounds
    d. Assessment of uncomplicated limb fractures
    should occur during the primary survey
    e. Deterioration of the casualty during the
    primary survey should lead to the secondary
    survey

    8. Regarding appendicitis
    a. The risk of developing the illness is greatest
    in childhood
    b. Mortality increases with age and is greatest
    in the elderly
    c. 20% of appendices are extraperitoneal in a
    retrocaecal position
    d. Faecoliths are present in 75-80% of resected
    specimens
    e. Appendicitis is a possible diagnosis in the
    absence of abdominal tenderness

    9. Regarding stones in the gallbladder
    a. Cholesterol stones are the most common
    b. Pigment stones are due increased excretion of
    polymerised conjugated bilirubin
    c. Are not a risk factor for the development of
    gallbladder carcinoma
    d. 90% of gallstones are radio-opaque
    e. A mucocele of the gallbladder is caused by a
    stone impacted in Hartmann's pouch

    10. Stones in the common bile duct
    a. Are found in 30% of patients undergoing
    cholecystectomy (Without pre-op ERCP)
    b. Can present with Charcot's Triad
    c. Are suggested by an bile duct diameter
    >8mm on ultrasound
    d. ERCP, sphincterotomy and balloon clearance
    is now the treatment of choice
    e. If removed by exploration of the common
    bile duct the T-tube can be removed after 3
    days



    KEY
    1. True= A, D, E
    2. True= B, C, E
    3. True= B, D, E
    4. True= A, D, E
    5. True= B
    6. True= A,C,D,E
    7. True= A
    8. True= All true
    9. True= A, E
    10. True= A, B, C, D

    You might also like