General Surgery Comprehensive Quiz
Test your knowledge on General Surgery by answering the questions provided in this quiz.
1.
A 60-year-old man with a history of chronic alcohol abuse presents with epigastric pain, fever, and a palpable mass in the upper abdomen. Laboratory studies show elevated white blood cell count and serum amylase. What is the most likely diagnosis?
2.
A 60-year-old male with a history of cirrhosis is admitted with abdominal pain and distension. He is diagnosed with spontaneous bacterial peritonitis. The patient’s blood pressure is 90/60 mmHg, heart rate is 110 bpm, and his serum albumin is low. The physician decides to administer 25% albumin. What is the primary goal of administering 25% albumin in this patient?
3.
A 45-year-old man is scheduled for an elective laparoscopic cholecystectomy. Which of the following is the most common complication associated with this procedure?
4.
Which of the following statements about homeostasis are false?
5.
The lethal triad associated with death in shock includes:
6.
Which type of shock is characterized by low systemic vascular resistance and is often associated with warm extremities?
7.
Which of the following fluids is least likely to cause a dilutional acidosis when given in large volumes?
8.
A 55-year-old woman with a history of diabetes presents to the emergency department with confusion, shortness of breath, and a fever of 39°C. On examination, she is tachycardic with a heart rate of 110 bpm, hypotensive with a blood pressure of 85/50 mmHg, and has cold, clammy skin. Blood cultures are drawn, and she is diagnosed with septic shock. Despite fluid resuscitation, her blood pressure remains low. What is the most appropriate next step in her management?
9.
Which IV fluid is considered a balanced solution?
10.
A 35-year-old man has known ulcerative colitis. Which of the following is an indication for proctocolectomy?
11.
Which factor is least likely to inhibit wound contraction?
12.
A 40-year-old male is admitted with confusion, oliguria, and cold extremities following multiple episodes of vomiting and diarrhea. His blood pressure is 70/40 mmHg. What is the most likely cause of his shock?
13.
In a patient with pneumothorax and circulatory collapse, the first action should be:
14.
A 64-year-old male undergoes elective laparotomy. The proposed wound is considered as clean-contaminated. This term implies an infection rate of which of the following?
15.
The most common thyroid carcinoma:
16.
A 55-year-old man presents with sudden, severe abdominal pain radiating to his back. On examination, he is hypotensive and has a pulsatile abdominal mass. What is the most likely diagnosis?
17.
What is the definition of osmosis?
18.
Which of the following is not a risk factor for development of thyroid cancer?
19.
A 42-year-old executive has refractory chronic duodenal ulcer disease. His physician has suggested several surgical option. The patient has chosen a parietal (highly selective) vagotomy instead of truncal vagotomy and antrectomy because?
20.
A 65-year-old man with a history of myocardial infarction presents to the emergency department with shortness of breath, chest pain, and confusion. His blood pressure is 80/50 mmHg, heart rate is 110 bpm, and his lungs reveal crackles bilaterally. What is the most likely type of shock?
21.
A 70-year-old woman presents with sudden onset of severe left lower quadrant abdominal pain and a history of constipation. Physical examination reveals localized tenderness and guarding in the left lower quadrant. What is the most likely diagnosis?
22.
False about subdural hematoma:
23.
Fluid resuscitation during major abdominal surgery with which of the following agents is associated with the best survival data?
24.
A 70-year-old patient with severe CHF is undergoing fluid resuscitation. The patient requires a fluid bolus. What volume of fluid bolus would be most appropriate for this patient?
25.
Which fluid is most appropriate for maintenance therapy in a patient with normal serum sodium levels?
27.
A patient presents with a bee sting, followed by sudden onset of shortness of breath, hypotension, and a rash. What is the most important first-line treatment?
28.
The commonest hernia type that can be strangulated is?
29.
Which of the following findings is most likely in a patient with cardiogenic shock?
30.
Which of the following is not a red flag for thyroid cancer in a patient with a thyroid nodule?
31.
Which colloid has the longest duration of volume expansion?
32.
A 35-year-old woman presents with a lump in her breast that she first noticed a few weeks ago. On examination, there is a 2 cm firm, non-tender, mobile mass in the upper outer quadrant of her right breast. What is the most appropriate next step in management?
33.
What is the osmolarity of Normal Saline (0.9% NaCl)?
34.
With regard to the recovery process identify the false statement:
35.
A 28-year-old male presents with severe abdominal pain following a motor vehicle accident. His blood pressure is 90/60 mmHg, and his heart rate is 120 bpm. He has cold, clammy skin and decreased urine output. Which of the following is the most appropriate initial treatment?
36.
Synthesis and liberation of thyroid hormone from thyroid is controlled by:
37.
Which of the following is a dynamic test for fluid responsiveness in sedated and mechanically ventilated patients?
38.
The most common thyroid adenoma:
40.
A 20 year male presented with small swelling in front of neck in midline, swelling moves upward on protrusion of tongue. What is diagnosis:
41.
Which of the following laboratory findings is most likely elevated in a patient with shock due to tissue hypoxia?
42.
Cushing’s triad consists of all except:
43.
A 45-year old man complains of burning epigastric pain that wakes him up at night. The pain is relieved by eating or using over-ther-counter antacids and H2 blockers. Diagnosis is best confirmed by which of the following?
44.
A 45-year-old female is undergoing elective surgery for a cholecystectomy. During the procedure, the anesthesiologist notices that the patient’s blood pressure is dropping, and there is decreased urine output. The patient is given a bolus of 0.9% Saline but shows no improvement in hemodynamics. The anesthesiologist decides to perform a transesophageal echocardiogram (TEE). What is the most likely reason for performing TEE in this scenario?
45.
A patient with suspected hypovolemic shock due to gastrointestinal bleeding has a blood pressure of 85/50 mmHg and a heart rate of 130 bpm. Which of the following would be an expected laboratory finding?
46.
A 66-year-old woman is admitted for hyperalimentation due to malnutrition consequent to massive small bowel resection. What is the most likely condition that leads to the need to perform a massive resection?
47.
A 55-year-old man complains of anorexia, weight loss, and fatigue. A UGI study demonstrates an ulcerated lesion at the incisura. Where is the incisura located?
48.
A 30-year-old learns that he has a duodenal ulcer. His gastroenterologist prescribes medical therapy. The patient worries that if medical therapy fails he might need surgery. Which of the following is the best indication for elective surgical repair for duodenal disease?
49.
A seven year old boy presents to you in the clinic with an irreducible groin swelling for the past three weeks. His mother reports that the mass developed spontaneously and was reducible at first and is now painful. What is the most common cause of this pathology in this age group?
50.
A patient undergoing major surgery is receiving intraoperative fluids. Which of the following is the most reliable method for assessing their volume status?
51.
In stress response, which of the following statements are false?
52.
A patient presents with hypovolemic shock. What is the best initial approach to determine if the patient is fluid responsive?
53.
A patient with severe hyponatremia requires urgent correction. Which fluid is most appropriate?
54.
What is the expected initial volume expansion of 5% albumin when administered intravenously?
55.
Which of the following clinical signs would be most consistent with a diagnosis of tension pneumothorax causing obstructive shock?
57.
A 60-year-old male presents with sudden chest pain, shortness of breath, and lightheadedness. He has a history of coronary artery disease and is currently on antihypertensive medications. On examination, he is hypotensive with a blood pressure of 75/40 mmHg, and his lungs reveal bilateral crackles. An ECG shows ST-segment elevation in the anterior leads. What is the most likely type of shock, and what is the immediate management?
58.
Which of the following statements about mediators of the stress response are false?
59.
Which of the following is not an indication for breast conserving therapy?
60.
In fluid resuscitation, which of the following is a sign of adequate resuscitation?
61.
A 65-year-old man was admitted to the hospital for severe bilious vomiting following gastric surgery. This occurs in which circumstance?
62.
Which one of the following is not part of the trauma x-ray series?
63.
Patients with large bowel obstruction usually have the following findings on plain and upright radiographs EXCEPT?
64.
Which of the following IV fluids is isotonic?
65.
Which of the following statements regarding third nerve palsy in head injury is true?
66.
Which condition is a common indication for the use of 3% Saline?
67.
Which of the following fluids should be avoided in a patient with hyperkalemia?
68.
A 65-year-old male patient presents with severe dehydration and hypovolemic shock. His blood pressure is 80/50 mmHg, and his heart rate is 120 bpm. He is administered IV fluids for resuscitation. Which IV fluid would be the most appropriate to start with in this patient?
69.
Which of the following lifestyle modifications does not reduce the incidence of colorectal cancer
70.
What is the main reason for the use of lactate in Ringer’s Lactate solution?
71.
The standard initial therapy for acute sigmoid volvulus is:
72.
Which of the following is a good prognostic factor in breast cancer?
73.
A patient with cirrhosis and spontaneous bacterial peritonitis is being treated with albumin. What is the main reason for this treatment?
74.
Not a well-differentiated thyroid carcinoma:
75.
After a swelling has been clinically defined, the most commonly advised investigation is:
76.
A 70-year-old woman is admitted with septic shock secondary to pneumonia. Despite aggressive fluid resuscitation, her mean arterial pressure (MAP) remains below 60 mmHg. What is the most appropriate next step in management?
77.
Which compartment contains the largest portion of total body water in a 70 kg male?
78.
Which of the following statements is false regarding optimal perioperative care?
79.
Not a cardinal sign of tension pneumothorax:
80.
A lethal triad associated with death in shock patients includes all of the following except:
81.
Which colour of needle is wrongly matched with the gauge?
82.
Compared with intracellular fluid, the extracellular fluid contains a greater concentration of:
83.
Which of the following fluids is isotonic and commonly used for resuscitation?
84.
Which of the following is not part of Murphy’s triad?
85.
A patient sustained a gunshot injury to the chest following a botched robbery attempt. The following injuries may occur EXCEPT?
