Surgical Knowledge Challenge
Surgical Knowledge Challenge
Test your surgical knowledge with our engaging quiz designed for medical professionals and students alike!
Put your expertise to the test and see how well you understand the complexities of postoperative care, surgical procedures, and patient management.
- Multiple choice questions
- Covering a variety of surgical topics
- Learn and improve your skills
Postoperative pain can lead to the following EXCEPT
A. Fat embolism
B. Myocardial infarction
C. Bleeding
D. Stroke
After abdominal surgery the sequence of bowel motility restoration is:
� Small gut
� Stomach
� Right colon
� Left colon
Methods of mechanical hemostasis are all of the following EXCEPT:
A. Vascular clamp Simple ligature (transfixion suture) Direct pressure applied by packs
B. Application of the tourniquet
C. Bipolar electrocautery
D. Direct digital pressure over a bleeding site
Risk of postoperative myocardial infarction includes All of the following EXCEPT:
A. Hypertension
B. Hypotension
C. Age under 30
D. Postoperative pain
Prevention of the postoperative thromboembolism includes all of the following measures EXCEPT:
A. Compression stockings
B. Low molecular weight heparin
C. Early walking
D. Oxygen therapy
Severe sepsis is differentiated from sepsis by:
A. Positive blood cultures for bacteria and fungs
B. Acute organ failure such as renal insufficiency
C. A history of the premotoid condition such as diabetes
D. Prolonged arterial hypotension
Neurotmesis Is:
A. Interruption of axonal continuity but preservation of Schwann cell basal lamina
B. Complete transection of nerve
C. Congenital absence of nerve
D. Focal demyelination of nerve
Commonest cause of the Metabolic alkalosis in surgical patient is:
A. Gastric outlet obstruction
B. Antacid therapy
C. Steroid treatment
D. Hyperventilation because of the head injury
The commonest cause of the metabolic alkalosis is:
A. Pyloric stenosis
B. Peptic ulcer
C. Diuretics
D. Small-bowel obstruction
Prevention of postoperative parotitis includes all of the following EXCEPT:
A. Adequate fluid intake
B. Good oral hygiene
C. Preoperative fasting
D. Stimulation of salivary flow
All of the following points are true for the necrotizing fasciitis EXCEPT
A. Characterized by high mortality rate
B. Treatment - Oral antibiotics
C. Treatment - Removal of all necrotized skin and fascia
D. Is caused by the septic thrombosis of the vessels
Treatmet of superficial wound infection is:
A. Removal of drains
B. Oral steroids
C. Heparin ointment
D. Opening the small segment of incision and draining of purulent
A postoperative patient with a potassium of 2.9 is given 1 mEq/kg replacement with potassium chloride. Repeat tests after the replacement show the sere 3.0. Most likely diagnosis is:
A. Metabolic alkalosis
B. Hypocalcemia
C. Metaboloc acidosis
D. Hypomagnesemia
Neurapraxia is:
A. Congenital absence of nerve
B. Interruption of axonal continuity but preservation of Schwann cell basal lamina
C. Focal demyelination of nerve
D. Complete transection of nerve
Which of the following is the treatment of the hyperkalemia?
A. Insulin and glucose
B. Diuretic administration
C. Inravenous Ringer solution
D. Vitamin C
Which of the following should be the first treatment administered to a patient with a potassium-level of 6.3 and flattened P waves on their ECG?
A. Kayexalate
B. Insulin and glucose
C. Calcium gluconate
D. Inhaled albuterol
Which of the following studies is most helpful in evaluating a patient's risk for a routine operative procedure:
A. Electrocardiogram
B. History
C. Chest x-ray
D. Physical examination
When do we have to start antibiotics to prevent postoperative infection?
A. 2 days before surgery
B. 1 hour before surgery and continue after surgery
C. Immediately after surgery
D. 1 week before surgery
Marjolin ulcer is:
A. Chronic arterial ulcer
B. Chronic diabetic ulcer
C. Chronic venous ulcer
D. Malignant transformation of chronic wound
Albumin infusion for parenteral use is restricted because:
A. Does not rise oncotic pressure
B. It is carcinogenic
C. It is Costly
D. Is hypotonic
Phases of bone healing are all of the following EXCEPT:
A. Soft callus formation
B. Epithelisation
C. Remodeling
D. Hard callus formation
. Treatment of superficial wound infection is:
A. Opening the small segment of incision and draining of purulent content
B. Heparin ointment
C. Oral steroids
D. Removal of drains
Best vein for total parenteral nutrition is:
A. Femoral
B. Brachial
C. Subclavian
D. Saphenous
Preventing measures for the postoperative lung atelectasis are all of the following EXCEPT
A. Swan-Ganz catheter
B. Splinting of wound when coughing
C. Incentive deep breathing exercises
D. Frequent change of patient's position
Immediate postoperative complications could be all of the following EXCEPT:
A. Myocardial infarction
B. Basal atelectasis
C. Hemorrhage
D. Incisional hernia
Major surgical procedures can be performed when platelet count is above:
A. 10,000/ µL
B. 50,000/mL
C. 75,000/ µL
D. 25000/ µL
Which of the following is an important mediator of wound healing?
A. α-interferon
B. TGFα
C. β-Defensin2
D. Interleukin 12
Elective cholecystectomy is:
A. Dirty
B. Clean
C. Contaminated
D. Clean contorninated
Blood loss during surgery is best estimated by:
A. Suction bottles.
B. Cardiac output by thermodilution
C. Doppler ultrasound
D. Visual assessment
A chronic pain of an healed wound can be caused by:
A. Occult incisional hernia
B. Scare formation
C. Peritonitis
D. Vitamin B12 deficiency
A chronic pain of an healed wound can be caused by:
A. Stitch abscess or granuloma
B. Pneumonia
C. Dehydration
D. Petitonitis
A chronic pain of an healed wound can be caused by:
A. Peritonitis
B. Urticaria
C. Respiratory failure
D. Nerve entrapment in suture
Which of the following is the lardest fluid compartment in the body?
A. Plasma
B. Intracellular fluid
C. Interstitial fluid
D. Central spinal fluid
The following drug shoul be discontinued prior to surgery
A. Prednisolone
B. Antibiotic
C. Warfarin
D. Insulin
How many calories per day are required to maintain basal metabolosm in a healthy adult?
A. 10-15 kcal/kg/day
B. 20-25 kcal/kg/day
C. 30-35 kcal/kg/day
D. 40-45 kcal/kg/day
Wound reepithelisation occurs by:
A. Covering the granulation tissue with epithelial cells migrating from wound edges
B. Replacement of epithelium with connective tissue (scar)
There is a risk of dangerous internal bleeding when platelet count is:
A. <100,000/µL
B. <10,000/µL
C. <150,000/µL
D. <200,000/µL
In the gastrointestinal surgery serosa-to-serosa approximation is important because:
A. Serosal epithelium releases growth factors for faster healing
B. Serosa releases fibrin which makes suture line watertight
C. Serosa contains blood vessels supplying bowel wall
D. Serosa has the greatest tensile strength and suture-holding capacity
Postoperative thromboembolism can be prevented by:
A. Avoid walking
B. Low molecular weight heparin
C. Steroids
D. Wearing loose clothe
Delayed wound healing could be associated with all of the following conditions EXCEPT:
A. Protein depletion
B. Chemotherapy
C. Receiving large doses of corticosteroids
D. Pneumothorax
Which of the following is a common initiating event for disseminated intravascular coagulation (DIC)?
A. Amniotic fluid embolization
B. Spider bite
C. Depressed scull fracture
D. Type A influenza
Late death in burns are due to:
A. Sepsis
B. Contractures
C. Neurogenic
D. Hypovolemia
Fresh frozen plasma is used for the all of the following conditions EXCEPT:
A. Correct anemia
B. Replacement of coagulation factors
C. Warfarin overdose
D. During an active bleeding
. Risk factors for pulmonary aspiration of the gastric contents are EXCEPT
A. Pregnancy
B. Food in the stomach
C. Deprensed consclousness
D. Lung atelectasis
Treatment options of gastric dilation includes following:
A. Gastrectomy
B. Sellick's maneuver
C. Antibiotics
D. Diuretics
Keloids are characterized by the following points EXCEPT:
A. Rive above the skin level as well, but extend beyond the border of the original wound
B. Often regress over time
C. Is more common in darker pigmented ethnicities, with individuals of African, Spanish, and Asian ethnicities
D. Excision alone of keloids is subject to a high recurrence rate, ranging from 45 to 100%
The main peculiarity of fetal wound healing is:
A. Absence of scarring
B. Excess healing
C. Stow healing
D. Absence of healing
Acute is a wound which heals earlier then:
A. 10 weeks
B. 3 months
C. 2 months
D. 6 weeks
During remodeling phase of wound healing the tensile strength of the scar tissue gradually increases because of
A. Collagen type Ill is gradually replaced by stronger type I collagen
B. Number of blood vessels in the scar is reduced
C. The fibroblasts start to disappear
D. Scar shrinkage
Symptoms of a superficial wound infection are EXCEPT:
A. Hyperthermia
B. Hyperemia
C. Wound swelling
D. Vomitus
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