Minor Surgery LE 2 WITH Full ANS

Long II Minor surgery Choose the best answer. Encircle the letter of the best answer 1.Prophylactic antibiotics is given K. intra operatively l.

for 2 day

m. for clean wounds N. K and L

O. all of the above

2. Clean contaminated wound incidence for infection is K. 0 % l. 1%

M. 5 %

N. 10 % O. 20 %

3. Irreversible brain damage may follow after cessation of blood flow to brain for K. 1 minute l.

2 minute

M. 3 minute N. 4 minute

O. 10 minute 4. Clean contaminated wound K. tracheostomy

L. simple appendectomy M. heniorrhaphy n. K and l

O. all of the above 5. Indications of subclavian catheterization K. tracheoesophageal fistula L. short bowel syndrome

M. extensive full thickness burn n. K and l

O. all of the above 6. Foley catheter with the smallest diameter K. F 8'

L. F 10' M. F12'

N. F 14' O. F 16'

7. coudetip or olivetip is an example of K. soft rubber catheter

L. semirigid rubber catheter M. woven catheter N. metal catheter

O. retention catheter

8. The normal CVP reading is K. 1-3 cmH2O L. 5-7 cmH2O

M. 8-12 cmH2O

N. 12-15 cmH2O O. none of the above

9. CVP is a reflection of the pressure in the K. superior vena cava L. right atrium M. left atrium N. K and L O. all

10.The Zero point in the CVP reading is at the K. anterior axillary area l. midaxillary line

m. posterior axillary line n. midclavicular line

o. none of the above 11.CVP catheter can be inserted in all except k. midian basilica vein l, external jugular vein

m. internal jugular vein n. subclavian vein

o. none of the above 12. complication of CVP insertion k. sepsis

l. pneumothorax m. subcutaneous emphysema n. k and l

o. all of the above

13. Indications of lumbar puncture except k. to relieve pressure l. to inject drugs m. to inject dye

n. to diagnose disease o. none of the above

14. Position of patient when doing the lumbar tap K. supine l. sitting

m. standing n. a and b o. all

15. intracranial pressure is increased in the presence of k. tumor

l. brain abscess

m. chronic hematoma n. k and l o. all

16. After the lumbar tap is performed the patient should be k. lying flat with 1 pillow

l. lying flat with on pillow m. lying in lateral decubitus position n. any of the above

o. none of the above 17. The normal CSF pressure is k.10-20 cmH2O

l. 20-40 cmH2O

m. 40-80 cmH2O n. 80-180 cmH2O

o. none of the above 18. Contraindications to enema include k. myocardial infraction l. intestinal obstruction m. hypersensitivity n. k and l

o. all of the above

19. The most commonly used NGT tube is k. Ewald tube

l. Rehfuse tube m. Levine tube

n. Wangesteen tube

o. none of the above

20. True of urethral catheterization in female k. with central necrotic core l. infection of hair follicle

m. resolves spontaneously n. k and l

o. all of the above

21. Characteristics of a furuncle k. with central necrotic core l. infection of hair follicle

m. resolves spontaneously n. k and l o. all

22. Uses of paracentesis abdominis k. remove fluid for exam l. administer medicine

m. introduce air for laparoscopy n. k and l o. all 23. Best site of puncture in peritoneoscopy k. left flank

l. right flank

m. epigastric n. infraumbilical

o. supraumbilical 24. uses of enema k. cleansing purposes

l. administration of medicine m. administration of steroids n. k and l o. all

25. Adverse side effects of enema k. water intoxication

l. electrolyte imbalance m. hypersensitivity reaction n. k and l

o. all Write

A if 9 and 10 are correct B if 9 and 11 are correct C if 9 ,10 and 11 are correct D if 10 and 12 are correct E if

only 12 are correct

Y if

all

are correct

X if none is correct C 26. Cardiac arrest is diagnosed if 9. no palpable pulse

10. no blood pressure 11. no heart sounds

12. constricted pupils

B 27. True of cardiac resuscitation 9. patient lying supine with rigid support

10. heel of one hand placed over the xiphisternum 11. depression of chest should be about 3 cm

12. a mouth to nose breathing should be applied C 28. Push – pull type of artificial respiration 9. are lift – chest pressure

10. hip lift – back pressure 11. hip roll – back pressure 12. hip lift method

A 29. True of cardio pulmonary resuscitation 9. can be done by only one person

10. performer should shrug. Wake the patient up 11. performer should give 5 quick pumps 12.

performer should give 5 quick blows

C 30. Adequate ventilation is ensured on each breath if 9. the chest rise and fall

10. air escapes during exhalation 11. feeling of resistance of the lungs as they expand 12. patient wakes up

C 31. Indications of circumcision 9. hygience 10. rituals

11. infection of the prepuce 12. chancroids

D 32.True of circumcision

9. there is no absolute contraindications to circumcision 10. can be done anytime of patients life

11. silk cannot be used as suture since non absorbable 12. coronal is preferred by many over dorsal slit B 33.Advantages of dorsal slit over coronal circumcision 9. less prone to infection 10. asthetically better

11.less prone to bleeding 12. premature ejaculations is likely

A 34. Complications of circumcision 9. infection

10. chordee

11. premature ejaculation 12. sterility Y 35. Rabies vaccination should be given in bites of 9. astray dog 10. pet dog

11. unprovoked dog 12. unvaccinated dog Y36. True of rabies

9. caused by Rhabdovirus 10. the virus remains active for years

11. the virus can be inactivated by formalin 12. transmitted thru break in the skin C 37. Period of excitement is characterized by 9. insomnia

10. seizures

11. hydrophobia 12. arrhythmia C 38. True of tetanus

9. caused by clostridium tetani 10. affects the CNS

11. obtained from contaminated nails and thorns 12. Negri bodies can be seen in the liver

A/C 39.Action of tetanospasmin in the CNS 9. inhibits release of acetylcholine

10. inhibits post synaptic spinal neurons 11. mediates release of inhibitory mediators 12. blocks CAMP

C 40. Symptoms of tetanus 9. Trismus

10. Seizures 11. urinary retention 12.insomnia

A 41. Components of bowel preparation 9. mechanical cleansing

10. antibiotic administration 11. diet restriction

12. tetanus prophylaxis Y 42. Mechanical cleansing agents 9. saline solution 10. mannitlo

11. plolyethylene glycol

12. mono and dibasic NaPo4 C 43. True of sigmoidoscope 9. fiberoptic or rigid

10. with clear eyepiece and magnifying lens 11. with suction chambers 12. 10 cm long

B 44. Initial management of snake bite 9. keep away from the scene 10. try to catch the snake

11. place tourniquet above the bite 12. keep the victim moving

Y 45. Uses of urethral catheterization 9. to obtain sterile specimen

10. to introduce opaque solution 11. measure capacity of the bladder 12. explore the urethra

Match column A with column B II Snake bites C. POISONOUS SNAKE. A. NON POISONOUS SNAKE. S. BOTH. E. NONE. A 46. Round pupil

C 47. Single row caudal plates A 48. house snake

C 49. Hyaluronidase C 50. Rattle snake

S 51. Tetanus prophylaxis when bitten C 52. Immobilization

E 53. Multiple bite marks A 54. Anaconda

C 55. Requires antivenin II Dog bites C. RABID. A. NON RABID. S. BOTH. E. NONE. A 56. Provoked

E 57. Mangaldan. Pangasinan S

58. Felis domestica

C 59. Negri bodies S 60. Fangmarks

S 61. Prophylactic antibodies needed C 62.Behavioral change III Rabies Immunization C.HDDV. A.HRIG. S.BOTH. E.NONE.

S 63. Skunk bite A 64. 20 u per kg

E/C 65. Subcutaneous injection E 66. Bite from pet dog

C 67. active E 68. ATS

A 69. Passive A 70. immunoglobulin IV. Skin Tumors

C.SQUAMOUS CELL CARCINOMA. A. BASAL CELL CARCIMONA. S. BOTH. E. NONE.

E/S 71. wide excision A 72. Most common skin CA

A 73. Common in Caucasians E/C 74. Early metastatic spreads E 75. Lentigo maligna S 76. Radiosensitive

V. Tetanus Immunization. C. Antitetanus Serum. A. Tetanus Toxoid. S. BOTH. E. NONE. C 77. Equino. C 78. Hypersensitivity. A 79. O.5 ml deep IM. A 80. Booster. C 81. Passive Immunization. C 82. Clostridium tetany infection. S/A 83. Minor abrasion with no previous immunization. E 84. Intravenous Injection. VI. Enema vs. Irrigation. C. Enema. A. Irrigation. S.BOTH. E.NONE. S 85. Mucosal Irrigation. S/C 86. Soap Solution. E 87. Hemorrhoid formation. C 88. Let patient Defecate. E/C 89. Decompress Colon. C 90. Flourscopy Guided.

VII . Endoscopy CEEACECEEE 91. Fiberoptic endoscope

C.

Esophagogastroscopy 92. Massive GI bleeding

A.

Proctosigmoidiscopy 93. Done by internists/surgeons

S. both

94. Jacknife position 95. Local anesthetic 96. 80 cm long 97. Chronic epigastric pain 98. Transvaginal bleeding 99. Lone by radiologists 100. Flouroscopy guided

E. none