General Surgery EMQs

Options For Questions 1 - 9

A. Cholestasis

B. Gallbladder empyema

C. Cholangitis

D. Cholelithiasis

E. Biliary colic

F. Cholecystostomy

G. Cholecystectomy

H. Choledocholithiasis

I. Cholecystitis

 

Match the following descriptions to their term:

1. Gallstone(s) in the bile duct

2. Inflammation of the gallbladder

3. Intermittent right upper quadrant pain caused by gallstones obstructing drainage of the gallbladder

4. Surgical removal of the gallbladder

5. Inflammation of the bile ducts

6. Pus in the gallbladder

7. Inserting a drain into the gallbladder

8. Gallstone(s) are present

9. Blockage to the flow of bile

 

Options For Questions 10 - 16

A. Abdomino-perineal resection

B. Cholecystectomy

C. Hartmann’s procedure

D. Right hemicolectomy

E. Whipple procedure

F. Panproctocolectomy

G. Left hemicolectomy

 

Match the following diagnoses to the most relevant surgical procedure:

10. Pancreatic cancer

11. Sigmoid volvulus

12. Rectal cancer

13. Familial adenomatous polyposis

14. Cancer of the descending colon

15. Gallstones

16. Caecal volvulus

 

Options For Questions 17 - 24

A. Ruptured abdominal aortic aneurysm

B. Ectopic pregnancy

C. Diverticulitis

D. Pancreatitis

E. Appendicitis

F. Pelvic inflammatory disease

G. Acute mesenteric ischaemia

H. Acute cholecystitis

 

Select the most appropriate diagnosis based on the clinical presentation:

17. 23 year old woman with right iliac fossa pain. Her last period was 7 weeks ago.

18. 45 year old woman with epigastric pain radiating through to her back. She has a history of gallstones. Her serum amylase is raised.

19. 68 year old woman with left iliac fossa pain, fever and bloody diarrhoea.

20. 40 year old woman with acute right upper quadrant pain radiating to the right shoulder tip. She has a fever and has vomited several times. Murphy’s sign is positive.

21. 72 year old man with severe abdominal pain radiating to his back. He is hypotensive and tachycardic. A pulsatile mass can be felt in his abdomen.

22. 78 year old man with acute, non-specific abdominal pain. The pain is disproportionate to the examination findings. He has a past medical history of atrial fibrillation.

23. 20 year old man with central abdominal pain that travels to the right iliac fossa. Pressure in the left iliac fossa causes pain in the right iliac fossa. He has lost his appetite and has a low grade fever.

24. 23 year old woman with fever, lower abdominal pain and abnormal vaginal discharge.

 

Options For Questions 25 - 30

A. Cancer antigen 125 (CA 125)

B. Beta-hCG

C. Carbohydrate antigen 19-9 (CA 19-9)

D. Cancer antigen 15-3 (CA 15-3)

E. Alpha-fetoprotein

F. Serum carcinoembryonic antigen (CEA)

 

Select the tumour marker that is most relevant to the type of cancer:

25. Testicular seminoma

26. Pancreatic cancer

27. Bowel cancer

28. Breast cancer

29. Hepatocellular carcinoma

30. Ovarian cancer

 

Options For Questions 31 - 36

A. Histamine (H1) receptor antagonist

B. 5HT3 receptor antagonist

C. Dopamine D2 antagonist

D. Leukotriene receptor antagonists

E. Corticosteroid

F. Alpha-2 adrenergic receptor agonists

G. Beta-2 adrenergic antagonist

 

Select the mechanism of action for the drug:

31. Ondansetron

32. Domperidone

33. Dexamethasone

34. Metoclopramide

35. Prochlorperazine

36. Cyclizine

 

Options For Questions 37 - 44

A. Hiatus hernia

B. Indirect inguinal hernia

C. Maydl’s hernia

D. Obturator hernia

E. Richter’s hernia

F. Femoral hernia

G. Direct inguinal hernia

H. Spigelian hernia

 

Select the most appropriate type of hernia based on the description:

37. Will remain reduced when pressure is applied to the deep inguinal ring.

38. Herniation of the stomach up through the diaphragm.

39. Occurs between the lateral border of the rectus abdominis muscle and the linea semilunaris.

40. Only part of the bowel wall and lumen herniate through the defect.

41. Occurs below the inguinal ligament, at the top of the thigh.

42. Associated with Howship–Romberg sign.

43. Occur due to weakness at Hesselbach’s triangle.

44. Two different loops of bowel are contained within the hernia.

  1. Gallstone(s) in the bile duct. H. Choledocholithiasis
  2. Inflammation of the gallbladder. I. Cholecystitis
  3. Intermittent right upper quadrant pain caused by gallstones obstructing drainage of the gallbladder. E. Biliary colic
  4. Surgical removal of the gallbladder. G. Cholecystectomy
  5. Inflammation of the bile ducts. C. Cholangitis
  6. Pus in the gallbladder. B. Gallbladder empyema
  7. Inserting a drain into the gallbladder. F. Cholecystostomy
  8. Gallstone(s) are present. D. Cholelithiasis
  9. Blockage to the flow of bile. A. Cholestasis
  10. Pancreatic cancer. E. Whipple procedure
  11. Sigmoid volvulus. C. Hartmann’s procedure
  12. Rectal cancer. A. Abdomino-perineal resection
  13. Familial adenomatous polyposis. F. Panproctocolectomy
  14. Cancer of the descending colon. G. Left hemicolectomy
  15. Gallstones. B. Cholecystectomy
  16. Caecal volvulus. D. Right hemicolectomy
  17. 23 year old woman with right iliac fossa pain. Her last period was 7 weeks ago. B. Ectopic pregnancy
  18. 45 year old woman with epigastric pain radiating through to her back. She has a history of gallstones. Her serum amylase is raised. D. Pancreatitis 
  19. 68 year old woman with left iliac fossa pain, fever and bloody diarrhoea. C. Diverticulitis
  20. 40 year old woman with acute right upper quadrant pain radiating to the right shoulder tip. She has a fever and has vomited several times. Murphy’s sign is positive. H. Acute cholecystitis
  21. 72 year old man with severe abdominal pain radiating to his back. He is hypotensive and tachycardic. A pulsatile mass can be felt in his abdomen. A. Ruptured abdominal aortic aneurysm
  22. 78 year old man with acute, non-specific abdominal pain. The pain is disproportionate to the examination findings. He has a background of atrial fibrillation. G. Acute mesenteric ischaemia
  23. 20 year old man with central abdominal pain that travels to the right iliac fossa. Pressure in the left iliac fossa causes pain in the right iliac fossa. He has lost his appetite and has a low grade fever. E. Appendicitis
  24. 23 year old woman with fever, lower abdominal pain and abnormal vaginal discharge. F. Pelvic inflammatory disease
  25. Testicular seminoma. B. Beta-hCG
  26. Pancreatic cancer. C. Carbohydrate antigen 19-9 (CA 19-9)
  27. Bowel cancer. F. Serum carcinoembryonic antigen (CEA)
  28. Breast cancer. D. Cancer antigen 15-3 (CA 15-3)
  29. Hepatocellular carcinoma. E. Alpha-fetoprotein
  30. Ovarian cancer. A. Cancer antigen 125 (CA 125)
  31. Ondansetron. B. 5HT3 receptor antagonist
  32. Domperidone. C. Dopamine D2 antagonist
  33. Dexamethasone. E. Corticosteroid
  34. Metoclopramide. C. Dopamine D2 antagonist
  35. Prochlorperazine. C. Dopamine D2 antagonist
  36. Cyclizine. A. Histamine (H1) receptor antagonist
  37. Will remain reduced when pressure is applied to the deep inguinal ring. B. Indirect inguinal hernia
  38. Herniation of the stomach up through the diaphragm. A. Hiatus hernia
  39. Occurs between the lateral border of the rectus abdominis muscle and the linea semilunaris. H. Spigelian hernia
  40. Only part of the bowel wall and lumen herniate through the defect. E. Richter’s hernia
  41. Occurs below the inguinal ligament, at the top of the thigh. F. Femoral hernia
  42. Associated with Howship–Romberg sign. D. Obturator hernia
  43. Occur due to weakness at Hesselbach’s triangle. G. Direct inguinal hernia
  44. Two different loops of bowel are contained within the hernia. C. Maydl’s hernia

 

Maximum score = 44

Your % = your score x 2.27

 

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