101 TOP Surgery Multiple Choice Questions and answers

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Surgery Multiple Choice Questions and answers

1. Which is not true of cardiopulmonary resuscitation (CPR)?
     A. Closed chest massage is as effective as open chest massage.
     B. The success rate for out-of-hospital resuscitation may be as high as 30% to 60%.
     C. The most common cause of sudden death is ischemic heart disease.
     D. Standard chest massage generally provides less than 15% of normal coronary and cerebral blood flow.
  Ans: A

2. Which maneuver generally is not performed early before chest compression in basic life support outside the hospital?
    A. Call for help.
    B. Obtain airway.
    C. Electrical cardioversion.
    D. Ventilation.
  Ans:  C

3. Which treatment would be least effective for asystole?
   A. External pacemaker.
   B. Intravenous epinephrine, 10 ml. of 1:10,000.
   C. Intravenous calcium gluconate, 10 ml. of 10% solution.
   D. Intravenous atropine, 0.5 mg.
  Ans: C


4. The most important factor that influences the outcome of penetrating cardiac injuries is:
   A. Comminuted tear of a single chamber.
   B. Multiple-chamber injuries.
   C. Coronary artery injury.
   D. Tangential injuries.
  Ans: C  

5. The most useful incision in the operating room for patients with penetrating cardiac injury is:
   A. Left anterior thoracotomy.
   B. Right anterior thoracotomy.
   C. Bilateral anterior thoracotomy.
   D. Median sternotomy.
   E. Subxyphoid.
  Ans: D

6. In patients who present with a penetrating chest injury, injury to the heart is most likely when the following      physical sign(s) is/are present:
   A. Hypotension.
   B. Distended neck veins.
   C. Decreased heart sound.
   D. All of the above.
   Ans: D

7. Which of the following would be an acceptable method of repair for a neonate with symptomatic isolated coarctation of the aorta?
   A.  Resection with end-to-end anastomosis.
   B. Prosthetic patch aortoplasty.
   C. Subclavian flap aortoplasty.
   D. Prosthetic tube graft repair.
  Ans: A,C

8. Which of the following constitutes a true vascular ring?
    A. Pulmonary artery sling.
    B. Double aortic arch.
    C. Anomalous origin of right subclavian artery from the descending aorta.
    D. Cervical aortic arch.
   Ans: B

9. Which of the following may be physical examination findings in a young adult with coarctation of the aorta?
   A. Posterior systolic murmur between the scapulas.
   B. Diminished femoral pulses.
   C. Elevated blood pressure in left arm as compared with right arm.
   D. Peripheral cyanosis.
   Ans: A, B, C


10. In a premature infant with hyaline membrane disease and inability to be weaned from mechanical ventilation, which of the following would suggest hemodynamically significant patent ductus arteriosus (PDA)?
A. Continuous murmur.
B. Hyperactive precordium with bounding peripheral pulses.
C. Jaundice.
D. Diminished femoral pulses.
Ans: A,B


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