GENERAL SURGERY: PRACTICE 6

MULTIPLE CHOICE QUESTIONS SERIES

INSTRUCTION: WRITE T (TRUE) OR F (FALSE) AGAINST THE OPTIONS IN EACH QUESTION.

1.             The differential diagnosis of acute abdomen include:
   a.       Sickle cell disease
   b.      Ascending cholangitis
   c.       Mittelschmerz
   d.      Hepatomegaly of congestive heart failure
   e.      Acute cholecystitis
   2.       In children, herniotomy instead of herniorrhaphy is performed because?
   a.       The internal ring is deficient
   b.      The external ring of the iguinal canal is deficient
   c.       There is no posterior wall
   d.      The external and internal rings are apposed together
   e.      None together
   3.       Concerning hypercalcaemia:
   a.       Milk-alkali syndrome, sarcoidosis and multiple myeloma are known causes
   b.      In acute hypercalcaemic crisis, the ultimate treatment is parathyroidectomy
   c.       Breast cancer is a predisposing factor
   d.      Hyperactive tendon reflex is a sign
   e.      Oral phosphate and corticosteroids are possible management options
   4.       Concerning shock:
   a.       Vomiting and diarrhoea are known causes of hypovolaemic shock
   b.      Capillary refill is delayed in in class 1 hypovolaemic shock
   c.       Fluid sequestration in the gut lumen is a known cause of shock
   d.      There is tachycardia in hypervolaemic shock
   e.      The blood pressure is always elevated in cardiogenic shock
   5.       Which of the following is incorrect about the third space?
   a.       It is not usually surgically important
   b.      Peritoneal fluid, pleural fluid and intra-ocular fluid belong to the third space
   c.       Even if the fluid in the third space is lost, the patient cannot go into shock
   d.      Saliva and digestive juice are not part of the third space fluid
   e.      All of the above
   6.       Mc Burney’s point:
   a.       Often the point of maximum tenderness in the right lower quadrant abdominal pain
   b.      Is the point joining the lateral one third to medial two third on an imaginary line joining the umbilicus to the symphysis pubis
   c.       Is at the point joining the medial one third to the lateral two thirds along a line joining the umbilicus to the anterior superior iliac spine
   d.      Is a point joining the lateral one-third to medial two thirds along an imaginary line joining the umbilicus to the right anterior superior iliac spine
   e.      Is the point joining the lateral one-third to the medial two-thirds along an imaginary line joining the umbilicus to the left anterior superior iliac spine
   7.       A mass in the groin cannot be:
   a.       Hernia
   b.      Hydrocoele
   c.       Undescended testis
   d.      Lipoma
   e.      Thyroglossal duct cyst
   8.       The following is/are incorrect about fluid overload.
   a.       Atonic muscle is a classical feature
   b.      Increased second heart sound is a symptom
   c.       There may be decreased tendon reflexes
   d.      Moist rales and pulmonary oedema are features of severe fluid overload
   e.      Orthostatic hypotension is usually present
   9.       Concerning umbilical hernia:
   a.       It is commoner in females than in males
   b.      Obstruction or strangulation is not uncommon
   c.       The ideal treatment is Mayo’s herniorrhaphy
   d.      Neonatal sepsis can be a cause
   e.      Causes pain due to trapping of extraperitoneal fat
   10.   The cardinal signs of inflammation does not include:
   a.       Rubor
   b.      Dolor
   c.       Calor
   d.      Athetosis
   e.      Loss of function
   
   
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