Sugery Exam II Part 2

28 Questions

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Abdomen Quizzes & Trivia

Large intestine, Appendix, Acute abdomen


Questions and Answers
  • 1. 
    Adhesions are a common cause of Large intestine obstruction
    • A. 

      True

    • B. 

      False

  • 2. 
    Which of the following is LEAST likely in a patient presenting with obstruction of the large intestine?
    • A. 

      Deep crampy pain in hypogastrium

    • B. 

      Vomiting indicating long standing obstruction

    • C. 

      Pain anterior to sigmoid obstruction

    • D. 

      Loud borborygmus

  • 3. 
    When treating obstructions of the large intestine it is important to remember?
    • A. 

      Paralytic ileus' usually presents with cramping

    • B. 

      Ogilvie's syndrome is caused by adhesion

    • C. 

      Cancer is common in elderly patients without Hx of adhesions

    • D. 

      First step in treatment is removal of obstruction

  • 4. 
    Which of the following is true about cancer of the large intestine
    • A. 

      Ulcerative Colitis is a risk factor

    • B. 

      Gall stone increases risk in men

    • C. 

      Symptomatic during first 5 years

    • D. 

      All of the above

  • 5. 
    Treatment of colon cancer requires which of the following  procedures
    • A. 

      Surgical resection except after metastases

    • B. 

      Surgical resection of colon only

    • C. 

      Palpation of tumors to determine malignancy

    • D. 

      Surgical resection of colon and lymphnodes

  • 6. 
    Which of the following Colon Cancer treatment pairs are correct
    • A. 

      Palliative procedure: removal of colon

    • B. 

      Treatment of choice: radiation therapy

    • C. 

      Treatment of choice: low anterior resection

    • D. 

      Palliative procedures: abdominperitoneal resection

  • 7. 
    The symptoms of Diverticular disease are actually complications
    • A. 

      True

    • B. 

      False

  • 8. 
    Which of the following would not describe a patient fsuffering from Diverticulitis?
    • A. 

      Constipation relieved by passing flatus

    • B. 

      Stranding of pericolic fat on CT

    • C. 

      Not likely to have blood in the stool

    • D. 

      Generalized abdominal pain

    • E. 

      All of the above

  • 9. 
    Diverticular perforation is an indication for colectomy
    • A. 

      True

    • B. 

      False

  • 10. 
    Which of the following is true about  Volvuli?
    • A. 

      Sigmoid volvuli include small bowel obstruction

    • B. 

      Volvuli may cause vascular impairment

    • C. 

      Cecal volvulus rises out of the pelvis on plain film

    • D. 

      Sigmoid pain is colicky and begins in right abdomen

  • 11. 
    How should Volvuli be treated?
    • A. 

      Resection and anastamosis

    • B. 

      Colonoscopy or rigid sigmoidoscope

    • C. 

      Cecal decompression

    • D. 

      All of the above

    • E. 

      A & C

  • 12. 
    Ulcerative Colitis has a singular period of onset from ages  15-30
    • A. 

      True

    • B. 

      False

  • 13. 
    Frequent watery stoll mixed with blood pus and mucus is symptomatic of which of the following
    • A. 

      Cecal Volvulus

    • B. 

      Ulcerative Colitis

    • C. 

      Sigmoid Volvulus

    • D. 

      Cancer of the Colon

  • 14. 
    Which of the following would be expected in ulcerative colitis
    • A. 

      Ankylosing spondylitis

    • B. 

      Pyoderma gangrenosum

    • C. 

      Pericarditis

    • D. 

      All of the above

  • 15. 
    Which of the following describes treatment of Ulcerative Colitis?
    • A. 

      Moderate cases need IV drugs

    • B. 

      First attack has high risk of perforation

    • C. 

      Megacolon should be treated with resection

    • D. 

      All patients with UC can be treated as outpatients

  • 16. 
    Which of the following is related to appendicitis?
    • A. 

      Abdominal pain until abdominal contents discharged

    • B. 

      Episodic diarrhea and pain with lassitude

    • C. 

      Vague abdominal disconfored followed by nausea

    • D. 

      1/3 are unsuspected before surgery

  • 17. 
    Ultrasound is the best imaging modality for diagnosis of appendicitis
    • A. 

      True

    • B. 

      False

  • 18. 
    Which of the following is NOT  true about appendicitis
    • A. 

      Perforations more likely in pregnant women

    • B. 

      Delayed diagnosis may lead to peritonitis

    • C. 

      Most easily diagnoses in women 20-40

    • D. 

      May have periappendiceal inflammation

    • E. 

      Mucoceles are usually non malignant

  • 19. 
    Malignant tumors of the appendix are usually diagnosed  by endoscopy in a clinical
    • A. 

      True

    • B. 

      False

  • 20. 
    Which of the following is not a type of abdominal pain
    • A. 

      Referred

    • B. 

      Somatic

    • C. 

      Visceral

    • D. 

      Inferred

  • 21. 
    Which of the following is true about visceral pain?
    • A. 

      Is midline when pure

    • B. 

      Obstruction is a common cause

    • C. 

      Is crampy, colicky and intermittent

    • D. 

      All of the above

    • E. 

      A & C

  • 22. 
    Somatic abdominal pain occurs when pain fibers in the parietal peritoneum are irritated
    • A. 

      True

    • B. 

      False

  • 23. 
    Which of the following is NOT true about intra-abdominal pain
    • A. 

      Has aseptic and bacterial causes

    • B. 

      Ischemic bowel presents with minor pain

    • C. 

      Vascular causes are often catastrophic

    • D. 

      Obstructions cause nausea then vomiting

  • 24. 
    Which of the following is not  an associated symptom of acute abdomen?
    • A. 

      Dysuria

    • B. 

      Polyphagia

    • C. 

      Chest pain

    • D. 

      Abnormal vitals

  • 25. 
    Grey-Turner sign and Cullen's sign are  signs of
    • A. 

      Appendicitis

    • B. 

      Ishemic bowel

    • C. 

      Intususseption

    • D. 

      Internal hemorrhage

  • 26. 
    Superior imaging of the RUQ and pelvic region can be obtained with
    • A. 

      Radiographs

    • B. 

      Sonograms

    • C. 

      CT Scans

    • D. 

      Binoculars

  • 27. 
    Acute appendicitis in the elderly is  usually delayed because of increased pain threshold
    • A. 

      True

    • B. 

      False

  • 28. 
    patients with abdominal pain should not be discharged until they can tolerate fluids well
    • A. 

      True

    • B. 

      False