Surgery Exam II Part 1

40 Questions | Total Attempts: 117

SettingsSettingsSettings
Please wait...
Surgery Exam II Part 1

Esophagus, diaphragm, stomach, duodenum, small intestine


Questions and Answers
  • 1. 
    Strictures are considered functional abnormalities of the esophagus
    • A. 

      True

    • B. 

      False

  • 2. 
    Which of the following is the Gold standard for diagnosis of GERD
    • A. 

      Positron Emission Tomography (PET) scan

    • B. 

      24hr pH Monitoring

    • C. 

      Esophageal Manometry

    • D. 

      Esophageal Ultrasound

  • 3. 
    Which of the following is true about Achalasia?
    • A. 

      Affects women more often than men

    • B. 

      Causes heart burn due to reflux

    • C. 

      Regurgitation is the 2nd most common Sx

    • D. 

      B & C

  • 4. 
    Which of the following best describes treatment of Achlasia?
    • A. 

      Myotomy of esophagus

    • B. 

      Pneumatic dilatation

    • C. 

      Fundoplication of LES

    • D. 

      All of the above

    • E. 

      A & C

  • 5. 
    A patient presents with intermittent chest pain and dysphagia. You have a suspision they have diffuse esophageal spasm. Which of the following test would best confirm this?
    • A. 

      Barrium swallow

    • B. 

      Flouroscopic studies

    • C. 

      Manometry

    • D. 

      Endoscopic ultrasound

  • 6. 
    Which of the following  is true about Nutcracker Esophagus?
    • A. 

      Most common Sx is dysphagia

    • B. 

      Barium swallow shows esophageal torsion

    • C. 

      Treated with calcium channel blockers

    • D. 

      Surgery is the most effective treatment

    • E. 

      All of the above

  • 7. 
    45 y/o male presents with dysphagia and complains of frequent regurgitation of undigested food. Which of the following would you supsect about the patient?They have..
    • A. 

      Halitosis

    • B. 

      Epiphrenic diverticulum

    • C. 

      Zenker's diverticulum

    • D. 

      A & C

    • E. 

      A & B

  • 8. 
    A patient presents with a suspected Zenker's diverticulum, which of the following would be the best steps to take when treating this patient?
    • A. 

      Endoscopy to confirm diagnosis

    • B. 

      Excision of the diverticulum

    • C. 

      Fundoplication of cricopharyngeus

    • D. 

      All of the above

  • 9. 
    Patients with Epiphrenic diverticulum always present with dysphagia of solids then foods.
    • A. 

      True

    • B. 

      False

  • 10. 
    Which of the following are true concerning GERD?
    • A. 

      May lead to esophagitis

    • B. 

      Sx include wheezing

    • C. 

      Typical Sx include chest pain

    • D. 

      All of the above

  • 11. 
    A patient presents with Barret's esophagus. Before reading their chart, which of the following assumptions might you make?
    • A. 

      They had a long history of GERD

    • B. 

      They are at risk for adenocarcinoma

    • C. 

      They may require esophagectomy

    • D. 

      All of the above

  • 12. 
    A patient presents with epigastric discomfort that recently started. During the ROS you discover they have postprandial bloating  and dysphagia. What else may you expect from this case?
    • A. 

      Labs may reveal anemia

    • B. 

      Include Hiatal hernia in Ddx

    • C. 

      Fundoplication may be needed

    • D. 

      All of the above

    • E. 

      A & B

  • 13. 
    Which of the following is true about esophageal tumors?
    • A. 

      Adenocarcinoma often affects proximal esophagus

    • B. 

      Leiomyomas are the most common carcinoma

    • C. 

      Benign tumors become symptomatic at 5 cm

    • D. 

      Papillomas ruled out based on radiographic appearance

  • 14. 
    Laser therapy is used to treat which of the following?
    • A. 

      Barret's Esophagus

    • B. 

      Esophageal carcinoma

    • C. 

      Esophagitis

    • D. 

      Perforation of Esophagus

  • 15. 
    Most esophageal perforations are spontaneous and due to an increase in intraluminal pressure
    • A. 

      True

    • B. 

      False

  • 16. 
    Which of the following symptoms are not associated with esophageal perforation
    • A. 

      Hamman's sign

    • B. 

      Hypertension

    • C. 

      Tachycardia

    • D. 

      Pneumothorax

  • 17. 
    If a patient presents with esophageal perforation they should be given broad spectrum antibiotics IV  for 48 hours followed by surgical closure
    • A. 

      True

    • B. 

      False

  • 18. 
    Which of the following is true about ingested foreign bodies?
    • A. 

      Large coins usually lodge below cricopharyngeus

    • B. 

      Cocaine packets should be located endoscopically

    • C. 

      Button batteries should be removed urgently

    • D. 

      All of the above

  • 19. 
    Bochdalek hernias are congenital hernias located on the right side of the diaphragm
    • A. 

      True

    • B. 

      False

  • 20. 
    Which of the following best describes peptic ulcers?
    • A. 

      Occurs in esophagus, jejunum and duodenum

    • B. 

      Affects females 3x as often as males

    • C. 

      Maybe be mistaken for pancreatitis and GERD

    • D. 

      All of the above

    • E. 

      A & C

  • 21. 
    Dumping syndrome and alkaline gastritis associated with treatment of which of the following conditions?
    • A. 

      Gastric Ulcer

    • B. 

      Gastric Volvulus

    • C. 

      Duodenal Ulcer

    • D. 

      Zollinger Ellison syndrome

  • 22. 
    Which of the following should be considered when treating a patient with possible Zollinger Ellison syndrome?
    • A. 

      Tx with H2 Blockers is usually sufficient

    • B. 

      Surgical resection is the preferred treatment

    • C. 

      Presence of steatorrhea will r/o Zollinger Ellison

    • D. 

      All of the above

  • 23. 
    Which of the following is true concerning gastric ulcer
    • A. 

      Labs reveal hypergastrinemia with acid hypersecretion

    • B. 

      Type III is usually located close to the pylorus

    • C. 

      Are benign when duodenal ulcers are present

    • D. 

      Preferred treatment includes Surgery and NSAIDS

  • 24. 
    Which of the following is not a step in the initial management of Upper Gastrointestinal Hemorrhage?
    • A. 

      Find responsible lesion

    • B. 

      Ice water lavage to stop bleeding

    • C. 

      Beta Blockers for Portal Hypertension

    • D. 

      Assess ciculatory status

  • 25. 
    When treating a perforated ulcer it is important to
    • A. 

      Delay surgery so that antibiotics can take effect

    • B. 

      Be alert for Borchdardt's triad

    • C. 

      Rule out pancreatitis and cholecystitis

    • D. 

      All of the above

    • E. 

      B & C

  • 26. 
    Free air under the diaphragm is a sign of which of the following?
    • A. 

      Perforated peptic ulcer

    • B. 

      Zollinger Ellison syndrome

    • C. 

      Gastric carcinoma

    • D. 

      Gastric Volvulus

  • 27. 
    Which of the following  is not a form of Gastric Carcinoma?
    • A. 

      Ulcerating

    • B. 

      Limited

    • C. 

      Superficial

    • D. 

      Advanced

    • E. 

      Polypoid

  • 28. 
    A patient presents with postprandial abdominal heaviness and anorexia. On PE you palpate  an epigastric mass. Which of the following is the most like condition this patient has?
    • A. 

      Gastric Volvulus

    • B. 

      Gastric Ulcer

    • C. 

      Perforated Ulcer

    • D. 

      Gastric Carcinoma

  • 29. 
    Gastric volvulus can be diagnosed by Borchardt's triad but may patients may present asymptomatic
    • A. 

      True

    • B. 

      False

  • 30. 
    Which of the following in not included in Borchardt's triad?
    • A. 

      Retching then inability to vomit

    • B. 

      Constipation and decreased flatus

    • C. 

      Epigastric distention

    • D. 

      Inability to pass NG tube

  • 31. 
    Which of the following is/ are common pediatric causes of short bowel syndrome
    • A. 

      Congenital atresia

    • B. 

      Radiation enteropathy

    • C. 

      Regional enteritis

    • D. 

      A & C

  • 32. 
    Which of the following is true about treatment of patients with short bowel syndrome?
    • A. 

      Diarrhea usually becomes chronic if untreated

    • B. 

      Should initially be given milk products

    • C. 

      IV treatments are usually discontinued after stage 1

    • D. 

      Body weight will be reduced by as much as 20%

    • E. 

      Small intestine transplants are usually sufficient Tx

  • 33. 
    Patients presenting with small intestine obstruction most often are suffering from
    • A. 

      Hernias

    • B. 

      Adhesions

    • C. 

      Intussusception

    • D. 

      Cystic Fibrosis

    • E. 

      Inflammatory bowel disease

  • 34. 
    Which of the following is true about small intestine obstruction
    • A. 

      Intussusception is a common cause in adults

    • B. 

      Cystic fibrosis may cause complete obstruction

    • C. 

      Adhesions may be worsened by a volvulus

    • D. 

      Neoplasm only affect the lumen of the bowel

  • 35. 
    Patients presenting with simple obstruction of the small bowel may have which of the following?
    • A. 

      Well localized pain in distal obstructions

    • B. 

      Profuse vomiting in proximal obstructions

    • C. 

      Ladder-like air-fluid levels through out entire GI

    • D. 

      All of the above

  • 36. 
    Which of the following is true about small bowel obstruction?
    • A. 

      Strangulation obstructions usually Dx'ed in office

    • B. 

      Delaying surgery has little effect on mortality

    • C. 

      Partial obstructions are only resolved with surgery

    • D. 

      May be caused by a gall stone or neoplasm

  • 37. 
    Which of the following best describes chron's disease?
    • A. 

      Has a bimodal peak of incidence/ age of onset

    • B. 

      Leads to thinning of the bowel walls and strictures

    • C. 

      Involves skip lesions from the lips to the anus

    • D. 

      All of the above

    • E. 

      A & C

  • 38. 
    String sign is indicative of Ulcerative Colitis
    • A. 

      True

    • B. 

      False

  • 39. 
    Which  of the following is not a potential complication of Chron's disease?
    • A. 

      Carcinoma of the colon

    • B. 

      Ankylosing spondylitis

    • C. 

      Erythema multiforme

    • D. 

      Anorectal lesions

  • 40. 
    Most small intestine fistulas are
    • A. 

      The result of surgical procedures

    • B. 

      Treated with a regional approach

    • C. 

      Rarely involve sepsis or malnutrition

    • D. 

      Can only be closed surgically