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9222 Surgery

A 19-year-old man is brought into the emergency department with a gunshot wound that occurred 4 hours before admission. At exploratory laparotomy, an injury is noted in the transverse colon with extensive tissue destruction. There is a large amount of fecal contamination. Management of this injury should include which of the following?

ADebridement and closure of wound with a proximal colostomy
BResection with proximal colostomy and distal mucous fistula
CResection of the injured colon with primary anastomosis and proximal colostomy
DResection of the wound with primary anastomosis and proximal cecostomy
Surgery
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9223 Surgery

A 42-year-old man is hit on the left side of his body by a car and is brought to the emergency department with fractures of the left tenth, eleventh, and twelfth ribs and left tibia and fibula fractures. The patient’s blood pressure is 120/90 mm Hg, pulse rate is 100 bpm, and respiration rate is 24 breaths per minute. He has hematuria and left flank pain. Intravenous lines are inserted. IVP shows no excretion from the left kidney but normal excretion from the right. What would be the next step in management?

AExploratory laparotomy
BCT scan with intravenous contrast
CArteriography
DCystogram
Surgery
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9225 Surgery

Sukhia Rani, a 16-year old girl who has non-pitting edema of recent onset affecting her right leg but no other symptoms is referred for evaluation. Which of the following statement is true regarding this patient?

AProphylactic antibiotics are indicated
BA lymphagiongram will show hypoplasia of the lymphatics
CElastic stocking and diuretics will lead to a normal appearance of the limb
DA variety of operations will ultimately lead to a normal appearance of the limb
Surgery
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