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12619 Surgery

A day after a left-sided lumpectomy and axillary dissection, a 63-year-old woman is experiencing difficulty elevating her left arm. She cannot fully raise her upper arm from the side of her body. The median border and inferior angle of the left scapula become unusually prominent when she pushes against the wall with both hands. The innervation of which of the following muscles was most likely injured during the surgery?

ADeltoid
BLatissimus dorsi
CPectoralis major
DSerratus anterior
Surgery
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12621 Surgery

A lady presented in the emergency depament with a stab injury to the left side of the abdomen. She was hemodynamically stable and a contrast enhanced CT scan revealed a laceration in spleen. Laparoscopy was planned however the patient&;s pO2 suddenly dropped as soon as the pneumoperitoneum was created. What is the most likely cause

AGaseous embolism through splenic vessels
BInjury to the left lobe of the diaphragm
CInferior vena cava compression
DInjury to colon
Surgery
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12627 Surgery

On 5th postoperative day after laparoscopic cholecystectomy, a 50 years old lady presented with rt. upper quadrant pain with fever and 12 cm subhepatic collection on CT and ERCP shows cystic duct leak. The best management is – a) Immediate laparotomy b) Percutaneous drainage of fluid c) Laparotomy and surgical exploration of bile duct and T-tube insertion d) Laparoscopic cystic duct ligation & percutaneous drain e) Roux en loop hepatojejunostomy

Aade
Bbd
Cbcd
Dad
Surgery
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