Mcq Subject: Surgery

In a school bus accident, which of the following victim you will attend first?

A. A child with Airway obstruction

B. A child with shock

C. A child with flail chest

D. A child with Severe head injury

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Class 3 hemorrhagic shock refers to:

A. Blood loss less than 15 %

B. Blood loss between 15 % - 30%

C. Blood loss between 30% - 40%

D. Blood loss more than 40%

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After a midline laparotomy, you have been asked to suture the incision. What length of suture material will you choose?

A. 2x incision length

B. 4x incision length

C. 6x incision length

D. 8x incision length

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Extraction of a tooth during acute infection:

A. Can cause extensive spread of infection

B. Helps drainage and relieves pain if proper antibiotic is given and its adequate blood level is reached

C. Can cause sudden death due to pulmonary embolism

D. Can Lead to trigeminal neuralgia in post operative period

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A 45 y ears old patient presented to you with ongoing massive hematemesis. The patient is ale and hemodynamically stable. What will be the first step in management?

A. Do an urgent upper GI endoscopy

B. Put the patient in recovery position and secure airway

C. Inse a cannula and sta IV fluids

D. Send for blood transfusion

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What is the most common sequelae of traumatic shoulder dislocation in young adults?

A. Rotator cuff tear

B. Recurrent shoulder dislocation

C. Adhesive capsulitis

D. Subscapular tendinitis

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A person met with road traffic accident and came to casualty with contusion on anterior chest wall with Pulse rate-90/minute, BP-120/80 mm Hg, respiratory rate-16/minute. Normal hea sounds are heard but breath sounds were decreased on the left side and trachea was deted towards right. Which of the following is the first line management?

A. Needle thoracostomy

B. Pericardiocentesis

C. Chest tube inseion and drainage

D. Immediate exploratory thoracotomy

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The police has brought an unresponsive patient to you. What is the first thing you will do?

A. Sta chest compressions immediately

B. Check carotid pulse

C. Check for response and call help

D. Sta rescue breaths

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A 1.5 years old child was brought to emergency with history of burn by hot water on both hands and palms. The lesion was pink, oozing and painful to air and touch. Which of the following is the best management for this patient?

A. Paraffin gauze and dressing

B. Collagen dressing

C. Excision and grafting

D. Apply 1% silver sulfasalazine ointment and keep the wound open

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Which of these is the most reliable method for monitoring fluid resuscitation?

A. Urine output

B. CVP

C. Pulse rate

D. Blood pressure

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