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8644 Surgery

A middle-aged man presents with congestive hea failure with elevated liver enzymes. His skin has a grayish pigmentation. The levels of liver enzymes are higher than those usually seen in congestive hea failure, suggesting an inflammatory process (hepatitis) with scarring (cirrhosis) of the liver. A liver biopsy discloses a marked increase in iron storage. In humans, molecular iron (Fe) is

AStored primarily in the spleen
BStored in combination with ferritin
CExcreted in the urine as Fe2 positive
DAbsorbed in the intestine by albumin
Surgery
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8647 Surgery

A 30-year-old woman involved in a car crash is brought into the emergency department. Her blood pressure is 90/60 mm Hg, pulse rate is 120 bpm, and respiration rate is 18 breaths per minute. On peritoneal lavage, she is noted to have free blood in the peritoneal cavity. At the time of exploratory laparotomy, a liver laceration is noted, and there is a 2.5-cm-diameter contusion to an area of small bowel. How should the small-bowel contusion be treated?

ATransillumination evaluation of hematoma with meticulous hemostasis
BResection of the bowel with single-layer anastomosis
CInversion of the area of contusion with a row of fine nonabsorbable mattress sutures
DResection of the bowel and ileostomy
Surgery
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8649 Surgery

Pas of some human skeletal remains are brought to you. The pelvis is complete, yet the individual bones of the pelvis, the ilium, ischium, and pubis have just staed to fuse together. The subpubic angle you estimate at 60deg and the pelvic brim has a distinctive hea shaped appeareance. On the basis of this information, you guess the remains are of which of the following?

A3-year-old female
B4-year-old male
C14-year-old male
D30-year-old female
Surgery
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