Surgery Week Quiz Series - Part 4 [GRADED +]

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Surgery week 4 quiz Q # 1 of 41 - 1 Points 1. Which of the midfacial fractures may produce CSF rhinorrhea? A. Le Fort I B. Smith fracture C. Le Fort III D. Maison-neuve fracture 2. How are seve... re flail chest injuries treated? A. Bedrest and oral analgesics B. Open surgical reduction and wire fixation C. Incentive spirometer and physical therapy D. Circumthoracic elastic binder E. Endotracheal intubation and positive pressure ventilation 3. Which of the following is a special consideration in the patient with head and neck injuries? A. Minimizing facial scarring and deformity is the most important goal. B. Upper airway injuries are frequently associated with facial injuries. C. Airway obstruction cannot occur from blood in the throat, broken teeth, or relaxation of the posterior pharynx. D. Hoarseness of the voice and respiratory stridor are to be expected in midfacial injuries. E. Tracheostomies are never performed. 4. What is the most important underlying assumption in the management of the multiply-injured trauma patient? A. Treat the most obvious injury first B. Most patients will have only one injury C. Stabilization of the blood pressure is the first priority D. Rapid systematic survey and prioritization of injuries is necessary? E. Check for neurologic function 5. After severe trauma, what is the most important consideration in obtaining airway control? A. If the patient is breathing, then the airway and ventilation are intact B. If the patient is awake and conscious, he will be able to breathe C. Cervical spine injury is a common occult injury in the unconscious patient and the neck must be immobilized while airway control is obtained D. Nasotracheal intubation is always preferred in head injured patients E. Tracheostomy is the first choice of airway management 6. What is the most important factor in pancreatic injury? A. The level of amylase B. The presence of major pancreatic ductal injury C. The location of the injury D. The ability to resect the pancreas E. The use of antibiotics 7. Tumor growth and metastasis of breast cancer are dependent on neovascularization. Choose a positive modulator of angiogenesis. A. Proteases B. Thrombospondin-1 C. Interleukin-1 D. Protease inhibitors E. Thalidomide 8. A 40-year-old woman is brought to the emergency department by ambulance. She appears confused and disoriented. Her blood pressure is 70/30, her heart rate is 180, and her temperature is 40.5° C. Her neck veins are flat, and her skin appears to be warm and dry. What are the most appropriate steps (in order of priority) in the treatment and diagnosis of her condition? A. Swan-Ganz catheter, inotropic support, arrhythmia support B. Fluid challenge, norepinephrine infusion C. Fluid support, broad-spectrum antibiotic coverage, and Swan-Ganz catheter D. Transfusion of packed red blood cells E. An emergency pericardiocentesis 9. Which of the following is true regarding thoracic aortic transection in blunt trauma? A. The most common site of aortic transection is at the ligamentum arteriosum just distal to the left subclavian artery B. Most patients with this injury will survive C. Patients will all have evidence of severe chest wall injury D. Diagnosis can be made by chest x-ray alone E. Delayed repair of the aorta should be considered 10. In cases of blunt abdominal trauma, diagnostic peritoneal lavage is necessary in which of the following circumstances? A. The awake patient with pelvic fracture B. The comatose patient with a severe head injury C. The awake patient complaining of severe abdominal pain D. The hypotensive patient with a distended abdomen E. Every patient in a motorvehicle accident [Show More]

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