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Long II Minor surgery

Choose the best answer. Encircle the letter of the best answer
1.Prophylactic antibiotics is given
K. intra operatively
l. for 2 day
m. for clean wounds
N. K and L
O. all of the above
2. Clean contaminated wound incidence for infection is
K. 0 %
l. 1%
M. 5 %
N. 10 %
O. 20 %
3. Irreversible brain damage may follow after cessation of blood flow to brain for
K. 1 minute
l. 2 minute
M. 3 minute
N. 4 minute
O. 10 minute
4. Clean contaminated wound
K. tracheostomy
L. simple appendectomy
M. heniorrhaphy
n. K and l
O. all of the above
5. Indications of subclavian catheterization
K. tracheoesophageal fistula
L. short bowel syndrome
M. extensive full thickness burn
n. K and l
O. all of the above
6. Foley catheter with the smallest diameter
K. F 8'
L. F 10'
M. F12'
N. F 14'
O. F 16'
7. coudetip or olivetip is an example of
K. soft rubber catheter
L. semirigid rubber catheter
M. woven catheter
N. metal catheter
O. retention catheter
8. The normal CVP reading is
K. 1-3 cmH2O
L. 5-7 cmH2O
M. 8-12 cmH2O
N. 12-15 cmH2O
O. none of the above
9. CVP is a reflection of the pressure in the
K. superior vena cava
L. right atrium
M. left atrium
N. K and L
O. all
10.The Zero point in the CVP reading is at the
K. anterior axillary area
l. midaxillary line
m. posterior axillary line
n. midclavicular line
o. none of the above
11.CVP catheter can be inserted in all except
k. midian basilica vein
l, external jugular vein
m. internal jugular vein
n. subclavian vein
o. none of the above
12. complication of CVP insertion
k. sepsis
l. pneumothorax
m. subcutaneous emphysema
n. k and l
o. all of the above
13. Indications of lumbar puncture except
k. to relieve pressure
l. to inject drugs
m. to inject dye
n. to diagnose disease
o. none of the above
14. Position of patient when doing the lumbar tap
K. supine
l. sitting
m. standing
n. a and b
o. all
15. intracranial pressure is increased in the presence of
k. tumor
l. brain abscess
m. chronic hematoma
n. k and l
o. all
16. After the lumbar tap is performed the patient should be
k. lying flat with 1 pillow
l. lying flat with on pillow
m. lying in lateral decubitus position
n. any of the above
o. none of the above
17. The normal CSF pressure is
k.10-20 cmH2O
l. 20-40 cmH2O
m. 40-80 cmH2O
n. 80-180 cmH2O
o. none of the above
18. Contraindications to enema include
k. myocardial infraction
l. intestinal obstruction
m. hypersensitivity
n. k and l
o. all of the above
19. The most commonly used NGT tube is
k. Ewald tube
l. Rehfuse tube
m. Levine tube
n. Wangesteen tube
o. none of the above
20. True of urethral catheterization in female
k. with central necrotic core
l. infection of hair follicle
m. resolves spontaneously
n. k and l
o. all of the above
21. Characteristics of a furuncle
k. with central necrotic core
l. infection of hair follicle
m. resolves spontaneously
n. k and l
o. all
22. Uses of paracentesis abdominis
k. remove fluid for exam
l. administer medicine
m. introduce air for laparoscopy
n. k and l
o. all
23. Best site of puncture in peritoneoscopy
k. left flank
l. right flank
m. epigastric
n. infraumbilical
o. supraumbilical
24. uses of enema
k. cleansing purposes
l. administration of medicine
m. administration of steroids
n. k and l
o. all
25. Adverse side effects of enema
k. water intoxication
l. electrolyte imbalance
m. hypersensitivity reaction
n. k and l
o. all

Write A if 9 and 10 are correct


B if 9 and 11 are correct
C if 9 ,10 and 11 are correct
D if 10 and 12 are correct
E if only 12 are correct
Y if all are correct
X if none is correct
C 26. Cardiac arrest is diagnosed if
9. no palpable pulse
10. no blood pressure
11. no heart sounds
12. constricted pupils
B 27. True of cardiac resuscitation
9. patient lying supine with rigid support
10. heel of one hand placed over the xiphisternum
11. depression of chest should be about 3 cm
12. a mouth to nose breathing should be applied
C 28. Push pull type of artificial respiration
9. are lift chest pressure
10. hip lift back pressure
11. hip roll back pressure
12. hip lift method
A 29. True of cardio pulmonary resuscitation
9. can be done by only one person
10. performer should shrug. Wake the patient up
11. performer should give 5 quick pumps
12. performer should give 5 quick blows
C 30. Adequate ventilation is ensured on each breath if
9. the chest rise and fall
10. air escapes during exhalation
11. feeling of resistance of the lungs as they expand
12. patient wakes up
C 31. Indications of circumcision
9. hygience
10. rituals
11. infection of the prepuce
12. chancroids
D 32.True of circumcision
9. there is no absolute contraindications to circumcision
10. can be done anytime of patients life
11. silk cannot be used as suture since non absorbable
12. coronal is preferred by many over dorsal slit
B 33.Advantages of dorsal slit over coronal circumcision
9. less prone to infection
10. asthetically better
11.less prone to bleeding
12. premature ejaculations is likely
A 34. Complications of circumcision
9. infection
10. chordee
11. premature ejaculation
12. sterility
Y 35. Rabies vaccination should be given in bites of
9. astray dog
10. pet dog
11. unprovoked dog
12. unvaccinated dog

Y36. True of rabies


9. caused by Rhabdovirus
10. the virus remains active for years
11. the virus can be inactivated by formalin
12. transmitted thru break in the skin
C 37. Period of excitement is characterized by
9. insomnia
10. seizures
11. hydrophobia
12. arrhythmia
C 38. True of tetanus
9. caused by clostridium tetani
10. affects the CNS
11. obtained from contaminated nails and thorns
12. Negri bodies can be seen in the liver
A/C 39.Action of tetanospasmin in the CNS
9. inhibits release of acetylcholine
10. inhibits post synaptic spinal neurons
11. mediates release of inhibitory mediators
12. blocks CAMP
C 40. Symptoms of tetanus
9. Trismus
10. Seizures
11. urinary retention
12.insomnia
A 41. Components of bowel preparation
9. mechanical cleansing
10. antibiotic administration
11. diet restriction
12. tetanus prophylaxis
Y 42. Mechanical cleansing agents
9. saline solution
10. mannitlo
11. plolyethylene glycol
12. mono and dibasic NaPo4
C 43. True of sigmoidoscope
9. fiberoptic or rigid
10. with clear eyepiece and magnifying lens
11. with suction chambers
12. 10 cm long
B 44. Initial management of snake bite
9. keep away from the scene
10. try to catch the snake
11. place tourniquet above the bite
12. keep the victim moving
Y 45. Uses of urethral catheterization
9. to obtain sterile specimen
10. to introduce opaque solution
11. measure capacity of the bladder
12. explore the urethra
Match column A with column B
II Snake bites
C. POISONOUS SNAKE.
A. NON POISONOUS SNAKE.
S. BOTH.
E. NONE.
A 46. Round pupil
C 47. Single row caudal plates
A 48. house snake
C 49. Hyaluronidase
C 50. Rattle snake
S 51. Tetanus prophylaxis when bitten
C 52. Immobilization
E 53. Multiple bite marks
A 54. Anaconda
C 55. Requires antivenin
II Dog bites
C. RABID.
A. NON RABID.
S. BOTH.
E. NONE.
A 56. Provoked
E 57. Mangaldan. Pangasinan
S 58. Felis domestica
C 59. Negri bodies
S 60. Fangmarks
S 61. Prophylactic antibodies needed
C 62.Behavioral change
III Rabies Immunization
C.HDDV.
A.HRIG.
S.BOTH.
E.NONE.
S 63. Skunk bite
A 64. 20 u per kg
E/C 65. Subcutaneous injection
E 66. Bite from pet dog
C 67. active
E 68. ATS
A 69. Passive
A 70. immunoglobulin
IV. Skin Tumors
C.SQUAMOUS CELL CARCINOMA.
A. BASAL CELL CARCIMONA.
S. BOTH.
E. NONE.
E/S 71. wide excision
A 72. Most common skin CA
A 73. Common in Caucasians
E/C 74. Early metastatic spreads
E 75. Lentigo maligna
S 76. Radiosensitive

V. Tetanus Immunization.
C. Antitetanus Serum.
A. Tetanus Toxoid.
S. BOTH.
E. NONE.

C 77. Equino.
C 78. Hypersensitivity.
A 79. O.5 ml deep IM.
A 80. Booster.
C 81. Passive Immunization.
C 82. Clostridium tetany infection.
S/A 83. Minor abrasion with no previous immunization.
E 84. Intravenous Injection.

VI. Enema vs. Irrigation.


C. Enema.
A. Irrigation.
S.BOTH.
E.NONE.

S 85. Mucosal Irrigation.


S/C 86. Soap Solution.
E 87. Hemorrhoid formation.
C 88. Let patient Defecate.
E/C 89. Decompress Colon.
C 90. Flourscopy Guided.

VII . Endoscopy CEEACECEEE


91. Fiberoptic endoscope C.
Esophagogastroscopy
92. Massive GI bleeding A.
Proctosigmoidiscopy
93. Done by internists/surgeons S. both
94. Jacknife position E. none
95. Local anesthetic
96. 80 cm long
97. Chronic epigastric pain
98. Transvaginal bleeding
99. Lone by radiologists
100. Flouroscopy guided