FREE Bachelor of Medicine & Bachelor of Surgery Questions and Answers

Question 1

You are seeing a patient in the emergency department who banged his head after falling while skiing.
He lost consciousness, according to his buddies who were with him, and they brought him to the lodge while dialing for an ambulance.
He "woke up" on the ambulance ride to the hospital and briefly appeared to be fine, but he is now unconscious once more.
Which vessel is typically at fault given the diagnosis you suspect?

Accepted Answer

Middle meningeal artery

Answer

Basilar artery

Answer

Posterior meningeal artery

Answer

Anterior meningeal artery

Question 2

A 70-year-old man arrives at the hospital after falling while hanging Christmas lights on his roof. He claims to be experiencing right-side chest pain and shortness of breath. His right breath sounds have significantly decreased, according to a physical examination. The moment you insert a chest tube on the right, 850ml of blood start to flow back. Which course of action in his management is best?

Accepted Answer

Keep tube to suction, watch pressures and output

Answer

OR for operative exploration

Answer

Remove chest tube and place dressing

Answer

Suction then remove and seal chest tube site

Question 3

You are looking at a 34-year-old, 100-pound patient who has just been admitted. Both of her arms and her entire back, from the neck to the buttocks, are burned. What IV fluids will be prescribed in your entrance orders?

Accepted Answer

10.8 Liters of fluid, with 5.4L replaced in the first 8 hours from the time of burn and 5.4 over the next 16 hours

Answer

5.4 Liters of fluid, with 2.7L replaced in first 12 hours from now and 2.7L over the next 12 hours

Answer

10.8 Liters of fluid, with 5.4L replaced in first 8 hours from now and 5.4 over the next 24 hours

Answer

10.8 Liters of fluid, with 5.4L replaced in first 8 hours from now and 5.4 over the next 16 hours

Question 4

You are visiting a patient in the SICU whose attempt to wean off the ventilator has been unsuccessful for the previous three days. The patient has a history of trauma, is tube-fed, and has been on a ventilator for ten days. To determine a respiratory quotient (RQ), you choose to order a metabolic cart. This patient has an RQ of 1.45. You tell the dietician that the patient requires:

Accepted Answer

reduced amount of tube feeds overall

Answer

increased amount of tube feeds overall

Answer

reduced amount of fat in tube feeds

Answer

reduced amount of protein in tube feeds

Question 5

Your patient's end-tidal CO2 after anesthesia induction is observed to be noticeably elevated despite enhanced minute ventilation. What do you do if your diagnosis is as suspected?

Accepted Answer

Give dantrolene and abort case

Answer

Give bolus of something

Answer

Suction airway

Answer

Increase tidal volume

Question 6

The inhaled anesthetic you intend to employ has an extremely high MAC. High minimum alveolar concentration (MAC) anesthetics typically:

Accepted Answer

Less lipid soluble

Answer

Very slow onset

Answer

Little of it is needed for adequate anesthesia

Answer

More potent

Question 7

Treatment for a 38-year-old woman with primary Raynaud's syndrome included calcium channel blockers and cold avoidance. She still has significant, refractory symptoms though. The distal second, third, and fourth digits of her left upper extremity were critically ischemic and ulcerated when she was recently admitted. With a wrist-brachial index of 1.03, the palmar arch, radial, and ulnar pulses were all present. She had intravenous prostaglandin therapy, topical nitrates, and a heparin infusion as treatment. She gradually advanced, nevertheless, to the point where her second and third digits lost all of their tissue, necessitating a distal amputation. Which of the following approaches to this patient would be reasonable?

Accepted Answer

Cervical sympathectomy

Answer

Implanted catheter for continuous nitrate infusion

Answer

Upper extremity bypass graft

Answer

Upper extremity angiogram with radial and ulnar stenting