FREE General Surgery Board Review MCQ Question and Answer

Question 1

A 45-year-old male with HIV has a septoplasty to correct a deviated nasal septum. Which exposure method entails the highest risk of occupational HIV exposure?

Accepted Answer

Needle stick

Answer

Blood exposure to intact skin

Answer

Mucous membrane exposure

Answer

None of the above

Question 2

A male patient, 48 years old, is getting a kidney transplant. After the new kidney has been connected to the patient's vascular supply and implanted, the surgeon immediately notices that the organ is not receiving adequate blood flow. The blood type of the donor is B-negative. in contrast to the O-positive receiver.
What is causing the ischemia event, out of the following?

Accepted Answer

Type II hypersensitivity reaction

Answer

Type IV hypersensitivity reaction

Answer

Type III hypersensitivity reaction

Answer

Type I hypersensitivity reaction

Question 3

A 25-year-old guy who has mixed internal and exterior hemorrhoids that are refractory to medical therapy has a 3 column excisional hemorrhoidectomy. He experiences suprapubic soreness and the inability to urinate later that evening.
Which of the following factors most likely caused this complication?

Accepted Answer

Performing 3 quadrant hemorrhoidectomy instead of 2

Answer

Prolonged duration of hemorrhoid symptoms

Answer

Injury to the pelvic nerves

Answer

Limiting intravenous fluids in the postoperative recovery unit

Question 4

Despite surgical hemostasis and weaning from cardiopulmonary bypass, a patient continues to hemorrhage. After bypass, a thromboelastograph trace demonstrates a prolonged r-time (reaction time).
Which of the following fits this result the best?

Accepted Answer

Coagulation factor deficiency

Answer

Fibrinolysis

Answer

Fibrinogen deficiency

Answer

Platelet dysfunction or deficiency

Question 5

Grade 2 hemorrhoids disease with prolapse and sporadic bleeding are present in a 45-year-old female with a known history of ileocolic Crohn's disease. Which of the following should be carried out before suggesting office-based or surgical treatment?

Accepted Answer

Flexible proctosigmoidoscopy

Answer

CT scan abdomen/pelvis

Answer

Anal manometry

Answer

Diverting loop ileostomy

Question 6

Which of the following can happen if carbon dioxide (CO2) is quickly inhaled into the abdomen?

Accepted Answer

Bradycardia

Answer

Peaked T waves

Answer

QT prolongation

Answer

Tachycardia

Question 7

After being injured in a car accident, a 37-year-old woman who is on high-dose (32 mg daily) buprenorphine maintenance therapy (BMT) for a history of opioid use disorder (OUD) presents to the trauma bay. She has a T6-L1 spinal fusion after a computed tomography (CT) scan reveals multiple fractures in the thoracic spine.
How should her perioperative BMT be handled?

Accepted Answer

Buprenorphine should be continued and supplemented with non-opiate adjuncts.

Answer

Buprenorphine should be discontinued and supplemented with non-opioid medications.

Answer

Buprenorphine should be discontinued and supplemented with opioids.

Answer

Buprenorphine should be discontinued with no supplemented adjuncts.

A 45-year-old male with HIV has a septoplasty to correct a deviated nasal septum.Which exposure method entails the highest risk of occupational HIV exposure?

A 45-year-old male with HIV has a septoplasty to correct a deviated nasal septum.
Which exposure method entails the highest risk of occupational HIV exposure?