SMLE Surgery 2

Question 1

A 35-year-old male sustains a stab wound to the left chest at the 5th intercostal space, midclavicular line.
He has distended neck veins, muffled heart sounds, and hypotension.
What is the most likely diagnosis?

Accepted Answer

Cardiac tamponade

Answer

Tension pneumothorax

Answer

Haemothorax

Answer

Flail chest

Question 2

During laparoscopic cholecystectomy, which structure must be clearly identified in the critical view of safety before clipping?

Accepted Answer

Cystic duct and cystic artery in Calot's triangle

Answer

Common bile duct

Answer

Hepatic artery proper

Answer

Portal vein

Question 3

A newborn presents with bilious vomiting within the first 24 hours of life. An upper GI series shows a 'corkscrew' pattern. What is the most likely diagnosis?

Accepted Answer

Midgut volvulus

Answer

Pyloric stenosis

Answer

Duodenal atresia

Answer

Hirschsprung disease

Question 4

A 65-year-old male presents with an irreducible, tender inguinal swelling with vomiting and abdominal distension. What is the diagnosis?

Accepted Answer

Strangulated inguinal hernia

Answer

Direct inguinal hernia

Answer

Femoral hernia

Answer

Inguinal lymphadenopathy

Question 5

Which of the following is the most common site for ectopic pregnancy?

Accepted Answer

Ampulla of the fallopian tube

Answer

Ovary

Answer

Isthmus of the fallopian tube

Answer

Cervix

Question 6

A 55-year-old male with a 30-pack-year smoking history presents with painless gross haematuria. Cystoscopy reveals a papillary mass in the bladder. What is the most likely histological type?

Accepted Answer

Transitional cell carcinoma (urothelial)

Answer

Squamous cell carcinoma

Answer

Adenocarcinoma

Answer

Small cell carcinoma