LEK questions: Surgery — page 4

204 questions in Surgery. Open a question to see the answer options and a hint.

  1. Examination of an 80-year-old chronically bedridden male patient reveals a blister with abrasion in the sacral area. This should be classified as pressure ulcer of… Question 288
  2. Which surgical treatment can be used in patients with a diagnosis of a perianal fistula? Question 292
  3. Select the indication for elective surgery in a patient with diverticular disease of the sigmoid colon: Question 293
  4. A symptomatic (documented) cholelithiasis is an indication for cholecystectomy (gallbladder removal). Elective cholecystectomy should be performed in the case of… Question 294
  5. A 48-year-old woman presents to hospital with symptoms of superficial phlebitis of the right lower limb. Which of the following is not a treatment modality that can be… Question 295
  6. Select the correct treatment option for a patient with Mallory-Weiss syndrome: Question 296
  7. Patients with morbid obesity undergo bariatric surgery. Which of the following is a contraindication to bariatric surgery? Question 300
  8. Bile duct injury at the level of the hepatic duct confluence is categorized according to the Bismuth classification as: Question 301
  9. Indicate the true statements describing management in patients following thyroidectomy: Question 302
  10. Anal fistula should be differentiated with all of the below except for: Question 303
  11. A 56-year-old woman with obesity presents to hospital reporting abdominal pain, yellowish discolouration of the skin and fever with chills. Which diagnostic tests… Question 304
  12. The Pringle manoeuvre involves compression of the: Question 307
  13. Endoscopic papillotomy (sphincterotomy) allows for accessing the bile ducts and subsequent stone removal. Which of the following is a contraindication to this procedure? Question 308
  14. A 56-year-old male patient presents to the emergency department with a severe abdominal pain and jaundiced skin. What should be performed first? Question 309
  15. A 27-year-old male patient treated for alcohol dependence develops symptoms of portal hypertension. On physical examination an enlarged spleen (splenomegaly) is… Question 310
  16. A 66-year-old male patient underwent splenectomy following trauma. Upon discharge, he should receive a recommendation for prophylactic vaccination. The patient should… Question 312
  17. A 44-year-old patient who 3 months earlier underwent endoscopic retrograde cholangiopancreatography with removal of choledocholithiasis and implantantion of a… Question 315
  18. Which of the following patients is not eligible for gastric sleeve resection? Question 319
  19. Preoperative patient-related risk factors for a postoperative wound infection do not include: Question 322
  20. To minimize the risk of ischemic esophageal necrosis, balloons on the Sengstaken-Blakemore tube should be kept filled for no longer than: Question 323
  21. A female patient, status-post removal of the thyroid gland due to cancer, who has been for 4 hours in the postoperative room, was observed to have breathlessness… Question 324
  22. A syndrome involving vegetative symptoms, which occurs when large amounts of food move too quickly into the subsequent parts of the intestine in patients who have had a… Question 326
  23. A 40-year-old patient with atrial fibrillation, transferred into the admission room of a university hospital, was found to have pain in the right lower limb and altered… Question 327
  24. Which of the following refers to partial gastric resection? Question 328
  25. A 72-year-old patient reports pain in the region of the left iliac fossa, which has been present for the last 3 days, associated with fever of up to 39°C, tachycardia… Question 331
  26. A 64-year-old female presents at the Emergency Department due to sudden pain in her right groin, which appeared after lifting heavy groceries. On physical examination… Question 340
  27. A symptom that often occurs in patients with acute cholecystitis and features pain intensification during deep inhalation or limitation of respiratory movements during… Question 341
  28. Which of the following statements is/are true about gunshot wounds? Question 1 (part 2)
  29. Which of the following are the symptoms of tension pneumothorax: Question 3 (part 2)
  30. Which of the following statements are true about the clinical symptoms of hernias in adults: Question 5 (part 2)
  31. Which of the following statements are true about the treatment of inguinal hernias: Question 6 (part 2)
  32. Which of the following are used in the treatment of anal fissure: Question 7 (part 2)
  33. The clinical symptoms of a hiatal hernia do not include: Question 10 (part 2)
  34. The differential diagnosis of acute appendicitis typically involves the following except: Question 11 (part 2)
  35. Which of the following statements are true about patients with cholecystolithiasis? Question 15 (part 2)
  36. Which surgical procedure is used in the treatment of morbid obesity? Question 16 (part 2)
  37. Hinchey classification is a classification of: Question 18 (part 2)
  38. Which of the following statements is true about benign tumours of the anus: Question 19 (part 2)
  39. In pleural empyema the treatment of choice is: Question 21 (part 2)
  40. Absolute contraindications for liver transplantation do not include: Question 23 (part 2)
  41. A 28-year-old male patient presented to A&E with: SBP 80 mmHg, pulse 110/min and no pain. He reports vomiting with black content and feeling faint, but without… Question 24 (part 2)
  42. What are the typical symptoms of acute cholangitis: Question 27 (part 2)
  43. High-pitched metallic peristaltic tones alternated with periods of silence are audible on physical examination of the abdomen. The symptom is typical of: Question 30 (part 2)
  44. Which of the following sets of symptoms is typical of tension pneumothorax: Question 31 (part 2)
  45. A 70-year-old male patient admitted to A&E complains of constant central epigastric pain. The patient is calm and does not move around as movement aggravates the… Question 34 (part 2)
  46. A 65-year-old male suffered a lower mesenteric artery occlusion. During surgery extensive necrosis of the gastrointestinal tract was diagnosed. The surgery involved an… Question 35 (part 2)
  47. Which is not a cause of dysphagia: Question 9 (part 2)
  48. In which of the following conditions the pulmonary transplantation may be a considerable therapeutic option? Question 208
  49. A 40-year-old patient came by the ER because of a strong chest pain on the left side, aggravating on inspiration, accompanied by dyspnea. On physical examination… Question 240
  50. A 45-year-old man was transported to the hospital because of a strong chest pain not responding to nitrates. The pain radiates to the lumbar region. The patient has a… Question 298

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