Welcome to your ECN 2019 - Surgery
1. What is the fundamental clinical sign of a traumatic posterior shoulder?
2. Dislocation erecta of the shoulder is a dislocation
3. Carpal tunnel syndrome may include
4. All of the following statements regarding acute osteomyelitis in children are correct except one. Indicate which:
5. About an open fracture, the qualification of stage III is assigned to it according to the presence of one or more of the following criteria:
6. Among the following examples of synovial fluid tests, indicate which result(s) may correspond to joint fluid taken during an acute attack of gout:
7. Which of the following terms corresponds to a total section of a nerve?
8. In the posterior dislocation of the shoulder, indicate the sign most suggestive of the diagnosis
9. A fracture of the femoral diaphysis in the middle third before any treatment
A-presents with an arch deformity of the thigh
B-presents with external rotation of the lower limb
C-may cause haemorrhagic shock by itself
D-will often cause sciatic paralysis
E-may be complicated by fat embolism
10. Among the following signs, only one is not compatible with the diagnosis of isolated functional colopathy. Which?
11. During the evolution of a subphrenic abscess by perforation covered with a duodenal ulcer, there may be; A-fever B-a sub occlusive state C-vomiting D-a localized defense E-pain on digital rectal examination
12. Which artery(ies) whose rupture associated with a fracture focus creates a major ischemic risk? A-the external iliac artery B- the common femoral artery C-the superficial femonal artery D-the popliteal artery E-the lower axillary artery
13. The following radiological signs belong to septic arthritis except one. Indicate which one:
14. Among the following associated lesions in the same injured person, one must be operated on first. Which ?
15. Indicate, among the following, the exact proposition concerning fractures of the upper extremity of the radius of the child;
16. Ankylosis is defined by:
17. Faced with paralysis of the crural nerve, the search for its seat and its nature is facilitated by knowing one or more of the following statements: choose the false proposition
18. In a lumbosciatica disc with S1 topography
19. A 78-year-old man with history of coronary artery disease and an asymptomatic reducible inguinal hernia requested elective hernia repair. You explain that valid reasons for delaying the proposed surgery include:
20. Following a celiotomy the normal motility of the intestine can be usually be presumed to have returned.
21. Preoperative characteristics of patients who may experience postoperative ischemia after non-cardiac procedures include:
22. During blood transfusion, clotting of transfused blood is associated with:
23. About the healing of a wound, which of the following sentences is correct?
24. Which of the following statements is true about the contraction of a wound?
25. A 27-year-old man is shot with the left thigh. In the emergency room he is observed to have a large hematoma in the middle part of his tight. He complains of paresthesias in his foot. On examination, weak pulses are palpated distal to the injury and the patient is unable to be move his foot. The appropriate initial management for this patient would be.
26. After the first postoperative year of the heart transplantation, the most common cause of death is:
27. Which of the following statement is true for (MHC) proteins?
28. A 55-year-old man complains of chronic intermittent epigastric pain and gastroscopy reveals a 2 cm ulcer in the distal part of the lesser curvature. endoscopic biopsies yield no tissue. After 6 weeks of the trial treatment with H2 blockers and antacid treatment, the ulcer remains unchanged. The appropriate treatment as this point is
29. Which of the following statements is true about the effects of colon resection?
30. A 16-year-old girl who recently had angina is now complaining of severe upper left side pain. On examination, there is a pallor, BP is lg, and pulse is 130/min. the abdomen is tense and rigid without peristatic sounds. What is the most likely diagnosis?
31. A newborn baby has a large swelling in the midline of the neck involving the tongue. The mass and is mole trans illuminates. What is the most likely diagnosis?
32. Which of the following is a characteristic of venous ulcers?
33. A 25-year-old woman arrives in the emergency room following a car accident. She presents with acute dyspnea with a respiratory rate of 60 breaths/min. the vesicular murmurs are markedly reduced on the right side. The first step in patient care should be:
34. An acute increase in intracranial pressure is characterized by which of the following clinical signs?
35. Which of the following is the most common cause of obstructive jaundice in patients with chronic pancreatitis?
36. A 55-year-old woman complains of difficulty swallowing, vomiting, weight loss, and melaena. On examination, there is supraclavicular lymphadenopathy and a hyper-pigmented velvety patch in his armpit. What is the single most likely malignancy?
37. A sliding inguinal hernia
38. Splenectomized patients are exposed to extremely serious bacterial septicemia. Which of the following bacteria is particularly threatening to these subjects?
39. In the patients with upper gastrointestinal bleeding
40. Which of the following is not recognized as a long-term complication of total or partial gastrectomy?
41. A 45-year-old obese mother with 4 children used diapers to control urine leakage for 5 years. She has a smoker’s cough. She is currently having difficulty affording diapers and is asking for care. Which of the following statements is correct?
42. A 50-year-old man with a history of heavy drinking and smoking complained of difficulty swallowing solid foods for 2 months. More recently, swallowing liquids has also become a problem. He observed occasional back tarry stools. The patient lost 10 kg. which of the following statements is correct?
43. Symptoms of signs of artherosclerotic occlusive disease of the abdominal aortic bifurcation (Leriche syndrome) include which of the following?
44. A 36-year-old man presents to the emergency room with renal colic. An X-ray reveals a stone 1.5 cm in diameter. Which of the following statements regarding this condition is correct?
45. A pedestrian is hit by a speeding car. Radiological studies obtained in the emergency room including retrograde urethrography are consistent with a fracture of the pelvis and a rupture of the urethra located above the urogenital diaphragm. Support would consist of which of the following?
46. Which of the following statements regarding brain contusions is true?
47. There are many causes of acute abdominal pain, some of which are initially managed by conservative means. Which of the following always requires emergency surgery after diagnosis?
48. A 20-year-old female presents with a mass on her neck. On examination, the mass is under the anterior border of the sternomastoid muscle. What is the most likely diagnosis.
49. An analysis of the ascitic fluid is carried out: which result would confirm the presence of an infection of the fluid
50. Zenker’s diverticulum corresponds to the following characteristics:
