Review Test Submission: Surgery 1-Quiz1-firstsem2011-12

file:///C|/Users/Chris/Desktop/review.jsp.htm[8/14/2011 7:10:53 PM]

Sur ger y I - MED2 - AB 1st Semest er A.Y. 2011 -2012 011.31.SURG1.MED2
Revi ew Test Submi ssi on: Sur ger y 1 -Qui z1-f i r st sem2011-12
Sur ger y I -
MED2 - AB 1st
Semest er A.Y.
2011-2012
(011.31.SURG1.
MED2)
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Section A
Revi ew Test Submi ssi on: Sur ger y 1-Qui z1-
f i r st sem2011-12
User Christian Paul Campano
Submitted 7/25/11 11:05 AM
Status Completed
Score 30 out of 50 points
Time Elapsed 34 minutes out of 50 seconds out of 50 minutes.
Instructions Multiple Choice
Quest i on 1
A 20 year old female was stabbed in the Left chest midclavicular line.
BP was 60mmHg , distended neck veins, muffled heart sounds . Most
likely diagnosis is :
Selected Answer: Cardiac tamponade
Quest i on 2
The entry of fatty acid into the mitochondria is facilitated by:
Selected Answer:
Carnitine
Quest i on 3
Needed for wound healing, immune function and protein
synthesis:
Selected Answer:
Vitamin B12
Quest i on 4
Maximun recommendation for fat during stress for intravenous
lipid infusion:
Selected Answer:
2 g/kg/day
Quest i on 5
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Review Test Submission: Surgery 1-Quiz1-firstsem2011-12
file:///C|/Users/Chris/Desktop/review.jsp.htm[8/14/2011 7:10:53 PM]
The amount of CHO needed to prevent ketosis;
Selected Answer:
70 g/day
Quest i on 6
During starvation, this is markedly depressed:
Selected Answer:
Insulin
Quest i on 7
60 year man who is grasping for breath , complaining of chest
pain, with intercostal retractions, with RR of 28/m, BP of 110/80
and PR of 80/m. He clearly says that his name is Juan dela Cruz.
Do a primary survey and identify whether it is:
Selected Answer: Breathing
Quest i on 8
The following are used in Glasgow coma scale: 1. Motor response 2. Best
verbal response 3. Eye opening 4. Muscle tone
Selected Answer: 1,2,3 are correct
Quest i on 9
Metabolic response to trauma during the Flow phase:
Selected Answer:
Release of cytokines
Quest i on 10
Elective intubation before evidence of airway compromise should be performed in the
following instances Except
Selected Answer: Airway bleeding
Quest i on 11
Metabolic response to stavation:
Selected Answer:
Increase urinary nitrogen
Quest i on 12
Which of the following constitutes the most common indication for intubation for
injured patients?
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Review Test Submission: Surgery 1-Quiz1-firstsem2011-12
file:///C|/Users/Chris/Desktop/review.jsp.htm[8/14/2011 7:10:53 PM]
Selected Answer: Altered mental status
Quest i on 13
The total caloric requirement of a thin emaciated patient due to disease is
calculated using his:

Selected Answer: actual weight
Quest i on 14
The daily caloric requirement of an obese individual is computed using:
Selected Answer: ideal body weight
Quest i on 15
Most common technique to establish airway:
Selected Answer: J aw thrust
Quest i on 16
True statement about trauma:
Selected
Answer:
All patients with blunt injury should be assumed to have
unstable cervical spine injuries until proven otherwise.
Quest i on 17
Low serum_______ was associated with significant delay in healing.
Selected Answer:
Protein
Quest i on 18
Which of the following is part of your primary survey?
Selected Answer: History taking
Quest i on 19
Who among multiply injured patients brought in the ER needs first attention?
Selected Answer: gun shot patient, can talk with BP of 90/60 PR of 110/m
Quest i on 20
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Review Test Submission: Surgery 1-Quiz1-firstsem2011-12
file:///C|/Users/Chris/Desktop/review.jsp.htm[8/14/2011 7:10:53 PM]
True about starvation: 1. Decreased metabolic rate 2. Body fuels
wasted 3. Weight loss slow 4, urinary nitrogen increased
Selected Answer: all are correct
Quest i on 21
The best method to control external bleeding in an injured patient is:
Selected Answer: Manual compression
Quest i on 22
Nitrogen excreton is highest in:
Selected Answer:
Acute sepsis
Quest i on 23
A very useful scoring to evaluate head trauma victim
Selected Answer: Glasgow
Quest i on 24
Using the Rule of Thumb, the total caloric requirement of a 70 kg. individual:

Selected Answer: 2,000 Kcal
Quest i on 25
In the inflammatory response, the presence of TNF and IL-1 will
block the conversion of Pyruvate to:
Selected Answer:
acetylCoA in the mitochondria
Quest i on 26
In the situation where transport of trauma victim to a tertiary hospital is necessary, one
should do this after the:
Selected Answer: Resuscitation
Quest i on 27
A 10-yr old girl complains of pain in her right hip and is unable to stand. She also
complains of pain with manual pelvic compression. She is alert. VS: BP 70 mm Hg
systolic; PR 140. Her problem?
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Review Test Submission: Surgery 1-Quiz1-firstsem2011-12
file:///C|/Users/Chris/Desktop/review.jsp.htm[8/14/2011 7:10:53 PM]
Selected Answer: circulation
Quest i on 28
Which is true regarding principles of Initial Assessment and Management in Trauma?
Selected
Answer:
a definite diagnosis is not needed before any surgical
intervention
Quest i on 29
7-yr old boy is gasping for breath. He can not speak clearly and complains of chest
pain and an inability to get his breath. He is becoming increasingly anxious. VS: BP
100 mm Hg systolic, PR 110; RR 30 . His problem?
Selected Answer: all of the above
Quest i on 30
In major surgery( stressed state), the protein requirement is computed
at ___ gm/kg body weight:
Selected Answer:
<1
Quest i on 31
In the late stage of fasting, the main source of energy of the brain is:
Selected Answer:
Ketones
Quest i on 32
When a trauma patient is being examined in a systematic fashion to identify occult
injuries after the conditions that constitute an immediate threat to life have been
attended to or excluded, one is basically doing:
Selected Answer: Secondary survey
Quest i on 33
The stress factor for sepsis is:
Selected Answer:
1.3-1.4
Quest i on 34
The conversion of pyruvate to acetyl CoA in the mitochndria is
blocked by:
Selected Answer:
TNF
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Review Test Submission: Surgery 1-Quiz1-firstsem2011-12
file:///C|/Users/Chris/Desktop/review.jsp.htm[8/14/2011 7:10:53 PM]
Quest i on 35
Metabolic response to trauma during the Ebb Phase except:
Selected Answer:
Increase Oxygen consumption
Quest i on 36
A 16 year old with 10% second degree burns in the body plus burns in the
nostril and oral area,. He can talk very clearly with respiration of 20/m , Bp of
110/80 mmHg and pulse rate of 80/m. Do a primary survey and
identify whether it is

Selected Answer: Airway
Quest i on 37
30 to 35 year old vehicular accident victim, male, very talkative,
cursing the bus driver in very distinct words, respiratory rate of
18 per minute , Bp of 90/50 mmHg and pulse rate of 110/m,
complaining of pain in the hip. Do a primary survey and identify
whether it is:
Selected Answer: Circulation
Quest i on 38
A sexy lady in her 20s, who is wheezing, with retractions, lagging of left chest
during inspiration, palpatory BP of 70mmHg and thready pulse. Do a
primary survey and identify whether it is:

Selected Answer: All of the above
Quest i on 39
The carbohydrate component of the diet of a 70 kg individual without injury:
Selected Answer: 1,260 Kcal
Quest i on 40
A 80 y/o woman is admitted because of a colonic tumor of 2
mos. duration. She is unable to pass stool for the past 4 days
and has been anorexic and tolerated only fluid for the past 3
weeks. Her weight 3 mos. ago was 65 kg. but is now 55 kg. By
subjective global assessment (SGA) she is classified as:
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Review Test Submission: Surgery 1-Quiz1-firstsem2011-12
file:///C|/Users/Chris/Desktop/review.jsp.htm[8/14/2011 7:10:53 PM]
Selected Answer:
moderately malnourished
Quest i on 41
This conditionally essential amino acid provides fuel for the cells
of the immune system and the GI tract:
Selected Answer:
Alanine
Quest i on 42
A trauma patient needs transfusion. His blood pressure is continuously
going done. There is no time to do blood typing and X-matching. We
dont know his specific type. What blood type can Be given
instantly to save his life?
Selected Answer: Type O
Quest i on 43
The protein component of the diet of a 70 kg individual after a major
abdominal surgery:

Selected Answer: 525 Kcal
Quest i on 44
The protein component of the diet of a 70 kg individual without injury: A.
Selected Answer: 233 Kcal
Quest i on 45
A 34 year old mauling victim Is brought in the hospital comatose, he has symmetrical
chest expansion with equal breath sound on both lungs, his BP is 120/90, pulse rate is
100, He has problem of:
Selected Answer: circulation
Quest i on 46
The goal of the primary survey is to:
Selected
Answer:
to identify and treat conditions that constitute an immediate
threat to life
Quest i on 47
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Review Test Submission: Surgery 1-Quiz1-firstsem2011-12
file:///C|/Users/Chris/Desktop/review.jsp.htm[8/14/2011 7:10:53 PM]
Sunday, August 14, 2011 7:18:20 PM CST
Victim of a fall, one old lady, stretcher borne, unconscious, RR of 20/m, BP of
110/80 and PR of 80/m. Do a primary survey and identify
whether it is:

Selected Answer: Circulation
Quest i on 48
True about trauma 1. Increased metabolic rate 2. Wasted protein 3.
Rapid weight loss 4. Body fuels conserved
Selected Answer:
2,4 are correct
Quest i on 49
Which of the following airway options in injured patients is applicable only in patients
who are breathing spontaneously and is contraindicated in the apneic patient?:
Selected Answer: Orotracheal intubation
Quest i on 50
A 36 y/o male was brought to the ER because of a vehicular accident. He was
unconscious. BP 60/40 mmHg PR 110/m RR 30/m . The appropriate things to do
Except:
Selected Answer: Send the patient directly to radiology for work-ups
OK
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