Surgical Emergencies

Description: This quiz aims to evaluate your knowledge on surgical emergencies, covering crucial topics such as trauma management, acute abdominal conditions, and surgical infections. Test your understanding of surgical principles, diagnostic approaches, and emergency interventions.
Number of Questions: 15
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Tags: surgical emergencies trauma acute abdomen surgical infections
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In the management of a patient with a penetrating abdominal injury, which of the following is the most appropriate initial step?

  1. Immediate laparotomy

  2. Ultrasound examination

  3. Pelvic binder application

  4. Intravenous fluid resuscitation


Correct Option: D
Explanation:

Intravenous fluid resuscitation is the initial priority to stabilize the patient's hemodynamic status and prevent hypovolemic shock.

Which of the following is a classic sign of acute appendicitis?

  1. Murphy's sign

  2. Rovsing's sign

  3. McBurney's sign

  4. Blumberg's sign


Correct Option: C
Explanation:

McBurney's sign, characterized by tenderness at the junction of the lateral and middle thirds of a line drawn from the umbilicus to the right anterior superior iliac spine, is a classic indication of acute appendicitis.

In the management of a patient with a perforated peptic ulcer, which surgical procedure is typically performed?

  1. Vagotomy and antrectomy

  2. Billroth I gastrectomy

  3. Billroth II gastrectomy

  4. Laparoscopic repair


Correct Option: D
Explanation:

Laparoscopic repair has become the preferred surgical approach for perforated peptic ulcers, allowing for minimally invasive management and reduced post-operative complications.

Which of the following is a common cause of small bowel obstruction in adults?

  1. Hernia

  2. Volvulus

  3. Intussusception

  4. Meckel's diverticulum


Correct Option: A
Explanation:

Hernia, particularly inguinal and femoral hernias, is a frequent cause of small bowel obstruction in adults.

In the management of a patient with a deep neck infection, which of the following is a primary consideration?

  1. Antibiotic therapy

  2. Surgical drainage

  3. Endoscopic intervention

  4. Oxygen therapy


Correct Option: B
Explanation:

Surgical drainage is crucial in the management of deep neck infections to evacuate pus and relieve airway compromise.

Which of the following is a characteristic sign of Fournier's gangrene?

  1. Crepitus

  2. Bullae formation

  3. Ecchymosis

  4. Induration


Correct Option: A
Explanation:

Crepitus, a crackling sensation upon palpation, is a hallmark sign of Fournier's gangrene, indicating the presence of gas within the affected tissues.

In the management of a patient with a suspected ectopic pregnancy, which of the following is the most appropriate initial diagnostic test?

  1. Pelvic ultrasound

  2. Serum beta-human chorionic gonadotropin (β-hCG) level

  3. Culdocentesis

  4. Laparoscopy


Correct Option: A
Explanation:

Pelvic ultrasound is the initial diagnostic test of choice for suspected ectopic pregnancy, allowing for visualization of the gestational sac and adnexal structures.

Which of the following is a common cause of acute pancreatitis?

  1. Gallstones

  2. Alcohol abuse

  3. Hypercalcemia

  4. Viral infection


Correct Option: A
Explanation:

Gallstones are the most common cause of acute pancreatitis, accounting for approximately 70-80% of cases.

In the management of a patient with a ruptured abdominal aortic aneurysm (AAA), which of the following is the primary surgical intervention?

  1. Endovascular repair

  2. Open repair

  3. Stent placement

  4. Angioplasty


Correct Option: B
Explanation:

Open repair, involving direct surgical exposure and replacement of the affected aortic segment, is the traditional and often preferred approach for ruptured AAA.

Which of the following is a characteristic sign of strangulated hernia?

  1. Nausea and vomiting

  2. Tenderness and erythema

  3. Bowel sounds

  4. Absence of pain


Correct Option: D
Explanation:

In strangulated hernia, the absence of pain is a concerning sign, indicating potential bowel necrosis and the need for immediate surgical intervention.

In the management of a patient with a suspected perforated viscus, which of the following is a primary consideration?

  1. Antibiotic therapy

  2. Nasogastric tube placement

  3. Fluid resuscitation

  4. Exploratory laparotomy


Correct Option: D
Explanation:

Exploratory laparotomy is typically performed to confirm the perforation and repair the affected viscus, preventing further contamination and complications.

Which of the following is a common cause of acute cholecystitis?

  1. Gallstones

  2. Bacterial infection

  3. Viral infection

  4. Autoimmune disorder


Correct Option: A
Explanation:

Gallstones are the primary cause of acute cholecystitis, accounting for approximately 90-95% of cases.

In the management of a patient with a suspected appendiceal abscess, which of the following is typically recommended?

  1. Antibiotic therapy alone

  2. Percutaneous drainage

  3. Immediate appendectomy

  4. Exploratory laparotomy


Correct Option: B
Explanation:

Percutaneous drainage is often the initial treatment of choice for appendiceal abscess, allowing for脓液drainage and resolution of infection prior to definitive surgical management.

Which of the following is a common cause of acute diverticulitis?

  1. Low-fiber diet

  2. Antibiotic use

  3. Smoking

  4. Obesity


Correct Option: A
Explanation:

A low-fiber diet is a significant risk factor for acute diverticulitis, as it promotes the formation of diverticula and increases the likelihood of fecal impaction.

In the management of a patient with a suspected perforated peptic ulcer, which of the following is a primary consideration?

  1. Endoscopic therapy

  2. Antibiotic therapy

  3. Surgical intervention

  4. Nasogastric tube placement


Correct Option: C
Explanation:

Surgical intervention is typically required in cases of perforated peptic ulcer to repair the perforation and prevent further complications.

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