EFISER Exam Simulation Quiz: General Surgery 2

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Questions and Answers

What is the most likely cause of the burns in the patient?

Electrical contact

Scalding

Flame (correct)

Explosion

Which of the following is NOT a priority initial measure in the management of this patient?

Start aggressive fluid resuscitation with crystalloids

Ensure airway and adequate ventilation

Immediate debridement of all burned areas (correct)

Assess and treat associated injuries

Which factor increases the risk of complications in this patient?

Age

Smoking

Alcoholism

All of the above (correct)

What is the main long-term complication that should be prevented in this patient?

Contractures and hypertrophic scars (D) Signup and view all the answers

What is the criterion for transferring this patient to a specialized burn center?

All of the above (D) Signup and view all the answers

Which management action should be delayed until after securing the airway?

Pain management (C) Signup and view all the answers

In the case of this burn patient, which is a key consideration when assessing risk factors for infection?

Patient's nutritional status (D) Signup and view all the answers

Which of the following is essential to monitor during fluid resuscitation in this patient?

All of the above (D) Signup and view all the answers

What is the next step in the evaluation of a patient diagnosed with infiltrating ductal carcinoma?

Staging with imaging studies and sentinel lymph node biopsy (C) Signup and view all the answers

Which of the following factors does NOT influence the prognosis of the patient?

Laterality of the tumor (D) Signup and view all the answers

What is the most appropriate treatment option for the patient with ductal carcinoma?

Treatment should be individualized based on patient preference and tumor characteristics (B) Signup and view all the answers

What is the role of adjuvant systemic therapy in breast cancer treatment?

To prevent cancer recurrence (A) Signup and view all the answers

Which measure of association is appropriate for a case-control study analyzing alcohol consumption and acute pancreatitis?

Odds ratio (OR) (D) Signup and view all the answers

In the alcohol consumption study, what was the number of cases that reported excessive alcohol usage?

60 (D) Signup and view all the answers

What was the total number of controls included in the alcohol consumption study?

200 (B) Signup and view all the answers

What notable result was observed in the alcohol consumption case-control study?

A significant association was found between alcohol and pancreatitis (D) Signup and view all the answers

Study Notes

Case Clinical 1: Burn Patient

Patient is a 55-year-old male with significant history of smoking and chronic alcoholism.
Suffers from deep second-degree burns covering 30% of total body surface area, affecting face, neck, anterior chest, and hands.
Most likely cause of burns: Flame exposure.
Initial management priorities:
- Ensure airway and adequate ventilation.
- Initiate aggressive fluid resuscitation with crystalloids.
- Immediate debridement of all burned areas is NOT prioritized.
- Evaluate and treat associated injuries is also crucial.
Factors increasing complication risks:
- Age, smoking, and alcoholism contribute significantly; all are risk factors.
Long-term complication prevention is critical:
- Aim to prevent contractures and hypertrophic scars.
- Other concerns include wound infections, renal failure, and pulmonary thromboembolism.
Criteria for transfer to specialized burn center include:
- Deep second-degree burns covering more than 10% of body surface.
- Any percentage of third-degree burns.
- Burns affecting face, hands, feet, or genital areas.

Case Clinical 2: Breast Cancer Patient

Patient is a 30-year-old female presenting with a 2 cm, mobile, and painless right breast nodule.
Diagnosis confirmed via mammography and biopsy revealing infiltrating ductal carcinoma.
Next step in evaluation:
- Tumor staging with imaging studies and sentinel lymph node biopsy.
- Other options like radical mastectomy or neoadjuvant chemotherapy are not immediate steps.
Prognostic factors for this patient include:
- Tumor size, lymph node involvement, and hormone receptor status.
- Tumor lateralization (right vs left) does NOT influence prognosis.
Most appropriate treatment option:
- Treatment should be individualized based on patient preferences and tumor characteristics.
- Options include segmental mastectomy with radiotherapy, modified radical mastectomy followed by adjuvant chemotherapy, or neoadjuvant chemotherapy.
Adjuvant systemic therapy purpose:
- Designed to prevent cancer recurrence.
- It does NOT primarily treat metastatic cancer, nor does it reduce tumor size prior to surgery.

Case Clinical 3: Alcohol and Pancreatitis Study

Case-control study design investigating the link between alcohol consumption and acute pancreatitis.
Involved 100 patients with acute pancreatitis and 200 healthy controls.
Of the study subjects, 60 cases (patients with pancreatitis) and 50 controls (healthy) reported excessive alcohol use.
Appropriate measure of association in this study:
- Odds ratio (OR) is used to compare the odds of exposure (alcohol consumption) between cases and controls.

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Description

Prepare for the EFISER exam with this simulation focused on surgical specialties. It includes clinical cases and research methodology questions to test your knowledge effectively. Engage with 15 clinical cases and multiple-choice questions to solidify your understanding.

Simulación Examen EFISER: Cirugía General 2

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