Surgery Exam PDF
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Uploaded by GenialNash3583
Rīgas Stradiņa universitāte
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Summary
This document contains a set of multiple-choice questions on various surgical topics like acute pancreatitis, chronic pancreatitis, and cholecystitis. The questions cover diagnostic criteria, treatment options, imaging techniques, and associated conditions.
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Diagnostic criteria for Acute pancreatitis (more than one answer possible): - Computed tomography signs of acute pancreatitis - 3-fold elevation of lipase (from upper normal limit) - Kidney failure - Rebound tenderness - Clinical signs: abdominal pain, vomiting Which are not diagnost...
Diagnostic criteria for Acute pancreatitis (more than one answer possible): - Computed tomography signs of acute pancreatitis - 3-fold elevation of lipase (from upper normal limit) - Kidney failure - Rebound tenderness - Clinical signs: abdominal pain, vomiting Which are not diagnostic criteria for chronic autoimmune pancreatitis (one correct answer): - Positive effect from corticosteroid therapy - Histological findings - Other organ involvement - Microbiological culture - Serology Which diagnostic criteria methods could be used for hemodynamically unstable politrauma patient with suspected bleeding. Select one or more correct answers: - MRI angiography - Contrast enhanced computed tomography - FAST ultrasonography - Diagnostic peritoneal lavage Indications for interventional / surgical treatment in case of acute pancreatitis (more than one answer possible: - Gastric outlet obstruction - Asymptomatic acute peripancreatic fluid collection - Infected walled - off necrosis - Severe pain syndrome What includes in Charcot triade. Select one correct answer. - Fever - Vomiting - Jaundice - Liver injury - Upper abdominal pain Which imaging tool is the most sensitive for detection of stones in common bile duct. Select one correct answers. - CT with i/v contrast - MRCP - Abdominal ultrasound - Abdominal x-ray Which of the following tumor markers is specific for pancreas adenocarcinoma. Select one correct answer: - PSA - CA 125 - CA19-9 - CEA Indications for surgical treatment of patients with chronic pancreatitis (more than one answer possible): - unresolved pseudocyst (size 9 cm) - ductal hypertension with pain syndrome - exocrine insufficiency - infected pseudocyst (size 4.5 cm) The gold standard of the Acute Cholecystitis treatment is: Select one correct answer: - Antibacterial treatment + ERCP - ERCP - Open cholecystectomy - Laparoscopic cholesystectomy Zollinger - Ellison syndrome is caused by (one correct answer): - Gastrinoma - Vipoma - Insulinoma Milde acute pancreatitis is characterized by (one correct answer): - Absence of organ failure - one organ failure that lasts