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When colonic pseudo-obstruction is suspected and the cecal diameter is greater than 12 cm, the initial approach should be: A. Nodes at origin of sigmoid artery branches C. Cancerous lesions of the anal verge usually drain to the: A. The cecum is the most common site of colonic rupture as explained by the Laplace’s law which states that tension is directly proportional to the _ of a sphere. For CEA (carcino embryonic antigen) to be useful in the postoperative monitoring for cancer recurrence, at what value must it be preoperatively? A. Among young patients with hereditary descending colon cancer, the accepted most radical surgical option would be: A. The small bowel segment most susceptible to primary disease is: A. The immediate cause of death from untreatable asphyxiation in thermal airway injury is: A. An immediate neck exploration should be done with penetrating injuries involving which zone of the neck? A. All of these symptoms/complaints for malignancies such as nasal, auricular, neuroophthalmic, and tumoral symptom are exhibited by malignancies affecting the: A. Masses in the upper cervical region may be related to metastatic lesions coming from the: A. It is ideal for thyroid, breast and other soft tissue tumors: A. It is a highly accurate method of diagnosis with the main purpose of making a therapeutic decision. This is a rapid method of taking fresh tissue in the operating room and staining it for microscopic study so that the slides can be examined in a short period of time. Of the pain to the right lower quadrant D. Of the somatic phase to the visceral phase C. The inflammatory process that involves the serosa of the appendix and in turn the parietal peritoneum produces a shift: A. The passive internal rotation of the flexed right thigh with the patient supine producing hypogastric pain is termed as the: A. The diagnosis of appendicitis should be questioned if it is not accompanied by which of the following? A. Changes in the mucosal epithelial cells 12. Decrease in the effective length of the small bowel B. Psudo-obstruction, post-vagotomy syndrome, and small bowel diverticula create intestinal stasis and will eventually cause malnutrition syndrome due to: A. Changes in the mucosal epithelial cells 11. Radiation enteritis may cause malnutrition syndrome and this is brought about by: A. Cholangitis, pancreatitis, stone disease D. Diverticula associated with the ampulla of Vater have significant relationship to: A. Which of the following is the LEAST likely reason why the diagnosis of small bowel carcinoma is often delayed and far advanced at the time of operation? A. Pneumatosis cystoides intestinalis develops after one of the following events in a patient with small bowel tumor: A. In a patient over the age of 50 years old, this mass is most likely due to: A. In some patients, an ill defined mass on the right lower quadrant will be detected on physical examination. An easily compressible blind ending tubular structure measuring 5 mm or less on graded sonography means: A. Radical nephrectomy for stages I to III B. Therapeutic management of unilateral Wilm’s tumor in a 3 year old child with a favorable histology: A. Known predisposing factors for necrotizing enterocolitis: A. A palpable right lower quadrant mass in the abdomen will indicate a localized abscess 3.
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Abdominal films are useful in most cases D. Diagnosis is straightforward and easy among infants B. Ascaris bolus causing intestinal obstruction C. The most common and most life threatening surgical abdominal emergency in a 3 to 10 month old infant is: A. Select the one best response and mark the appropriate spaces on the answer sheet provided for. SURGERY SPECIFICATIONS RECALL COMPREHENS IONĬEBU INSTITUTE OF MEDICINE Department of Surgery DIRECTION: Each question below is followed by four possible answers. CEBU INSTITUTE OF MEDICINE BLUEPRINT FOR QUESTIONS CONTENT AREA WEIGHT GENERAL SURGERY (53%) Abdominal Stomach Small intestine Colon/Rectum Appendix Liver Biliary tree Breast Head and Neck SURGICAL SPECIALTIES (47%) Pedia Surg TCVS Urology Neurosurgery Plastic reconstructive Orthopedics TOTAL