HESI MEDSURG LEVEL 1 EXAM
,Hesi medsurg level 1 exam
1. The best operative approach to choledochal cyst is:
a. cystoduodenostomy.
b. Cystojejunectomy.
c. Roux-en-y cystojejunostomy.
d. Cyst excision and hepaticojejunostomy.
2. A young female proved to have sclerosing cholangitis, she gives a long history of
diarrhea, she is likely to suffer from which of the following?
a. Celiac disease.
b. Liver cirrhosis.
c. Crohnr's disease.
d. Ulcerative colitis.
e. Pernicious anemia.
3. Portal pressure is considered elevated when it is above which of the following?
a. 0.5 mm hg.
b. 1.5 mm hg.
c. 12 mm hg.
d. 40 mm hg.
e. 100 mm hg.
4. The most common benign hepatic lesion is:
a. heamangioma
b. adenoma
c. focal nodular hyperplasia
d. hamartoma.
e. Lipoma.
5. An absolute contraindication to treat conserving surgery for breast cancer is
a. large tumor
b. tumor of high grade
c. early pregnancy
d. retroareolar tumor.
e. Clinical axillary nodes
6. Doing pringle maneuver to control bleeding from the liver you compress which
of the followings:
a. portal vein, hepatic vein, hepatic artery
b. Portal vein, hepatic artery, cystic artery.
c. Portal vein and hepatic artery.
d. Portal vein, hepatic artery, CBD.
e. Cystic artery, cystic duct, CBD.
, 7. A woman with longstanding rheumatoid arthritis has neutropenia on routine lab,
and splenomegaly is noted on physical examination which is the most likely
diagnosis
a. Thalassemia
b. Hereditary spherocytosis.
c. Sickle cell disease.
d. Idiopathic autoimmune hemolytic anemia.
e. Felty's syndrome.
8. After mastectomy winging of the scapula results from injury to:
a. The medial pectoral nerve.
b. The lateral pectoral nerve.
c. The long thoracic nerve.
d. The thoracodorsal nerve.
e. The intercostobrachial nerve.
9. Metabolic acidosis is a complication of the topical application of :
a. Sodium mafenide.
b. Silver nitrate.
c. Silver sulfadiazine.
d. Betadine.
e. Bactiracin.
10. The adverse effect of steroids on wound healing can be reversed with :
a. Vitamin C.
b. Vitamin A.
c. Copper.
d. Vitamin D.
e. Vitamin E.
11. Volkman's contracture is a complication of:
a. Humeral head fracture.
b. Femoral neck fracture.
c. Posterior dislocation of the knee.
d. Supracondylar humeral fracture.
e. Colle's fracture
12. During prolonged starvation, the brain's main fuel is:
a. Glucose.
b. Amino acids.
c. Ketones.
d. Short chain fatty acids.
,Hesi medsurg level 1 exam
1. The best operative approach to choledochal cyst is:
a. cystoduodenostomy.
b. Cystojejunectomy.
c. Roux-en-y cystojejunostomy.
d. Cyst excision and hepaticojejunostomy.
2. A young female proved to have sclerosing cholangitis, she gives a long history of
diarrhea, she is likely to suffer from which of the following?
a. Celiac disease.
b. Liver cirrhosis.
c. Crohnr's disease.
d. Ulcerative colitis.
e. Pernicious anemia.
3. Portal pressure is considered elevated when it is above which of the following?
a. 0.5 mm hg.
b. 1.5 mm hg.
c. 12 mm hg.
d. 40 mm hg.
e. 100 mm hg.
4. The most common benign hepatic lesion is:
a. heamangioma
b. adenoma
c. focal nodular hyperplasia
d. hamartoma.
e. Lipoma.
5. An absolute contraindication to treat conserving surgery for breast cancer is
a. large tumor
b. tumor of high grade
c. early pregnancy
d. retroareolar tumor.
e. Clinical axillary nodes
6. Doing pringle maneuver to control bleeding from the liver you compress which
of the followings:
a. portal vein, hepatic vein, hepatic artery
b. Portal vein, hepatic artery, cystic artery.
c. Portal vein and hepatic artery.
d. Portal vein, hepatic artery, CBD.
e. Cystic artery, cystic duct, CBD.
, 7. A woman with longstanding rheumatoid arthritis has neutropenia on routine lab,
and splenomegaly is noted on physical examination which is the most likely
diagnosis
a. Thalassemia
b. Hereditary spherocytosis.
c. Sickle cell disease.
d. Idiopathic autoimmune hemolytic anemia.
e. Felty's syndrome.
8. After mastectomy winging of the scapula results from injury to:
a. The medial pectoral nerve.
b. The lateral pectoral nerve.
c. The long thoracic nerve.
d. The thoracodorsal nerve.
e. The intercostobrachial nerve.
9. Metabolic acidosis is a complication of the topical application of :
a. Sodium mafenide.
b. Silver nitrate.
c. Silver sulfadiazine.
d. Betadine.
e. Bactiracin.
10. The adverse effect of steroids on wound healing can be reversed with :
a. Vitamin C.
b. Vitamin A.
c. Copper.
d. Vitamin D.
e. Vitamin E.
11. Volkman's contracture is a complication of:
a. Humeral head fracture.
b. Femoral neck fracture.
c. Posterior dislocation of the knee.
d. Supracondylar humeral fracture.
e. Colle's fracture
12. During prolonged starvation, the brain's main fuel is:
a. Glucose.
b. Amino acids.
c. Ketones.
d. Short chain fatty acids.
