A Bailey & Love
REVISION GUIDE
MCQs and EMQs
in Surgery
SECON D EDITION
Edited by
Pradip K Datta, Christopher J K Bulstrode, Iain J Nixon
12/9/14 10:55 AM
, A Bailey & Love
REVISION GUIDE
MCQs and
EMQs in
Surgery
SECON D EDITION
Pradip K Datta MBE, MS, FRCS (Ed, Eng, Irel, Glasg), Honorary
Consultant Surgeon, Caithness General Hospital, Wick, Member of
Council and College Tutor, Royal College of Surgeons of Edinburgh
Christopher J K Bulstrode MCh, FRCS (Orth), Professor and
Honorary Consultant Trauma and Orthopaedic Surgeon, University of
Oxford, Member of Council, Royal College of Surgeons of Edinburgh
Iain J Nixon MBChB, FRCS (ORL-HNS), PhD, Consultant Head and Neck
Oncological Surgeon, East Kent University Hospitals NHS Foundation
Trust, Canterbury, United Kingdom
K23682_Book.indb 1 20/12/14 3:35 AM
K23682_FM.indd 2 12/15/14 10:27 AM
, PART
1 Principles
1 Metabolic response to trauma 3
2 Shock and blood transfusion 9
3 Wounds, tissue repair and scars 18
4 Basic surgical skills and anastomoses 25
5 Surgical infection 29
6 Surgery in the tropics 37
7 Principles of laparoscopic and robotic surgery 64
8 Principles of paediatric surgery 69
9 Priniciples of oncology 80
10 Surgical audit and clinical research 86
11 Surgical ethics and law 91
12 Patient safety 94
K23682_Book.indb 1 20/12/14 3:35 AM
, 1 Metabolic response
to trauma
Pradip K Datta
Multiple choice questions
➜➜ Homeostasis ➜➜ Mediators
1. Which one of the following statements 4. Which of the following statements
about homeostasis is false? about mediators are true?
A It is defined as a stable state of the A They consist of neural, endocrine and
normal body. inflammatory.
B The central nervous system, heart, lungs, B Every endocrine gland plays a part.
kidneys and spleen are the essential C They play an important role in the flow
organs that maintain normal homeostasis. phase.
C Elective surgery should cause little D These mediators are released over
disturbance to homeostasis. several days.
D Emergency surgery should cause little E They play an important role in the
disturbance to homeostasis. recovery process.
E Return to normal homeostasis after an ➜➜ Optimal perioperative care
insult (operation, injury, infection) would
5. Which of the following statements are
depend upon the presence of comorbid
true of optimal perioperative care?
conditions.
A Surgery should be carried out by the use
➜➜ Stress response of adequate large incisions to give good
exposure.
2. Neuroendocrine pathways of the
stress response consist of the follow-
B Adequate pain relief is essential.
ing except: C Early mobilisation.
A Spinal cord D Avoid ongoing insults and secondary
B Thalamus trauma.
C Hypothalamus E Maintain good fluid load with several
D Pituitary litres of normal saline.
E Thyroid 6. The following statements are true
regarding Enhanced Recovery After
➜➜ Body metabolism Surgery (ERAS) programmes except:
A It optimises rehabilitation following
3. Changes in body metabolism that
major surgery.
occur in response to trauma are the
following except: B It reduces hospital stay.
A Lipolysis C Patient engagement is an integral part.
B Gluconeogenesis D It is only used in colorectal surgery.
C Protein breakdown E Blocking afferent painful stimuli is
D Hypoglycaemia important in reducing stress response.
E Hypermetabolism
3
K23682_Book.indb 3 20/12/14 3:35 AM
REVISION GUIDE
MCQs and EMQs
in Surgery
SECON D EDITION
Edited by
Pradip K Datta, Christopher J K Bulstrode, Iain J Nixon
12/9/14 10:55 AM
, A Bailey & Love
REVISION GUIDE
MCQs and
EMQs in
Surgery
SECON D EDITION
Pradip K Datta MBE, MS, FRCS (Ed, Eng, Irel, Glasg), Honorary
Consultant Surgeon, Caithness General Hospital, Wick, Member of
Council and College Tutor, Royal College of Surgeons of Edinburgh
Christopher J K Bulstrode MCh, FRCS (Orth), Professor and
Honorary Consultant Trauma and Orthopaedic Surgeon, University of
Oxford, Member of Council, Royal College of Surgeons of Edinburgh
Iain J Nixon MBChB, FRCS (ORL-HNS), PhD, Consultant Head and Neck
Oncological Surgeon, East Kent University Hospitals NHS Foundation
Trust, Canterbury, United Kingdom
K23682_Book.indb 1 20/12/14 3:35 AM
K23682_FM.indd 2 12/15/14 10:27 AM
, PART
1 Principles
1 Metabolic response to trauma 3
2 Shock and blood transfusion 9
3 Wounds, tissue repair and scars 18
4 Basic surgical skills and anastomoses 25
5 Surgical infection 29
6 Surgery in the tropics 37
7 Principles of laparoscopic and robotic surgery 64
8 Principles of paediatric surgery 69
9 Priniciples of oncology 80
10 Surgical audit and clinical research 86
11 Surgical ethics and law 91
12 Patient safety 94
K23682_Book.indb 1 20/12/14 3:35 AM
, 1 Metabolic response
to trauma
Pradip K Datta
Multiple choice questions
➜➜ Homeostasis ➜➜ Mediators
1. Which one of the following statements 4. Which of the following statements
about homeostasis is false? about mediators are true?
A It is defined as a stable state of the A They consist of neural, endocrine and
normal body. inflammatory.
B The central nervous system, heart, lungs, B Every endocrine gland plays a part.
kidneys and spleen are the essential C They play an important role in the flow
organs that maintain normal homeostasis. phase.
C Elective surgery should cause little D These mediators are released over
disturbance to homeostasis. several days.
D Emergency surgery should cause little E They play an important role in the
disturbance to homeostasis. recovery process.
E Return to normal homeostasis after an ➜➜ Optimal perioperative care
insult (operation, injury, infection) would
5. Which of the following statements are
depend upon the presence of comorbid
true of optimal perioperative care?
conditions.
A Surgery should be carried out by the use
➜➜ Stress response of adequate large incisions to give good
exposure.
2. Neuroendocrine pathways of the
stress response consist of the follow-
B Adequate pain relief is essential.
ing except: C Early mobilisation.
A Spinal cord D Avoid ongoing insults and secondary
B Thalamus trauma.
C Hypothalamus E Maintain good fluid load with several
D Pituitary litres of normal saline.
E Thyroid 6. The following statements are true
regarding Enhanced Recovery After
➜➜ Body metabolism Surgery (ERAS) programmes except:
A It optimises rehabilitation following
3. Changes in body metabolism that
major surgery.
occur in response to trauma are the
following except: B It reduces hospital stay.
A Lipolysis C Patient engagement is an integral part.
B Gluconeogenesis D It is only used in colorectal surgery.
C Protein breakdown E Blocking afferent painful stimuli is
D Hypoglycaemia important in reducing stress response.
E Hypermetabolism
3
K23682_Book.indb 3 20/12/14 3:35 AM
