Bailey & Love
COMPANION GUIDE
MCQs & EMQs
in Surgery
Pradip K Datta, Christopher J K Bulstrode, B V Praveen
, Bailey & Love COMPANION GUIDE
MCQs and
EMQs in
Surgery
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
B V Praveen MS, FRCS (Ed, Eng, Glasg, Irel, Gen), Consultant
Surgeon and Associate Director of Medical Education, Southend
University Hospital, Honorary Senior Lecturer, Queen Mary, University
of London
Prelimsxvi.indd i 4/14/2010 2:31:03 PM
, PART
1 Principles
1 The metabolic response to injury 3
2 Shock and blood transfusion 8
3 Wounds, tissue repair and scars 16
4 Surgical infection 22
5 Tropical surgery 31
6 Paediatric surgery 75
7 Oncology 84
8 Surgical audit and research 90
9 Surgical ethics 94
10 Diagnostic imaging 96
CH001.indd 1 4/2/2010 1:17:57 PM
, 1 The metabolic response to
injury
Multiple choice questions
➜ Homeostasis B Every endocrine gland plays an equal
1. Which of the following statements part.
about homeostasis are false? C They produce a model of several phases.
A It is defined as a stable state of the D The phases occur over several days.
normal body. E They help in the process of repair.
B The central nervous system, heart, lungs,
kidneys and spleen are the essential ➜ The recovery process
organs that maintain homeostasis at a 4. With regard to the recovery process,
normal level. identify the statements that are true.
C Elective surgery should cause little A All tissues are catabolic, resulting in repair
disturbance to homeostasis. at an equal pace.
D Emergency surgery should cause little B Catabolism results in muscle wasting.
disturbance to homeostasis. C There is alteration in muscle protein
E Return to normal homeostasis after breakdown.
an operation would depend upon the D Hyperalimentation helps in recovery.
presence of co-morbid conditions. E There is insulin resistance.
➜ Stress response ➜ Optimal perioperative care
2. In stress response, which of the 5. Which of the following statements are
following statements are false? true for optimal perioperative care?
A It is graded. A Volume loss should be promptly treated
B Metabolism and nitrogen excretion are by large intravenous (IV) infusions of
related to the degree of stress. fluid.
C In such a situation there are B Hypothermia and pain are to be avoided.
physiological, metabolic and C Starvation needs to be combated.
immunological changes. D Avoid immobility.
D The changes cannot be modified. E Helpful measures can be taken.
E The mediators to the integrated response
are initiated by the pituitary.
➜ Mediators
3. Which of the following statements
about mediators are true?
A They are neural, endocrine and
inflammatory.
3
CH001.indd 3 4/2/2010 1:17:58 PM
COMPANION GUIDE
MCQs & EMQs
in Surgery
Pradip K Datta, Christopher J K Bulstrode, B V Praveen
, Bailey & Love COMPANION GUIDE
MCQs and
EMQs in
Surgery
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
B V Praveen MS, FRCS (Ed, Eng, Glasg, Irel, Gen), Consultant
Surgeon and Associate Director of Medical Education, Southend
University Hospital, Honorary Senior Lecturer, Queen Mary, University
of London
Prelimsxvi.indd i 4/14/2010 2:31:03 PM
, PART
1 Principles
1 The metabolic response to injury 3
2 Shock and blood transfusion 8
3 Wounds, tissue repair and scars 16
4 Surgical infection 22
5 Tropical surgery 31
6 Paediatric surgery 75
7 Oncology 84
8 Surgical audit and research 90
9 Surgical ethics 94
10 Diagnostic imaging 96
CH001.indd 1 4/2/2010 1:17:57 PM
, 1 The metabolic response to
injury
Multiple choice questions
➜ Homeostasis B Every endocrine gland plays an equal
1. Which of the following statements part.
about homeostasis are false? C They produce a model of several phases.
A It is defined as a stable state of the D The phases occur over several days.
normal body. E They help in the process of repair.
B The central nervous system, heart, lungs,
kidneys and spleen are the essential ➜ The recovery process
organs that maintain homeostasis at a 4. With regard to the recovery process,
normal level. identify the statements that are true.
C Elective surgery should cause little A All tissues are catabolic, resulting in repair
disturbance to homeostasis. at an equal pace.
D Emergency surgery should cause little B Catabolism results in muscle wasting.
disturbance to homeostasis. C There is alteration in muscle protein
E Return to normal homeostasis after breakdown.
an operation would depend upon the D Hyperalimentation helps in recovery.
presence of co-morbid conditions. E There is insulin resistance.
➜ Stress response ➜ Optimal perioperative care
2. In stress response, which of the 5. Which of the following statements are
following statements are false? true for optimal perioperative care?
A It is graded. A Volume loss should be promptly treated
B Metabolism and nitrogen excretion are by large intravenous (IV) infusions of
related to the degree of stress. fluid.
C In such a situation there are B Hypothermia and pain are to be avoided.
physiological, metabolic and C Starvation needs to be combated.
immunological changes. D Avoid immobility.
D The changes cannot be modified. E Helpful measures can be taken.
E The mediators to the integrated response
are initiated by the pituitary.
➜ Mediators
3. Which of the following statements
about mediators are true?
A They are neural, endocrine and
inflammatory.
3
CH001.indd 3 4/2/2010 1:17:58 PM
