NBME Surgery 2023/2024

NBME Surgery 2023/2024 Question 1 Answer to the Previous Question -B -SOB, elevated pulse, low BP, JVD (elevated CVP) , crackles. --- Cardiogenic shock. Question 2 Answer to the Previous Question -G -sphenopalatine artery (MCC of posterior nosebleeds) -Kiesselbach's plexus (MCC of anterior nosebleeds) Question 3 Answer to the Previous Question -B -Carotid duplex. Pt has symptoms of TIA. Question 4 Answer to the Previous Question -B -He is about to have a surgery,for resection around the rectum, very vascularized area, you can't have therapeutic dose of heparin or patient will bleed out; simply want to give ppx to prevent the formation of future DVTs Question 5 Answer to the Previous Question -E -fever, leukocytosis, obstipation (no passage of gas or stool), peritonitis (guarding and rebound) = strangulated obstruction -- emergency surgery (Pestana's pg. 60) Question 6 Answer to the Previous Question -D Question 7 Answer to the Previous Question -D Question 8 Answer to the Previous Question -D Question 9 Answer to the Previous Question -Answer is B -B because lots of arterial blood will go into venous circulation, leading to increased preload and increased CO, which overtime can lead to high output cardiac failure. See S3 and S4, JVD, crackle