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absite 1 Exam Study Set| Questions and Answers all Verified 100% Correct
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absite 1 Exam Study Set| Questions and Answers all Verified 100% Correct
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absite 1 Exam Study Set| Questions and Answersall Verified 100% Correct
A 39-year-old man is referred to your clinic for treatment of a cecal mass diagnosed by
surveillance colonoscopy. His father, paternal grandmother, and paternal uncle all
developed colon cancer by their fifth decade. Mutation of which of the following genes
is associated with this man's disease? A. K-Ras B. hMSH2
D. APC E. BRCA2 - ✔✔B. hMSH2
A 68-year-old man presents with pain In his left leg. Exanimation and workup confirms
diagnosis of a popliteal aneurysm. What is the most common complication that would
result in the patient's leg pain? A. Popliteal aneurysm rupture B. Nerve impingement by
the popliteal aneurysm C. Venous obstruction by the popliteal aneurysm D.
Thromboembolic events associated with the popliteal aneurysm - ✔✔D.
Thromboembolic events associated with the popliteal aneurysm
A 52-year-old woman presents to your clinic with a palpable thyroid nodule.
Ultrasonography shows a 3-cm lesion in the right thyroid lobe with solid and cystic
components. Ultrasonography -guided fine needle aspiration (FNA) reveals a thyroid
cancer. Which of the following is the most likely diagnosis?
A. Papillary carcinoma
B. Anaplastic carcinoma
C. Follicular carcinoma
D. Medullary carcinoma - ✔✔A. Papillary carcinoma
A 60-year-old man who suffers from chronic alcoholism was admitted to the hospital
with a bout of acute pancreatitis. He has suffered similar episodes in the past, all of
which have resolved without complications. On laboratory studies, he is found to have
,an elevated serum amylase level. A 4-cm pancreatic pseudocyst is found on CT scan.
What would be the best treatment?
A. Percutaneous drainage B. Simple aspiration C. observation and serial CT scans D.
Surgical intervention - ✔✔C. observation and serial CT scans
Which of the following is a characteristic of Merkel cell carcinoma?
A. Slow-growing, well-defined cutaneous lesion
B. Early distant metastases
C. Locally aggressive tumor with low chance of distant spread
D. FrequentIy cured with wide local excision alone
E. Histologically similar to squamous cell carcinoma - ✔✔B. Early distant metastases
A 70-year-old man with ascites secondary to cirrhosis presents for elective umbilical
hernia repair. Should he be offered repair of his hernia?
A. Yes, if it is significantly affecting lib lifestyle.
B. Yes, If he Is leaking ascites from the hernia
C. Yes, If he Is on the liver transplant list
D. No, he should not be offered repair - ✔✔B. Yes, If he Is leaking ascites from the
hernia
A 68-year-old man with atrial fibrillation presents to the emergency department with a
cool, pulseless right foot Sensation Is Intact Duplex ultrasonography of the right leg
reveals multiple femoral stenoses and tibioperoneal thrombosis with poor tibial flow,
What Is the most appropriate management?
A. Amputation
B. Systemic anticoagulation only
C. Percutaneous embolectomy under Local anesthesia
,D. Intraarterial site-directed thrombolysis - ✔✔D. Intraarterial site-directed
thrombolysis
A 55-year-old woman presents to your clinic with the new diagnosis of tertiary
hyperparathyroidism. Which of the following operations has she most likely previ¬ously
undergone?
A. Colectomy with resection of terminal ileum
B. Parathyroidectomy
C. Renal transplantation
D. Right middle lobectomy - ✔✔C. Renal transplantation
A 63-year-old man presents with a "gnawing" upper ab¬dominal pain. He reports that
he was diagnosed with a gastric ulcer years ago. Which of the following tests is most
helpful In diagnosing the patient with Infection with Helicobacter pylori
A. Urease test of endoscopic antral biopsies
B. Urea breath test
C. Upper gastrointestinal (Gl) radiographic series
D. Histologic examination of endoscopic antral biopsies - ✔✔D. Histologic
examination of endoscopic antral biopsies
Which of the following is a characteristic of cutaneous lymphatic malformation ?
A. Bluish mass with overlying telangiectasias B. Pulsatile ballottable mass C. Cystic mass
with overlying vesicles D. Firm, nodular mass E. Irregular mass fixed to the underlying
tissues - ✔✔C. Cystic mass with overlying vesicles
The fundamental goal of the American College of Surgeons National Surgical Quality
Improvement Program (NSQIP) is which of the following?
A. To monitor surgical costs in order to allocate health care
, B. To improve health care in underserved US populations
C. To collect outcomes data to measure and improve surgical care outcomes
D. To Identify those surgeons who deliver excellent surgical care
E. To model systems for improved used of healthcare resources - ✔✔C. To collect
outcomes data to measure and improve surgical care outcomes
A 73-year-old man has developed a pulseless left lower leg 8 days after experiencing a
myocardial infarction (Ml) requiring cardiopulmonary resuscitation. On examination, he
has diminished sensation in his left foot. What is the most appropriate definitive
treatment?
A. Amputation
B. Anticoagulation using IV heparin
C. Percutaneous embolectomy under local anesthesia
D. Intra-arterial site-directed thrombolysis - ✔✔C. Percutaneous embolectomy under
local anesthesia
A 47-year-old woman presents with a rapidly enlarging 5-cm right breast mass without
palpable axillary nodes. FNA is nondiagnostic. A core biopsy Is performed and results are
equivocal but suggestive of a phyllodes neoplasm. The appropriate next step In
management is A. tumor enucleation
B. tumor excision with a 2-cm margin and sentinel
node biopsy C. tumor excision with a 1-cm margin D. simple mastectomy E. close follow
up - ✔✔C. tumor excision with a 1-cm margin
A 72-year-old man undergoes percutaneous transhepatic cholangiography and
percutaneous biliary drainage for obstructive jaundice secondary to pancreatic cancer,
Following the percutaneous transhepatic cholangiography and percutaneous biliary
drainage, he develops melena and blood is seen in the biliary drain. Laboratory work
reveals a drop in hematocrit and an increase in his liver function tests. What is the
definitive treatment for this change in his condition?
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