Amboss Surgery UPDATED ACTUAL
Exam Questions and CORRECT Answers
___________ is the treatment of choice for nonmetastatic, resectable pancreatic head carcinoma
and should be followed by adjuvant chemotherapy. - CORRECT ANSWER -
Pancreaticoduodenectomy (Whipple procedure)
Colovesical fistulas most commonly develop in patients with transmural intestinal inflammatory
disorders (e.g., diverticulitis, Crohn disease) and typically manifest with recurrent urinary tract
infections (caused by typical enteric bacteria), pneumaturia, and fecaluria, all of which are seen
here. The initial diagnosis is made with urinalysis and urine culture and confirmed on
abdominal_________________ - CORRECT ANSWER - CT enterography or MR
enterography.
________________with or without chemotherapy is the standard of care for early-stage lung
cancers and confers the best chance for cure. - CORRECT ANSWER - Surgical resection
It is recommended that patients undergoing lobectomy have a FEV1 over 1.5 liters and DLCO
_______ of predicted without evidence of undue dyspnea on exertion. - CORRECT
ANSWER - > 60%
Parents of a neonate who has a clavicle fracture should be reassured and advised to handle the
affected arm gently (e.g., while dressing). To reduce discomfort, the
__________________________ with the arm flexed at 90 degrees. - CORRECT ANSWER -
patient's sleeve can be pinned to the front of their shirt
Patients with penetrating abdominal injury who are hemodynamically unstable require
an_________________ - CORRECT ANSWER - exploratory laparotomy.
_______________ are a subtype of stress gastritis seen in patients with extensive burns and
occur due to hypovolemia and subsequent _____________ of the stomach. - CORRECT
ANSWER - Curling ulcers , hypoperfusion
,This condition typically manifests with chronic, watery, nonbloody diarrhea and abdominal pain
(mainly in the right lower quadrant). - CORRECT ANSWER - Crohn's Disease
What disease? noncaseating granulomas and neutrophilic inflammation of the crypts. -
CORRECT ANSWER - Crohn's Disease
________________ polyps (tubular adenoma, tubulovillous adenoma, villous adenoma) carry
the highest risk of malignant transformation of all types of colonic polyps. - CORRECT
ANSWER - Adenomatous,
A __________ adenomatous polyp has the highest risk (∼ 50%) of malignant transformation of
the three types of adenomatous polyps. - CORRECT ANSWER - villous
A broad-based gait is a clumsy, irregular pattern of walk in which small steps are taken and the
legs are spread wide. Gait dysfunction, dementia, and urinary incontinence make up the
pathognomonic triad ("wet", "wacky", "wobbly") of ___________________________ -
CORRECT ANSWER - normal pressure hydrocephalus (NPH).
Alteplase is for - CORRECT ANSWER - ischemic stroke
____________ therapy with____________ is recommended for all patients with a TIA as
secondary stroke prevention. - CORRECT ANSWER - Antiplatelet,; Aspirin or clopidogrel
Treatment with _____________ agents (either antiplatelet drugs or anticoagulants such as
________) is indicated for extracranial carotid artery dissection if a thrombus has been identified
and CT scan has ruled out intracranial hemorrhage. - CORRECT ANSWER - antithrombotic;
heparin
_______________ (anti-viral drug) has a low urine solubility and can precipitate within the renal
tubules, causing tubular toxicity and obstruction. - CORRECT ANSWER - Acyclovir
, ________________ is controlled by the biceps brachii and brachialis muscles, which are
innervated by the _________________ nerve. This nerve injury can result from lifting heavy
weights as seen in this case. This injury also impairs forearm __________ and the biceps tendon
reflex. - CORRECT ANSWER - Elbow flexion, musculocutaneous, supination
Local swelling, warmth, tenderness, and erythema with poorly defined margins in combination
with systemic findings (e.g., fever) suggest ______________. - CORRECT ANSWER -
cellulitis
This child presents with acute onset cough and shortness of breath and has unilateral wheezing
and reduced air entry along with hyperlucency of the lung fields, which indicate a
_____________. - CORRECT ANSWER - foreign body aspiration (FBA) with ball-valve
foreign body obstruction.
When foreign body aspiration FBA is suspected, _______________ to remove the foreign body
is the most appropriate next step. - CORRECT ANSWER - bronchoscopy
This patient has characteristic features of a left cerebellopontine tumor, including unilateral
sensorineural hearing loss and tinnitus. The most common brain tumors in this location are
_________________________ which usually arise from Schwann cells in the internal auditory
meatus and may expand into the cerebellopontine angle. - CORRECT ANSWER - acoustic
neuromas (vestibular schwannomas),
Because the esophagogastroduodenoscopy did not find a hemorrhage in the upper GI tract, the
next step in the management of this patient is a______________ - CORRECT ANSWER -
colonoscopy to evaluate the lower GI tract.
__________________ is the most appropriate next step in the management of this patient, who
presents with a 5-mm pulmonary nodule and has no previous x-rays available for comparison -
CORRECT ANSWER - CT scan of the chest
___________ is the most common brain tumor in children and is usually located within the
posterior fossa. Cerebellar compression can cause falls and dysdiadochokinesia, while increased
Exam Questions and CORRECT Answers
___________ is the treatment of choice for nonmetastatic, resectable pancreatic head carcinoma
and should be followed by adjuvant chemotherapy. - CORRECT ANSWER -
Pancreaticoduodenectomy (Whipple procedure)
Colovesical fistulas most commonly develop in patients with transmural intestinal inflammatory
disorders (e.g., diverticulitis, Crohn disease) and typically manifest with recurrent urinary tract
infections (caused by typical enteric bacteria), pneumaturia, and fecaluria, all of which are seen
here. The initial diagnosis is made with urinalysis and urine culture and confirmed on
abdominal_________________ - CORRECT ANSWER - CT enterography or MR
enterography.
________________with or without chemotherapy is the standard of care for early-stage lung
cancers and confers the best chance for cure. - CORRECT ANSWER - Surgical resection
It is recommended that patients undergoing lobectomy have a FEV1 over 1.5 liters and DLCO
_______ of predicted without evidence of undue dyspnea on exertion. - CORRECT
ANSWER - > 60%
Parents of a neonate who has a clavicle fracture should be reassured and advised to handle the
affected arm gently (e.g., while dressing). To reduce discomfort, the
__________________________ with the arm flexed at 90 degrees. - CORRECT ANSWER -
patient's sleeve can be pinned to the front of their shirt
Patients with penetrating abdominal injury who are hemodynamically unstable require
an_________________ - CORRECT ANSWER - exploratory laparotomy.
_______________ are a subtype of stress gastritis seen in patients with extensive burns and
occur due to hypovolemia and subsequent _____________ of the stomach. - CORRECT
ANSWER - Curling ulcers , hypoperfusion
,This condition typically manifests with chronic, watery, nonbloody diarrhea and abdominal pain
(mainly in the right lower quadrant). - CORRECT ANSWER - Crohn's Disease
What disease? noncaseating granulomas and neutrophilic inflammation of the crypts. -
CORRECT ANSWER - Crohn's Disease
________________ polyps (tubular adenoma, tubulovillous adenoma, villous adenoma) carry
the highest risk of malignant transformation of all types of colonic polyps. - CORRECT
ANSWER - Adenomatous,
A __________ adenomatous polyp has the highest risk (∼ 50%) of malignant transformation of
the three types of adenomatous polyps. - CORRECT ANSWER - villous
A broad-based gait is a clumsy, irregular pattern of walk in which small steps are taken and the
legs are spread wide. Gait dysfunction, dementia, and urinary incontinence make up the
pathognomonic triad ("wet", "wacky", "wobbly") of ___________________________ -
CORRECT ANSWER - normal pressure hydrocephalus (NPH).
Alteplase is for - CORRECT ANSWER - ischemic stroke
____________ therapy with____________ is recommended for all patients with a TIA as
secondary stroke prevention. - CORRECT ANSWER - Antiplatelet,; Aspirin or clopidogrel
Treatment with _____________ agents (either antiplatelet drugs or anticoagulants such as
________) is indicated for extracranial carotid artery dissection if a thrombus has been identified
and CT scan has ruled out intracranial hemorrhage. - CORRECT ANSWER - antithrombotic;
heparin
_______________ (anti-viral drug) has a low urine solubility and can precipitate within the renal
tubules, causing tubular toxicity and obstruction. - CORRECT ANSWER - Acyclovir
, ________________ is controlled by the biceps brachii and brachialis muscles, which are
innervated by the _________________ nerve. This nerve injury can result from lifting heavy
weights as seen in this case. This injury also impairs forearm __________ and the biceps tendon
reflex. - CORRECT ANSWER - Elbow flexion, musculocutaneous, supination
Local swelling, warmth, tenderness, and erythema with poorly defined margins in combination
with systemic findings (e.g., fever) suggest ______________. - CORRECT ANSWER -
cellulitis
This child presents with acute onset cough and shortness of breath and has unilateral wheezing
and reduced air entry along with hyperlucency of the lung fields, which indicate a
_____________. - CORRECT ANSWER - foreign body aspiration (FBA) with ball-valve
foreign body obstruction.
When foreign body aspiration FBA is suspected, _______________ to remove the foreign body
is the most appropriate next step. - CORRECT ANSWER - bronchoscopy
This patient has characteristic features of a left cerebellopontine tumor, including unilateral
sensorineural hearing loss and tinnitus. The most common brain tumors in this location are
_________________________ which usually arise from Schwann cells in the internal auditory
meatus and may expand into the cerebellopontine angle. - CORRECT ANSWER - acoustic
neuromas (vestibular schwannomas),
Because the esophagogastroduodenoscopy did not find a hemorrhage in the upper GI tract, the
next step in the management of this patient is a______________ - CORRECT ANSWER -
colonoscopy to evaluate the lower GI tract.
__________________ is the most appropriate next step in the management of this patient, who
presents with a 5-mm pulmonary nodule and has no previous x-rays available for comparison -
CORRECT ANSWER - CT scan of the chest
___________ is the most common brain tumor in children and is usually located within the
posterior fossa. Cerebellar compression can cause falls and dysdiadochokinesia, while increased
