The5surgeon5asks5you5to5first5gently5supinate,5then5gently5pronate5the5operativ
e5wrist5of5a514-
year5old5patient5in5supine5position.5The5operative5extremity5is5positioned5at580
5degrees5to5the5torso.5Which5of5the5following5most5accurately5describes5the5m
ovement5of5the5operative5thumb5(which5direction5it5points)5as5you5carry5out5th
e5instructions?5-5ans-Thumb5inferior,5then5back5to5superior
With5patient5in5the5prone5position,5the5dorsal5roots5of5the5spinal5nerves5are5or
iented:5-5ans-Superficial5to5its5corresponding5ventral5roots
A5choledoco-
duodenostomy5refers5to5the5surgical5anastomosis5of5which5of5the5following5two
5structures:5-5ans-Duodenum5and5common5bile5duct
In5knee5arthroscopy,5the5antero-medial5portal5is5placed:5-5ans-
Proximal5and5anterior5to5the5pet5anserinus,5medial5to5the5patellar5ligament.
Epidural5anesthesia5is5administered:5-5ans-
Into5the5space5between5the5spinal5canal5and5the5dura5mater5covering5the5nerv
e5roots.
The5connective5tissue5between5the5patella5and5the5tibial5tuberosity5in5the5knee
5facilitates5quadriceps5muscle5contraction5across5the5knee5joint.5What5is5the5str
ucture?5-5ans-Patellar5Ligament
The5talus5forms5an5articulation5with5which5of5the5following5lists5of5bones:5-
5ans-Calcaneus,5navicular,5tibia,5and5calcaneus
The5acetabulum,5or5hip5socket,5is5comprised5of5the5fusion5of5which5of5the5thr
ee5bone5chokes5below?5-5ans-Pubis,5ischium,5and5ilium
The5superior5mesenteric5artery5provides5primary5blood5supply5for5which5of5the5
following5structures:5-5ans-Pancreas
The5uterine5artery5is5a5most5commonly5a5direct5branch5of5the:5-5ans-
Internal5iliac5artery
After5what5percent5of5total5blood5volume5may5arterial5pressure5AND5cardiac5ou
tput5begin5to5significantly5(and5precipitously)5drop?5-5ans-More5than5about510%
Putting5a5patient5into5Trendelenberg5position5has5the5effect5of:5-5ans-
Increasing5blood5flow5to5the5brain
A5history5of5crushing5would5to5the5chest,5a5patient5exhibits5the5following5sympt
oms:5low5blood5pressure;5chest5pain5radiating5to5the5neck,5shoulders,5and5bac
k;5trouble5taking5deep5breaths5and5rapid5shallow5breathing.5Which5of5the5follow
, ing5cardio-pulmonary5conditions5may5be5responsible5and5require5urgent5surgery?
5-5ans-Cardiac5Tamponade
Which5of5the5following5may5be5a5cause5of5acute5cyanosis5in5a5patient5underg
oing5a5surgical5procedure:5-5ans-Lower5than5normal5hemoglobin
Direct5inadvertent5stimulation5of5the5Vagus5nerve5during5carotid5endarterectomy
5may5have5which5of5the5following5transient5affects:5-5ans-Bradycardia
A5"foot5drop"5results5from5insufficiency5of5the5extensor5muscles5in5the5foot,5an
d5may5be5caused5by5lumbar5disc5herniation5(damage5to5a5nerve5root5in5the5l
umbar5spine),5or5damage5to/
compression5of5the5_______5nerve5as5it5courses5superficial5to5the5fibular5head.
5-5ans-Peroneal
The5recurrent5laryngeal5nerve5is5a5branch5of5the:5-5ans-Vagus5Nerve
The5anatomic5region5bordered5by5the5cystic5duct,5to5the5common5hepatic5duct,
5and5the5cystic5artery5is5referred5to5as:5-5ans-Calot`s5triangle
The5inferior5mesenteric5artery5serves5as5principal5blood5supply5to5which5of5the
5following5structures:5-5ans-The5Splenic5Flexure5of5the5colon
The5short5gastric5arteries5are5direct5branches5of5which5of5the5following:5-5ans-
Splenic5Artery
Which5of5the5flowing5statements5are5true5regarding5total5thyroidectomy5procedur
es?5-5ans-The5open5approach5generally5utilizes5a5low5transverse5collar5incision
During5total5nephrectomy5and/
or5adrenalectomy,5which5of5the5following5poses5the5greatest5intra-
operative5risk5from5a5systemic5perspective,5during5the5manipulation5of5the5adre
nal5gland?5-5ans-Rapid5blood5pressure5change
Which5of5the5following5are5true5statements5regarding5the5pancreas?5-5ans-
1.5The5pancreas5is5a5mixed5exocrine5and5endocrine5organ
Which5of5the5following5are5true5statements5regarding5the5pancreas?5-5ans-
2.5The5pancreas5lies5in5direct5relation5to5the5portal5vasculature,5the5biliary5tree
,5the5vena5cava,5the5celiac5ganglia,5and5the5spleen5its5vasculature
Which5of5the5following5are5true5statements5regarding5the5pancreas?5-5ans-
3.5Endocrine5and5exocrine5function5are5distributed5throughout5the5head,5neck,5b
ody,5and5tail5sections
e5wrist5of5a514-
year5old5patient5in5supine5position.5The5operative5extremity5is5positioned5at580
5degrees5to5the5torso.5Which5of5the5following5most5accurately5describes5the5m
ovement5of5the5operative5thumb5(which5direction5it5points)5as5you5carry5out5th
e5instructions?5-5ans-Thumb5inferior,5then5back5to5superior
With5patient5in5the5prone5position,5the5dorsal5roots5of5the5spinal5nerves5are5or
iented:5-5ans-Superficial5to5its5corresponding5ventral5roots
A5choledoco-
duodenostomy5refers5to5the5surgical5anastomosis5of5which5of5the5following5two
5structures:5-5ans-Duodenum5and5common5bile5duct
In5knee5arthroscopy,5the5antero-medial5portal5is5placed:5-5ans-
Proximal5and5anterior5to5the5pet5anserinus,5medial5to5the5patellar5ligament.
Epidural5anesthesia5is5administered:5-5ans-
Into5the5space5between5the5spinal5canal5and5the5dura5mater5covering5the5nerv
e5roots.
The5connective5tissue5between5the5patella5and5the5tibial5tuberosity5in5the5knee
5facilitates5quadriceps5muscle5contraction5across5the5knee5joint.5What5is5the5str
ucture?5-5ans-Patellar5Ligament
The5talus5forms5an5articulation5with5which5of5the5following5lists5of5bones:5-
5ans-Calcaneus,5navicular,5tibia,5and5calcaneus
The5acetabulum,5or5hip5socket,5is5comprised5of5the5fusion5of5which5of5the5thr
ee5bone5chokes5below?5-5ans-Pubis,5ischium,5and5ilium
The5superior5mesenteric5artery5provides5primary5blood5supply5for5which5of5the5
following5structures:5-5ans-Pancreas
The5uterine5artery5is5a5most5commonly5a5direct5branch5of5the:5-5ans-
Internal5iliac5artery
After5what5percent5of5total5blood5volume5may5arterial5pressure5AND5cardiac5ou
tput5begin5to5significantly5(and5precipitously)5drop?5-5ans-More5than5about510%
Putting5a5patient5into5Trendelenberg5position5has5the5effect5of:5-5ans-
Increasing5blood5flow5to5the5brain
A5history5of5crushing5would5to5the5chest,5a5patient5exhibits5the5following5sympt
oms:5low5blood5pressure;5chest5pain5radiating5to5the5neck,5shoulders,5and5bac
k;5trouble5taking5deep5breaths5and5rapid5shallow5breathing.5Which5of5the5follow
, ing5cardio-pulmonary5conditions5may5be5responsible5and5require5urgent5surgery?
5-5ans-Cardiac5Tamponade
Which5of5the5following5may5be5a5cause5of5acute5cyanosis5in5a5patient5underg
oing5a5surgical5procedure:5-5ans-Lower5than5normal5hemoglobin
Direct5inadvertent5stimulation5of5the5Vagus5nerve5during5carotid5endarterectomy
5may5have5which5of5the5following5transient5affects:5-5ans-Bradycardia
A5"foot5drop"5results5from5insufficiency5of5the5extensor5muscles5in5the5foot,5an
d5may5be5caused5by5lumbar5disc5herniation5(damage5to5a5nerve5root5in5the5l
umbar5spine),5or5damage5to/
compression5of5the5_______5nerve5as5it5courses5superficial5to5the5fibular5head.
5-5ans-Peroneal
The5recurrent5laryngeal5nerve5is5a5branch5of5the:5-5ans-Vagus5Nerve
The5anatomic5region5bordered5by5the5cystic5duct,5to5the5common5hepatic5duct,
5and5the5cystic5artery5is5referred5to5as:5-5ans-Calot`s5triangle
The5inferior5mesenteric5artery5serves5as5principal5blood5supply5to5which5of5the
5following5structures:5-5ans-The5Splenic5Flexure5of5the5colon
The5short5gastric5arteries5are5direct5branches5of5which5of5the5following:5-5ans-
Splenic5Artery
Which5of5the5flowing5statements5are5true5regarding5total5thyroidectomy5procedur
es?5-5ans-The5open5approach5generally5utilizes5a5low5transverse5collar5incision
During5total5nephrectomy5and/
or5adrenalectomy,5which5of5the5following5poses5the5greatest5intra-
operative5risk5from5a5systemic5perspective,5during5the5manipulation5of5the5adre
nal5gland?5-5ans-Rapid5blood5pressure5change
Which5of5the5following5are5true5statements5regarding5the5pancreas?5-5ans-
1.5The5pancreas5is5a5mixed5exocrine5and5endocrine5organ
Which5of5the5following5are5true5statements5regarding5the5pancreas?5-5ans-
2.5The5pancreas5lies5in5direct5relation5to5the5portal5vasculature,5the5biliary5tree
,5the5vena5cava,5the5celiac5ganglia,5and5the5spleen5its5vasculature
Which5of5the5following5are5true5statements5regarding5the5pancreas?5-5ans-
3.5Endocrine5and5exocrine5function5are5distributed5throughout5the5head,5neck,5b
ody,5and5tail5sections
