51- 100 surgery.docx

Surgery Pre- Test 1. Which of the following is the BEST indication of adequacy of perfusion by a heart valve achine! ". #enous o$ygen saturation B. "rterial o$ygen saturation %. "rterial Pco& '. (rine output &. What is the noral pressure in the left atriu! ". )-* +g B. ,-1) +g %. 11-1* +g '. 1,-&) +g . Which of the following will BEST evaluate left atrial dilatation with itral stenosis! ". eft lateral oblique view on %/0 B. Echocardiography %. Posteroanterior view on %/0 '. Electrocardiogra . Which of the following will 23T produce a forceful 4 bounding pulse! ". Patent ductus arteriosus B. +yperthyroidis %. "ortic stenosis '. "ortic insu5ciency *. The pulse is sall in all of the following6 E/%EPT7 ". 8itral stenosis B. 8yocardial dilatation %. Pericardial e9usion '. Syphilis ,. Which of the following is the 83ST coon coplication of patent ductus arteriosus! ". +eart failure B. Pulonary hypertension %. Pulonary incopetence '. Bacterial endocarditis :. Which of the following is a characteristic feature of patent ductus arteriosus! ". %ontinuous urur at the &nd left intercostal space B. Pansystolic urur along the left sternal border %. Proinent pulonary conus on %/0 '. Streptococcus viridans endocarditis ;. What is the 8"<2 indication for surgery in pulonary stenosis! ". #alve gradient =*) +g B. 0ight ventricular pressure =:* +g %. 0ight ventricular hypertrophy on E%> '. #alve diaeter ?1 c @. Which of the following refers to a low atrial septal defect associated with a cleft in the anterior leaAet of the itral valve! ". 3stiu priu defect B. Sinus venosus defect %. Patent foraen ovale '. Secundu defect 1). What is the 83ST coon type of ventricular septal defect! ". eft ventricular-right atrial defect B. 8ebranous septal defect %. Posterior septal defect '. ow uscular defect

11. " 1-year old child is found to have posterior ebranous #S'. The pulonary resistance is ) that of the systeic. The ne$t BEST thing to do is to7 ". 3bserve the child since #S's close spontaneously B. 0epair iediately as an eergency %. 0epair electively at age 1) '. 0epair electively before ages -, years 1&. What is the 8"C30 deterinant of operability in ventricular septal defect! ". "ge of patient B. Pulonary vascular resistance %. SiDe of #S' '. Pulonary artery pressure 1. Which of the following will BEST distinguish the urur associated with tricuspid valve disease fro that of itral valve disease! ". Tie relationship to that of the carotid pulse B. E$ercise %. E$aination of the ugular pulse '. 0esponse to deep inspiration 1. Which of the following will 23T characteriDe Tetralogy of Fallot! ". 'e$troposition of the aorta B. 0ight ventricular hypertrophy %. Pulonary stenosis '.
&1. " pulonary ebolus is 83ST liHely to develop after a throbus in the7 ". ong saphenous vein

B. Popliteal veins %. Feoral veins '.
1. Which of the following is 23T an appropriate treatent of phlegasia cerulea dolens in a patient  days after hysterectoy! ". Bed rest 4 elevation B. Systeic hepariniDation

%. #enous throbectoy '. ocal uroHinase infusion &. What is the percentage chance of lib-threatening gangrene developing in untreated interittent claudication! ". ?&) B. ) %. * '. ,) . Which of the following stateents is T0(E regarding throboangiitis obliterans KBurgerIs diseaseL! ". 3ccurs ainly in elderly ales B. iant cell arteritis in the elderly is associated with all of the following6 E/%EPT7 ". StroHe B. SeiDures

%. Blindness '. Elevated ES0 &. " ,-year old ale has had a cyanotic painful left th toe for & days. The peripheral arteries on both sides are patent. There is no previous history of cardiac or vascular disease.  The 83ST liHely diagnosis is7 ". 'igital ebolus B. 'igital atherosclerosis %. 0aynaudIs syndroe '. "theroebolis . Which of the following is a sign of satisfactory arterial Aow! ". Bradycardia on copressing the feoral artery B.
%. 8ultiple eboli '. 0ecurrent pneuonia *&. Which of the following stateents is 23T true regarding atrial septal defect! ". The shunt is fro left to right B. The ost coon secundu defect occurs at the idpoint of the septu %. %yanosis is present '.
%. BurgerIs disease '. "rteriovenus aneurys ,.
%. Both '. 2either :. (nilateral 0aynaudIs features should aHe one suspect the possibility of an obstructive lesion such as7 ". %ervical rib B. %arotid body tuors %. Both '. 2either :*. Which of the following is usually located at the carotid bifurcation! ". %arotid artery aneurys B. %arotid artery atherosclerosis %. Both '. 2either :,. Which of the following is characteriDed by cerebral infarction! ". %ervical rib B. %arotid body tuors %. Both '. 2either ::. Which of the following stateents is T0(E regarding Tetralogy of Fallot! ". %lubbing is coonly encountered B. The E%> is usually noral %. %oarctation of the aorta is seen in =*) '.
;. The uncertainty of brain daage after cardiac arrest is treated by7 ". 8aintaining the body teperature below ; O% B. +igh dose corticosteroids %. <# idocaine for cardiac irregularities '. "ll of the above

;. Which of the following stateents is T0(E regarding coronary artery bypass grafts! ". 0esults in ;-1) ortality B. 0esults in 1* of grafts becoing occluded within 1& onths %. "re particularly indicated if %+F is present '. 0esults in ?*) survival after * years ;*. The 83ST coon location of a cardiac y$oa is in the7 ". eft ventricle B. 0ight ventricle %. 0ight atriu '. eft atriu ;,. Tetralogy of Fallot7 ". "ccounts for the aority of children with cyanosis who reach & years old B. 0esults in a right to left shunt %. 'oes not always have syptos '. angrene of the toe always requires urgent below-Hnee or above Hnee aputation %. "rterial reconstruction is frequently required '. Tropic ulcers are sharply dearcated @. Which of the following stateents is T0(E regarding trauatic thoracic aneuryss! ". "rise ainly in the descending aorta at the level below the site of the ligaentu arteriosu6 lower border of the th thoracic vertebra. B. 8ainly results fro Hnife inuries %. %arry the possibility that recurrent laryngeal nerve inury ay occur during repair '. "ll of the above

@*. Which of the following stateents is T0(E regarding priary lyphedea of the lower e$treity! ". 8ay be present at birth and in older individuals ay be due to varicose veins B.