MCQ Collection
Surgical Clinical Reasoning MCQs
Practice Surgical Clinical Reasoning questions with answers and explanations.
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Correct Answer: A. A full-thickness breach of bowel that may release contents into the peritoneal cavity.
Explanation:
Intestinal perforation is a full-thickness breach of bowel that may release contents into the peritoneal cavity.
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Correct Answer: C. A rapidly progressive infection causing fascial and tissue necrosis and requiring urgent surgery.
Explanation:
Necrotising soft-tissue infection is a rapidly progressive infection causing fascial and tissue necrosis and requiring urgent surgery.
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Correct Answer: D. Surgical removal of part or all of the thyroid gland.
Explanation:
Thyroidectomy is surgical removal of part or all of the thyroid gland.
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Correct Answer: C. Surgical removal of the spleen, increasing long-term risk from encapsulated bacteria.
Explanation:
Splenectomy is surgical removal of the spleen, increasing long-term risk from encapsulated bacteria.
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Correct Answer: C. Abbreviated surgery to control bleeding and contamination in a physiologically unstable trauma patient.
Explanation:
Damage-control surgery is abbreviated surgery to control bleeding and contamination in a physiologically unstable trauma patient.
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Correct Answer: C. Systematic evaluation of surgical risk, comorbidity, medicines, airway and planned procedure.
Explanation:
Preoperative assessment is systematic evaluation of surgical risk, comorbidity, medicines, airway and planned procedure.
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Correct Answer: C. Collapse of alveoli after surgery, promoted by pain, shallow breathing and immobility.
Explanation:
Postoperative atelectasis is collapse of alveoli after surgery, promoted by pain, shallow breathing and immobility.
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Correct Answer: C. Mechanical or pharmacological measures used to reduce perioperative venous thromboembolism.
Explanation:
Deep-vein thrombosis prophylaxis is mechanical or pharmacological measures used to reduce perioperative venous thromboembolism.
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Correct Answer: D. Circulatory failure caused by acute blood loss and inadequate tissue perfusion.
Explanation:
Haemorrhagic shock is circulatory failure caused by acute blood loss and inadequate tissue perfusion.
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Correct Answer: B. Progressive pressurised pleural air causing respiratory compromise and obstructive shock.
Explanation:
Tension pneumothorax is progressive pressurised pleural air causing respiratory compromise and obstructive shock.
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Correct Answer: A. Inflammation of the appendix often producing migratory right-lower-quadrant pain.
Explanation:
Acute appendicitis is inflammation of the appendix often producing migratory right-lower-quadrant pain.
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Correct Answer: D. Mechanical or functional blockage causing pain, vomiting, distension and reduced passage of stool or flatus.
Explanation:
Small-bowel obstruction is mechanical or functional blockage causing pain, vomiting, distension and reduced passage of stool or flatus.
