MSFinals-6117
As a first-year resident on a surgical rotation, which of the following procedures would necessitate the use of prophylactic antibiotics?
Archives: Medical Student Finals
MSFinals-6118
Which one of the following statements regarding varicoceles is accurate?
MSFinals-6119
A 53-year-old man presents to the emergency department with a 4-day history of left-sided scrotal pain and swelling with associated dysuria and increased frequency. He has had unprotected sexual intercourse with his wife, who uses hormonal contraception and is his only partner. The patient has a past medical history of type 2 diabetes.
On examination, the left hemiscrotum is erythematosus and diffusely swollen. Elevating the testis alleviates the pain.
What would be the most appropriate next step in managing this patient, considering the likely diagnosis?
MSFinals-6120
Mrs. Johnson is a 36-year-old woman who complains of nausea, vomiting, high-pitched bowel sounds, and worsening abdominal pain. She reports a history of abdominal surgery due to a ruptured appendix a few years ago. What is the definitive diagnostic test to determine the cause of her symptoms?
MSFinals-6121
A 32-year-old female patient is experiencing a prolonged postoperative ileus following extensive small bowel resection due to Crohn’s disease. The surgical consultant suspects total intestinal failure as her remaining gut has failed to absorb nutrients. What is the most suitable method of delivering nutrition to this patient?
MSFinals-6122
An elective hernia repair is scheduled for a 70-year-old man who has mild asthma that is managed with a salbutamol inhaler as needed, typically once a week. Despite his asthma, he experiences no restrictions in his daily activities. What would be his ASA (American Society of Anesthesiologists) classification?
MSFinals-6123
A 50-year-old woman attends the pre-operative clinic for evaluation before a cholecystectomy. She has been smoking 20 cigarettes daily for the past 8 years and consumes a high-fat diet despite advice from her GP. The patient is on metformin 1g b.d. for type 2 diabetes and amlodipine 10 mg once a day for hypertension. She claims to check her blood sugar and pressure at least three times a day, and both are well managed on her current medication. Based solely on this information, what ASA classification does this woman belong to?
MSFinals-6124
A 20-year-old man arrives at the emergency department complaining of pain in his right lower quadrant that started from his belly button. The medical team suspects appendicitis and evaluates him for surgery. He has no medical history, drinks approximately 13 units per week, and smokes 5 cigarettes daily. He currently resides with his parents and works as a plumber for 4 days each week. Based on this information, what is his current ASA classification?
MSFinals-6125
A 50-year-old woman presents to the pre-operative clinic for an elective cholecystectomy. She reports feeling well and denies any recent infections or allergies. She has never smoked or consumed alcohol. Physical examination reveals normal vital signs, clear chest sounds, and normal heart sounds. The patients BMI is 34.6. Her capillary refill time is less than 2 seconds and there is no evidence of peripheral edema.
What is the ASA classification for this patient?
MSFinals-6103
An Emergency Department receives a 70-year-old man who slipped on ice and fell backwards, hitting his head on the kerb and landing on his right arm. The patient has a medical history of atrial fibrillation and is currently taking bisoprolol and warfarin. His INR was 2.2 four days ago. There are no visible injuries on his arm or scalp. What is the best course of action for his head injury?