FEU-NRMFMEDI CALCENTER

DEPARTMENTOFSURGERY
SURGERY2A
nd
2 Pr el
iminar
yExam

CHOOSETHEBESTANSWER:

1.Whati
sthecentralcomponentofshock?
A.Hy potensi
on
B.Sy st
emi cinf
lammat or
yresponsesy
ndr
ome
C.Mul t
ipleorganf ai
l
ure
D.Decr easedtissueperf
usi
on

2.A60y ear s-oldfemalecomestot hehospi

talduetoor
thostat
ichypotensi
on.Histor
y
revealst hatt hepati
enthasesophagealstr
ict
ureduetocausti
cingesti
on.Therewas
decr easei nf oodint
akeforabout1mont hnow.Physi
calexaminati
onr ev
ealsblood
pressur eof80/ 60mmHg, CR=110bpm, bi
pedaledemaandabdomi nalenlar
gementwit
h
fl
uidwav e.Whati sthet
ypeofshock?
A.Hy pov ol
emic
B.Vasogeni c
C.Obst ruct
ive
D.Neur ogenic

3.Whati
sthecl
assofhemor
rhagi
cshocki
npat
ientwi
thobt
undat
ion?
A.I
B.II
C.III
D.IV

4.Whatisthecl
assofhemorrhagi
cshocki
na28-year
-ol
dmalewholostabout700ccof
bl
oodfrom t
hepulsat
ingr
adialar
ter
yaft
erhecut
shimsel
finawri
stwithauseofa
bl
ade?
A.I
B.II
C.III
D.IV

5.A50-year-ol
dmalewasbroughttotheemer gencyr oom duet ostabwoundatt he
anter
iorabdomen.Physi
calexaminati
onrevealsbloodpr essureof80/50mmHg, CRof
120bpm andRRof12bpm.Howmuchper centbloodl osscouldhav ehappenedtohim?
A.25
B.35
C.45
D.55
6.A50-year-ol
d,mal
e,wasbroughtt
ot heemer gencyr oom duetoagunshotwoundatt he
upperthi
ghar ear
esul
ti
ngtobloodloss.Wit
ht hebloodpr essureof70/ 50mmHg, CRof
130bpm, andRRof22bpm, howwi l
lyoumanaget hef l
uidresuscit
ati
onofthispati
ent?
 A.I
nser
t1I
Vli
neandtr
ansfuse1li
terofcr
ystal
loi
dflui
dfastdri
p
B.I
nser
t1I
Vli
neandtr
ansfuse1wholebloodfastdri
p
C.I
nser
t2I
Vli
nesandtr
ansfuse2li
ter
sofcrystal
loi
dflui
dfastdri
p
D.I
nser
t2I
Vli
nesandtr
ansfuse2wholebloodfastdri
p

7.I
ntheABCDEofi ni
ti
almanagementoft
raumapat
ient
,whati
sthemeani
ngofD?
A.Diagnostics
B.Dissecti
on
C.MedicationDeli
very
D.NeurologicDefi
cit

8.Whati
stherati
onalebehindthe“DamageCont rolResusci
tat
ion”
?
A.Repairalldamagedt i
ssuetopreventre-
operati
on
B.Cont r
olongoingbleedingtoi
mprov ecir
culat
ion
C.Pr ev
entreperfusi
oninjur
ytoprev
entf ur
therti
ssuedamage
D.Opt i
mizepatienttonormalst
atepriortosurgerytohavebet
terchanceofsur
viv
al.

9.I
ncasey
oudonat edbloodfortr
ansfusi
onamount
ing1bagofpackedRBC,
whatwoul
d
bet
heef
fectofthebloodlossinyoursyst
em?
A.Nor malheartr
ate
B.Orthostat
ichypotensi
on
C.Youbecomeanxi ous
D.Hy pot
ensionevenonsi t
ti
ng

10.Whati
sthefir
stlineagentf
orsept
icshock?
A.Epinephr i
ne
B.Nor epinephri
ne
C.Dobut ami ne
D.Dopami ne

11.A21-y
ear-ol
d,male,
motorcy
cledr
iversust
ainsclosedheadi
njur
y.Inthi
ski
ndofpati
ent
,
f
lui
dresusci
tat
ionshoul
daimtomai nt
ainasystoli
cbloodpr
essureatwhatl
evel
(in
mmHg) ?
A.80
B.90
C.110
D.140

12.Whati
sther
ati
onaleforpermissi
vehypotensi
on?
A.Topreventreper
fusioninj
ury
B.Topreventpoppingofbloodclot
C.Topreventcir
culati
onofforei
gnmat er
ial
int
hebl
oodst
ream
D.Topreventcoagulopathy

13.Whi
choft
hefol
lowi
ngi snotatypeofv
asodi
l
ator
yshock?
A.Carbonmonoxidepoisoni
ng
B.Hypoxi
clact
icacidosi
s
 C.Post
car
diot
omyshock
D.Pul
monaryembol
i
sm

14.Whi
cht
ypeofshocki st
hef
inal
commonpat
hwayf
orpr
ofoundandpr
olongedshock?
A.Vasodil
atory
B.Neurogenic
C.Cardi
ogenic
D.Hypovolemic

15.I
nwhatt
ypeofshockshoul
dst
archbasedcol
l
oidsol
uti
onbeav
oided?
A.Septi
c
B.Hypovol
emic
C.Cardi
ogenic
D.Traumati
c

16.Whi
choft
hefollowi
ngt
ypesofshockwi
l
lgi
vey
ouel
evat
edcent
ral
venouspr
essur
e?
A.Hypovolemic
B.Vasodil
atory
C.Obstr
uctive
D.Septi
c

17.Forpat
ientwit
hsepticshock, t
hefoll
owingshouldbecompl
etedi
n3hour
s,EXCEPT:
A.Measur ecentr
alvenouspr essur
e
B.Measur elact
atelevel
C.Obt ai
nbloodcult
ur epri
ortogivi
nganti
bioti
c
D.St ar
tbroadspectrum anti
biot
ic

18.Thefol
l
owingarehemody namiccri
teri
aforcardi
ogeni
cshock,
EXCEPT:
A.Reducedcardiaci
ndex
B.Elev
atedsystemicvascul
arresi
stance
C.Sustai
nedhypotensi
on
D.Elev
atedpulmonaryarter
ywedgepr essur
e

19.Whi
chmedi
cationisgener
all
ygi
vent
oresi
stantcar
diogeni
cshock?
A.Amniodarone
B.Amrinone
C.Dobutamine
D.Dopamine

20.Whati
sthemostcommoncauseofobst ructiv
eshock?
A.Obst r
ucti
onofl ef
tmaincoronaryarterycausingmyocardial
inf
arct
ion
B.Embol usfrom deepvenousthrombosi scausingpul
monar yemboli
sm
C.Tr aumati
cinj
urytotheheartcausingcar diact
amponade
D.Tr aumati
cinj
urytothelungcausingt ensionpneumothorax

21.Whi
choft
hef
oll
owingar
ecomponentsofBeck’
str
iad?
A.Neckv
einengor
gement
,decr
easedbreat
hsounds,
hypot
ensi
on
 B.Decr
easedbr
eathsounds,muffl
edheartsounds,hypotensi
on
C.Neckvei
nengor
gement,muf f
ledhear
tsound,hypotension
D.Decr
easedbr
eathsound,neckvei
nengorgement, muff
ledheartsounds

22.A25-year-
oldmal ecomesi ntheemergencyroom duetostabwoundattherght5thI
i CS
anter
ioraxi
ll
aryli
ne?Pat i
enthasbloodpressureof70mmHgpal pat
ory,
CRof110bpm,
RRof32bpm, withdiff
icul
tyofbreat
hing,di
stendedneckv
einsanddecr
easedbreath
soundsont heri
ght.Whatwi l
lyoudonext?
A.Per i
cadiocentesis
B.ChestX- ray
C.ECG
D.Tubet horacostomy

23.A23- year
-old,female,wasbroughttot
heemer gencyroom duetof al
l
.Thepati
enthas
deformedbackbone, quadri
plegia,
war
m extr
emi t
iesandX-rayreveal
sfract
ureof1st
thoracicvert
ebr a.Whatist
hedr ugoff
ir
stchoi
cef ort
hispatient
?
A.Dopami ne
B.Dobut ami ne
C.Pheny lephri
ne
D.Nor epinephri
ne

24.An18- y
ear-
old,mal e,comesi ntoy ourcl
ini
cduetoagunshotwoundatt he3rdI
CS
anter
ioraxi
ll
arylineleft.Hisbloodpressureis70pal
pator
y,wit
hdy spneaanddecr
eased
breat
hsoundont helef
t .I
fyourplanistodoneedli
ng,wherewil
lyouputthelar
gebore
needl
e?
A.Att hegunshotwoundsi te
nd
B.Att he2 I CSmi dcl
avi
cularli
ne
C.Att he5thI CSmi dclavi
cularl
ine
D.Att he7thI CSmi daxill
aryli
ne

25.A22-year-
oldfemalestabshersel
fatthecardiacarea.Shewasbr oughttot
heERwher e
physi
calexaminati
onrev eal
sabloodpressureof60mmHgpal patory
,CRof130bpm
butbarel
yaudibl
e,RRof14bpm andwi thneckv ei
ndistensi
on.Whati st
hebestt
hing
thaty
ouwoul ddotodi agnoseherandforyout osaveherimmedi atel
y?
A.Per i
cardi
ocentesis
B.Chestx- r
ay
C.12- LECG
D.Per i
cardi
alwindow

26.Whi
chofthefollowi
ngstatement
si sTRUEaboutKoch’ spost ul
ate?
A.Thesuspect edpathogeni
cor ganism shouldbepr esenti
nal lcasesoft
he
diseaseandpr esentf
rom healthyanimals
B.Thesuspect edpathogenshouldbei solatedf
rom adi seasedhostandgr ownina
purecul t
ureinvit
ro
C.Cellsfrom apurecult
ureofthesuspect edorganism shouldnotcausedi seasei
n
aheal t
hyanimal
D.Theor ganism shoul
dnotber eisolat
edf r
om thenewl ydiseasedanimaland
shownt obethesameast heor igi
nal
27.Whi
chofthefol
lowinghasthemostnumberofmi
crobes?
A.Orophary nx
B.Urogenital
C.Distalr
espirat
oryt
ract
D.Bil
iarytr
act

28.HowmanyCFU/
gm ofmi
crobesi
spr
esenti
nthet
ermi
nal
il
eum?
A.102
B.103
C.104
D.105

29.Whi
chofthefoll
owi ngi
spresenti
nthecel
lwal
lofgr
am negat
iveor
gani
sms?
A.Lipopolysacchar
ide
B.Peptidoglycan
C.Teichoicacid
D.Mannan

30.Whi
choft
hefoll
owingi
sanexampl eofpri
maryperi
toni
ti
s?
A.Acuteappendi
citi
s
B.Perf
orat
edcolonicdiver
ti
culi
ti
s
C.Pati
enttr
eatedforrenalf
ail
urevi
aperi
tonealdi
aly
sis
D.Perf
orat
edpepticulcerdi
sease

31.Whi
choft
hef oll
owingi sthemostcommonaer
obi
cbact
eri
ainpy
ogeni
cli
verabscess?
A.Fusobact r
eri
um sp
B.Escherichiacoli
C.Candidaal bi
cans
D.Bacteroidesfragil
i
s

32.I
nasymptomati
cindi
vi
dualshav
inguri
naryt
racti
nfect
ion,
howmanymi
crobesi
n
CFU/mLshoul
dbeident
if
iedinthecul
tur
e?
A.>102
B.>103
C.>104
D.>105

33.Whichofthefoll
owingorgansy
stem i
sNOTi
ncl
udedi
ntheSequent
ial
OrganFai
l
ure
Assessmentscoring?
A.Neur ol
ogic
B.Endocr i
ne
C.Car di
ovascular
D.Coagul at
ion

34.A72-year
-old,femal
e,arr
ivesattheemer
gencyroom wit
hperf
orat
edpept
icul
cer
di
seasehasbl oodpressur
eof80/ 50mmHg, CR=110bpm, RR=26cpm.Usingt
he
qui
ckSOFA, whatot
herparameterdoyouneedtoassess?
A.GCS=11
B.Bili
rubin=11mcmol /L
C.Creat i
nine=110mcmol /
L
 D.Pl
at etcount=100x103/
el mm3

35..Whi
choft
hef ol
lowi ngi
sacomponentofSI
RS?
A.Heartrate=97bpm
B.Respir
ator yrate=16cpm
C.Temper ature37C
D.WBC=8x109/ L

36.Whatpr
ophyl
acticant
ibi
oti
cisusei
nher
niasur
ger
y?
A.Ceftr
iaxone
B.Cefazolin
C.Cefuroxime
D.Cefotetan

37.Whi
chofthefoll
owi ngisagr am negat
iveaer
obi
cbaci
l
li
?
A.Clostri
dium perfr
ingens
B.Enterococcusf aecali
s
C.Proteusmi rabil
is
D.Bacteroidesf r
agil
is

38.Howmanyday
sshoul
danempi
ri
cant
ibi
oti
cther
apybegi
ven?
A.1-2
B.3-5
C.6-7
D.8-10

39.Howmanyday
sshoul
dapat
ientsuf
fer
ingf
rom pneumoni
abegi
venant
ibi
oti
cs?
A.1-3
B.3-5
C.7-8
D.7-14

40.I
na70Kgpat i
entsuf
fer
ingf
rom sepsi
s,howmuchf
lui
dinmLshoul
dbegi
veni
nthe
f
ir
st3hours?
A.2000
B.2100
C.2200
D.2300

41.I
ntheSurviv
ingSepsi sCampai
gnGui
del
i
ne,
whati
sthef
ir
stagentofchoi
cewhen
i
nit
iat
ingi
notropictherapy
?
A.Norepi nephri
ne
B.Epinephr i
ne
C.Dopami ne
D.Dobut ami ne

42.Whichofthef ol
l
owingsituat
ionswil
lestabl
i
shadiagnosi
sofpneumoni
ainapat
ienton
pr
olongedint ubati
on?
A.Pur ulentsputum andconsol
idati
ononchestX-ray
B.Fev erandconsol i
dati
ononchestX- r
ay
C.Elev atedleukocy
tecount,f
ever,andconsol
i
dati
ononchestX-
ray
 D.Pur
ulentsput
um,
elev
atedl
eukocy
tecountandf
ever

43.Whatisthef
ir
sti
ntr
a-abdomi
nal
oper
ati
ont
hatwasusedt
otr
eati
nfect
ionv
ia“
sour
ce
cont
rol
”?

A.Appendect
omy

B.Chol
ecy
stect
omy

C.Spl
enect
omy

D.Pancr
eat
ect
omy

44.Whati
sthecl
assi
fi
cat
ionofwoundi
nper
for
atedcol
oni
cdi
ver
ti
cul
i
tis?
A.I
B.II
C.III
D.IV

45.Whi
chofthef
ollowi
ngi sal
ocal
riskf
act
orf
ort
hedev
elopmentofsur
gical
sit
einf
ect
ion?
A.Smoking
B.Bloodtransf
usion
C.Toxinsecret
ion
D.Radiat
iontherapy

46.Whi
chofthef ol
lowinganti
biot
icsi
sanAmi
nogl
ycosi
de?
A.Ampi cill
in-
Sulbact
am
B.Gent amy ci
n
C.Ciprofloxaci
n
D.Erythromy ci
n

47.Whatbacteri
aisisolat
edi
fGr
am St
ainr
epor
tanor
gani
sm t
hati
sar
rangedi
nchai
nsand
st
ainsbl
ue?
A.Staphy l
ococcus
B.Streptococcus
C.Diplococcus
D.Escher i
chi
acoli

48.Whi
choft
hef ol
lowingstatementsisTRUEr egar
dingext
endedspect
rum bet
a
l
act
amaseorganisms?
A.Usuall
yseeni nresist
antstrai
nsofStaphyl
ococcus
B.Organism isresi
stanttoCefuroxi
me
C.Organism isresi
stanttoCeftr
iaxone
D.Anti
bioti
cofchoi ceisImipenem

49.Whatistheav
erager
isk(
inper
cent
)ofHI
Vser
oconv
ersi
onf
rom mucousmembr
ane
exposur
e?
 A.0.
09

B.0.
18

C.0.
30

D.0.
50

50.Int
heSurviv
ingSepsi
sCampai gnBundl
es,
obtaini
ngbloodcul
tur
espr
iorto
admini
str
ati
onofanti
biot
icshouldbecomplet
edwithi
nhowmanyhour s?
A.3
B.6
C.9
D.12

51.Whati
sthef
ir
stcel
l
sthati
nfi
l
trat
ethewoundsi
te?
A.PMNs
B.Macr
ophages
C.Tl
ymphocy
tes
D.Bl
ymphocy
tes

52.Whati
smostpi
vot
alf
unct
ionofmacr
ophage?
A.Act
ivat
ionandr
ecr
uit
mentofot
hercel
l
s
B.Debr
idementandphagocy
tosi
s
C.Mat
ri
xSy
nthesi
s
D.Angi
ogenesi
s

53.Presenceoft
hesecel
l
sbr
idgest
het
ransi
ti
onf
rom i
nfl
ammat
oryt
othepr
oli
fer
ati
ve
phaseofheal
i
ng:
A.PMN’
s
B.Macr
ophages
C.Tl
ymphocy
tes
D.Bl
ymphocy
tes
54.Whati
sthest
rongestchemot
act
icf
act
orf
orf
ibr
obl
ast
?
A.Epi
der
mal
Growt
hFact
or
B.Fi
brobl
astGr
owt
hFact
or
C.I
nter
leuki
n–6
D.Pl
atel
etDer
ivedGr
owt
hFact
or

55.Whi
cht
ypeofcol
l
ageni
simpor
tantf
orwoundheal
i
ng?
A.I
B.I
V
C.X
D.XI

56.Whati
sthemaj
orcel
lresponsi
blef
orwoundcont
ract
ion?
A.Endot
hel
i
alCel
l
s
B.Fi
brobl
ast
C.My
ofi
brobl
ast
D.Act
inf
iber

57.Pati
entswi
tht
hin,
fri
abl
eskinwithprominentv
eins,
easybrui
sing,poorwoundheali
ng,
atr
ophi
cscarf
ormati
on,recur
rentherni
asandhyperext
ensi
blejoi
ntsismostl
ikel
y
suff
eri
ngfr
om:
A.Acr
oder
mat
it
isent
eropat
hica
B.Ehl
ers–Danl
ossy
ndr
ome
C.Epi
der
mol
ysi
sbul
l
osa
D.Mar
fansy
ndr
ome

58.Tall
statur
e,ar
achnodact
yly
,laxl
igaments,
myopi
a,scoli
osi
s,pect
usexcavat
um and
aneury
sm oftheascendi
ngaortaareseenmostl
i
kelyinpat
ientsdi
agnosedwit
h:
A.Acr
oder
mat
it
isent
eropat
hica
B.Ehl
ers–Danl
ossy
ndr
ome
C.Epder
mol
ysi
sbul
l
osa
 D.Mar
fansy
ndr
ome

59.Whichamongt hefoll
owingconnecti
veti
ssuedisor
der
smanifestwi
thi
mpair
menti
n
ti
ssueadhesi
onwi t
hintheepider
mis,basementmembrane,
ordermisr
esul
ti
ngi
nti
ssue
separ
ati
onandbl i
ster
ingwit
hmi nimaltr
auma?
A.Acr
oder
mat
it
isent
eropat
hica
B.Ehl
ers–Danl
ossy
ndr
ome
C.Epder
mol
ysi
sbul
l
osa
D.Mar
fansy
ndr
ome

60.Whichofthefol
lowi
ngcondi
ti
onsisseenina15-month-ol
dpati
entwhowasbroughtto
t
heemer gencyr
oom duetoextr
emetendernessovert
herightt
highduet
ocomplete
f
ractur
eofthefemurevenwit
hnosignif
icantt
raumainvol
ved?
A.Acr
oder
mat
it
isent
eropat
hica
B.Ehl
ers–Danl
ossy
ndr
ome
C.Epder
mol
ysi
sbul
l
osa
D.Ost
eogenesi
simper
fect
a

61.Whichofthefoll
owingcondit
ionsi
sseenina15-mont
h-ol
dpatientwhowasbroughtt
o
thehospi
talbecauseofer
ythematouspust
ularder
mat
it
isaroundtheper
ineum and
butt
ocks?
A.Acr
oder
mat
it
isent
eropat
hica
B.Ehl
ers–Danl
ossy
ndr
ome
C.Epder
mol
ysi
sbul
l
osa
D.Mar
fansy
ndr
ome

62.Whichamongt
hef
oll
owi
ngst
atement
sisTRUEr
egar
dinggast
roi
ntest
inal
tractwound
heal
ing?
A.Commensal
bact
eri
arar
elycausepr
obl
ems
B.Ser
osal
lay
eri
mpar
tst
hegr
eat
estsut
urehol
dingcapaci
ty
C.Submucosal
lay
eri
sessent
ial
forachi
evi
ngawat
ert
ightseal
D.Ther
eisasi
gni
fi
cantdecr
easei
nmar
ginal
str
engt
hdur
ingt
hef
ir
stweek
63.Whi
chamongthefol
lowi
ngt
ypesofner
vei
njur
ydoesNOTunder
got
hepr
ocessof
Wal
l
eri
andegener
ati
on?
A.Axonot
mesi
s
B.Neur
opr
axi
a
C.Neur
otmesi
s
D.Compl
etet
ransect
ion

64.Whi
chamongt hefol
l
owingwouldmostl
i
kel
ybenef
itwoundheal
i
ngbyi
ncr
easi
ngt
he
l
abi
l
ityofl
ysosomalmembranes?
A.I
oni
zi
ngr
adi
ati
on
B.Vi
tami
nA
C.Vi
tami
nC
D.Zi
nc

65.Whati
sther
ecommendedant
imi
crobi
alst
obegi
venpr
iort
oanOr
thopedi
cpr
ocedur
e?
A.Ampi
cil
l
in-Sul
bact
am
B.Cef
azol
i
n
C.Cephal
exi
n
D.Tr
imet
hopr
im -sul
famet
hoxazol
e

66.Whati
stheaggr
essi
veul
cer
ati
ngsquamouscel
lcar
cinomapresent
ingi
nanar
eaof
pr
evi
ousl
ytr
aumati
zedandchr
oni
cal
lyi
nfl
amedorscarredski
n?
A.Char
cot
’sul
cer
B.Decubi
tusul
cer
C.Li
poder
mascl
erosi
s
D.Mar
jol
i
n’sul
cer

67.Whichofthefol
lowi
ngcondi
ti
onstypi
call
ydev
elopsduet
oexcessi
vepr
essurethat
causescapi
ll
arycol
l
apseandimpedesthedel
iver
yofnut
ri
ent
stobodyt
issues?
A.Char
cot
’sul
cer
 B.Decubi
tusul
cer
C.Li
poder
mascl
erosi
s
D.Mar
jol
i
n’sul
cer

68.Whatistheresult
ingbrownishpi
gmentati
onofski
nwithlossofsubcutaneousfati
n
pati
entwit
hv enoushypert
ensionandcapi
ll
arydamagethatleadtoext
ravasat
ionof
hemoglobi
n,inwhi cht
heproductsoft
hebreakdownareirr
it
atingandmaycause
prur
it
usandski ndamage?
A.Char
cot
’sul
cer
B.Decubi
tusul
cer
C.Li
poder
mascl
erosi
s
D.Mar
jol
i
n’sul
cer

69.Whati
sthemostcommonl
ocat
ionofv
enousst
asi
sul
cer
s?
A.Fi
nger
sandt
oes
B.Heel
C.Medi
almal
l
eol
us
D.Pr
omi
nentar
eassubj
ect
edt
oexcessi
vepr
essur
e

70.Whi
chamongt
hef
oll
owi
ngi
sthecor
ner
stoneoft
reat
mentf
orv
enousul
cer
s?
A.Compr
essi
on
B.Debr
idement
C.Hy
drocol
l
oiddr
essi
ng
D.Tot
alcont
actcast
ing

71.Whi
chamongt
hef
oll
owi
ngst
atement
sisTRUEr
egar
dinghy
per
trophi
cscar
?
A.Commoni
ntheneck,
chest
,ear
lobes,
shoul
der
sandupperback
B.Hy
pocel
l
ular
,thi
ck,
wav
ycol
l
agenf
iber
sinr
andom or
ient
ati
on
C.Mayappeary
ear
saf
tert
hei
njur
y
D.Rai
sed,
prur
it
ic,
andst
ayswi
thi
ntheconf
inesoft
hewound
72.Whi
choft
hef
oll
owi
ngi
srecommendasf
ir
st-
li
net
reat
mentf
orkel
oids?
A.St
eroi
d
B.Chemot
her
apy
C.Zi
ncsuppl
ement
ati
on
D.Vi
tami
nA

73.Whichamongt
hef
oll
owi
ngant
ibact
eri
alpr
epar
ati
onshasbeenshownt
oimpai
rwound
heal
ing?
A.I
odi
ne
B.Hy
drogenper
oxi
de
C.Pov
idi
ne-
iodi
ne
D.Al
loft
heAbov
e

74.Whichofthefoll
owingist
hemechanicalt
her
apyofwoundst
hatappl
i
escont
inues
negat
ivepressur
eforremovi
ngexudates?
A.Al
ginat
es
B.Hy
drogel
s
C.Occl
usi
vedr
essi
ng
D.VACsy
stem

75.Whi
chamongt
hef
oll
owi
ngi
sachar
act
eri
sti
cofani
deal
wounddr
essi
ng?
A.Abl
etomai
ntai
nadr
yenv
ironment
B.Abl
etopr
ovi
depai
ncont
rol
C.Mustbeadher
entt
onewl
yforepi
thel
i
alt
issuef
oreasyr
emov
al
D.Non-
conf
ormabi
l
ity

76.Whi
choft
hef
oll
owi
ngappr
oxi
mat
esr
ightv
ent
ri
cul
arenddi
ast
oli
cpr
essur
e?
A.Cent
ral
venouspr
essur
e
B.Pul
monar
yar
ter
ycapi
l
lar
ywedgepr
essur
e
C.Pul
monar
yvascul
arr
esi
stance
D.Ri
ghtv
ent
ri
cul
arej
ect
ionf
ract
ion
77.Whi
choft
hef
oll
owi
ngappr
oxi
mat
esl
eftv
ent
ri
cul
arenddi
ast
oli
cpr
essur
e?
A.Cent
ral
venouspr
essur
e
B.Pul
monar
yar
ter
ycapi
l
lar
ywedgepr
essur
e
C.ShuntFr
act
ion
D.Sy
stemi
cvascul
arr
esi
stancei
ndex

78.Whati
sthei
not
ropi
cst
ateoft
hemy
ocar
dium?
A.Af
ter
load
B.Cont
ract
il
it
y
C.Pr
eload
D.Pul
monar
yar
ter
ywedgepr
essur
e

79.Howmanypr
ecor
dial
leadsar
enecessar
ytodet
ect95percentofi
schemi
cepi
sodes?
A.1
B.2
C.3
D.4

80.Whatisthemostsensi
ti
vepr
ecor
dial
leadf
ordet
ect
ingper
ioper
ati
vei
schemi
aand
i
nfar
cti
on?
A.V2
B.V3
C.V4
D.V5

81.Whatisthemostcommonl
ethal
compl
i
cat
ionofacut
ecor
onar
ysy
ndr
omesorbl
unt
myocardi
ali
njur
ies?
A.Asy
stol
e
B.Dy
srhy
thmi
as
C.My
ocar
dial
cont
usi
on
 D.My
ocar
dial
inf
arct
ion

82.Li
mbLeadI
Iisdef
inedas:
A.LA-
RA
B.LL-
RL
C.LL-
LA
D.LA-
RL

83.Whi
chpar
amet
eri
smeasur
edi
nst
eadofenddi
ast
oli
cvol
ume?
A.Car
diacout
put
B.Enddi
ast
oli
cpr
essur
e
C.Endsy
stol
i
cpr
essur
e
D.Pul
monar
yar
ter
ypr
essur
e

84.Whati
sthef
orcer
esi
sti
ngf
ibershor
teni
ngoncesy
stol
ebegi
ns?
A.Af
ter
load
B.Cont
ract
il
it
y
C.Pr
eload
D.Pul
monar
yar
ter
ywedgepr
essur
e

85.Whati
sthenor
mal
uri
neout
put(
mL/
Kg/
hour
)inadul
t?
A.0.
1
B.0.
2
C.0.
4
D.0.
5

86.Whati
sthegol
dst
andar
dfort
hemeasur
ementofcar
diacout
put
?
A.I
mpedancecar
diogr
aphy
B.Near-
Inf
rar
edspect
roscopi
cmeasur
ementoft
issuehemogl
obi
noxy
gen
sat
urati
on
 C.Pul
monar
yar
ter
ycat
het
ert
her
modi
l
uti
on
D.Tr
ansesophageal
echocar
diogr
aphy

87.Whichofthefoll
owingmeasur
estemperat
urechangesfr
om coldbol
ussolut
ionthati
s
i
nject
edcentral
ly,
thenmeasur
esusinganart
eri
alther
mistoronaspeci
alart
eri
alli
ne
t
hatisgenerall
yplacedi
nthef
emoralar
ter
y?
A.Assessi
ngpr
eloadr
esponsi
veness
B.Near-
Inf
rar
edspect
roscopi
cmeasur
ementoft
issuehemogl
obi
noxy
gen
sat
urati
on
C.Tr
anspul
monar
yther
modi
l
uti
on
D.Par
ti
alcar
bondi
oxi
der
ebr
eat
hing

88.Whatist heelect
ri
calresi
sti
ve,
capaci
ti
ve,
andinduct
ivepr
opert
iesofbloodand
biol
ogicalti
ssuethati
nducephaseshif
tsbet
weenanappliedel
ectr
ical
currentandt
he
resul
ti
ngv olt
agesignal?
A.Bi
oimpedance
B.Bi
oresi
stance
C.I
mpedancecar
diogr
aphy
D.Pul
secont
rol
anal
ysi
s

89.Whichoft
hefol
lowi
ngal
lowscont
inuous,
noni
nvasi
vemeasur
ementofSt
O2usi
ng700-
1000nm wav
elengt
hsofli
ght
?
A.I
mpedancecar
diogr
aphy
B.Near-
Inf
rar
edspect
roscopi
cmeasur
ementoft
issuehemogl
obi
noxy
gen
sat
urati
on
C.Pul
secont
rol
anal
ysi
s
D.Tr
anspul
monar
yther
modi
l
uti
on

90.Whati
sthemosti
mpor
tantf
act
ori
noxy
gendel
i
ver
y?
A.Car
diacout
put
B.Di
ssol
vedoxy
geni
nbl
ood
C.Oxy
gensat
urat
ionofhemogl
obi
ninar
ter
ial
blood
D.Par
ti
alpr
essur
eofoxy
geni
nar
ter
ial
blood
91.I
nmechani
cal
l
yvent
il
atedpat
ient
s,howdoy
oui
ncr
easemeanar
ter
ial
pressur
e?
A.Decr
easeoxy
genut
il
izat
ion
B.Decr
easei
nspi
rat
oryt
ime
C.I
ncr
easehemogl
obi
n
D.I
ncr
easePEEP

92.Whatisthef
act
orsaf
fect
ingpeakai
rwaypr
essur
ethati
smeasur
edatt
heendof
i
nspi
rati
on?
A.FI
O2
B.Peaki
nspi
rat
oryf
low
C.Resi
stanceoft
heai
rway
s
D.Ti
dal
vol
ume

93.Whichofthef
ollowingi
sthecondi
ti
onwher
eint
hepat
ienthasi
ncr
easedpeakai
rway
pr
essureandplateauai
rwaypr
essure?
A.Br
onchospasm
B.Decr
easedcompl
i
anceoft
hesy
stem
C.Di
sconnect
edci
rcui
t
D.Endot
racheal
tubeobst
ruct
ion

94.Whati
sthel
ungpr
otect
ivemechani
smst
opr
eventv
ent
il
atori
nducedl
ungi
njur
y?
A.Li
mit
ingpl
ateauai
rwaypr
essur
etol
esst
han10cmH2O
B.Li
mit
ingpl
ateauai
rwaypr
essur
etol
esst
han30cmH20
C.Li
mitt
idal
vol
umet
olesst
han6mL/
kgofi
deal
bodywei
ght
D.Mai
ntai
ningt
heFI
O2at100percent

95.Theaccur
acyofpul
seoxi
met
rybegi
nst
odecl
i
neatwhatSaO2v
alues?
A.l
esst
han92percent
B.l
esst
han93percent
C.l
esst
han94percent
 D.l
esst
han95percent

96.Whatcoul
dbethepr
obl
em whent
her
eisasuddenr
educt
ioni
nPETCO2dur
ing
capnomet
ry?
A.Hy
per
vent
il
ati
on
B.I
ncr
easei
ndeadspace
C.I
ncr
easedmet
abol
i
crat
e
D.Obst
ruct
ionoft
hesampl
i
ngt
ubi
ngwi
thwat
erorsecr
eti
ons

97.Whi
choft
hef
oll
owi
ngi
sthecar
dinal
signofabdomi
nal
compar
tmentsy
ndr
ome?
A.El
evat
edi
ntr
a-abdomi
nal
pressur
e
B.El
evat
edpeakai
rwaypr
essur
es
C.Ol
i
gur
ia
D.Sev
eredy
spnea

98.Pati
entwit
hatransur
ethr
albl
adderpr
essur
eof20mmHgwi
thorwi
thoutor
gan
dysf
uncti
onhas:
A.Gr
adeI
Iint
raabdomi
nal
hyper
tensi
on
B.Gr
adeI
IIi
ntr
aabdomi
nal
hyper
tensi
on
C.Gr
adeI
Vint
raabdomi
nal
hyper
tensi
on
D.Abdomi
nal
compar
tmentsy
ndr
ome

99.Whi
choft
hef
oll
owi
ngi
sani
ndi
cat
ionf
ori
ntr
acr
ani
alpr
essur
emoni
tor
ing?
A.30-
year
-ol
dpat
ientwi
thGCSscor
eof10andwi
thanabnor
mal
CTscan
B.40-
year
-ol
dpat
ientwi
thGCSscor
eof6andwi
thanor
mal
CTscan
C.50-year
-ol
dpat
ientwi
thGCSscor
eof8andwi
thnor
mal
CTscanbutwi
th
hypotensi
on
D.60-
year
-ol
dpat
ientwi
thGCSscor
eof11wi
thnor
mal
CTscan

100.Decr
easei
nSjo2dur
ingj
ugul
arv
enousoxi
met
ry:
A.Cer
ebr
alhy
poper
fusi
on
B.Decr
easedcar
diacout
put
C.Hy
per
emi
a
D.I
ncr
easedi
ntr
acr
ani
alpr
essur
e