PLE Category: Surgery

PLE-8208

A 35-year-old construction worker sustained a closed head injury. Moments later, a clear liquid is seen draining from his nose. Which of the following tests is most sensitive in determining if the liquid is cerebrospinal fluid (CSF)?

PLE-8209

Panendoscopy with blind biopsies is performed on patients who have evidence of cervical lymph node metastasis but do not show any clinical or radiologic evidence of a primary tumor. Which site is sampled in order to search for the primary source?

PLE-8200

Surgical treatment of gastric adenocarcinoma involves gastrectomy and lymphadenectomy. Some studies state that adequate lymphadenectomy requires a D2 dissection during gastric resection. Which of the following refers to the D2 group of lymph nodes?

PLE-8201

A 34-year-old patient presents to your clinic due to an anterior neck mass. FNAB indicates follicular type, and you suspect follicular adenoma. So, you perform thyroid lobectomy with isthmusectomy. postoperative biopsy reveals capsular invasion. What will be your next step?

PLE-8202

An 11-month-old infant is brought to the ER by her mother due to complaints of bilious vomiting and irritability. Further history reveals that the infant has poor appetite, and assessment of growth reveals failure to thrive. Abdominal radiography reveals dilated proximal bowel and paucity of air in the distal bowel. What is the most likely diagnosis?

PLE-8203

A 27-year-old male patient in a vehicular crash is brought to the ER. You assess that the patient is hypotensive, and you suspect blunt abdominal trauma. Where do you place the catheter when deciding to perform a diagnostic peritoneal lavage?

PLE-8204

To which classification of surgical wound do extensive introduction of bacteria into a normal sterile area or gross spillage of viscus contents belong?

PLE-8197

What is the caloric intake if a patient is placed on NPO and a total of 3L of D5W has been infused?

PLE-8198

Which of the following sutures are considered non-absorbable?