PLE Category: Surgery

PLE-8196

A 30-year-old male was involved in a gunshot incident. The patient was rushed to the ER. His blood pressure was 80/50, pulse was 135, and respiratory rate was 33. The patient was noted to be agitated. There was a sucking chest wound on the right side, decreased breath sounds on the right, tracheal deviation to the left, and hyperresonance over the right hemithorax. What is the best course of action?

PLE-8191

Which of the following statements is true regarding Hurthle cell carcinoma of the thyroid?

PLE-8192

What is the most serious complication of an end colostomy?

PLE-8193

A 50-year-old patient came to your clinic presenting with dysphagia. A manometric study was done, which revealed an elevated LES pressure, normal LES relaxation, and normal peristalsis in the esophageal body. What is your initial diagnosis?

PLE-8194

A 50-year-old patient complains of anal pain, occasional intermittent fever, purulent discharge per anus, and a draining purulent sinus. The doctor knows that the draining sinus tract will eventually end at which position?

PLE-8195

A 55-year-old male patient with a 5-year history of fairly controlled hypertension and diabetes, as well as a previous appendectomy 20 years ago, presented with a chief complaint of abdominal pain. The pain was described as generalized and intermittent, accompanied by episodes of vomiting. The patient also reported anorexia, passage of flatus, and noted that his last bowel movement was 3 days ago. During the focused physical examination, mild abdominal tenderness was found near the umbilical and epigastric areas. There was no rebound tenderness or pain blood on digital rectal examination. A simple abdominal x-ray in both supine and upright positions was performed. What are the most likely findings on the x-ray?

PLE-8188

During thyroidectomy, a nerve was accidentally severed that lies in close proximity to the inferior thyroid artery. Which nerve is this?

PLE-8189

Why is retraction less problematic in a colostomy than in an ileostomy?

PLE-8190

What is the most common soft tissue sarcoma in adults?