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A comprehensive set of questions and answers designed to prepare medical professionals for the csfa exam. It covers a wide range of topics related to surgical procedures, including coronary artery bypass grafts, biliary anatomy, large bowel obstruction, and more. The questions are presented in a clear and concise manner, making it easy for students to understand and retain the information. The answers are detailed and accurate, providing valuable insights into the complexities of surgical procedures.
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When performing a coronary artery by-pass graft procedure, what vessel is placed between the coronary artery and the ascending aorta? - answer-segmented saphenous vein Why is intraoperative cholangiography performed? - answer-to evaluate biliary anatomy What is the most common cause of large bowel obstruction? - answer-colon cancer Claudication is a common symptom of what disease? - answer-peripherial arterial occlusive What is the percentage of finding gallstones in the common bile duct? - answer-5%
What is the most common cause of primary hyperparathyroidism? - answer-single parathyroid adenoma This form of breast cancer is highly aggressive and presents with a tender, inflamed, erythematous painful breast, which can be mistaken for a breast abscess. - answer-inflammatory What medical problem in the surgical patient can lead to post operative viral infections? - answer-upper respiratory tract infection Asymptomatic abdominal aortic aneurysm should be repaired when the diameter exceeds what value? - answer-5.5 cm What takes precedence in a trauma patient with uncontrolled hemorrhagic injuries and an intracranial hematoma? - answer-gaining control of bleeding
What is not removed when performing a pancreaticoduodenectomy? - answer-tail of the pancreas What is the most common site for peptic ulcer formation? - answer-duodenum What surgical procedure is performed for cancer of the left colon? - answer-left hemicolectomy In patients with deep venous insufficiency, what is the least common symptom? - answer-venous claudication Vesicle inflammation, dysuria, and frequency, sometimes with fever is a symptom of: - answer-acute bacterial cystitis In which nodal stage does testicular cancer in situ become extra-lymphatic? - answer-IV Incomplete occlusion of what artery causes chronic small bowel ischemia? - answer-superior mesenteric
When performing lower limb salvage surgery, a bypass will be performed from the femoral artery to what artery? - answer-posterior tibial An extradural hematoma forms when what artery is torn? - answer-dural What surgical procedure is performed to reduce spasms of the anal sphincter? - answer-lateral sphincterotomy When treating burn patients, what should be avoided if at all possible during the first 24 hours of treatment? - answer-transfusion Abdominae wound dehiscence occurs within how many days postop? - answer- 7 - 10 What is the tumor that accounts for 10% of childhood renal obstructive malignancies? - answer-Wilms
What is one major preventative measure instituted in the operating room to prevent thrombosis in the surgical patient? - answer-applying compression stockings What is the most common form of shock encountered by the surgical team? - answer-hypovolemic What are the consequences of post-op splenectomy? - answer-increase in circulating platelet levels Critical lab ischemia can be defined as a limb in which the ankle systolic pressure is less than what? - answer- 50 mmHg What is the cause of parietal peritoneum pain in the acute abdomen? - answer-pus What document must be completed and in the patients chart prior to the beginning of the surgical procedure? - answer-consent for surgery
Which of the following thyroid carcinomas is the most common and has the best prognosis? - answer- papillary What is the most common idiopathic transmural inflammatory disease of the small intestine? - answer- Chron's disease When does hyper-acute rejection in the transplant patient take place? - answer-minutes to hours What type of cerebral injury results in the formation of a pathway for endogenous pathogens to enter the brain and cause infection? - answer-skull base fractures Which type of hernia is congenital and develops when the peritoneal sac through which the testicle decends into the scrotum remains patent? - answer-indirect What form of shock could the surgeon encounter involving major gastrointestinal blood loss? - answer- hemorrhagic
The VDRL test is a non-specific serological test for infection with? - answer-treponema pallidium An antibody test detection method. - answer- complement fixation Term used to refer to a type of solid growth medium for bacteria or fungi. - answer-agar Silver sulphadiazine? - answer-is applied to burns Fine clumping cause by a reaction between a test organism and agglutinating antisera is called. - answer- agglutination Toxoplasmosis is transmitted by ingestion of raw or poorly cooked meat containing... - answer-sporulated oocyte Amantidine is used for treatment and prevention of? - answer-type "A" influenza outbreaks
A serological test is used to assess the rubella immune status of? - answer-pregnant women The relative percentage of different leukocyte cell lines in peripheral blood or other fluid examined is called - answer-the differential count. Beta lactamase testing identifies the enzyme responsible for resistance to - answer-penicillin Shock is a potentially fatal condition in which tissues are poorly perfused and, consequently, - answer- become ischemic When sinus bradycardia occurs, depolarization originates from what area of the heart? - answer- Sinoatrial node Aspirin reduces the rate of cardiovascular events in patients with stable angina and should be given to all patients unless they have a? - answer-clear contraindication
Peripheral antiadrenergics prevent norepinepherine release from - answer-peripheral nerve terminals. Which of the following diuretic medications osmotically inhibits sodium and water reabsorption? - answer- Mannitol Calcium entry blockers prevent calcium influx into the muscle cells of - answer-blood vessel walls. How many classes of lipid-lowering agents (lipoproteins) are there? - answer- 6 What structure is considered to be the pacemaker of the heart? - answer-sinoatrial node Diuretics reduce blood pressure and edema by - answer-increasing urine production. Which of the following anti-hypertensives diuretics draw water into the urine without interfering with ion
secretion or absorption in the kidney? - answer- osmotic Which class of drugs antagonizes adrenergic receptors?
Nizatidine is indicated for duodenal ulcers and - answer-benign gastric ulcers Corticosteroids decrease - answer-peribronchial inflammation Diarrhea is usually caused by - answer-infections, toxins or drugs What enzyme breaks down fats so that they can be easily absorbed by the intestines? - answer-lipase Chronic inflammation is caused by prolonged exposure to airway irritants such as - answer-pollution and cigarette smoke Expiratory wheezing is due in part to bronchiolar __________ which traps air distal to the compromised site. - answer-collapse
Loss of lung elasticity results in - answer-terminal bronchiole enlargement GERD (reflux disease) is exacerbated by __________ and smoking. - answer-obesity Bronchoconstriction results from the effects of acetycholine, histamine, and inflammatory mediators released within - answer-the bronchial walls is the prophylactic agent that inhibits the release of mediators from inflammatory cells, such as mast cells and is used exclusively in asthma? Cromolyn It is more difficult for bacteria to develop resistance to two drugs with different mechanisms than to develop resistance to - answer-a single agent Pseudomonas aeruginosa is sometimes responsible for
Reactive Airway Disease causes decreased oxygenation of the lungs secondary to - answer-tracheobronchial constriction Viruses are obligate intracellular ____________ composed of either DNA or RNA wrapped in a protein nucleocapsule. - answer-parasites What is the drug of choice for presumed fungemia? - answer-amphotericin Anaerobes colonize the skin, gastrointestinal tract and _____________of all persons. - answer-mouth Tuberculosis often presents with pulmonary symptoms but may involve lymph nodes, bones, skin and _____________. - answer-meninges If strep throat is left untreated, it may elicit an immunologic reaction in the heart, joints and other tissues that is called __________ fever. - answer- rheumatic
Which of the following is considered the gold standard for identification of microbes. - answer-cultures The sensitivity of bacteria to various antibiotics is determined by growing cultures in the presence of the antibiotics of interest. This is called: - answer-Sensitivity determination Third generation cephalosporins are effective against many Gram-negatives and they - answer-penetrate the brain well First generation cephalosporins are effective against Gram-positive organisms but subsequent generations reduced it effectiveness to - answer-gram-positive organisms Common Gram-negative pathogens that normally inhabit the GI tract fall into what group? - answer- enterics