View Answer

D

14. Which testicular cancer cell type is extremely radiosensitive?

A Embryonal carcinoma

B Yolk sac tumor

C Seminoma

D Choriocarcinoma

E Teratocarcinoma

View Answer

C

15. A 21-year-old male patient is brought to the emergency department for evaluation after a motor vehicle accident. As part of this secondary survey, the patient is found to have blood at the urethral meatus. What is the next maneuver?

A Foley catheter insertion followed by cystogram

B Urethrogram

C IVP

D CT scan

E Diagnostic peritoneal lavage

View Answer

B

16. A 24-year-old woman was admitted to the hospital complaining of dysuria and urinary frequency. She had a temperature of 101°F, pyuria, and bacteriuria. Her chest was clear and her abdomen normal on physical examination. Tenderness was noted at the costovertebral angle. With which of the following should this patient be treated?

A Antibiotics for 1 day

B Antibiotics for 1 week

P.600

C Antispasmodics

D Fluids and observation

E Bethanechol

View Answer

B

17. A 47-year-old woman is undergoing a left mastectomy for a large breast cancer. Postoperative chemotherapy is planned. Which of the following is not true?

A A tissue expander can be placed at the time of the initial operation to provide reconstruction.

B A latissimus dorsi flap can provide adequate tissue for reconstruction.

C Reconstruction must be delayed until after treatment for the primary tumor is complete.

D A contralateral reduction mammoplasty can provide symmetry.

E Nipple reconstruction is typically performed as a separate procedure.

View Answer

C

18. A 68-year-old woman has a Mohs' excision on the tip of her nose. A full-thickness skin graft with a tie-over dressing is used. On the fifth postoperative day, the dressing is removed, and the graft is pink. What is the most likely reason for this?

A Imbibition

B Inosculation

C Infection

D Fibrination

E Collagenesis

View Answer

B

19. A 5-year-old boy sustains a laceration to the cheek. It is bleeding profusely. What is the best way to initially control the bleeding?

A Direct pressure

B Clamps

C Cautery

D Suture ligature

E Dissolving clips

View Answer

A

20. Which of the following is the best treatment for melanoma?

A Surgical excision

B Chemotherapy

C Radiation therapy

D Immunotherapy

E Regional hyperthermic perfusion

View Answer

A

21. A 21-year-old male suffers a severe comminuted fracture of the right lower extremity with considerable soft tissue loss after a motorcycle accident. He has exposed bone and tendon in his wound after external fixation. Which is the appropriate management?

A Split-thickness skin graft

B Full-thickness skin graft

C Allograft followed by full-thickness skin graft

D Z plasty

E Muscle flap

View Answer

E

22. The son of a 74-year-old woman calls her primary care physician for advice. He says that his mother has been complaining of headache and vertigo for several hours and is vomiting. Apart from a deep venous thrombosis in her left leg 2 months ago, she has been healthy. They shared dinner the night before, and she had been fine. She now is asking for a prescription for the same motion sickness pills that she used to help her son when she drove him to camp. What should the physician do?

A Call in a prescription for droperidol

B Make arrangements to see the patient in clinic tomorrow

C Make arrangements to see the patient in clinic today

D Recommend that the patient be taken to the emergency department in an ambulance

E Order a ventilation/perfusion ([V with dot above]/[Q with dot above]) scan to rule out pulmonary embolism