Lec 1 Gangrene: C. Upper Extremities Are More Commonly Involved Than Lower Extremities
Lec 1 Gangrene: C. Upper Extremities Are More Commonly Involved Than Lower Extremities
Lec 1 Gangrene: C. Upper Extremities Are More Commonly Involved Than Lower Extremities
Q2. A 60 years old male who is a diabetic patient, comes to you with ischemia in the distal part
of lower limb. The affected part is shrunken, dark reddish black and has sensation of coldness.
The gangrene appeared gradually and has progressed slowly. State which type of gangrene is it:
a. Wet gangrene
b. Dry gangrene
c. Gas gangrene
d. None of above
Q4. A 40 years old female had an infection in her hands that occurred during a surgery. The
affected area is swollen and extremely painful. You observe that the area has become black and
produces foul-smelling odor. Her blood results show increased White blood cells. The best
treatment for this type of gangrene will be:
Q5. A patient comes to you in emergency with brown-red or bloody discharge oozing from an
infected wound. The patient has also developed fever, increased heart rate and rapid
breathing. On pressing the wound a crackling sensation is produced. What is your most likely
diagnosis?
a. Wet gangrene
b. Dry gangrene
c. Gas gangrene
d. None of above
Q6. The following conditions are the risk factors for the development of gangrene:
Q7. The physical examination of a 5 years old malnourished child shows inflamed areas of
mucous membranes of the mouth and skin ulcers that cause the tissues of the lips and cheeks
to die. Such gangrenous disease is called:
a. Wet gangrene
b. Noma
c. Internal gangrene
d. None of the above
Q8. A 40 years old diabetic male comes to you with pain, tenderness and swelling in his genital
area. He has a recent history of urinary tract infection. Which type of gangrene will it be?
a. Noma
b. Wet gangrene
c. Dry gangrene
d. Fournier gangrene
Q9. A diabetic patient comes to you with an infected foot ulcer that has lead to gangrene due to
the restricted blood supply. What treatment will be necessary to prevent the spread of
infection and further damage to the healthy tissues?
a. Antibiotics only
b. Revascularization
c. Amputation of the affected limb
d. None of the above
LEC 2 CPR
1. CPR stands for:
Cardiopulmonary rehabilitation
Cardiopulmonary resuscitation
Cardiopulmonary re-modeling
Cardiopulmonary reconstruction
2. A male electrician is wiring an electric motor of your house. During this task he receives severe
electric shock and gets unconscious, breathing and have pulse. Being a medical practitioner what will
you do?
4. 35 years old anjum is rescued from the earthquake and presented to hospital with multiple trauma
and severe pain. Repeated doses of pethidine are administered causing drug overdose. He is the suitable
candidate for:
Diabetes
Stroke
Smoke inhalation
Hematemesis
6. A patient is brought to EMR.O/E you find no breathing and his heart has stopped pumping. You will
classify him in the category of:
Cardiac arrest
Respiratory arrest
Clinical death
All of above
9. Dr. Saba is walking by the side of road and someone gets unconscious suddenly in front of her. What
will her initial step to clear airway:
Jaw lifting
Mouth to mouth breathing
CPR
None of above
Ribs fractures
Laceration of lungs
Laceration of liver
CPR does not cause any injury
3 --A 65 years old patient is brought into emergency department with severe blow on skull, after lucid
interval he got into unconscious state. The doctor observed contralateral hemiparesis and hypotension.
What would be the diagnosis of this patient?
A. Extradural hematoma
B. acute subdural hematoma
C. raised intracranial pressure
D. Head Injury
Alcoholics
C. Intracerebral haematomas usually involve the anterior temporal or posterior frontal lobe
9. Which of the following is NOT high risk according to the Canadian CT HEAD
Rules?
A. Vomiting >= 2 episodes
B. Any sign of basal skull #
C. Age >=60yrs
D. Suspected open or depressed skull #
12. In acute traumatic head injury in the emergency department setting which of
the following is true?
A. Paediatric subdural haemorrhage is always accidental.
B. Primary cellular death results mainly from an increase in cellular glutamate.
C. Diffuse axonal injury is most likely with delayed coma onset.
D. Hypocapnia should be avoided
MCQS SURGERY
lec 4 CHEST TRAUMA
By: 4MI
sternum
Xiphiod process
Abdominal injuries
Diaphragm structure is
None of above
Thorax
Abdomen
Spine
Diaphragm
Hypoxia
hypovoleamia
myocardial failure
Nitrous oxide
Morphine sulphate
Open pneumothorax
Management
Airway obstruction
Trachea bronchial
Aortic disruption
Cardiac contusion
Adequate resuscitation
Pain management
None of above
Internal-ventilator
External-sand bags
Both a&b
None of above
A. Quadriplegia
B. Paraplegia
C. Hemi plegia
D. Diaplegia
A. Quadriplegia
B. Paraplegia
C. Tetraplegia
D. None of above
A patient comes in OPD with symptoms of thoracic outlet syndrome, what will be the clinical
presentation of that patient :
A. Overhead activity
B. Eating
C. Lying
D. Sitting
A. Brachial plexus
B. Subclavian artery /vein
C. Axillary artery / vein
D. Ulnar artery
A patient comes in OPD, having fluctuant, transilluminent , contains cholesterol crystals, cyst in his neck.
This is the clinical feature of what type of cyst :
A. Brachial cyst
B. Pharyngeal pouch
C. Ranula
D. None of above
A. Removal of ranula
B. Excision of tongue
C. Removal of sublingual gland
D. None of above
Tracheotomy is :
Tracheostomy is :
A. Bypass surgeries
B. Angioplasty
D. Heart transplants
E. All of above
A. Median sternotomy
B. Lateral sternotomy
C. Left lateral thoracotomy
D. Both a and c
5.Cardiac tamponade---------
8. It is done for the exposure of the heart ,pericardium and structures in the anterior
mediastinum
a. Lateral sternotomy
b. Medial sternotomy
c. Lateral thoracotomy
d. Medial thoracotomy
a. 1.25%
b. 2-3%
c. 3-6%
d. 0%
a. Aortic stenosis
b. Aortic regurgitation
c. Mitral stenosis
d. All of above