General Surgery - Free Trial

1. A 50-year-old male complains of low back pain, worse on bending and relieved by lying down. He has had similar pain several years ago. The most appropriate management is:

A) Activity as tolerated, optional 2-day bedrest B) Immediate surgical consultation C) Strong opioid analgesics D) Lumbar spine x-ray

2. A 65-year-old diabetic with creatinine 1.6 is started on an ACE inhibitor. He presents with weakness. K: 7.2 meq/L. What is the first step in management?

A) IV calcium gluconate B) IV insulin and glucose C) IV sodium bicarbonate D) Discontinue spironolactone

3. A 5 year old child is electrocuted while playing. The child is apneic. After establishing ventilation with bag and mask, what is the next step?

A) Check pulses B) Start chest compressions C) Administer epinephrine D) Establish IV access

4. Which of the following is more characteristic of platelet abnormalities and not coagulation defects?

A) Petechiae B) Hemarthrosis C) Deep muscle hematoma D) Delayed bleeding

5. In acute heart failure in children, which finding is most common in neonates?

A) Refusal of feeds and increased heart rate B) Peripheral edema C) Pulmonary crackles D) Hepatomegaly