July 7, 2009 | In: TRAUMA
28 TRAUMA TO THE COLON AND RECTUM W. Andrew Lawrence M.D., Jon M. Burch M.D. COLON TRAUMA 1. How do most colon injuries occur? Show answer Nearly all (> 95%) colon injuries are caused by penetrating trauma from gunshot, stab, iatrogenic,...
July 9, 2009 | In: ABDOMINAL SURGERY
CONTROVERSIES 36. What are some of the anatomic issues related to inguinal hernias? Show answer At issue is the iliopubic tract, which is central to the Anson/McVay anatomic description of the inguinal area and featured in the McVay Cooper's...
July 8, 2009 | In: TRAUMA
33 FACIAL LACERATIONS Lawrence L. Ketch M.D. 1. What distinguishes facial from other lacerations? Show answer Appearance is clearly of primary importance. Quality of the final result depends on strict adherence to basic principles of wound...
July 10, 2009 | In: CARDIOTHORACIC SURGERY
BONUS QUESTION 16. What is systolic anterior motion (SAM) of the mitral valve? Show answer SAM is a complication of mitral valve repair. After mitral valve repair, the anterior leaflet of the mitral valve may billow into the left ventricular...
July 8, 2009 | In: TRAUMA
34 BASIC CARE OF HAND INJURIES Michael J.V. Gordon M.D., Lawrence L. Ketch M.D. 1. What are the goals of hand repair? Show answer Functional considerations override cosmesis in the treatment of hand trauma. There are no minor hand injuries....
July 11, 2009 | In: PEDIATRIC SURGERY
84 IMPERFORATE ANUS Frederick M. Karrer M.D., Denis D. Bensard M.D. 1. What is imperforate anus? Show answer It is a congenital defect in which the opening of the anus is absent or misplaced, usually fistulizing anteriorly to the perineum...
July 10, 2009 | In: CARDIOTHORACIC SURGERY
76 MITRAL REGURGITATION David A. Fullerton M.D., Glenn J.R. Whitman M.D. 1. List the causes of mitral regurgitation. Show answer * Rheumatic fever * Endocarditis * Ruptured chordae tendineae * Senile mitral annular...
July 8, 2009 | In: TRAUMA
CONTROVERSIES 14. What controversies exist regarding the care and repair of facial lacerations? Show answer There is little controversy about the care and repair of facial lacerations. Attention to basic principles of wound care usually...
July 9, 2009 | In: ABDOMINAL SURGERY
56 INGUINAL HERNIA Gregory P. Victorino M.D., Jyoti Arya M.D., James Bascom M.D. 1. "Groin" hernia refers to which three hernias? Show answer Direct and indirect inguinal hernias and femoral hernias. 2. Francois Poupart, a French...
July 8, 2009 | In: TRAUMA
31 LOWER URINARY TRACT INJURY AND PELVIC TRAUMA Fernando J. Kim M.D., Siam Oottamasathien M.D. 1. What are the causes of bladder injury? Show answer Iatrogenic manipulation and penetrating or blunt trauma. Because of the rich detrusor blood...
July 7, 2009 | In: GENERAL TOPICS
15 SURGICAL INFECTIOUS DISEASE Glenn W. Geelhoed M.D., M.P.H., DTMH 1. Have modern antibiotic developments controlled many, if not most, of the problems of surgical infection? Show answer No. In seriously ill surgical patients in intensive...
July 9, 2009 | In: ABDOMINAL SURGERY
PILONIDAL SINUS DISEASE 29. What is the most common clinical presentation of a pilonidal sinus? Show answer Pain and swelling in the sacrococcygeal region, which typically are associated with a (sometimes several) chronic draining sinus...
July 7, 2009 | In: TRAUMA
OPERATIVE MANAGEMENT OF LIVER INJURY 11. How are acute liver injuries classified? Show answer Liver wounds are generally graded on a scale of I to VI according the depth of parenchymal laceration and involvement of the hepatic veins or...
July 10, 2009 | In: VASCULAR SURGERY
71 ABDOMINAL AORTIC ANEURYSM Mark Nehler M.D., William C. Krupski M.D. 1. What is an abdominal aortic aneurysm (AAA)? Show answer A ≥ 50% increase in normal aortic diameter. Normal infrarenal aortic diameter is 2.0 cm for men. A...
July 7, 2009 | In: TRAUMA
RECTAL TRAUMA 9. How do rectal injuries occur? Show answer Similar to colon injuries, most rectal injuries result from penetrating trauma. Blunt pelvic fractures should be assessed with a strong suspicion for rectal (and urethral)...