题目内容

A 65-year-old man has an enterocutaneous fistula originating in the jejunum secondary to inflammatory bowel disease. Which of the following would be the most appropriate fluid for replacement of his enteric losses?()

A. 5% Dextrose
B. 3% normal saline
C. Ringer lactate solution
D. 0.9% sodium chloride
E. 6% sodium bicarbonate solution

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A 70-year-old male patient come to surgery outpatient department to complain fatigue and anorexia for 2 months, and he lost weight by 10kg and found a mass on the left supraclavicular fossa. On the physical examination, a 5cm hard and fixed mass could be touched, there is no palpable pain and skin redness, what is the most essential examination should be booked to get the diagnosis?()

A. Chest CT scan
B. Abdominal MRI
C. Blood routine
D. Gastric endoscope
E. Head CT scan

A 50 years old male undergoes pancreatectomy for carcinoma head of pancreas. His pre op Hb was 92g/L and during surgery he received 5 units of PRBC. In the post op period on the 2nd day he developed ECG changes. Work up is done for Myocardial infarction which is negative. What is the most common cause of ECG changes here: ()

A. Hyponatremia
B. Hyperkalemia
C. Hypokalemia
D. Hypernatremia
E. Hypercalcemia

When a surgeon try to perform radical gastrectomy for malignancy, what does the D2 dissection mean?()

A. To dissect two lymph nodes
B. To dissect station NO.2 regional lymph nodes
C. To dissect tier 2 regional lymph nodes
D. To exam the second lymph nodes
E. Two regional lymph nodes have to be dissected

As to the treatment of acute obstructive suppurative cholangitis, which is the top priority to perform? ()

A. Prophylactic antibiotics
B. To treat shock
C. Biliary duct decompression
D. Cholecystectomy
E. Fluid resuscitation

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