Surgery & Ophthalmology, Otolaryngology and Rhinology Samplex Test 1

During thyroidectomy, the surgeon accidentally ligated a nerve located along the right tracheoesophageal groove. Postoperatively, the patient is expected to experience:

Pulmonary risk reduction in perioperative care is achieved through the following, EXCEPT:

An 18-year-old male was hit by a wooden paddle on his left eye during rowing practice in Pasig River. Blow out fracture will most likely be noted in:

Auscultation of a 25-year-old female patient revealed middiastolic murmur with opening click at the apical area, grade 3/5. The patient has been experiencing worsening shortness of breath, orthopnea and occasional constricting chest pain for 6 months. She had a history of repeated episodes of untreated pharyngitis in the past. What is the most appropriate management for this patient?

Following an MI, a 65-year-old male patient had an acute heart failure, with an associated acute occurrence of holosystolic blowing murmur at the apical area. What is the mechanism?

A 53-year-old woman has a right-sided lung mass noted on CXR. She is a smoker with no cancer history. Chest CT confirms an irregular 4-cm mass and a right paratracheal node measuring 1.9 cm. Percutaneous biopsy of the lung mass confirms a bronchogenic adenocarcinoma. What must be done before choosing further treatment?

A 1 1/2-month-old baby girl was brought to your clinic because of stridor. There was no associated cough. The patient was delivered to a G9P8 37-year-old woman via NSD. Birthweight was 2.8kg with APGAR score of 8 and 9. She was sent home after 2 days with no perinatal complications. She had a good suck with normal swallowing, good cry and weight gain. Stridor is slightly relieved by putting her in a prone position. T=37.2 C, RR= 40/min. Your initial impression is:

Epidural hematoma is characterized by:

A 25-year-old male (BW = 55kg) was immediately brought to the ER just 10 minutes after sustaining full thickness burns in several parts of his body. Affected areas include anterior surfaces of bilateral arms and forearms, anterior and posterior right thigh, anterior and posterior right leg and his genitals. Using the Parkland formula, what should be the initial fluid resuscitation for this patient?

After an uncomplicated abdominal surgery (appendectomy), the 35-year-old patient is still on NPO during his 5th hospital stay due to inability to tolerate feeding. After how many hours/days should normal intestinal motility be observed in its earliest postoperatively?

A 70 y/o male was seen in the ER because of severe abdominal pain of more than 24 hrs. History revealed chronic intake of NSAID due to osteoarthritis. He is tachycardic, tachypneic, febrile with a BP of 80/50. PE revealed board-like rigidity of the abdomen.

What is the most appropriate treatment for this patient?

A 45-year-old female was suffering from GERD for 10 years now, unrelieved by any medical treatment. What is the most appropriate option for this patient?

A TRUE statement regarding chemical burns of the eye:

The most common pediatric malignant lesion in the liver is:

Which of the following statement is TRUE regarding normal hemostasis and platelet function?

A 42-year-old female underwent cholecystectomy. Sixteen hours after the operation, she developed fever. The most probable cause is:

A 42-year-old female sought consult because of a slow-growing, painless swelling in her right mandible. X-ray showed a multiloculated radiolucency in the body of the mandible with an impacted tooth clearly visualized. This condition is suggestive of:

TRUE statement/s about gallstone disease:

Relative contraindications to lung surgery due to high morbidity include the following, EXCEPT:

A 33-year-old female was diagnosed with carbuncle on the volar surface of the right forearm. Which of the following group of axillary lymph nodes will first drain the lesion?