3556262
Descrição
Quiz por Justin Wang, atualizado more than 1 year ago
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Criado por Justin Wang
aproximadamente 9 anos atrás
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Questão 1
Questão
1. Which of the following statements regarding hand hygiene is NOT correct?
Responda
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Health care workers (HCWs) should clean their hands with an antiseptic-containing agent before and after each contact with a patient
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The use of soap and water for hand washing is required when hands are visibly soiled with blood or bodily fluids
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Alcohol-based hand rubs are inferior to antimicrobial soaps for hand decontamination
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Vancomycin-resistant enterococci are frequently isolated from the hands of HCWs
Questão 2
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 3
Questão
2. Out of the following four indicators, the best clinical sign of successful fluid resuscitation and end-organ perfusion in a patient with hemorrhagic shock is:
Responda
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An increase in blood pressure
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An increase in urine output
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An increase in arterial oxygenation
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A decrease in tachycardia
Questão 4
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 5
Questão
3. Technical errors during surgical procedures are MOST likely to occur:
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During routine procedures in complex patients
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In high-complexity operations
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Due to surgical inexperience
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Due to inadequate resident supervision
Questão 6
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 7
Questão
4. In the AD DAVID system for writing post-op orders, the “I” is an abbreviation for 3 things. Of the following, what does the “I” NOT stand for?
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Investigations
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IV
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“Ins and outs” (intake and output)
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Irrigation
Questão 8
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 9
Questão
5. The risk of developing a surgical site infection is dependent on all of the following factors, EXCEPT:
Responda
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Hyperthermia
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Immunosuppression
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Diabetes mellitus
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Length of operation
Questão 10
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 11
Questão
6. Of the following, what is NOT considered a phase of normal wound healing?
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Proliferation
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Remodeling
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Exfoliation
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Hemostasis and inflammation
Questão 12
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 13
Questão
7. Please choose the CORRECT statement regarding wound healing and closure.
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Wound healing via secondary intention leads to improved scar formation and superior cosmetic outcome
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A contaminated wound from an open fracture should be immediately closed via primary intention
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Wound healing via primary intention requires manual approximation of wound edges and healing through the normal stages of wound healing
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Wound healing via tertiary intention is reserved for simple, uncomplicated lacerations
Questão 14
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 15
Questão
8. With regards to the fundamental principles of antibiotic prophylaxis in surgery, which of the following are INCORRECT?
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The antibiotic of choice should be active against organisms usually found at the site of surgery
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During surgeries that go longer than expected, the antibiotic should be re-dosed to ensure adequate levels
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The antibiotic should be given 30 minutes prior to the incision
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The antibiotic should be continued for 7 days post surgery to prevent antibiotic resistance
Questão 16
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 17
Questão
9. What is NOT a benefit of laparoscopic surgery versus open surgery?
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Decreased trauma to the abdominal wall and decreased post-operative scarring
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Shorter recovery time
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Decreased post-operative pain
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Improved tactile sensation of tissues
Questão 18
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 19
Questão
10. Which of the following is NOT a physiological consequence of routine laparoscopic surgery?
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Hypercarbia due to absorption of CO2 used to create a pneumoperitoneum
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Decreased blood return from the lower body back to the heart
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Decreased systemic blood pressure
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Decreased lung volume and residual functional capacity
Questão 20
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 21
Questão
11. You are preparing to make an abdominal incision for a laparotomy as you suspect your patient has complex perforated appendectomy. What is the correct order of the layers you will cut through, starting with the most superficial layer?
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Skin, superficial fascia (Camper’s and Scarpa’s), external oblique, internal oblique, transversus abdominis, transversalis fascia, extraperitoneal fascia, parietal peritoneum
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Skin, extraperitoneal fascia, superficial fascia (Camper’s and Scarpa’s), external oblique, internal oblique, transversus abdominis, parietal peritoneum
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Skin, superficial fascia (Camper’s and Scarpa’s), extraperitoneal fascia, external oblique, internal oblique, transversus abdominis, transversalis fascia, parietal peritoneum
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Skin, extraperitoneal fascia, external oblique, internal oblique, transversus abdominis, transversalis fascia, superficial fascia (Camper’s and Scarpa’s), parietal peritoneum
Questão 22
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 23
Questão
12. Of the following, what is NOT an indication for chest tube insertion?
Responda
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Pneumothorax
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Pulmonary edema
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Hemothorax
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Postoperative cardiac surgery
Questão 24
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 25
Questão
13. Regarding chest tubes, which of the following answers is correct?
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If a chest tube needs to be repositioned further into the chest cavity after insertion, simply advance it further as necessary
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A chest X-ray should ALWAYS be taken to confirm the location of a chest tube
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Routine chest tubes should be placed in the second intercostal space in the anterior axillary line
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Prophylactic antibiotics (most commonly cefazolin) are indicated for chest tube insertions to prevent infection
Questão 26
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 27
Questão
14. A security guard sustains a left thoraco-abdominal stab wound. He is alert, talking, and hemodynamically stable. On examination, his abdomen is soft and non-tender. The most appropriate management would be:
Responda
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Observation
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Diagnostic peritoneal tap
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CT thorax, abdomen, and pelvis
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Laparotomy
Questão 28
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 29
Questão
15. A 30-year-old male pedestrian presents with a posterior left knee dislocation after being hit by a car. He has no distal pulses in his left leg. The most appropriate next step in his management would be to:
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Take the patient to the operating room
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Reduce dislocation in the ER
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Obtain an angiogram
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Start IV heparin
Questão 30
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 31
Questão
16. Comparing internal and external fixation, which of the following is true?
Responda
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Internal fixation is generally preferable for open fractures
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External fixation makes access for wound care more difficult
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External fixation is useful in very comminuted fractures
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Internal fixation is less invasive than external fixation
Questão 32
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 33
Questão
17. A patient is brought into the trauma bay after a high-speed motor vehicle collision. He has decreased breath sounds on the right with a deviated trachea to the left, a laceration of his left radial artery with pulsatile bleeding, and an obvious deformity of his right thigh with bone protruding through a 7-cm wound. Which of the following is the most important next step in his management?
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Chest tube on the left (5th intercostal space, mid-axillary line)
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Pressure dressing on the left forearm
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Sterile dressing on the right thigh wound, antibiotics, tetanus booster
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Needle thoracotomy on the right (2nd intercostal space, mid-clavicular line)
Questão 34
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 35
Questão
18. Which of the following is true?
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Lag screws cause compression, stabilization, and healing mainly through secondary bone healing
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External fixation causes compression and healing mainly through primary bone healing
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Casting, splinting, and bracing result in callus formation leading to secondary bone healing
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Bone plating induces absolutely stability and mainly leads to healing via secondary bone healing
Questão 36
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 37
Questão
19. A primipara is in labour and an episiotomy is about to be cut. Compared with a midline episiotomy, an advantage of mediolateral episiotomy is:
Responda
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Ease of repair
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Lower blood loss
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Less dyspareunia
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Less extension of the incision
Questão 38
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 39
Questão
20. A patient sustained a laceration of the perineum during delivery. It involved the muscles of perineal body but not the anal sphincter. Such a laceration would be classified as:
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First degree
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Second degree
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Third degree
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Fourth degree
Questão 40
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 41
Questão
21. Which of the following statements about episiotomy is FALSE?
Responda
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Episiotomy incisions are repaired anatomically in layers
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Mediolateral or lateral episiotomy may be associated with more blood loss than median one
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Indications for episiotomy include avoiding an imminent perineal tear, the use of forceps, breech delivery, and the delivery of premature infants.
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In general, the earlier the episiotomy is done during delivery, the more beneficial it will be in speeding up the delivery
Questão 42
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 43
Questão
22. Which is NOT an indication for urethral catheterization?
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Chronic obstruction causing hydronephrosis
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Acute urinary retention (BPH, blood clots, etc.)
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Traumatic injury to the lower urinary tract causing painful urination
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Intermittent decompression for neurogenic bladder
Questão 44
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 45
Questão
23. Urethral strictures also occur away from the ureterointestinal anastomosis. These are most commonly found in the _____ ureter.
Responda
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Left
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Right
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Pelvic ureters
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Infantile
Questão 46
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 47
Questão
24. With regard to acute traumatic subdural hematoma, which of the following is true?
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Blood products collect between the inner surface of the calvarium and dura
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Bleeding usually results from tearing of the bridging veins
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Cerebral contusions are infrequently seen
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Burr hole drainage is the surgical treatment of choice
Questão 48
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 49
Questão
25. The most common location for spontaneous intracerebral hemorrhage secondary to hypertension is the:
Responda
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Cerebellum
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Cerebral white matter
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Basal ganglia
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Brainstem
Questão 50
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 51
Questão
26. Indications for treatment of an unruptured intracerebral aneurysm include all of the following except:
Responda
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Size >10 mm
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Symptomatic lesion
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Two 1st degree relatives with cerebral aneurysms
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History of subarachnoid hemorrhage secondary to another treated aneurysm
Questão 52
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 53
Questão
27. For local excision, what is generally the best shape to use for ease of closure?
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S-Shape
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Ellipse
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Rectangle
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Square
Questão 54
Questão
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Questão 55
Questão
28. To minimize scarring, in what orientation should incision lines be placed in reference to the lines of minimal tension?
Responda
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Circumferential
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Cross
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Parallel
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Perpendicular
Questão 56
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 57
Questão
29. An 8-year-old girl has a 2.5 cm breast mass that is enlarging just beneath her left nipple-areolar complex. Her mother first noticed this mass 2 months previously. Management may include all of the following, EXCEPT:
Responda
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In-depth history for a review of systemic symptoms
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Ultrasound imaging
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Fine-needle aspiration
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Excisional biopsy
Questão 58
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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Questão 59
Questão
30. A 62-year-old patient comes to clinic with a suspicious 2.0 cm lesion, which characteristic of the lesion would make you want to avoid investigating with a punch biopsy?
Responda
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Ulcerated
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Pigmented
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Rapidly growing
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Hard horn present
Questão 60
Questão
Please rate your level of confidence regarding your answer for the previous question (1 = least confidence, 7 = greatest confidence)
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