外科学考试题B卷英文版带答案

(B)

PartI

Direction: In this part there are five questions. For each question there are four possible answers marked A, B, C and D. Choose the best answer and mark the letter of your choice on the ANSWER SHEET.

1. A 25 year old professional basket ball player lands on his right foot while it is in a pronated and externally rotated position. He hears a “snap” and is unable to weight bear on his right foot. An ankle X-ray reveals significant talar shift without a visible fibular fracture. The most appropriate next step is:

a) Closed reduction of the ankle mortise followed by application of a cast

b) Bedrest for 4 weeks followed by intense physiotherapy

c) X-ray the right knee to rule out a Maisonneuve fracture

d) Open reduction with internal fixation of the right ankle

e) Splint ankle and encourage weight bearing

2. A 21 year old presents to your office after injuring her knee in a soccer game. She states that the knee clicks when she walks and has “locked” on several occasions.

On exam there is an effusion and the knee is grossly stable. The most likely diagnosis is:

a) Anterior cruciate ligament tear

b) Meniscal tear

c) Osteoarthritis

d) Bursitis

e) Medial collateral ligament tear

3. "Orthopedics" comes from the Greek words meaning what?

a) Anatomy and Surgery

b) Bone and Joint

c) Straight and Child

d) Healing and Body

4. tuberculosis of the spine first starts in ?

a) vertebral body

b) nucleolus pulposus

c) annulus fibrosis

d) paravertebral joints

5.which of the following is the most common malignant lesion of the bone?

a) Chondroblastoma

b) Fibrosarcoma

c) Ewing’s sarcoma

d) Osteosarcoma

Part II

1.What are the risks for esophageal cancer?

2.What is Cushing's Syndrome?

3.What are some advantages of canine rehab post-op?

4.What are some challenges with minimally invasive surgery?

5.What is Calot's triangle?

答案

PartI

1.c

2.b

3.c

4.a

5.d

Part II

1. 1. Tobacco

2. Alcohol

3. GE reflux

4. Barrett's esophagus

5. Radiation

2.Cushing's Syndrome is the state of hypercortisolism. Unfortunately, the term has

been used carelessly in the past which has led to confusion regarding the

underlying disease process. Primary Hypercortisolism (the real, "Cushing's

syndrome", i.e. related to a primary disease within the adrenal gland), is seen with an adrenal tumor. Cushing's Disease is due to a central process (usually a pituitary tumor) which release an excess of ACTH and thus produces a Secondary Hypercortisolism.

3.Increased range of motion; decreased adhesions, periarticular fibrosis,

and joint pain; slows osteoarthritis; shortens recovery time.

4.operations can last longer, more difficult for surgeon, may need more

training, equipment failure.

5.The hepatobiliary triangle (or cystohepatic triangle) is an anatomic

space bordered by the common hepatic duct medially, the cystic duct

inferiorly and the superior border to the cystic artery.