Principles Of Surgery Sixth Edition - Test Kitabı

Principles Of Surgery Sixth Edition - Test Kitabı, Schwartz, Shires, Spencer, 63359, McGrawHill Contemporary, Eğitim Kitapları, Kişisel Gelişim, Yabancı Dilde Kitaplar

      The sixth edition of Principles of Surgery: Pretest® Self-Assessment and Review, edited by Seymour I. Schwartz, has been designed to provide physicians with a comprehensive, relevant, and convenient instrument for self-evaluation and review within the broad area of surgery. Although it will be particularly helpful for residents preparing for the American Board of Surgery (ABS) Qualifying, InTraining, and Certifying Examinations, it will also be useful for boardcertified surgeons preparing for recertification. Study of this self-assessment and review book should help identify areas of relative weakness, confirm areas of expertise, assess knowledge of the sciences fundamental to surgery, assess clinical judgment and problem-solving skills, and introduce recent developments in surgery This book consists of 600 multiplechoice questions that are representative of the major areas covered in the sixth edition of Principles of Surgery by Schwartz and associates; they parallel the format and degree of difficulty of the questions on the abovementioned board examinations. Each question is accom panied by an answer and a paragraphlength explanation. Chapter references are to the main text. We have assumed that the time available to the reader is limited; as a result, this book can be used profitably a chapter at a time. By allowing no more

than one and a half minutes to answer each question, you can simulate the time constraints of the actual board examinations. When you finish answering all the questions in a chapter, spend as much time as necessary verifying answers and carefully reading the accompanying explanations. If after reading the explanations for a given chapter, you feel a need for a more extensive and definitive discussion, consult the chapters noted in the sixth edition of Principles of Surgery. We have used the two basic question types found in the American Board of Surgery InTraining, Qualifying, Certification, and Recertification Examina tions. Considerable editorial time has been spent trying to ensure that each question is clearly stated and discriminates between those physicians who are well prepared in the subject and those who are less knowledgeable. This book is a teaching device that provides readers with the opportunity to evaluate and update clinical expertise, ability to interpret data, and ability to diagnose and solve clinical problems. The editor, as well as the McGrawHill/PreTest® staff, would be very happy to receive your comments and suggestions. Special recognition for production of the sixth edition of this text is given to Wendy Husser, with additional thanks to Amy Wilkin, both of the University of Rochester.

Questions 1-2

A 64-year-old previously healthy man is admitted to a hospital because of a closed head injury and ruptured spleen following an automobile accident. During the first 4 days of hospitalization, following laparotomy and splenectomy, he re- ceives 5 % dextrose -normal saline solution at a rate of 125 mL/h. Recorded daily fluid outputs in- clude 450 to 600 mL of nasogastric drainage and 700 to 1000 mL of urine. The patient is somnolent but easily aroused until the morning of the fifth hospital day when he is noted to be in deep coma; by the afternoon, he begins having seizures. The following laboratory data are obtained:

Serum electrolytes (meq/L): Na+ 130; K+ 1.9; CI 96; HCO3 19 Serum osmolality: 260 mOsm/I Urine electrolytes (meq/L): Na+ 61; K+ 18

1. What is the most likely cause of the pa- tient's seizures?

(A) Hypokalemia

(B) Hyponatremia

(C) Hypocalcemia

(D) Hypomagnesemia

(E) Intracranial bleeding

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