[go: up one dir, main page]
Scribd
Upload
3K views2 pages

MCQ in Surgery

A 17-year-old male presents with a rounded mass under his tongue. The mass is not tender or fixed. This finding is called a ranula, which is a swelling of mucin-filled connective tissue from a ruptured salivary gland duct, often caused by local trauma. Ranulas are usually asymptomatic. Treatment involves removing the top of the lesion in a procedure called marsupialization. A 58-year-old man presents with severe left lower quadrant abdominal pain and a sigmoid volvulus seen on x-ray. The appropriate management is decompression by sigmoidoscope, which allows rapid decompression of the distended colon and immediate relief of symptoms by passing the scope through the rectum to

Uploaded by

Tahir
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
3K views2 pages

MCQ in Surgery

A 17-year-old male presents with a rounded mass under his tongue. The mass is not tender or fixed. This finding is called a ranula, which is a swelling of mucin-filled connective tissue from a ruptured salivary gland duct, often caused by local trauma. Ranulas are usually asymptomatic. Treatment involves removing the top of the lesion in a procedure called marsupialization. A 58-year-old man presents with severe left lower quadrant abdominal pain and a sigmoid volvulus seen on x-ray. The appropriate management is decompression by sigmoidoscope, which allows rapid decompression of the distended colon and immediate relief of symptoms by passing the scope through the rectum to

Uploaded by

Tahir
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Question #1

QID: 15401
Topic: Ranulas
Subject: Surgery
A 17 year old white male presents with a concerning finding on the floor of his mouth. The rounded
mass in seen under his tongue. It is not tender and is not fixed. See picture:

What is the name of this finding?


a) Ranula
b) Simple cyst
c) Cavity
d) Frenulum
The correct answer is a)

Explanation:
Ranulas present as a swelling of connective tissue consisting of collected mucin from a ruptured
salivary gland duct, which is usually caused by local trauma. Ranulas are usually asymptomatic.
Treatment of ranulas involves excision of the top of the lesion in a procedure known as
marsupialization.

Question #2
QID: 15406
Topic: Sigmoid Volvulus
Subject: Surgery
A 58-year-old man presents to the ED with severe abdominal pain in his left lower quadrant. A plain
film x-ray shows a sigmoid volvulus. What is the appropriate management?
a) Sigmoidectomy
b) Decompression by sigmoidoscope
c) Hydrostatic barium enema
d) Antibiotics
The correct answer is b)

Explanation:
Decompression and untwisting of the sigmoid loop may be achieved by the passage of a
sigmoidoscope per rectum. This procedure allows for rapid decompression of the distended colon,
with the immediate relief of symptoms. Most patients are elderly persons, and they may be treated
conservatively
with
this
tube
decompression.
Surgery is reserved for patients in whom tube decompression fails to alleviate the patient's symptoms
or for those in whom signs of ischemia are suggested.

You might also like