1. Bezold abscess is seen in:

2. Trauma and injury severity score (TRISS) includes:

3. True about abdominal compartment syndrome include the following except:

4. A patient with stab injury to anterior abdomen presents with a tag of omentum protruding through the abdominal wall near the umbilicus. On evaluation he is hemodynamically stable and shows no signs of peritonitis. Initial management of patient should involve:

5. Sitaram a 40-years old man, met with an accident and comes to emergency department with engorged neck veins, pallor, rapid pulse and chest pain Diagnosis is:

6. Best approach in thoracic trauma is:

7. Which of the following is a function of heat shock proteins?

8. How many calories per day are required to maintain basal metabolism in a healthy adult?

9. Which of the following is the primary fuel source in prolonged starvation?

10. Sepsis increases metabolic needs by approximately what percentage?

11. Which of the following is the initial enteral formula for the majority of surgical patients?

12. New onset of glucose intolerance in a TPN dependent patient can be due to

13. Tensile strength of wound becomes normal after:

14. A 60 years old lady underwent abdominal surgery and on the 4th post-operative day she was diagnosed to have systemic inflammatory response syndrome (SIRS). What are the features of SIRS?

15. Hilton’s method of treatment of an axillary abscess is advised because it:

16. A 49-year-old man who underwent liver transplantation 5 years ago for alcoholic cirrhosis presents with a gradually increasing bilirubin level. He undergoes a liver biopsy, which demonstrates a paucity of bile ducts. Which of the following is his best option for treatment?

17. A 33-year-old diabetic man receives a renal allograft. The physicians choose cyclosporine as one of the antirejection medications. Which of the following functions does cyclosporine A primarily inhibit?

18. A 56-year-old woman is undergoing a cadaveric renal transplant. After revascularization of the transplanted kidney, the transplanted renal parenchyma becomes swollen and blue. The surgeon suspects hyperacute rejection. What is the treatment of choice for this patient?

19. A 55-year-old man presents with worsening cirrhosis. After evaluation by a hepatologist, he presents for evaluation for hepatic transplantation. He is informed that prioritization for transplantation is based on the Model of End-stage Liver Disease (MELD) score, and that patients with higher MELD scores have a greater benefit from transplantation. Which of the following contributes to the MELD score?

20. A mother notices an abdominal mass in her 3-year-old son while giving him a bath. There is no history of any symptoms, but the boy’s blood pressure is elevated at 105/85 mm Hg. Metastatic workup is negative and the patient is explored. The mass shown here is found within the left kidney. Genetic testing reveals deletion of 2 genes on chromosome band 11p13. Which of the following anomalies in addition to the identified tumor is associated with these chromosomal deletions?

21. In addition to stopping the heparin, a patient with heparin induced thrombocytopenia (HIT) should be treated with

22. Which topical anticoagulating agent is best for use in patients with a coagulopathy?

23. A 68-year-old woman presents with a pigmented lesion on the trunk. Upon further examination the lesion has an irregular border, darkening coloration, and raised surface. An incisional biopsy is performed and confirms a melanoma with a thickness of 0.5 mm. The patient is scheduled for a wide local excision of the melanoma in the operating room. Which of the following is the smallest margin recommended for excision?

24. A 63-year-old man with history of poorly controlled diabetes presents with right leg swelling and pain. The patient denies trauma to the leg and reports it was normal yesterday. Examination of the right lower extremity is significant for extreme tenderness to palpation, erythema, and edema extending up to the knee. X-ray of the right leg shows tissue swelling without gas or osteomyelitis. The patient’s vital signs are normal and he is started on broad-spectrum IV antibiotics and insulin. An hour later the patient’s heart rate increases to 125 beats per minute and the erythema has progressed to the thigh with new blister formation on the leg. Which of the following is the most appropriate next step in management?

25. A 40-year-old woman undergoes an incisional biopsy of a pigmented lesion on her right thigh. Pathologic examination reveals malignant melanoma with a thickness of 3 mm. Findings on examination of the groin are normal. Which of the following is the most appropriate next step in her management?