Abdomen
General Surgery · Topic 28
Source: NMC CBME Curriculum 2024 · Volume III · General Surgery · Topic 28 · combined PDF page 410
Practice questions
- A patient sustains penetrating abdominal trauma, and ureteric or collecting-system injury is suspected. Which initial imaging study is especially suited to evaluate the urinary collecting system and ureters?
- A patient with penetrating abdominal trauma undergoes contrast-enhanced CT without dedicated urographic phases. The clinical concern for ureteric injury remains high. Which interpretation is most appropriate?
- Following penetrating pelvic trauma, both urethral and bladder injury are suspected. Which imaging approach best reflects the complementary tests described in current appropriateness guidance?
- Which modality is generally not appropriate as the initial evaluation for suspected penetrating urinary tract trauma?
- Which situation is an established rationale for intentionally maintaining an open abdomen?
- For temporary abdominal closure in a patient managed with an open abdomen, which strategy is identified as preferred in the reviewed evidence?
- In a patient with an open abdomen, early fascial closure is feasible. Which timing is associated with fewer complications in the reviewed evidence?
- A stable patient with an open abdomen can tolerate enteral feeding. Which timing is supported as potentially beneficial for fascial approximation?
- Despite appropriate temporary abdominal closure, primary fascial closure is not feasible in a patient with an open abdomen. Which alternative is described as safe?
- Which complication is specifically highlighted as a concern in open-abdomen management and is associated with failure to achieve early fascial closure?
- A patient with an open abdomen requires interfacility transport. Which preparation best addresses the principal transport-specific safety recommendations?
- During transport of a patient with an open abdomen, negative-pressure temporary closure fails. Which associated deterioration should the team be prepared to recognize?
- Which team approach is emphasized for safe transport of a patient with an open abdomen?
- A retroperitoneal mass has imaging features that overlap with several tumor types. Which overall diagnostic strategy is recommended for abdominal neurogenic tumors?
- Before biopsy of an indeterminate retroperitoneal mass, imaging raises the possibility of an unrecognized pheochromocytoma or paraganglioma. What is the key concern?
- Which set lists the major origins of abdominal and pelvic neurogenic tumors described in the review?
- In a patient with prior groin-hernia mesh placement, which statement best reflects the evidence on postoperative MRI visualization?
- What is the principal evidence gap identified for MRI assessment of lower-abdominal surgical mesh?
- A department considers a 0.55 T MRI system for abdominal imaging. Which tradeoff should be anticipated compared with higher-field imaging?
- Which imaging issue is specifically described as a challenge for abdominal and pelvic imaging at 0.55 T?
- A patient presents with acute left upper-quadrant pain and splenomegaly. CT demonstrates a large, poorly demarcated, heterogeneously enhancing splenic mass without calcification. Which diagnosis should be considered?
- Which statement best characterizes the clinical behavior and reported management of splenic angiosarcoma?
- In a patient with suspected splenic angiosarcoma and acute abdominal symptoms, what is a key role of CT described in the review?
- Among common causes of acute abdominal pain, where does D-dimer have its greatest potential diagnostic value according to the review?
- A patient with possible appendicitis has an elevated D-dimer. Which interpretation is most appropriate?
- Which approach best reflects the recommended role of D-dimer in the emergency evaluation of acute abdominal pain?