Tiêu đề Surgery 12-2024.pdf ✅

SPOT LIGHT ON SURGERY 2025 MCQS BOOK DR FADI QUTISHAT Surgery 12/2024 1) On examination, road traffic accident trauma patient has 5/5 power in his upper limbs, 0/5 power in his lower limbs. Further examination reveals a sensory level at the nipples. Cranial nerves are intact. Where is the most likely location of the lesion A. C4 B. T4 C. T10 D. L1 E. L4 Explanation This patient is paraplegic. The lesion can be in the thoracic or lumbar cord. A sensory level helps further identify the location of the lesion. Dermatomes overlap and are not always consistent. You do not need to be able to delineate every dermatome but it is useful to have a
SPOT LIGHT ON SURGERY 2025 MCQS BOOK DR FADI QUTISHAT general idea of certain levels such as: C4 shoulders, T4 nipples, T10 umbilicus, L1 pockets, L3 knee Reference https://www.uptodate.com/contents/thedetailedneurologicexamination inadultscsi=10e0aac166b74400bf857bd537cac69f&source=contentSha re 2) You are assisting with a primary open right inguinal hernia repair in a 40-year-old male. During the operation, the surgeon asks you to define the boundaries of the inguinal canal. Which of the following does not form part of the boundaries of the inguinal canal A. Posterior: transversalis fascia B. Medial: conjoint tendon C. Inferior: pectineal ligament D. Anterior: aponeuroses of the external and internal oblique fibres E. Superior: arching fibres of the internal oblique and transversus abdominis muscles
SPOT LIGHT ON SURGERY 2025 MCQS BOOK DR FADI QUTISHAT Explanation A helpful mnemonic for remembering the boundaries (roof, anterior wall, floor, and posterior wall) (RAFP) of the inguinal canal is MALT: Muscles (roof), Aponeuroses (anterior wall), Ligaments (floor), and Tendons (posterior wall). This can be further expanded as "2MALT" to indicate the specific structures involved: 2 muscles (internal oblique and transversus abdominis), 2 aponeuroses (external and internal oblique), 2 ligaments (inguinal and lacunar), and 2 tendons (conjoint tendon and transversalis fascia). The boundaries of the inguinal canal are as follows: Anteriorly: The aponeuroses of the external and internal oblique Posteriorly: The transversalis fascia, medially, the conjoint tendon that is made up of the merging pubic attachments of the internal oblique and transversus abdominis aponeurosis Superiorly (the roof): Arching fibres of the internal oblique and transversus abdominis Inferiorly (the floor): The inguinal ligament which is the folded lower margin of the aponeurosis of the external oblique muscle