Your-Doctor Multiple Choice Questions (MCQ)

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Category: Surgery--->Global Surgery
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Question 1#Print Question

Patients in rural and developing locales often have difficulty accessing health care and undergoing surgical interventions. Interest in global surgery has grown significantly in recent years due in part to all of the following EXCEPT:

a. Trained surgeons migrating to areas of need
b. Improved control of acute infectious diseases previously the cause of significant morbidity
c. Technology allowing improved access to health care information and training
d. Recognition of the cost-effectiveness of surgery as a public health intervention

Question 2#Print Question

A 24-year-old man in Tanzania is traveling without helmet on the back of a motorbike sideswipes a large truck. He is brought in to the hospital and found to have rib fractures, a femur fracture, and a traumatic brain injury. If one wanted to calculate the impact of this injury on his life, one could calculate a Disability Adjusted Life Year (DALY) score. What components make up this score?

a. Years of life lived
b. Severity of illness and years of life lived with that disability
c. Patient quality of life and years of life lived with impaired quality of life
d. Years of life lost, compared to country average, and a weighted calculation of life years lived with disability

Question 3#Print Question

After you establish an advanced surgical department in a foreign country, a 55-year-old woman presents with right upper quadrant pain of 3 months occurring after every meal. An ultrasound shows a thickened gallbladder wall and peri cholecystic fluid and a diagnosis of cholecystitis is made. The patient undergoes a laparoscopic cholecystectomy. The World Health Organization's (WHO) 10 basic and essential objectives for safe surgical practice focus on all of the following EXCEPT:

a. Preparing for life-threatening loss of airway or respiratory function
b. Minimizing surgical-site infection
c. Minimizing cost and length of hospital stay for the patient
d. Communicating critical patient information

Question 4#Print Question

A 50-year-old man presents to a clinic in Cameroon with abdominal pain. On further questioning, you learn that he lives 60 miles from the nearest hospital and has not seen a physician in years. The patient is counseled regarding screening colonoscopy, which he undergoes and multiple polyps are noted. The patient is referred to for surgery. Factors which must be considered that impact surgical services include:

a. Socioeconomic status of the patient and cultural background
b. Accessibility of facilities to the patient
c. Availability and training level of supporting specialties (anesthesia, nursing, etc)
d. All of the above

Question 5#Print Question

A 55-year-old East African woman presents with a palpable mass in her right breast that has been present for several years. You are concerned for cancer and know her case fatality rate is significantly higher than a similar patient in North America. Why? 

a. Later presentation to care
b. Limited access to screening
c. Lack of access to surgical care
d. All of the above

Category: Surgery--->Global Surgery
Page: 1 of 2