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Wounds, Ulcers, Sinuses & Fistulas — General Surgery

Basic General Surgery Question Bank

Question Bank Basic General Surgery General Surgery Wounds, Ulcers, Sinuses & Fistulas
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Basic General Surgery Question Bank
Wounds, Ulcers, Sinuses & Fistulas
General Surgery · Wounds, Ulcers, Sinuses & Fistulas · medium
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Wounds, Ulcers, Sinuses & Fistulas MCQs: practice questions

Sample Wounds, Ulcers, Sinuses & Fistulas multiple-choice questions from General Surgery.

  1. Which pressure-ulcer intervention is most fundamental?

    • A. Malignant transformation or an underlying skin cancer
    • B. TGF-β
    • C. High-output proximal small-bowel fistula
    • D. Pressure redistribution and frequent repositioning
    • E. Poor tissue perfusion
  2. Why does smoking impair wound healing?

    • A. VEGF
    • B. Poor fascial healing
    • C. Nicotine causes vasoconstriction and smoking reduces tissue oxygenation
    • D. Dehiscence
    • E. Vitamin C deficiency
  3. Which growth factor strongly stimulates fibroblast proliferation and extracellular matrix formation?

    • A. VEGF
    • B. Malignant transformation or an underlying skin cancer
    • C. TGF-β
    • D. Keloid
    • E. Collagen remodeling and cross-linking
  4. Which cell is especially important in later wound healing and collagen deposition?

    • A. Nicotine causes vasoconstriction and smoking reduces tissue oxygenation
    • B. Fibroblast
    • C. Pressure redistribution and frequent repositioning
    • D. Fistula
    • E. Type III collagen
  5. Which collagen predominates in mature scar?

    • A. VEGF
    • B. Vitamin C deficiency
    • C. Type I collagen
    • D. Malnutrition and dehydration
    • E. Dehiscence
  6. Which phase of wound healing occurs immediately after tissue injury?

  7. A hypertrophic scar differs from a keloid because it

  8. Which fistula output is most likely to cause rapid fluid depletion?

  9. An abnormal communication between two epithelialized surfaces is called a

  10. Which growth factor is important for angiogenesis during tissue repair?

  11. A chronic draining tract lined by granulation tissue that connects a cavity to the skin is a

  12. A chronic ulcer with undermined edges and systemic inflammatory disease is most suggestive of

  13. Which wound-healing phase includes epithelial migration and proliferation?

  14. Which factor increases risk of incisional hernia after surgery?

  15. A pressure ulcer over the sacrum in an immobile patient is primarily caused by

  16. Which complication is common with an enterocutaneous fistula?

  17. Which type of collagen predominates early in wound repair?

  18. Which factor most directly impairs wound healing?

  19. Which wound complication is characterized by separation of previously closed wound edges?

  20. Which complication of an enterocutaneous fistula is most likely with prolonged high output?

  21. A clean surgical incision closed primarily is an example of

  22. A large contaminated wound left open to granulate heals by

  23. A postoperative patient develops sudden serosanguineous drainage followed by wound separation. This suggests

  24. Which cells dominate a typical acute inflammatory wound early after injury?

  25. Which local factor is most likely to cause delayed wound healing?

  26. Which nutritional deficiency impairs collagen synthesis?

  27. A chronic nonhealing ulcer with induration and rolled edges should raise concern for

  28. Which process decreases the size of a granulating wound?

  29. Which wound complication results from excessive collagen deposition beyond the original wound boundaries?

  30. What is the principal reason scars become stronger over time?

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