Quiz: SPLEEN — AUA MCQ

Evidence that a splenectomy might benefit a patient with immune (idiopathic) thrombocytopenic purpura (ITP) includes

A A- A significant enlargement of the spleen B B- A high reticulocyte count C C- Megakaryocytic elements in the bone marrow D D- An increase in the platelet count on cortisone therapy

A 4-year-01d boy sustained fracture of the left tenth and eleventh ribs with signs of intraperitoneal hemorrhage. Exploratory laparotomy revealed a laceration of the lower e part of the spleen. The best procedure is:

A a. Total splenectomy. B b. Partial splenectomy. C c. Repair of the laceration (splenorrhaphy). D d. Ligation of the splenic artery.

Which of the following shunts others :

A a. End-to-side portocaval. B b. Side-to-side portocaval. C c. Central splenorenal. D d. Distal splenorenal.

Appropriate initial treatment of G-6-P deficiency anemia is:

A a. Total splenectomy B b. Partial splenectomy C c. Exchange transfusion D d. Dietary counseling

A young child having anaemia, and gallstones should be investigated for:

A a. Cystic fibrosis. B b. Congenital spherocytosis. C c. Malaria. D d. Primary sclerosing cholangitis.

ITP

A a- Is most common in men in their 20s. B b- Is frequently cured in adults by corticosteroid administration. C c-Usually requires splenectomy in children. D d- Is in remission in more than 80% of patients with splenectomy.

Tropical spleenomegaly is due to:

A A. Bilharziasis. B B. Lymphoma. C C. Malaria. D D. Leshmaniasis.

As regard lymphoma:

A a. Splenic affection in Hodgkin lymphoma is called stage 3s. B b. Is more common to cause spleenomegaly than lymphocytic leukemia. C c. Spleenectomy is done for staging. D d. All are true

Which type of organism flare up after splenectomy:

A a. Gram +ve bacteria. B b. Gram —ve bacteria. C c. Capsulated bacteria. D d. Viruses.

Regarding Splenic rupture all are correct except:

A a. May be delayed for up 2 weeks following blunt trauma B b. Should be suspected if plain X-ray revealed raised left hemi-diaphragm C c. May displace gastric air bubble on plain X-ray D d. Produce a negative Kehr's sign

In splenic rupture, all are useful investigation except:

A a. Abdominal ultrasound B b. Abdominal plain x-ray C c. Splenic arteriography D d. Splenic scan

Most usefUI method for detection of splenic injury is:

A a. Diagnostic peritoneal lavage. B b. CT. C c. Ultrasonography. D d. Isotope scan.

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