7/26/2019 CIRUGIA222

1/2

CLINICA UNIVERSITARIA UCEBOLEXAMEN FINAL CIRUGIA

INTERNO:

1- Cul es la priera e!pl"ra#i$% i%s&rue%&al 'ue (e)e reali*arse e% u% pa#ie%&e #"% #"les&asis+ a, C"le#is&"ra./a "ral ), C"la%i"ra./a i%&ra0e%"sa #, C"la%i"ra./a re&r$ra(a e%("s#$pi#a (, E#"ra./a e, T""ra./a a!ial #"pu&ari*a(a- A 'u2 se (e%"i%a es$.a" (e Barre&+ a, Al )ra'uies$.a" ), 3i0er&i#ul"sis Es".i#a #, Me&aplasia (e la u#"sa es".i#a (, 4iperplasia (e #2lulas )asales epi&eliales e, 5"lip"sis es".i#a67- Cul es el &ip" (e a.e#&a#i$% i%&es&i%al s .re#ue%&e e% la e%.ere(a( (e Cr"8%+ a, Ile"% (is&al e!#lusi0ae%&e ), C"l"% e!#lusi0ae%&e #, Ile"% (is&al 9 #"l"% pr"!ial (, A%"re#&al e, Ni%u%a (e las a%&eri"res7- Cul es la #ausa s .re#ue%&e (e pa%#rea&i&is au(a+

a, Al#"8"lis" #r$%i#" ), Mal%u&ri#i$% #al$ri#" ; pr"&ei#a #, 4iperlipeia (, Mu#"0is#i("sis e, C"l2 li&iasis7- Cul (e las sus&a%#ias a#&?a s")re la rela@a#i$% 0esi#ular+ a, M"&ili%a

), Se#re&i%a

#, S"a&"s&a&i%a (, 5r"s&ala%(i%as e, Sus&a%#ia 57- U%a (e las siuie%&es #ir#u%s&a%#ias NO se #"%si(era e&i"l"/a (e pa%#rea&i&is au(a7 a, Tra&aie%&" #"% a*a&i"pri%a ), 4iperlipi(eia #, 4iper#al#eia (, 5a%ar&eri&is %u("sa e, 4iper&ir"i(is"7- El si%" (e Murp89 es: a, 5alpa#i$% (e u%a 0es/#ula )iliar (is&e%(i(a 9 ("l"r"sa ),3"l"r )rus#" 'ue i%(u#e u% par" respira&"ri" &ra%si&"ri" al palpar el 8ip"#"%(ri" (ere#8" #,3"l"r e% el 8ip"#"%(ri" (ere#8" 'ue se pr"0"#a al (es#"priir la pare( a )("i%al (espu2s (e 8a)er e@er#i(" #ier&a presi$%

(, 3"l"r esp"%&%e" e% el 8ip"#"%(ri" (ere#8" seui(" (e la apari#i$% (e i#&eri#ia e, Ni%u%a (e las a%&eri"res7- Cul (e es&as aDra#i"%es es #"rre#&a e% rela#i$% a la ala a)s"r#i$%+ a, Suele "#asi"%ar a&ule%#ia ), Siepre #ausa (iarrea

#, N" es u%a e%.ere(a( ("l"r"sa (, Cursa i%e0i&a)lee%&e #"% a(ela*aie%&"

e, T"(as17- E% ape%(i#i&is au(a ("l"r a la palpa#i$% pr".u%(a e% la u%i$% (el &er#i"e(i" (e la l/%ea)iil/a#a #"rresp"%(e a: a, 5u%&" (e Ma# Bur%e9 ), Blu)er

#, Si%" (e R"0si% (, Si%" (e La%*

e, Ni%u%a (e las a%&eri"res

117- Cul (e l"s $ra%"s siuie%&es NO Dl&ra sa%re a &ra02s (e sus si%us"i(es+ a, M2(ula $sea

7/26/2019 CIRUGIA222

2/2

), Ba*" #, Ga%li" li%.&i#" (, 4/a(" e, Ni%u%a (e las a%&eri"res17- E% el ("rs" (el pi2= el puls" pe(i" se per#i)e: a, 5"r (e%&r" (el &e%($% (el ?s#ul" &i)ial a%&eri"r7 ), E%&re l"s &e%("%es (el &i)ial a%&eri"r 9 e!&e%s"r pr"pi" (el (e(" "r("7 #, E%&re l"s &e%("%es (e e!&e%s"r pr"pi" (el (e(" "r(" 9 e!&e%s"r #"?% (e l"s (e("s (e l"s pies7 (, E%&re l"s &e%("%es (el e!&e%s"r pr"pi" (el (e(" "r(" 9 el per"%e" a%&eri"r7 e, Ni%u%a (e las a%&eri"res167- E% u% 8")re salu(a)le (e H7 El 0"lue% (el aua i%&ra#elular es apr"!ia(ae%&e (e: a, 6 L ), < L #, 1 L (, L e, L17- La a#uula#i$% p"s&"pera&"ria (e li'ui(" e% el &er#er espa#i" (e)e &rasla(arse e(ia%&ea(i%is&ra#i$% i%&ra0e%"sa (e: a, Al)?i%a

), 3e!&r"sa e% aua #, Res&ri##i$% (e l/'ui("s (, S"lu#i$% sali%a =< suplee%&a(a #"% p"&asi"

e, S"lu#i$% sali%a % "ral17- U%" (e l"s siuie%&es NO es i%(i#a#i$% e% la prepara#i$% pre"pera&"ria (e u%a peri&"%i&isau(a7 a, A%&i)i$&i#"s ), O!/e%" #, Al.a a(re%2ri#"s (, Be&ai2&i#"s e, Ni%u%a (e las a%&eri"res17- La irria#i$% ar&erial (el p%#reas pr"0ie%e (e u%" (e l"s siuie%&es: a, Tr"%#" #e.li#" 9 ar&eria ese%&2ri#a superi"r

), Ar#" pa%#re&i#" (u"(e%ales #, Ar&eria espl2%i#a (, Ar&eria pa%#re&i#a &ra%s0ersal e, Ar&eria ese%&2ri#a17- U% pa#ie%&e #"% u%a 8e"rraia (ies&i0a (e 1 #7#7 &e%(r EXCE5TO: a, )ra(i#ar(ia ), su("ra#i$% .r/a #, "liuria (, pali(e* e, &a'uip%ea17- Ju2 &ie%e% e% #"?% &"("s l"s &ip"s (e s8"#H+ a, u%a ala "!ie%a#i$% #elular e% &e@i("s 0i&ales ), u% .all" (e )")a #ar(ia#a #, u%as resis&e%#ias peri.2ri#as ele0a(as

(, u%a si&ua#i$% (e sepsis e, u%a (isi%u#i$% (e la presi$% 0e%"sa #e%&ral7- L"s (i0er&/#ul"s (el es$.a" s"% s .re#ue%&es e% el: a, Ter#i" superi"r7 ), Ter#i" i%.eri"r7 #, Ter#i" e(i"7 (, Ni%u%" e, T"("s