This document contains a formative test for general surgery with 25 total marks. It includes 4 multiple choice questions worth 1 mark each about signs of a chest injury, immediate action for a chest stab wound, location of a V sign, and optimal age for cleft lip correction. There are also 2 short essay questions worth 6 marks each about tension pneumothorax features and management and cleft lip/palate classification and palate surgery options. Finally, there are 3 short answer questions worth 3 marks each about flail chest, paronychia, and mid palmar space infection.

1. Formative test - 1
General surgery
Max marks: 25
Time: 45 minutes
Date: 07/03/24

2. MCQ.
1 x 4 = 4
1. Signs and symptoms of a chest injury include
all of the following, EXCEPT:
a. Hemoptysis
b. Hematemesis
c. Asymmetrical chest movement
d. Increased pain with breathing

3. MCQ
2. During your assessment of a patient who was
stabbed, you see an open wound to the left
anterior chest. Your MOST immediate action
should be to:
a. Position the patient on the affected side
b. Transport immediately
c. Assess the patient for a tension pneumothorax
d. Cover the wound with an occlusive dressing

4. MCQ
3. V sign (separation of fingers) is seen in
a. Paronychia
b. Web space infection
c. Mid palmar space infection
d. Tenosinovitis

5. MCQ
4. Cleft lip should be corrected
a. Immediately after birth
b. Before 6 months of age
c. 6 - 12 months of age
d. 12 - 24 months of age

6. Short essay and short answer
Short essay.
6 x 2 = 12
5. Clinical features and management of tension
pneumothorax.
6. Classification of cleft lip and palate.
Surgical options for cleft palate.
Short answer.
3 x 3 = 9
7. Flial chest
8. Paronychia
9. Mid palmar space infection