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Question 1: A 55-year-old male presents to the office with a large midline incisional hernia after undergoing an exploratory laparotomy for trauma 15 years ago. He is becoming increasingly symptomatic and desires repair. The defect measures 15 cm x 8 cm. You consent him for an open bilateral component separation and mesh placement. During initial fascial incision, you find that he has dense adhesions, and 5 full thickness enterotomies are made incidentally. There is some spillage of succus, and full thickness repairs are performed successfully in each of these locations. How would you proceed at this point?

 

  1. Abort the hernia repair

  2. Bridging polyglactin (Vicryl) mesh

  3. Bilateral component separation without mesh

  4. Bilateral component separation with biologic mesh

  5. Bilateral component separation with permanent mesh

Reference: Schwartz’s Principles of Surgery, 10th ed

NBME Surgery Shelf Exam Review Questions and Practice Tests

 

Over 400 challenging Surgery Shelf Board Review Questions targeted for use during clerkship rotations. The surgery questions included in these question banks have been hand selected by faculty who have taught for the Shelf Exams in the past (and who have taken the Surgery Shelf Exams themselves).

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All NBME Shelf Exam Practice Questions

5600 challenging Shelf Exam questions targeted for use during clerkship rotations. The questions have been specifically adapted for the Medical School Student Level and include thousands of multiple choice questions (MCQ), vignettes, and long form questions.

Developed by top faculty and practicing physicians, BoardVitals helps tens of thousands of doctors prepare for board certification/recertification exams and complete their CME requirements. BoardVitals is trusted by more than 400 leading medical institutions including Harvard, Yale, Mt. Sinai, and Duke.

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