OPD Surgery Board Review Exam (2024) || All Questions & Solutions (Rated A+)
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Course
OPD Board Certification
Institution
OPD Board Certification
OPD Surgery Board Review Exam (2024) || All Questions & Solutions (Rated A+)
OPD Surgery Board Review Exam (2024) || All Questions & Solutions (Rated A+)
A 45-year-old 70-kg man is hospitalized after a right direct inguinal hernia repair without complications. His blood pressure is 132/80 mmHg ...
, OPD Surgery Board Review Exam
(2024) || All Questions & Solutions
(Rated A+)
A 45-year-old 70-kg man is hospitalized after a right direct inguinal hernia repair
without complications. His blood pressure is 132/80 mmHg and pulse is 76
beats/min. About how much IV fluid should he be receiving per hour? - ANSWER -
110 mL/hr
T: Previously healthy 37 yo woman comes to doc bc of 3 mo ho headaches.
Headaches now occur almost daily and are relieved by aspirin. Her pulse is 76/min,
respirations are 12/min, and BP is 158/95 mmHg. No murmurs, gallops, or bruits
heard. Serum studies show:
Hypokalemia + HT + headaches every day for 3 mos --> high levels of aldosterone
most likely
T: 42 yo pt admitted to hospital with piece of meat lodged in lower esophagus. With
considerable difficulty, meat is removed by esophagoscopy. That evening, pt has
temp of 101 F. Most appropriate diagnostic study? - ANSWER - *Water-soluble
contrast upper GI study*
Do water-soluble / gastrograffin contrast --> to avoid causing further damage
- like with repeated esophagoscopy
T: 27 yo woman who is HIV + comes to ED 4 hrs after onset of bloody diarrhea. She
has had intermittent nonbloody diarrhea over past 6 mos. She has 4 day ho
abdominal cramps. She has had decreased appetite resulting in 15-lb wt loss during
past wk. She has had 2 hospitalizations for PCP during past yr. Current meds
include didanosine, indinavir, stavudine, TMP-SMX. Her temp is 103 F, pulse is
130/min, respirations are 24/min, & BP is 80/60 mmHg. Diffuse crackles heard
bilaterally. Exam shows rigid, tympanitic, distended abdomen with diffuse rebound
tenderness. Bowel sounds decreased. Rectal exam shows gross blood. Her hgb
conc is 8 g/dL, hct is 24%, and leukocyte count is 3500/mm^3. After fluid
resuscitation with 0.9% saline & transfusion of 2 units of packed RBCs, she
undergoes total abdominal colectomy with ileostomy for perforated cecum. Path
exam of excised colon shows diffuse mucosal inflammation with nuclear inc -
ANSWER - *CMV*
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