General Surgery End of Rotation Exam Questions & 100% Correct Answers- Latest Test | Graded A+ | Passed
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General Surgery End of Rotation
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General Surgery End Of Rotation
An 18-year-old patient has a tibia/fibula fracture following a motorcycle crash. Twelve
hours later the patient presents with increased pain despite adequate doses of analgesics
and immobilization. Which of the following is the most likely diagnosis?
A avascular necrosis
B myositis ossificans...
General Surgery End of Rotation Exam
Questions & 100% Correct Answers- Latest
Test | Graded A+ | Passed
An 18-year-old patient has a tibia/fibula fracture following a motorcycle crash. Twelve
hours later the patient presents with increased pain despite adequate doses of analgesics
and immobilization. Which of the following is the most likely diagnosis?
A avascular necrosis
B myositis ossificans
C compartment syndrome
D reflex sympathetic dystrophy
✓ -:- C
Compartment syndrome is characterized by a pathological increase of pressure within a
closed space and results from edema or bleeding within the compartment. It may occur as
an early local complication of fracture.
A 38 year-old male sustained a fracture of the left distal tibia following a 25-foot fall and is
taken to the operating room for an open reduction internal fixation of the distal tibia.
Sixteen hours post-op, the patient develops sustained pain, which is not relieved with
narcotics. On passive range of motion of the toes the patient "yells" in agony. The patient
reveals tenderness to palpation along the right flank with no rebound or direct testicular
tenderness. Urinalysis reveals a pH of 5.4 and microscopic hematuria, but is otherwise
unremarkable. Which of the following is the most likely diagnosis?
A Bladder cancer
B Nephrolithiasis
C Acute appendicitis
D Acute epididymitis
✓ -:- B
A sudden onset of severe colicky flank pain associated with nausea and vomiting as well as
the absence of rebound or direct testicular tenderness makes nephrolithiasis the most likely
diagnosis. This is further supported by the presence of hematuria on the urinalysis.
Which of the following pathophysiological processes is believed to initiate acute
appendicitis?
A Obstruction
B Perforation
C Hemorrhage
D Vascular compromise
4|Page | Grade A+| 2024/2025
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