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ROSH REVIEW general surgery Practice Exam Questions and Answers | 100% Pass

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ROSH REVIEW general surgery Practice Exam Questions and Answers | 100% Pass A 24-year-old woman presents to the clinic for preoperative evaluation for a scheduled right anterior cruciate ligament repair. Preoperative clearance was requested by the surgeon secondary to the patient complaining o...

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  • September 15, 2024
  • 30
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ROSH
  • ROSH
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, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM



ROSH REVIEW general surgery Practice
Exam Questions and Answers | 100%
Pass

A 24-year-old woman presents to the clinic for preoperative evaluation for a scheduled

right anterior cruciate ligament repair. Preoperative clearance was requested by the

surgeon secondary to the patient complaining of chest pain. Review of systems is

positive for a chronic nonproductive cough, chest pain, fatigue, and weight loss. She

denies any history of tobacco use. A chest radiograph reveals bilateral hilar adenopathy

with symmetric enlargement of the hila. Serum angiotensin-converting enzyme levels

are ordered and found to be elevated. Which of the following is the most likely

diagnosis? - Answer✔️✔️-Sarcoidosis


Which of the following options is the best therapy for an ascending aortic dissection? -

Answer✔️✔️-Emergent surgical repair

Why must the preoperative preparation for surgical resection of a patient with a

diagnosed pheochromocytoma involve propranolol initiation after a 10-14 day course of

phenoxybenzamine? - Answer✔️✔️-To avoid unopposed alpha-adrenergic receptor

stimulation

A 60-year-old man has been bedridden following a stroke several months ago.

Urinalysis shows high levels of protein in the urine and nephrotic syndrome is

suspected. On physical exam, where would the provider likely detect edema? -

Answer✔️✔️-Sacrum (peripheral and periorbital edema are commonly seen in patients


Page | 1

, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM


with nephrotic syndrome caused by sodium retention and hypoalbuminemia; lab shows

proteinuria > 3.5g/day)

A 78-year-old man undergoes laparoscopic surgery for a small bowel obstruction.

Which metabolic disturbance is he most at risk for postoperatively? - Answer✔️✔️-

Metabolic alkalosis

A 30-year-old woman presents to the outpatient clinic for follow-up on her total

thyroidectomy performed six weeks ago. Her incision is well-healed, and there are no

signs of infection. The patient does complain of feeling cold, despite others around her

being warm, fatigue, and weight gain. She has remained on levothyroxine 100 mcg by

mouth once daily. Serum thyroid-stimulating hormone was performed prior to the

appointment and was found to be elevated. Which of the following is the most likely

diagnosis? - Answer✔️✔️-Hypothyroidism

A 46-year-old man presents to the emergency department reporting abdominal pain,

bloating, nausea, anorexia, and vomiting. His symptoms have been worsening since

onset three days ago. His last bowel movement was four days ago, but he continues to

pass flatus. Which of the following tests has the highest sensitivity for confirming the

most likely diagnosis? - Answer✔️✔️-Abdominal CT w/ contrast

Which of the following is appropriate initial treatment for uncomplicated symptomatic

Crohn's disease? - Answer✔️✔️-Immunosuppressant therapy

Parents bring their previously healthy four-week-old boy to the ED due to repeated

"projectile vomiting" immediately after he nurses for the past 24 hours. The parents

report the emesis looks just like breast milk. He has had a normal pattern of wet

diapers. The parents deny any rectal bleeding. He has not had any difficulty nursing

Page | 2

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