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ROSH QBank General Surgery EOR Exam Questions With 100% Verified Answers
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ROSH QBank General Surgery EOR Exam Questions With 100% Verified Answers A 35-year-old man presents to the emergency department today complaining of severe pain to his left forearm. The patient was seen by an orthopedic surgeon yesterday and had a short-arm cast placed after he fractured his ul...

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  • October 2, 2024
  • 115
  • 2024/2025
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ROSH QBank General Surgery EOR Exam
Questions With 100% Verified Answers




A 35-year-old man presents to the emergency department today complaining of severe pain to

his left forearm. The patient was seen by an orthopedic surgeon yesterday and had a short-arm

cast placed after he fractured his ulna. The patient's left hand appears extremely pale, and his cast

is immediately removed. He has absent radial pulses to his left arm and 2 radial pulses on his

right arm. The dorsal compartment pressure measures 36 mm Hg. What is the most appropriate

next step in this patient's management?

A Admission for hourly monitoring

B Discharge with prescription for oxycodone

C Follow-up with orthopedic surgery in 12-24 hours


D immediate fasciotomy - answer✔D immediate fasciotomy


A 64-year-old man presents for a bulge in the groin area that he noticed over the last week. It is

not painful or tender. In the morning upon waking, he feels it is smaller, and as the day

progresses and he is on his feet for long hours at work, it gets larger. On physical exam, you

notice a bulge in the left inguinal area that is soft and increases with Valsalva maneuver. There is

, ©BRAINBARTER 2024/2025


no overlying erythema or warmth. Which of the following risk factors is associated with the most

likely diagnosis?

AAlcohol use disorder

BMale sex

CSubstance use disorder


DYounger age - answer✔B male sex


Which of the following types of bile duct stones is most likely to be found in the primary form of

choledocholithiasis?

A Calcium oxalate stone

B Cholesterol stone

C Mixed stone


D Pigmented stone - answer✔D pigmented stone


A 32-year-old G1A0P1 woman presents with two days of worsening abdominal pain. She has

not passed stool or flatus since an uncomplicated spontaneous vaginal delivery with epidural

anesthesia two days ago. Her medical and surgical history is otherwise unremarkable. On

examination, her abdomen is distended, tympanic to percussion, and diffusely tender. The

remainder of her physical exam and vitals are normal. Which of the following would most likely

be seen on a CT abdomen and pelvis with IV contrast?

A Acute appendicitis

, ©BRAINBARTER 2024/2025


B Colonic dilation without mechanical obstruction

C Intraluminal colorectal mass


D Small bowel obstruction with adhesions - answer✔B colonic dilation without mechanical

obstruction

A 65-year-old man with myasthenia gravis presents with severe headache and drowsiness and is

diagnosed with respiratory acidosis. Which of the following arterial blood gas findings would

you expect to see in this patient?

ApH 7.20, PaCO2 50 mm Hg, and bicarbonate 23 mEq/L

BpH 7.25, PaCO2 40 mm Hg, and bicarbonate 20 mEq/L

CpH 7.55, PaCO2 30 mm Hg, and bicarbonate 24 mEq/L


DpH 7.60, PaCO2 40 mm Hg, and bicarbonate 28 mEq/L - answer✔A pH 7.20, PaCO2

50mmHG, and bicarbonate 23 mEq/L

A 32-year-old man is admitted to the hospital for fever and severe pain in his right finger. The

patient cut his finger with a hedge trimmer 4 days ago and did not seek medical treatment. He

has been taking ibuprofen at home. Vital signs are T 39.1°C (102.4°F), BP 88/58 mm Hg, HR

110 bpm, RR 26 breaths per minute, and pulse oximetry 97% on room air. Physical examination

is significant for a 2 cm laceration over the distal interphalangeal joint of the right index finger.

Hand radiographs are significant for a nondisplaced, oblique fracture of the distal phalanx of the

right index finger. Arterial blood gas values are as follows:

, ©BRAINBARTER 2024/2025


pH: 7.15

pCO2: 36 mm Hg

HCO3: 12 mmol/L

Anion gap: 32 mEq/L




Which of the following acid-base disorders best describes the patient's condition?

AMetabolic acidosis

BMetabolic alkalosis

CRespiratory acidosis


DRespiratory alkalosis - answer✔A metabolic acidosis


What is the most appropriate IV fluid for a preoperative patient who is NPO?

A5% dextrose in water

BHalf-normal saline

CLactated Ringer solution


DNormal saline - answer✔C lactated ringer solution


A 65-year-old man with a history of hypertension, hyperlipidemia, and diabetes mellitus presents

to his primary care provider for a preoperative physical for an upcoming cholecystectomy. While

interviewing the patient for a review of systems, he mentions he gets a crushing chest pain when

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