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Surgery EOR Exam 2024/2025 Questions With Completed & Verified Solutions.
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Surgery EOR Exam 2024/2025 Questions With Completed & Verified Solutions.
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Surgery EORWhat is the most common type of liver cancer? - ANS hepatocellular carcinoma
tx for hemochromatosis (excessive iron loading) - ANS deferoxamine chelation
HBsAg - ANS acute/chronic infection
HBeAg - ANS VERY INFECTIOUS
acute/chronic infection
infectivity
wild type viral infection
anti-HBc - ANS marker of exposure
persists indefinitely
anti-HBe - ANS low infectivity
Anti-HBs - ANS marker of immunity
VACCINATION
what can cause false + for hemoccult? - ANS grapefruit, red meat, turnips
radishes, horseradish, cauliflower
VITAMIN C, NSAIDS, ASA
"gold standard" to diagnose chronic pancreatitis - ANS ERCP
study of choice for gallbladder studies - ANS U/S
study of choice for diverticulosis - ANS barium enema
MCC LGI bleed - ANS diverticulosis
(MC in sigmoid colon)
most common cause acute pancreatitis - ANS biliary disease (gallstones)
alcohol
most common type of pancreatic cancer - ANS ductal adenocarcinoma
(MC location = head)
what is courvoiser's sign? - ANS palpable, nontender gallbladder.
indicates obstruction of distal CBD due to mass.
,TOC for pancreatic cancer - ANS whipple (pancreatoduodenecotom)
MCC colon cancer - ANS adenocarcinoma
MCC esophageal cancer - ANS SCC
what drug can be used to treat acute mesenteric ischemia? - ANS papavarine (vasodilator)
what is the study of choice for zollinger ellison syndrome? - ANS secretin stimulating test
+ if secretin does NOT inhibit gastrin secretion
Tx: PPI, sx, chemo
T/F: cholangitis is an emergency - ANS true. infection of biliary tract due to obstruction --> leads
to biliary stasis and bacterial overgrowth.
MCC cholangitis - ANS choledocolithiasis.
post ERCP.
what is charcot's triad? - ANS RUQ pain
jaundice
fever
reynold's pentad? - ANS charcot's triad
septic shock
altered mental status
MCC gallbladder carcinoma - ANS adenocarcinoma
MCC cirrhosis - ANS alcoholic hepatitis (2nd MCC is Hep B & C)
omgea loop sign and coffee bean sign are characteristic of - ANS volvulus
(SOC = SIGMOIDOSCOPY b/c you can diagnose and TREAT at the same time!)
what kind of volvulus needs emergency surgery? - ANS cecal volvulus
what is diagnostic and therapeutic for intusseption? - ANS barium enema
("currant jelly sools" & "sausage like mass")
MCC UGI bleed - ANS PUD
MCC PUD - ANS H pylori
NSAID
, what causes a UGI bleed that is a mucosal tear at or just below GE junction due to forceful
vomiting? - ANS mallory weiss tear
tx for mallory weiss tear - ANS resolves spontaneously
what is boerhaave's syndrome? - ANS Hallmarks: transmural tear causing esophageal
perforation due to vomiting and retching that presents w/ UGI bleed
TOC: EMERGENT surgical treatment
hallmarks of esophageal varices - ANS massive GI bleed, hematemesis, liver disease, cirrhosis
TOC: hemodynamic stabilization, *endoscopic hemastasis*
ex: drinking around holidays
MCC LGIB - ANS dierticulsis
always suspect with occult blood loss & change in bowel patterns? - ANS colon neoplasm
tx for peritonsillar abscess - ANS I&D
clindamycin
MC breast cancer - ANS IDC
what is an adrenal medulla catecholamine secreting tumor? - ANS pehochromocytoma
suspect pehochromocytoma in who? - ANS pt with HTN uncontrolled by meds
S&S: HA, diaphoresis, palpitations, severe HTN
dx pehochromocytoma? - ANS 24 hour urine for catecholamines
TOC for pheo? - ANS surgery, alpha block THEN beta block prior to surgery
tx for prolocatinoma? - ANS bromocriptine
TOC for adrenal crisis? - ANS pt on steroids who stops taking them.
Tx: high dose prednisone and high dose fluids
appearance of pituitary adenoma after bilateral adrenalectomy for cushings? - ANS Nelson's
Syndrome
what is idiopathic adrenocortical insufficiency? - ANS addison disease
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