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SURGERY EOR EXAM PA QUESTIONS WITH COMPLETE ANSWERS { GRADED A+} $20.49   Add to cart

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SURGERY EOR EXAM PA QUESTIONS WITH COMPLETE ANSWERS { GRADED A+}

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SURGERY EOR EXAM PA QUESTIONS WITH COMPLETE ANSWERS { GRADED A+} A 54-year-old man presents to the emergency department with crampy abdominal pain, nausea, and vomiting. The patient has not passed gas or had a bowel movement for at least 10 hours. On examination, the abdomen is distende...

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  • May 29, 2024
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  • 2023/2024
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SURGERY EOR EXAM PA QUESTIONS

WITH COMPLETE ANSWERS { GRADED

A+}




A 54-year-old man presents to the emergency department with

crampy abdominal pain, nausea, and vomiting. The patient has

not passed gas or had a bowel movement for at least 10 hours.

On examination, the abdomen is distended and there are high-

pitched bowel sounds with rushes. A plain radiograph of the

abdomen reveals cecal distension to 12 cm. What is the most

appropriate definitive management for this patient?

A

Intravenous fluids

B

Nasogastric suction

,C

Observation

D

Surgical exploration - ✔✔The Correct Answer is: D

Massive distention of the cecum, as detected on plain radiograph,

is typically seen in "closed loop" obstructions where the ileocecal

valve is competent. When distention approaches 12 cm, there is

an increased risk of perforation and/or gangrene. Expedient

surgical intervention is indicated. Although observation with

intravenous fluids and nasogastric decompression are important

adjuncts to management, surgical exploration is the only way to

rapidly address this emergent situation.

When a bone is fractured, there are the 3 stages of healing. What

is the proper order in which the healing occurs?

A

Inflammatory, Remodeling, Reparative

B

,Inflammatory, Reparative, Remodeling

C

Remodeling, Inflammatory, Reparative

D

Remodeling, Reparative, Inflammatory

E

Reparative, Inflammatory, Remodeling - ✔✔The Correct Answer

is: B

Inflammatory changes happen after fractures and this is followed

by a reparative phase and ultimately, a remodeling phase. The

healing from acute injuries generally starts with inflammation,.

Once the integrity of the bone has been restored on the macro

level, bone remodeling continues until full healing has occurred.

What is the most common embolic source of acute arterial

occlusion in the lower extremities?

A

Atrial fibrillation

, B

Aortic aneurysm

C

Myocardial infarction

D

Prosthetic cardiac valve

E

Iliac artery thrombus - ✔✔The Correct Answer is: A

The heart accounts for 80% of all emboli, with atrial fibrillation

making up 70% of that. Aortic aneurysms are frequently lined with

thrombus but infrequently embolize; aneurysmal disease only

accounts for 6% of all acute arterial occlusion. Acute myocardial

infarction (especially those associated with left ventricular

thrombus) accounts for 25% of cardioembolism, with peripheral

embolization often the first sign of a previously "silent" MI.

Prosthetic cardiac valves make up a still small but increasingly

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