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General Surgery Rotation Study Guide for EOR Exam (PANCE) questions with verified answers
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General Surgery Rotation Study Guide for EOR Exam (PANCE) questions with verified answers
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General Surgery Rotation Study Guidefor EOR Exam (PANCE) questions with
verified answers
Aortic Aneurysm - .......🔷ANSWERS🔶......✔✔ Weakness and subsequent dilation of the vessel
wall, usually caused by genetic defect or atherosclerotic damage to the intima.
Weakness and subsequent dilation of the vessel wall, usually caused by genetic defect or
atherosclerotic damage to the intima. - .......🔷ANSWERS🔶......✔✔ Describe Aortic Aneurysm
1. Atherosclerosis damage to intima
2. Genetic defect - .......🔷ANSWERS🔶......✔✔ What typically causes an aortic aneurysm?
Atherosclerosis - .......🔷ANSWERS🔶......✔✔ This is the most common cause of Aortic Aneurysm?
1. Congenital
2. Syphilis
3. Giant Cell Arteritis
4. Vasculitis
5. Trauma
6. Marfan Syndrome
7. Ehlers-Danlos Syndrome - .......🔷ANSWERS🔶......✔✔ Most aortic aneurysms are caused by
atherosclerosis. However, some exist as a these causes?
1. Male (8x more likely)
2. Elderly
3. Smoker
4. CAD
,5. Emphysema
6. Renal Impairment - .......🔷ANSWERS🔶......✔✔ Describe the most common type of person to end
up with an aortic aneurysm?
1. Abdominal
2. Thoracic - .......🔷ANSWERS🔶......✔✔ Where do Aortic Aneurysms typically occur?
90% - .......🔷ANSWERS🔶......✔✔ What is the mortality rate for Aortic rupture (dissection)?
1. Asymptomatic
or
2. Pulsating abdominal mass
or
3. Abdominal/Back Pain - .......🔷ANSWERS🔶......✔✔ How does AAA present?
Renal or lower extremity occlusive disease - .......🔷ANSWERS🔶......✔✔ This is present in 25% of
patients with Aortic Aneurysm?
May present as...
1. Asymptomatic
2. Substernal back pain
3. Neck pain
4. Dyspnea
5. Stridor
6. Cough
7. Dysphagia
8. Horseness
9. Symptoms of Superior Vena Cava Syndrome - .......🔷ANSWERS🔶......✔✔ Describe the
presentation of a thoracic aortic aneurysm?
, Thoracic Aortic Dissection - .......🔷ANSWERS🔶......✔✔ Pt. presents with "ripping" "tearing" chest
pain that radiates to the back.
1. Severe Back Pain
2. Abdominal Pain
3. Flank Pain
4. Hypotension
5. Shock - .......🔷ANSWERS🔶......✔✔ AAA rupture causes these symptoms?
Abdominal Ultrasound - .......🔷ANSWERS🔶......✔✔ What is the study of choice for AAA?
Men over 65 if they've ever smoked (may be followed up by CT enhanced with contrast)
- .......🔷ANSWERS🔶......✔✔ Are there any screening recommendations for anybody, as it relates to
AAA?
Thoracic aneurysm - .......🔷ANSWERS🔶......✔✔ This type of aneurysm may require aortography
for diagnosis?
CT or MRI over US - .......🔷ANSWERS🔶......✔✔ For a Thoracic Aneurysm, what is the image of
choice?
Endovascular Open Surgical Repair-the only effective treatment - .......🔷ANSWERS🔶......✔✔ How
do you treat AAA?
>60% - .......🔷ANSWERS🔶......✔✔ What is the 5 year survival for AAA post surgery?
Begins with intimal tear
Followed by development of a dissecting hematoma in the media of the aorta wall.
- .......🔷ANSWERS🔶......✔✔ An aortic dissection begins with this and is followed by this?
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