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General Surgery End of Rotation Exam Questions & 100% Correct Answers- Latest Test | Graded A+ | Passed $14.09   Add to cart

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General Surgery End of Rotation Exam Questions & 100% Correct Answers- Latest Test | Graded A+ | Passed

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An 18-year-old patient has a tibia/fibula fracture following a motorcycle crash. Twelve hours later the patient presents with increased pain despite adequate doses of analgesics and immobilization. Which of the following is the most likely diagnosis? A avascular necrosis B myositis ossificans...

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General Surgery End of Rotation Exam
Questions & 100% Correct Answers- Latest
Test | Graded A+ | Passed
An 18-year-old patient has a tibia/fibula fracture following a motorcycle crash. Twelve

hours later the patient presents with increased pain despite adequate doses of analgesics

and immobilization. Which of the following is the most likely diagnosis?


A avascular necrosis


B myositis ossificans


C compartment syndrome


D reflex sympathetic dystrophy


✓ -:- C




Compartment syndrome is characterized by a pathological increase of pressure within a

closed space and results from edema or bleeding within the compartment. It may occur as

an early local complication of fracture.




A 38 year-old male sustained a fracture of the left distal tibia following a 25-foot fall and is

taken to the operating room for an open reduction internal fixation of the distal tibia.

Sixteen hours post-op, the patient develops sustained pain, which is not relieved with

narcotics. On passive range of motion of the toes the patient "yells" in agony. The patient


1|Page | Grade A+| 2024/2025

,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

also states that the top of his foot has decreased sensation. On physical examination the

physician assistant notes that the leg is swollen and the foot is cool to touch. Based upon

this information what diagnostic testing should be done?


A X-ray of the lower leg and ankle


B Doppler studies


C Bone scan.


D Compartment pressure


✓ -:- D




Compartmental pressures should be obtained as soon as possible. If they are elevated this

is a surgical emergency.




A 35 year-old male placed in a thumb spica cast for a scaphoid fracture presents

complaining of forearm and hand pain that is not relieved with pain medication and

elevation. Which of the following is the earliest physical exam sign for his current

condition?


A Slow capillary refill


B Loss of two-point discrimination


C Absent peripheral pulses


D Pain with passive stretch.

2|Page | Grade A+| 2024/2025

,2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

✓ -:- B




Loss of two-point discrimination can be the earliest sign of compartment syndrome.




25 year-old male presents to the ED with left calf pain and cramping, as well as nausea and

vomiting. He admits to "partying with cocaine all night". He describes his urine as a dark

brown color. Serum creatinine kinase (CK) is 1325 IU/L (Normal Range 32-267 IU/L). Which

of the following is the initial mainstay of therapy for this condition?


A IV rehydration


B Fasciotomy


C Toradol (Ketorlac)


D Hydrotherapy


✓ -:- A




IV rehydration with crystalloids for 24 to 72 hours is the mainstay of therapy for

rhabdomyolysis.




A 42 year-old male presents complaining of a sudden onset of a severe intermittent pain

originating in the flank and radiating into the right testicle. He also complains of nausea and

vomiting. On examination the patient is afebrile, but restless. Examination of the abdomen


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, 2024 /2025 | © copyright | This work may not be copied for profit gain | Excel!

reveals tenderness to palpation along the right flank with no rebound or direct testicular

tenderness. Urinalysis reveals a pH of 5.4 and microscopic hematuria, but is otherwise

unremarkable. Which of the following is the most likely diagnosis?


A Bladder cancer


B Nephrolithiasis


C Acute appendicitis


D Acute epididymitis


✓ -:- B




A sudden onset of severe colicky flank pain associated with nausea and vomiting as well as

the absence of rebound or direct testicular tenderness makes nephrolithiasis the most likely

diagnosis. This is further supported by the presence of hematuria on the urinalysis.




Which of the following pathophysiological processes is believed to initiate acute

appendicitis?


A Obstruction


B Perforation


C Hemorrhage


D Vascular compromise



4|Page | Grade A+| 2024/2025

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