Surgery EOR Exam PA Easy Questions & 100% Correct Answers- Latest Test | Graded A+ | Passed
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Course
Surgery EOR
Institution
Surgery EOR
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 radiogra...
Surgery EOR Exam PA Easy Questions &
100% Correct Answers- Latest Test | Graded
A+ | Passed
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
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 prevalent source of emboli.
Peripheral arterial thrombi account for only 3% of acute occlusion.
Following emergent appendectomy, a 58-year-old obese male develops a temperature of
102.4˚F, 18 hours postoperatively. His respiratory rate is 26 and his pulse is 116bpm. A
physical exam reveals scattered fine rales. What is the most likely diagnosis?
A
Atelectasis
B
Aspiration pneumonitis
C
Pleural effusion
D
Pneumonia
E
Pulmonary embolus
4|Page | Grade A+| 2024/2025
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