This document comprises clinical scenarios for a post-surgical rotation exam, featuring over 60 questions. Each scenario presents a patient case followed by multiple-choice questions with verified answers, guaranteeing learners an A+ grade. Topics include acute abdominal conditions like appendiciti...
Post-Surgical Rotation Exam: Clinical Scenarios with
Verified Answers with 60+ questions
guaranteeed A+
A 45-year-old male presents to the emergency department with sudden-onset severe
abdominal pain localized to the right lower quadrant. On examination, he has rebound
tenderness and guarding. His white blood cell count is elevated. What is the most likely
diagnosis?
A) Appendicitis
B) Cholecystitis
C) Diverticulitis
D) PancreatitisAnswer: A) Appendicitis
A 60-year-old woman presents with recurrent episodes of colicky abdominal pain, bloating, and
constipation. She has a history of multiple abdominal surgeries, including hysterectomy. On
examination, there are multiple surgical scars. What is the most likely diagnosis?
A) Intestinal obstruction
B) Adhesive small bowel obstruction
C) Gallstone ileus
D) VolvulusAnswer: B) Adhesive small bowel obstruction
A 55-year-old man with a history of chronic alcohol abuse presents with sudden onset severe
epigastric pain radiating to the back. On examination, he appears jaundiced and has decreased
bowel sounds. Laboratory tests reveal elevated serum amylase and lipase levels. What is the
most likely diagnosis?
A) Acute cholecystitis
B) Acute pancreatitis
1
,C) Peptic ulcer disease
D) Acute appendicitisAnswer: B) Acute pancreatitis
A 35-year-old woman presents with a palpable mass in the right upper quadrant of the
abdomen. She reports intermittent episodes of pain and nausea. Imaging studies reveal a cystic
lesion with septations and internal debris. What is the most likely diagnosis?
A) Liver abscess
B) Pancreatic pseudocyst
C) Hydatid cyst
D) Mesenteric cystAnswer: C) Hydatid cyst
A 50-year-old man presents with a history of chronic intermittent abdominal pain, weight loss,
and anemia. Colonoscopy reveals multiple polyps throughout the colon. Biopsy confirms the
presence of adenomatous polyps. What is the most likely diagnosis?
A) Crohn's disease
B) Colorectal cancer
C) Familial adenomatous polyposis (FAP)
D) DiverticulosisAnswer: C) Familial adenomatous polyposis (FAP)
A 65-year-old man presents with sudden-onset severe abdominal pain, distension, and
vomiting. On examination, there is diffuse abdominal tenderness, tympany, and absence of
bowel sounds. Abdominal X-ray shows dilated loops of small bowel with air-fluid levels. What is
the most likely diagnosis?
A) Intestinal obstruction
B) Acute cholecystitis
C) Acute pancreatitis
D) Acute appendicitisAnswer: A) Intestinal obstruction
A 40-year-old woman presents with a palpable mass in the right lower quadrant of the
abdomen. She reports a history of chronic constipation and intermittent abdominal pain.
Imaging studies reveal a twisted loop of bowel with a "whirlpool sign." What is the most likely
diagnosis?
2
, A) Intussusception
B) Volvulus
C) Hernia
D) AppendicitisAnswer: B) Volvulus
A 30-year-old woman presents with chronic abdominal pain, bloating, and altered bowel habits.
She reports relief of symptoms with defecation. On examination, there is tenderness upon
palpation of the left lower quadrant. What is the most likely diagnosis?
A) Irritable bowel syndrome (IBS)
B) Crohn's disease
C) Diverticulitis
D) Ulcerative colitisAnswer: A) Irritable bowel syndrome (IBS)
A 55-year-old man presents with a history of jaundice, pruritus, and weight loss. Laboratory
tests reveal elevated serum bilirubin and alkaline phosphatase levels. Imaging studies show a
mass in the head of the pancreas. What is the most likely diagnosis?
A) Acute cholecystitis
B) Pancreatic cancer
C) Gallstone pancreatitis
D) CholedocholithiasisAnswer: B) Pancreatic cancer
A 70-year-old man presents with painless jaundice and a palpable mass in the right upper
quadrant of the abdomen. Laboratory tests show elevated serum bilirubin and alkaline
phosphatase levels. Imaging studies reveal a dilated common bile duct and a pancreatic head
mass. What is the most likely diagnosis?
A) Cholangiocarcinoma
B) Pancreatic pseudocyst
C) Choledocholithiasis
D) Chronic pancreatitisAnswer: A) Cholangiocarcinoma
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