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General Surgery EOR Questions with Correct Answers
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General Surgery EOR Questions with Correct Answers
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General Surgery EOR Questions with CorrectAnswers
A 24-year-old woman presents to the clinic for preoperative evaluation
for a scheduled right anterior cruciate ligament repair. Preoperative
clearance was requested by the surgeon secondary to the patient
complaining of chest pain. Review of systems is positive for a chronic
nonproductive cough, chest pain, fatigue, and weight loss. She denies
any history of tobacco use. A chest radiograph reveals bilateral hilar
adenopathy with symmetric enlargement of the hila. Serum angiotensin-
converting enzyme levels are ordered and found to be elevated. What is
the most likely diagnosis? Correct Answer-Sarcoidosis
What is the best therapy for an ascending aortic dissection? Correct
Answer-Emergent open surgical repair
Why must the preoperative preparation for surgical resection of a patient
with a diagnosed pheochromocytoma involve propranolol initiation after
a 10-14 day course of phenoxybenzamine? Correct Answer-To avoid
unopposed apha-adrenergic receptor stimulation
A 45-year-old man with a past medical history significant for obesity,
status post partial gastrectomy, returns to the clinic following a recent
barium swallow study for complaints of abdominal pressure and
fullness. Results from the study show displacement of the
gastroesophageal junction and herniation of a portion of the gastric
fundus into the thoracic cavity. Which of the following is the most likely
diagnosis?
A) Esophageal motility disorder
,B) Esophagitis
C) Paraesophageal hiatus hernia
D) Sliding hiatus hernia Correct Answer-C) Paraesophageal hiatus
hernia
A 78-year-old man undergoes laparoscopic surgery for a small bowel
obstruction. Which metabolic disturbance is he most at risk for
postoperatively?
A) Metabolic acidosis
B) Metabolic alkalosis
C) Respiratory acidosis
D) Respiratory alkalosis Correct Answer-B) Metabolic alkalosis
A 30-year-old woman presents to the outpatient clinic for follow-up on
her total thyroidectomy performed six weeks ago. Her incision is well-
healed, and there are no signs of infection. The patient does complain of
feeling cold, despite others around her being warm, fatigue, and weight
gain. She has remained on levothyroxine 100 mcg by mouth once daily.
Serum thyroid-stimulating hormone was performed prior to the
appointment and was found to be elevated. Which of the following is the
most likely diagnosis?
A) Hypocalcemia
B) Hypothyroidism
C) Myxedema coma
D) Recurrent hyperthyroidism Correct Answer-B) Hypothyroidism
,A 46-year-old man presents to the emergency department reporting
abdominal pain, bloating, nausea, anorexia, and vomiting. His symptoms
have been worsening since onset three days ago. His last bowel
movement was four days ago, but he continues to pass flatus. What test
has the highest sensitivity for confirming the most likely diagnosis?
Correct Answer-Abdominal CT with contrast
What is appropriate initial treatment for uncomplicated symptomatic
Crohn's disease? Correct Answer-Immunosuppressant therapy
Parents bring their previously healthy four-week-old boy to the ED due
to repeated "projectile vomiting" immediately after he nurses for the past
24 hours. The parents report the emesis looks just like breast milk. He
has had a normal pattern of wet diapers. The parents deny any rectal
bleeding. He has not had any difficulty nursing before, and attempts at
burping him have not brought any relief. Vital signs include a
temperature of 98.8°F. Physical exam reveals an alert, crying infant with
a small, firm right upper quadrant mass. Blood analysis is within normal
limits. What is the best next step for this patient? Correct Answer-Order
transabdominal ultrasound
A 66-year-old man with hypertension and type II diabetes mellitus
presents to the ED complaining of chest tightness, dyspnea, and
dizziness while mowing his lawn earlier that day. He had similar
symptoms two weeks ago. His symptoms resolved within a couple of
minutes of sitting to rest. He is currently pain-free. Vital signs are pulse
88 beats per minute, blood pressure 134/88 mm Hg, temperature 98.8°F,
oxygen saturation 97%, and 20 respirations per minute. Exam reveals an
obese man in no acute distress and is otherwise unremarkable.
, Electrocardiogram is obtained and normal. What is the most likely
diagnosis? Correct Answer-Angina pectoris
You are evaluating a 48-year-old woman with right lower extremity
swelling, pain, and redness. She is eight days status-post open
cholecystectomy. She was on lovenox for two days postoperatively but
is not currently taking any medications except oxycodone for pain. What
is the test of choice to confirm your suspected diagnosis? Correct
Answer-Venous Dopple ultrasound
What physical exam finding is characterized by pain and inspiratory
arrest during palpation of the right upper quadrant? Correct Answer-
Murphy's sign
A 66-year-old woman with a past medical history of uncontrolled
diabetes mellitus, obesity, and rheumatoid arthritis who is on
methotrexate presents to the emergency department complaining of
redness, drainage, and pain at her incision site. She had an umbilical
hernia repair approximately six days prior. On exam, you note the
patient has a fever of 100.6°F and the incision site is erythematous and
warm with a small amount of purulent drainage noted. There are no
signs of wound dehiscence and no areas of fluctuance noted. Which of
the following is the most likely diagnosis?
A) Abscess
B) Cellulitis
C) Hematoma
D) Seroma Correct Answer-B) Cellulitis
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