EOR exam- Surgery Questions and Answers 100% Pass

EOR exam- Surgery Questions and Answers 100% Pass Rectal condyloma What are the most common strains that cause these? What are the high risk strains? How do you diagnose? First line cream? First line in clinic therapy? 3 different options - Answer- HPV 6 & 11 HPV 16 & 18 Anal intercourse PE/Biopsy Imiquimod cream 1)Cryotherapy 2)Electrocautery 3)TCA 4)Surgical excision if greater than 1 cm What is most common cause of anal fissure? Where are 90% of fissures located? - Answer- Constipation Posterior midline Management of acute anal fissure? Management of chronic anal fissure? -Have failed initial management - Answer- 1)Metamusil (Fiber) + Sitz bath + Docusate (Colace) (Stool softener) + Nitroglycerin cream 2)Botulism toxin injection Management of anal pruritus 2 options - Answer- 1% hydrocortisone cream, 2x a day Calmoseptine This barrier prevents feces, urine, sweat and other irritants from making contact with the already-irritated area, and it also helps to lock in moisture and aid area in healing Perianal abscess High risk for developing what? Acute management? What antibiotics do you want to use? Definitive management? - Answer- Fistula 1) Incision and drainage -Oral Cephalexin + Bactrim (Coverage for MRSA) 2)Fistulotomy Internal hemorrhoids Clinical features/PE 1st line management? If itchy? Complicated management? - Answer- 1)Painless rectal bleeding, Unable to feel on DRE 2)Metamusil (Fiber) + Sitz bath + Docusate (Colace) (Stool softener) 3)Hydrocortisone 1% 4)If prolapsed, Rubber band ligation External hemorrhoids Clinical features/PE 1st line management? If itchy? Complicated - Answer- 1)Rarely bleed, very painful 2)Hydrocortisone 1% 3)Sitz bath + Metamucil (Fiber) + Docusate (