Surgery EOR
Study online at https://quizlet.com/_9ki1c
Surgery Eor Exam Questions With Complete Solutions
2024/2025, Brand New
1. what is the most common type of liver cancer?: hepatocellular carcinoma
2. tx for hemochromatosis (excessive iron loading): deferoxamine chelation
3. HBsAg: acute/chronic infection
4. HBeAg: VERY INFECTIOUS
acute/chronic infection
infectivity
wild type viral infection
5. anti-HBc: marker of exposure persists indefinitely
6. anti-HBe: low infectivity
7. Anti-HBs: marker of immunity
VACCINATION
8. what can cause false + for hemoccult?: grapefruit, red meat, turnips radishes,
horseradish, cauliflower
VITAMIN C, NSAIDS, ASA
9. "gold standard" to diagnose chronic pancreatitis: ERCP
10. study of choice for gallbladder studies: U/S
11. study of choice for diverticulosis: barium enema
12. MCC LGI bleed: diverticulosis
(MC in sigmoid colon)
13. most common cause acute pancreatitis: biliary disease (gallstones) alcohol
14. most common type of pancreatic cancer: ductal adenocarcinoma
(MC location = head)
15. what is courvoiser's sign?: palpable, nontender gallbladder. indicates obstruction of
distal CBD due to mass.
16. TOC for pancreatic cancer: whipple (pancreatoduodenecotom)
17. MCC colon cancer: adenocarcinoma
18. MCC esophageal cancer: SCC
19. what drug can be used to treat acute mesenteric ischemia?: papavarine
(vasodilator)
20. what is the study of choice for zollinger ellison syndrome?: secretin stimulating
test
+ if secretin does NOT inhibit gastrin secretion
Tx: PPI, sx, chemo
, Surgery EOR
Study online at https://quizlet.com/_9ki1c
21. T/F: cholangitis is an emergency: true. infection of biliary tract due to obstruction
--> leads to biliary stasis and bacterial overgrowth.
22. MCC cholangitis: choledocolithiasis.
post ERCP.
23. what is charcot's triad?: RUQ pain jaundice fever
24. reynold's pentad?: charcot's triad septic shock
altered mental status
25. MCC gallbladder carcinoma: adenocarcinoma
26. MCC cirrhosis: alcoholic hepatitis (2nd MCC is Hep B & C)
27. omgea loop sign and coffee bean sign are characteristic of: volvulus
(SOC = SIGMOIDOSCOPY b/c you can diagnose and TREAT at the same time!)
28. what kind of volvulus needs emergency surgery?: cecal volvulus
29. what is diagnostic and therapeutic for intusseption?: barium enema
("currant jelly sools" & "sausage like mass")
30. MCC UGI bleed: PUD
31. MCC PUD: H pylori
NSAID
32. what causes a UGI bleed that is a mucosal tear at or just below GE junction due
to forceful vomiting?: mallory weiss tear
33. tx for mallory weiss tear: resolves spontaneously
34. what is boerhaave's syndrome?: Hallmarks: transmural tear causing esophageal
perforation due to vomiting and retching that presents w/ UGI bleed
TOC: EMERGENT surgical treatment
35. hallmarks of esophageal varices: massive GI bleed, hematemesis, liver disease,
cirrhosis
TOC: hemodynamic stabilization, *endoscopic hemastasis*
ex: drinking around holidays
36. MCC LGIB: dierticulsis
37. always suspect with occult blood loss & change in bowel patterns?: colon
neoplasm
38. tx for peritonsillar abscess: I&D clindamycin
, Surgery EOR
Study online at https://quizlet.com/_9ki1c
39. MC breast cancer: IDC
40. what is an adrenal medulla catecholamine secreting tumor?: pehochromocytoma
41. suspect pehochromocytoma in who?: pt with HTN uncontrolled by meds
S&S: HA, diaphoresis, palpitations, severe HTN
42. dx pehochromocytoma?: 24 hour urine for catecholamines
43. TOC for pheo?: surgery, alpha block THEN beta block prior to surgery
44. tx for prolocatinoma?: bromocriptine
45. TOC for adrenal crisis?: pt on steroids who stops taking them.
Tx: high dose prednisone and high dose fluids
46. appearance of pituitary adenoma after bilateral adrenalectomy for cushings?:
Nelson's Syndrome
47. what is idiopathic adrenocortical insufficiency?: addison disease decrease in
cortisol & aldosterone
TOC: hydrocortisone sodium succinate/phosphate
*steroid replacement for life*
48. tx hypothyroidism: synthroid (levothyroxine)
49. MCC hyperthryoidism: gave's disease
50. MC testicular cancer: (MC neoplasm in males 20 to 35 yo) nearly all testicular
cancers are of GERM CELL origin.
almost half are seminomas
51. MC prostate cancer: MC cancer of men in US MC kind = adenocarcinoma
scored with Gleason Staging Sx
52. thrombocytopenia is platelets less than: 50,000
53. what does the prothrombin time (PT) evaluate?: extrinsic and common pathway
monitors coumadin therapy
Factors V, VII, X
54. PTT (partial thromboplastin time) evaluates:: evaluates intrinsic pathway and
common pathway
normal is 30 - 40 seconds
monitors Heparin therapy
55. people who have never been immunized for tetanus (or immunization status is
unknown) should receive:: immunoglobulin
56. Td should be given to who?: patients > 7 years of age give TDaP if they have never
had vaccine before
Study online at https://quizlet.com/_9ki1c
Surgery Eor Exam Questions With Complete Solutions
2024/2025, Brand New
1. what is the most common type of liver cancer?: hepatocellular carcinoma
2. tx for hemochromatosis (excessive iron loading): deferoxamine chelation
3. HBsAg: acute/chronic infection
4. HBeAg: VERY INFECTIOUS
acute/chronic infection
infectivity
wild type viral infection
5. anti-HBc: marker of exposure persists indefinitely
6. anti-HBe: low infectivity
7. Anti-HBs: marker of immunity
VACCINATION
8. what can cause false + for hemoccult?: grapefruit, red meat, turnips radishes,
horseradish, cauliflower
VITAMIN C, NSAIDS, ASA
9. "gold standard" to diagnose chronic pancreatitis: ERCP
10. study of choice for gallbladder studies: U/S
11. study of choice for diverticulosis: barium enema
12. MCC LGI bleed: diverticulosis
(MC in sigmoid colon)
13. most common cause acute pancreatitis: biliary disease (gallstones) alcohol
14. most common type of pancreatic cancer: ductal adenocarcinoma
(MC location = head)
15. what is courvoiser's sign?: palpable, nontender gallbladder. indicates obstruction of
distal CBD due to mass.
16. TOC for pancreatic cancer: whipple (pancreatoduodenecotom)
17. MCC colon cancer: adenocarcinoma
18. MCC esophageal cancer: SCC
19. what drug can be used to treat acute mesenteric ischemia?: papavarine
(vasodilator)
20. what is the study of choice for zollinger ellison syndrome?: secretin stimulating
test
+ if secretin does NOT inhibit gastrin secretion
Tx: PPI, sx, chemo
, Surgery EOR
Study online at https://quizlet.com/_9ki1c
21. T/F: cholangitis is an emergency: true. infection of biliary tract due to obstruction
--> leads to biliary stasis and bacterial overgrowth.
22. MCC cholangitis: choledocolithiasis.
post ERCP.
23. what is charcot's triad?: RUQ pain jaundice fever
24. reynold's pentad?: charcot's triad septic shock
altered mental status
25. MCC gallbladder carcinoma: adenocarcinoma
26. MCC cirrhosis: alcoholic hepatitis (2nd MCC is Hep B & C)
27. omgea loop sign and coffee bean sign are characteristic of: volvulus
(SOC = SIGMOIDOSCOPY b/c you can diagnose and TREAT at the same time!)
28. what kind of volvulus needs emergency surgery?: cecal volvulus
29. what is diagnostic and therapeutic for intusseption?: barium enema
("currant jelly sools" & "sausage like mass")
30. MCC UGI bleed: PUD
31. MCC PUD: H pylori
NSAID
32. what causes a UGI bleed that is a mucosal tear at or just below GE junction due
to forceful vomiting?: mallory weiss tear
33. tx for mallory weiss tear: resolves spontaneously
34. what is boerhaave's syndrome?: Hallmarks: transmural tear causing esophageal
perforation due to vomiting and retching that presents w/ UGI bleed
TOC: EMERGENT surgical treatment
35. hallmarks of esophageal varices: massive GI bleed, hematemesis, liver disease,
cirrhosis
TOC: hemodynamic stabilization, *endoscopic hemastasis*
ex: drinking around holidays
36. MCC LGIB: dierticulsis
37. always suspect with occult blood loss & change in bowel patterns?: colon
neoplasm
38. tx for peritonsillar abscess: I&D clindamycin
, Surgery EOR
Study online at https://quizlet.com/_9ki1c
39. MC breast cancer: IDC
40. what is an adrenal medulla catecholamine secreting tumor?: pehochromocytoma
41. suspect pehochromocytoma in who?: pt with HTN uncontrolled by meds
S&S: HA, diaphoresis, palpitations, severe HTN
42. dx pehochromocytoma?: 24 hour urine for catecholamines
43. TOC for pheo?: surgery, alpha block THEN beta block prior to surgery
44. tx for prolocatinoma?: bromocriptine
45. TOC for adrenal crisis?: pt on steroids who stops taking them.
Tx: high dose prednisone and high dose fluids
46. appearance of pituitary adenoma after bilateral adrenalectomy for cushings?:
Nelson's Syndrome
47. what is idiopathic adrenocortical insufficiency?: addison disease decrease in
cortisol & aldosterone
TOC: hydrocortisone sodium succinate/phosphate
*steroid replacement for life*
48. tx hypothyroidism: synthroid (levothyroxine)
49. MCC hyperthryoidism: gave's disease
50. MC testicular cancer: (MC neoplasm in males 20 to 35 yo) nearly all testicular
cancers are of GERM CELL origin.
almost half are seminomas
51. MC prostate cancer: MC cancer of men in US MC kind = adenocarcinoma
scored with Gleason Staging Sx
52. thrombocytopenia is platelets less than: 50,000
53. what does the prothrombin time (PT) evaluate?: extrinsic and common pathway
monitors coumadin therapy
Factors V, VII, X
54. PTT (partial thromboplastin time) evaluates:: evaluates intrinsic pathway and
common pathway
normal is 30 - 40 seconds
monitors Heparin therapy
55. people who have never been immunized for tetanus (or immunization status is
unknown) should receive:: immunoglobulin
56. Td should be given to who?: patients > 7 years of age give TDaP if they have never
had vaccine before
