Surgery EOR Exam [PAEA Blueprint] Questions
and Answers| Latest Update
______syndrome occurs in patients with severe peptic ulceration and evidence of a
gastrinoma Correct Ans-Zollinger-Ellison Syndrome
Gastrinomas are a _______disease despite the malignant nature of most tumors. Correct Ans-
curable
Ranson Criteria for assessing the severity of acute pancreatitis. GA LAW Correct Ans-glucose
> 200mg/dl
Age > 55
Lactate Dehydrogenase > 350u/L
Aspartate Aminotransferase > 250u/L
WBC>16,000
With the Ranson Criteria, what criteria means a worsening prognosis in the 1st 48 hours of
pancreatitis? CHOBBS Correct Ans-Hematocrite drop >10%
BUN rise >5mg/L
PO2<60mmHg
Ca<8mg/dL
Base Deficit>4meq/L
Estimated fluid sequestration>6L
,Kidney stones: _______(like in cystic fibrosis) causes ingested fat to bind Ca allowing free
oxalate to be absorbed....thus causing hyperoxalurea. Correct Ans-Steatorrhea
What are the medical treatments (conservative) that can be used to help anal fissure
pain? Correct Ans-CCB, nitroglycerine -- they try to relax interal and external sphincter
muscle
What type of hernia is most common in African Americans? Correct Ans-umbilical
What are three important questions to ask a patient with a hernia needing surgery? Correct
Ans-history of BPH, constipation, or COPD/coughing --- all these things can interfere with
healing post-op because of straining
A _____hernia is midline along the linea alba. Correct Ans-ventral
A _____hernia is at or below the junction between the vertical semilunar line and lateral to the
rectus abdominus muscle. Correct Ans-spigelian
A ___is a combination of a direct and indirect hernia that straddles the inferior epigastric
vessels. Correct Ans-Pantaloon
A sliding hernia contains ____organs. Correct Ans-intra-abdominal
,An ___hernia is common in thin, elderly women, SBO from herniation into the obturator
canal. Correct Ans-obturator
A _____hernia contains a Meckel's diverticulum. Correct Ans-Littre
A Richter hernia is when a portion of bowel protrudes, the lumen is patent, what is the
result? Correct Ans-usually gangrenous necrosis
A _____is a bulge and weakness of the linea alba, no actual herniation. Correct Ans-diastasis
recti
What is the most common type of lung cancer? Correct Ans-*Non-Small cell* 85 % ie.
adenocarcinoma (35%)
squamous (30%)
large cell (10%)
Lung Adenocarcinoma usually occurs at the _____. Correct Ans-periphery
Lung Squamous cell carcinoma usually occurs _____. What is this cancer associated with?
Patients may present with hypercalcemia, Pancoast's syndrome, and hypertrophic pulmonary
osteoarthropathy Correct Ans-centrally; associated with smoking,
NO oat cell appearance
, Lung Small cell carcinoma is usually located where? What is it associated with? What is the
classic appearance? Correct Ans-centrally; associated with smoking; oat cell appearance
Lung_______carcinoma is associated with paraneoplastic syndromes Correct Ans-small cell
_______syndrome presents with flushing, diarrhea, and palpitations. Elevated 5-HIAA
levels Correct Ans-Carcinoid
50% of carcinoids are found where? The rest are found throughout the GI tract. Correct Ans-
appendix
Thyroid cancer: ______is the most common, good prognosis, painless single nodule, ground
glass appearance. Psammona bodies Correct Ans-Papillary
Thyroid cancer: ______has a poor prognosis, can metastasize to lungs/bones, iodine is used with
unresectable or gross disease Correct Ans-Follicular
Thyroid cancer: ________is often familial, produces calcitonin and is known to metastasize early
to surrounding lymph nodes. Correct Ans-Medullary
Thyroid cancer: _______is common in the elderly, poor prognosis, rapidly enlarging neck
mass. Correct Ans-Anaplastic/Lyphoma
and Answers| Latest Update
______syndrome occurs in patients with severe peptic ulceration and evidence of a
gastrinoma Correct Ans-Zollinger-Ellison Syndrome
Gastrinomas are a _______disease despite the malignant nature of most tumors. Correct Ans-
curable
Ranson Criteria for assessing the severity of acute pancreatitis. GA LAW Correct Ans-glucose
> 200mg/dl
Age > 55
Lactate Dehydrogenase > 350u/L
Aspartate Aminotransferase > 250u/L
WBC>16,000
With the Ranson Criteria, what criteria means a worsening prognosis in the 1st 48 hours of
pancreatitis? CHOBBS Correct Ans-Hematocrite drop >10%
BUN rise >5mg/L
PO2<60mmHg
Ca<8mg/dL
Base Deficit>4meq/L
Estimated fluid sequestration>6L
,Kidney stones: _______(like in cystic fibrosis) causes ingested fat to bind Ca allowing free
oxalate to be absorbed....thus causing hyperoxalurea. Correct Ans-Steatorrhea
What are the medical treatments (conservative) that can be used to help anal fissure
pain? Correct Ans-CCB, nitroglycerine -- they try to relax interal and external sphincter
muscle
What type of hernia is most common in African Americans? Correct Ans-umbilical
What are three important questions to ask a patient with a hernia needing surgery? Correct
Ans-history of BPH, constipation, or COPD/coughing --- all these things can interfere with
healing post-op because of straining
A _____hernia is midline along the linea alba. Correct Ans-ventral
A _____hernia is at or below the junction between the vertical semilunar line and lateral to the
rectus abdominus muscle. Correct Ans-spigelian
A ___is a combination of a direct and indirect hernia that straddles the inferior epigastric
vessels. Correct Ans-Pantaloon
A sliding hernia contains ____organs. Correct Ans-intra-abdominal
,An ___hernia is common in thin, elderly women, SBO from herniation into the obturator
canal. Correct Ans-obturator
A _____hernia contains a Meckel's diverticulum. Correct Ans-Littre
A Richter hernia is when a portion of bowel protrudes, the lumen is patent, what is the
result? Correct Ans-usually gangrenous necrosis
A _____is a bulge and weakness of the linea alba, no actual herniation. Correct Ans-diastasis
recti
What is the most common type of lung cancer? Correct Ans-*Non-Small cell* 85 % ie.
adenocarcinoma (35%)
squamous (30%)
large cell (10%)
Lung Adenocarcinoma usually occurs at the _____. Correct Ans-periphery
Lung Squamous cell carcinoma usually occurs _____. What is this cancer associated with?
Patients may present with hypercalcemia, Pancoast's syndrome, and hypertrophic pulmonary
osteoarthropathy Correct Ans-centrally; associated with smoking,
NO oat cell appearance
, Lung Small cell carcinoma is usually located where? What is it associated with? What is the
classic appearance? Correct Ans-centrally; associated with smoking; oat cell appearance
Lung_______carcinoma is associated with paraneoplastic syndromes Correct Ans-small cell
_______syndrome presents with flushing, diarrhea, and palpitations. Elevated 5-HIAA
levels Correct Ans-Carcinoid
50% of carcinoids are found where? The rest are found throughout the GI tract. Correct Ans-
appendix
Thyroid cancer: ______is the most common, good prognosis, painless single nodule, ground
glass appearance. Psammona bodies Correct Ans-Papillary
Thyroid cancer: ______has a poor prognosis, can metastasize to lungs/bones, iodine is used with
unresectable or gross disease Correct Ans-Follicular
Thyroid cancer: ________is often familial, produces calcitonin and is known to metastasize early
to surrounding lymph nodes. Correct Ans-Medullary
Thyroid cancer: _______is common in the elderly, poor prognosis, rapidly enlarging neck
mass. Correct Ans-Anaplastic/Lyphoma
