Surgery - ROSH Boost Exam UPDATED ACTUAL Questions and CORRECT
Answers
1. Most surgical site infections occur in the 5 and 30
late postoperative phase, between days
after the procedure, but may be up to
90 days if an implant is involved.
2. 3 types of surgical site infections superficial incisional
deep incisional
organ / space
3. The initial management of surgical site in- wound exploration and debridement.
fections includes
(+) fluctuance or drainage
4. (indirect/direct) inguinal hernias pass into indirect
the scrotum
5. What disorders are associated with multi- Pheochromocytoma, hyperparathyroidism,
ple endocrine neoplasia type 2? amyloidosis, and medullary thyroid carci-
noma.
6. initial screening test for pts with suspected fasting serum gastrin level and gastrin pH
ZES
7. Diagnosis is made if gastric pH is < 2 and ZES
the serum gastrin level is > 10 times the
upper limit of normal (1,000 pg/mL).
8. gastric pH level in ZES <2
9. For patients with high suspicion for ZES but secretin stimulation test
who do not meet the diagnostic criteria, a
may be helpful in aiding diagnosis
,10. chronic venous insuflciency
, 72-year-old woman presents to the clinic
with bilateral lower extremity edema for
the past 3 months. The patient reports an
aching pain in her legs that is worse with
prolonged sitting or standing.
11. lower extremity pain (often described as chronic venous insuflciency
heaviness or aching) and edema
12. Telangiectasia and reticular veins are com- chronic venous insuflciency
mon, mild, and early findings
13. Symptomatic patients with suspected ve- venous duplex ultrasonography
nous insufficiency should undergo further
evaluation with to identify the pres-
ence of superficial, perforator, and deep
venous reflux
14. Patients may also have skin hyperpig- chronic venous insuflciency
mentation, which is due to hemosiderin
staining and inflammation, and lipoder-
matosclerosis, which is a fibrosing panni-
culitis that presents with hyperpigmenta-
tion and induration.
15. non-pitting edema think lymphedema
16. pain exacerbated with walking and im- PAD
proved with rest
17. pain worse with prolonged standing / sit- chronic venous insuflciency
ting still with feet in a dependent position
18. leg swelling improves with walking chronic venous insuflciency
Answers
1. Most surgical site infections occur in the 5 and 30
late postoperative phase, between days
after the procedure, but may be up to
90 days if an implant is involved.
2. 3 types of surgical site infections superficial incisional
deep incisional
organ / space
3. The initial management of surgical site in- wound exploration and debridement.
fections includes
(+) fluctuance or drainage
4. (indirect/direct) inguinal hernias pass into indirect
the scrotum
5. What disorders are associated with multi- Pheochromocytoma, hyperparathyroidism,
ple endocrine neoplasia type 2? amyloidosis, and medullary thyroid carci-
noma.
6. initial screening test for pts with suspected fasting serum gastrin level and gastrin pH
ZES
7. Diagnosis is made if gastric pH is < 2 and ZES
the serum gastrin level is > 10 times the
upper limit of normal (1,000 pg/mL).
8. gastric pH level in ZES <2
9. For patients with high suspicion for ZES but secretin stimulation test
who do not meet the diagnostic criteria, a
may be helpful in aiding diagnosis
,10. chronic venous insuflciency
, 72-year-old woman presents to the clinic
with bilateral lower extremity edema for
the past 3 months. The patient reports an
aching pain in her legs that is worse with
prolonged sitting or standing.
11. lower extremity pain (often described as chronic venous insuflciency
heaviness or aching) and edema
12. Telangiectasia and reticular veins are com- chronic venous insuflciency
mon, mild, and early findings
13. Symptomatic patients with suspected ve- venous duplex ultrasonography
nous insufficiency should undergo further
evaluation with to identify the pres-
ence of superficial, perforator, and deep
venous reflux
14. Patients may also have skin hyperpig- chronic venous insuflciency
mentation, which is due to hemosiderin
staining and inflammation, and lipoder-
matosclerosis, which is a fibrosing panni-
culitis that presents with hyperpigmenta-
tion and induration.
15. non-pitting edema think lymphedema
16. pain exacerbated with walking and im- PAD
proved with rest
17. pain worse with prolonged standing / sit- chronic venous insuflciency
ting still with feet in a dependent position
18. leg swelling improves with walking chronic venous insuflciency
