General Surgery Rosh Review UPDATED ACTUAL Questions and
CORRECT Answers
1. What is the management steps of pheochromocy- Control HTN with alpha
toma? blocker first then use beta
blocker (propranolol)
Adrenalectomy after HTN
is controlled
2. What is the best prevention for esophageal strictures? PPI therapy (strictures
usually due to untreated
GERD causing scar tissue
to build up)
3. What is the best management for 75% blockage of the Carotid endarterectomy
left common carotid artery?
4. hemorrhoid staging 1: No prolapse just promi-
nent blood vessels
2: prolapse upon bear-
ing down but sponta-
neous reduction
3: prolapse upon bearing
down with manual reduc-
tion
4: prolapse with inability
to reduce
5. What is the biggest lifetime management for Micronutrient supple-
post-roux-en-y gastric bypass surgery? mentation
6. What is it called with an incision site with small Cellulitis (abscesses will
amount of purulent drainage, no dehiscence, and no have fluctuance)
fluctuance?
,7.
, What is the test to confirm diagnosis of 20yo with who Chest Xray (look for signs
is 6 foot 160lbs. chest pain and dyspnea that occurred of spontaneous pneu-
while playing basketball? mothorax- common in
skinny, tall males)
8. Which of the following is a physical exam finding char- Murphy's Sign (gallblad-
acterized by pain and inspiratory arrest during palpa- der inflammation)
tion of the right upper quadrant?
9. A woman is being seen for pre-op evaluation. A Sarcoidosis (common in
chest radiograph reveals bilateral hilar adenopathy AA women, bl hi-
with symmetric enlargement of the hila. Serum an- lar adenopathy, elevated
giotensin-converting enzyme levels are ordered and serum ace)
found to be elevated. Which of the following is the
most likely diagnosis?
10. Patient has uncontrolled GERD and worsening dys- Upper endoscopy
phagia. What is best initial test?
11. A 53-year-old overweight man presents to the out- Epigastric tenderness
patient clinic with recurrent burning abdominal pain
that occurs two to three hours after a meal. Which
of the following would be the most frequent physical
examination finding in this patient?
12. Patient with necrotizing pancreatitis, what will you Ecchymosis of the flanks
most likely discover in patient's H&P? (Grey-Turners' sign)
13. What is test of choice to evaluate DVT? venous doppler US
14. What is a likely cause of a respiratory acidosis on a pt Hypoventilation (retaining
in an ICU who is intubated? too much CO2)
15. claudication
CORRECT Answers
1. What is the management steps of pheochromocy- Control HTN with alpha
toma? blocker first then use beta
blocker (propranolol)
Adrenalectomy after HTN
is controlled
2. What is the best prevention for esophageal strictures? PPI therapy (strictures
usually due to untreated
GERD causing scar tissue
to build up)
3. What is the best management for 75% blockage of the Carotid endarterectomy
left common carotid artery?
4. hemorrhoid staging 1: No prolapse just promi-
nent blood vessels
2: prolapse upon bear-
ing down but sponta-
neous reduction
3: prolapse upon bearing
down with manual reduc-
tion
4: prolapse with inability
to reduce
5. What is the biggest lifetime management for Micronutrient supple-
post-roux-en-y gastric bypass surgery? mentation
6. What is it called with an incision site with small Cellulitis (abscesses will
amount of purulent drainage, no dehiscence, and no have fluctuance)
fluctuance?
,7.
, What is the test to confirm diagnosis of 20yo with who Chest Xray (look for signs
is 6 foot 160lbs. chest pain and dyspnea that occurred of spontaneous pneu-
while playing basketball? mothorax- common in
skinny, tall males)
8. Which of the following is a physical exam finding char- Murphy's Sign (gallblad-
acterized by pain and inspiratory arrest during palpa- der inflammation)
tion of the right upper quadrant?
9. A woman is being seen for pre-op evaluation. A Sarcoidosis (common in
chest radiograph reveals bilateral hilar adenopathy AA women, bl hi-
with symmetric enlargement of the hila. Serum an- lar adenopathy, elevated
giotensin-converting enzyme levels are ordered and serum ace)
found to be elevated. Which of the following is the
most likely diagnosis?
10. Patient has uncontrolled GERD and worsening dys- Upper endoscopy
phagia. What is best initial test?
11. A 53-year-old overweight man presents to the out- Epigastric tenderness
patient clinic with recurrent burning abdominal pain
that occurs two to three hours after a meal. Which
of the following would be the most frequent physical
examination finding in this patient?
12. Patient with necrotizing pancreatitis, what will you Ecchymosis of the flanks
most likely discover in patient's H&P? (Grey-Turners' sign)
13. What is test of choice to evaluate DVT? venous doppler US
14. What is a likely cause of a respiratory acidosis on a pt Hypoventilation (retaining
in an ICU who is intubated? too much CO2)
15. claudication
