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Surgery Exam 4 with Questions and Answers Guaranteed Success

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Surgery Exam 4 with Questions and Answers Guaranteed Success

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Surgery Exam 4 with Questions and Answers Guaranteed
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Correct statement of ulcerative colitis and Crohn's (Crohn's is mouth to anus and don't
have continuous lesions, segmental rather than continuous, gives you fistulas) - Correct
Answer Crohns dz seldom presents with daily hematochezia and is usually segmental
rather than continuous


What is true concerning Crohn's dz?

A. Is caused by Mycobacterium paratuberculosis.

B. Is more common in Asians than in Jews.

C. Tends to occur in families.

D. Is less frequent in temperate climates than in tropical ones.

E. Is improved by smoking. - Correct Answer C. Tends to occur in families.


The most common indication for operation in Crohn's disease of the colon is:

A. Obstruction.

B. Chronic debility.

C. Bleeding.

D. Perforation.

E. Carcinoma. - Correct Answer B. Chronic debility.


The most common indication for surgery secondary to acute diverticulitis is:

A. Abscess.

B. Colonic obstruction.

C. Colovesical fistula.

D. Free perforation.

, E. Hemorrhage. - Correct Answer A. Abscess.


Which of the following statements about the etiology of chronic ulcerative colitis are true?

A. Ulcerative colitis is 50% less frequent in nonwhite than in white populations.

B. Psychosomatic factors play a major causative role in the development of ulcerative
colitis.

C. Cytokines are integrally involved in the pathogenesis of ulcerative colitis.

D. Ulcerative colitis has been identified with a greater frequency in family members of
patients with confirmed inflammatory bowel disease.

E. Ulcerative colitis is two to four times more common in Jewish than in non-Jewish
populations.

F. All the above - Correct Answer All of the above


The initial management of toxic ulcerative colitis should include:

A. Broad-spectrum antibiotics.

B. 6-Mercaptopurine.

C. Intravenous fluid and electrolyte resuscitation.

D. Opioid antidiarrheals.

E. Colonoscopic decompression. - Correct Answer A. Broad-spectrum antibiotics.

C. Intravenous fluid and electrolyte resuscitation.


Which finding(s) suggest(s) the diagnosis of chronic ulcerative colitis as opposed to
Crohn's colitis?

A. Endoscopic evidence of backwash ileitis.

B. Granulomas on biopsy.

C. Anal fistula.

D. Rectal sparing.
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