SURGERY EOR EXAM PREPARATION TEST
BANK WITH CORRECT ANSWERS
●● RUQ pain or inspiratory arrest with palpation of the gallbladder is
known as _________ Sign and is indicative of..?
Answer: Murphy's sign, Cholecystitis
●● R shoulder pains in cases of cholecystitis is known as _________
Sign.
Answer: Boas Sign
●● Diagnosis of acute cholecystitis (initial and gold)
Answer: Initial: U/S
Gold: HIDA
●● Most common pathogen in acute cholecystitis (and other bile duct
disorders)
Answer: E. coli
●● Presents w/ RUQ pains, jaundice, and fevers. May also have
hypotension, shock, and AMS. Labs show leukocytosis, increased
alkaline phosphatase & GGT, and increased bilirubin.
Answer: Acute Cholangitis
,- ERCP (diagnostic and therapeutic) + abx
●● If ERCP is unable to be done, what surgery is indicated for
Cholangitis?
Answer: Cholecystectomy
●● 40y/o female presents w/ episodic, abrupt RUQ pain resolving
slowly over minutes as well as nausea made worse with meals.
Answer: Cholelithiasis
- Observation +/- ursodeoxycholic acid, cholecystectomy
●● What is the key demographic most prone to getting
cholelithiasis/choledocholithiasis?
Answer: The "5 Fs"
- Fat, fair, forty, female, fertile
●● Most common source of cholelithiasis stones
Answer: Cholesterol
●● 40y/o female presents w/ prolonged RUQ pain as well as N/V made
worse with meals and jaundice.
Answer: Choledocholithiasis
- ERCP -> choledocholithotomy
,●● Bilirubin levels of >_____ will cause neonatal jaundice while
bilirubin levels of >_____ will cause neonatal kernicterus.
Answer: >5.0 = Jaundice
>20.0 = Kernicterus
●● Newborn presents w/ jaundice and cerebral dysfunction and
encephalopathy causing seizures, lethargy, irritability, hearing loss, and
mental developmental delays.
- Labs show bilirubin levels >20 mg/dL.
Answer: Kernicterus
- Exchange transfusions +/- IVIG
●● Treatment of neonatal jaundice
Answer: Phototherapy +/- exchange transfusions
●● Hereditary conjugated bilirubinemia is known as _________ while
hereditary unconjugated bilirubinemia is known as _________
Answer: - Dubin-Johnson Syndrome
- Crigler-Najjar Syndrome
●● "Dark liver" on liver biopsy alongside asymptomatic bilirubinemia is
likely what diagnosis?
, Answer: Dubin-Johnson Syndrome
- does not require treatment
●● Newborn presents w/ jaundice with severe progression in the second
week, leading to kernicterus. Labs show indirect hyperbilirubinemia of
20-50mg/dL
Answer: Crigler-Najjar Syndrome
- Phototherapy
●● Transient episodes of jaundice during periods of stress, fasting,
alcohol, or illness is likely what diagnosis?
Answer: Gilbert Syndrome
- does not require treatment
●● Presents w/ epigastric pains radiating to the back made better with
leaning forward as well as N/V and fever. may have flank or
periumbilical ecchymoses.
- Labs show 3x lipase/amylase and ALT increase
Answer: Acute Pancreatitis
- NPO, IVFs, analgesics
●● Diagnosis of acute pancreatitis (initial and gold)
Answer: Initial: XR ("Sentinel loop" and "Colon cutoff sign")
BANK WITH CORRECT ANSWERS
●● RUQ pain or inspiratory arrest with palpation of the gallbladder is
known as _________ Sign and is indicative of..?
Answer: Murphy's sign, Cholecystitis
●● R shoulder pains in cases of cholecystitis is known as _________
Sign.
Answer: Boas Sign
●● Diagnosis of acute cholecystitis (initial and gold)
Answer: Initial: U/S
Gold: HIDA
●● Most common pathogen in acute cholecystitis (and other bile duct
disorders)
Answer: E. coli
●● Presents w/ RUQ pains, jaundice, and fevers. May also have
hypotension, shock, and AMS. Labs show leukocytosis, increased
alkaline phosphatase & GGT, and increased bilirubin.
Answer: Acute Cholangitis
,- ERCP (diagnostic and therapeutic) + abx
●● If ERCP is unable to be done, what surgery is indicated for
Cholangitis?
Answer: Cholecystectomy
●● 40y/o female presents w/ episodic, abrupt RUQ pain resolving
slowly over minutes as well as nausea made worse with meals.
Answer: Cholelithiasis
- Observation +/- ursodeoxycholic acid, cholecystectomy
●● What is the key demographic most prone to getting
cholelithiasis/choledocholithiasis?
Answer: The "5 Fs"
- Fat, fair, forty, female, fertile
●● Most common source of cholelithiasis stones
Answer: Cholesterol
●● 40y/o female presents w/ prolonged RUQ pain as well as N/V made
worse with meals and jaundice.
Answer: Choledocholithiasis
- ERCP -> choledocholithotomy
,●● Bilirubin levels of >_____ will cause neonatal jaundice while
bilirubin levels of >_____ will cause neonatal kernicterus.
Answer: >5.0 = Jaundice
>20.0 = Kernicterus
●● Newborn presents w/ jaundice and cerebral dysfunction and
encephalopathy causing seizures, lethargy, irritability, hearing loss, and
mental developmental delays.
- Labs show bilirubin levels >20 mg/dL.
Answer: Kernicterus
- Exchange transfusions +/- IVIG
●● Treatment of neonatal jaundice
Answer: Phototherapy +/- exchange transfusions
●● Hereditary conjugated bilirubinemia is known as _________ while
hereditary unconjugated bilirubinemia is known as _________
Answer: - Dubin-Johnson Syndrome
- Crigler-Najjar Syndrome
●● "Dark liver" on liver biopsy alongside asymptomatic bilirubinemia is
likely what diagnosis?
, Answer: Dubin-Johnson Syndrome
- does not require treatment
●● Newborn presents w/ jaundice with severe progression in the second
week, leading to kernicterus. Labs show indirect hyperbilirubinemia of
20-50mg/dL
Answer: Crigler-Najjar Syndrome
- Phototherapy
●● Transient episodes of jaundice during periods of stress, fasting,
alcohol, or illness is likely what diagnosis?
Answer: Gilbert Syndrome
- does not require treatment
●● Presents w/ epigastric pains radiating to the back made better with
leaning forward as well as N/V and fever. may have flank or
periumbilical ecchymoses.
- Labs show 3x lipase/amylase and ALT increase
Answer: Acute Pancreatitis
- NPO, IVFs, analgesics
●● Diagnosis of acute pancreatitis (initial and gold)
Answer: Initial: XR ("Sentinel loop" and "Colon cutoff sign")
