SURGERY EOR EXAM SCRIPT WITH
VERIFIED QUESTIONS AND ANSWERS
●● elderly woman, hx of profound weight loss, pain down inner aspect
of thigh
Answer: obturator hernia (Howship-Romberg sign)
●● abdominal pain, hypotension, abdominal pulsatile mass
Answer: ruptured AAA
●● abdominal pain out of proportion to abdominal exam
Answer: mesenteric ischemia (acute = AFib)
●● arm pain and syncope with arm movement
Answer: subclavian steal syndrome
●● increasing creatinine on ACEI
Answer: renal artery stenosis
-ACEI is CI in pt w/ bilateral renal artery stenosis
●● Child with MIDLINE neck mass
Answer: thyroglossal duct cyst
,●● Child with LATERAL neck mass
Answer: branchial cleft cyst
●● crush injury and dark urine
Answer: Myoglobinuria (rhabdomyolysis)
●● Emesis, chest pain radiating to back and mediastinal air
Answer: Boerhaave syndrome
●● LGI bleed + technetium pertechnetate scan
Answer: Meckel's diverticulum
●● Flushing, diarrhea, and right-sided heart failure
Answer: Carcinoid
carcinoid syndrome (BFDR): BRONCHOSPASM, flushing, diarrhea,
RHF
●● Pneumaturia and LLQ pain
Answer: Colovesicular fistula
●● Desmoid tumor, osteoma, and colon cancer
,Answer: Gardner's syndrome
●● epigastric pain radiating to back and flank ecchymosis
Answer: hemorrhagic pancreatitis
●● pancreatitis and palpable epigastric mass
Answer: pancreatic pseudocyst (collection of debris, fluid, pancreatic
enzymes, blood)
-should resolve after 4 weeks
-MC d/t chronic (ETOH) pancreatitis but can occur w/ acute
●● liver abscess with "anchovy paste"
Answer: amebic abscess (Entamoeba histolytica)
-MC liver abscess
●● RUQ pain and mass, jaundice, travel and exposure to sheep (or dogs
or cattle)
Answer: hydatid cyst (echinococcus granulosus)
-never drain d/t risk of anaphylaxis
●● 45 yo woman w/ RUQ pain for 12 hrs, fever, leukocytosis
Answer: acute cholecystitis
, ●● elderly man w/ large nontender palpable gallbladder
Answer: pancreatic cancer (Courvoisier's sign)
●● Female taking birth control pills with liver mass
Answer: hepatic adenoma
●● Liver tumor with "central scar"
Answer: focal nodular hyperplasia
●● RUQ bruit and CHF in young adult
Answer: Liver hemangioma
●● excruciating pain w/ BM
Answer: anal fissure
●● abdominal pain, diarrhea, anal fistulae
Answer: Crohn's disease
●● EKG w/ peaked T waves
Answer: hyperkalemia
-also: depressed ST segment, prolonged PR, wide QRS, bradycardia,
ventricular fibrillation
VERIFIED QUESTIONS AND ANSWERS
●● elderly woman, hx of profound weight loss, pain down inner aspect
of thigh
Answer: obturator hernia (Howship-Romberg sign)
●● abdominal pain, hypotension, abdominal pulsatile mass
Answer: ruptured AAA
●● abdominal pain out of proportion to abdominal exam
Answer: mesenteric ischemia (acute = AFib)
●● arm pain and syncope with arm movement
Answer: subclavian steal syndrome
●● increasing creatinine on ACEI
Answer: renal artery stenosis
-ACEI is CI in pt w/ bilateral renal artery stenosis
●● Child with MIDLINE neck mass
Answer: thyroglossal duct cyst
,●● Child with LATERAL neck mass
Answer: branchial cleft cyst
●● crush injury and dark urine
Answer: Myoglobinuria (rhabdomyolysis)
●● Emesis, chest pain radiating to back and mediastinal air
Answer: Boerhaave syndrome
●● LGI bleed + technetium pertechnetate scan
Answer: Meckel's diverticulum
●● Flushing, diarrhea, and right-sided heart failure
Answer: Carcinoid
carcinoid syndrome (BFDR): BRONCHOSPASM, flushing, diarrhea,
RHF
●● Pneumaturia and LLQ pain
Answer: Colovesicular fistula
●● Desmoid tumor, osteoma, and colon cancer
,Answer: Gardner's syndrome
●● epigastric pain radiating to back and flank ecchymosis
Answer: hemorrhagic pancreatitis
●● pancreatitis and palpable epigastric mass
Answer: pancreatic pseudocyst (collection of debris, fluid, pancreatic
enzymes, blood)
-should resolve after 4 weeks
-MC d/t chronic (ETOH) pancreatitis but can occur w/ acute
●● liver abscess with "anchovy paste"
Answer: amebic abscess (Entamoeba histolytica)
-MC liver abscess
●● RUQ pain and mass, jaundice, travel and exposure to sheep (or dogs
or cattle)
Answer: hydatid cyst (echinococcus granulosus)
-never drain d/t risk of anaphylaxis
●● 45 yo woman w/ RUQ pain for 12 hrs, fever, leukocytosis
Answer: acute cholecystitis
, ●● elderly man w/ large nontender palpable gallbladder
Answer: pancreatic cancer (Courvoisier's sign)
●● Female taking birth control pills with liver mass
Answer: hepatic adenoma
●● Liver tumor with "central scar"
Answer: focal nodular hyperplasia
●● RUQ bruit and CHF in young adult
Answer: Liver hemangioma
●● excruciating pain w/ BM
Answer: anal fissure
●● abdominal pain, diarrhea, anal fistulae
Answer: Crohn's disease
●● EKG w/ peaked T waves
Answer: hyperkalemia
-also: depressed ST segment, prolonged PR, wide QRS, bradycardia,
ventricular fibrillation
