General Surgery GI EOR Exam Questions and Answers 100% Pass

General Surgery GI EOR Exam Questions and Answers 100% Pass What is the most likely diagnosis of a *woman with RUQ pain for 12 hours, fever, leukocytosis*? What are risk factors of this? What is seen on the physical exam? What is the first mode of imaging for this? What is the gold standard test? What is the treatment? - Answer- Acute and chronic cholecystitis 5 Fs: *Female, Fat, Forty, Fertile, Fair* *(+) Murphy's sign* (RUQ pain with GB palpation on inspiration) RUQ pain after a *high-fat meal* *US* is initial *HIDA is Gold* *cholecystectomy = tx What is the most likely diagnosis for: *epigastric pain radiating to back with nausea and vomiting*? What is the etiology? How do you diagnose? What are the common signs of this? What is the treatment? What is a complication of this? - Answer- *acute pancreatitis* etiology: cholelithiasis or alcohol abuse Dx: clinical and elevated *lipase and amylase* --> *CT is test of choice* Signs = *Grey Turner's* (bruising on flank); *Cullen's* (umbilical bruising) Tx: *IV fluids, bowel rest, analgesics* complication: pancreatic pseudocyst What is the classic triad of chronic pancreatitis? What are the causes? How do you dx? What is the treatment? - Answer- *pancreatic calcification, diabetes mellitus, and steatorrhea* Alcohol = cause in adults; CF in children *CT = dx* no alcohol and low fat diet = tx What is the most common diagnosis of someone with excruciating pain with bowel movements? Which ones are most common? How do you treat it (acute/chronic) - Answer- anal fissures vertical fissures = most common Tx: acute = stool softeners, bulk softeners, petroleum jelly If chronic = botox or sphincterectomy What causes anorectal abscesses? What is the treatment? What can these turn into? - Answer- Infection of an anal fissure, STDs, and blocked anal glands d/t *E. coli and staph* --> if deep = Crohn's or diverticulitis --> *posterior rectal wall* Tx: *I&D, warm sitz baths, pain meds and antibiotics* Can turn into anorectal fistula (open tract b/w 2 epithelium areas which can becomes occluded) What initiates appendicitis? What is the chronological order of appendicitis? What are the signs associated with it? How do you diagnose? What is the treatment? - Answer- Obstruction initiates it 1. *Periumbilical pain* (intermittent and crampy