General Surgery Rosh Review Questions and
Answers with complete solutions 100% Correct
What his hthe hmanagement hsteps hof hpheochromocytoma? h- hCorrect h hAnswer h- hControl hHTN hwith
halpha hblocker hfirst hthen huse hbeta hblocker h(propranolol)
Adrenalectomy hafter hHTN his hcontrolled
What his hthe hbest hprevention hfor hesophageal hstrictures? h- hCorrect h hAnswer h- hPPI htherapy
h(strictures husually hdue hto huntreated hGERD hcausing hscar htissue hto hbuild hup)
What his hthe hbest hmanagement hfor h75% hblockage hof hthe hleft hcommon hcarotid hartery? h- hCorrect
h hAnswer h- hCarotid hendarterectomy
hemorrhoid hstaging h- hCorrect h hAnswer h- h1: hNo hprolapse hjust hprominent hblood hvessels
2: hprolapse hupon hbearing hdown hbut hspontaneous hreduction
3: hprolapse hupon hbearing hdown hwith hmanual hreduction
4: hprolapse hwith hinability hto hreduce
What his hthe hbiggest hlifetime hmanagement hfor hpost-roux-en-y hgastric hbypass hsurgery? h- hCorrect h
hAnswer h- hMicronutrient hsupplementation
What his hit hcalled hwith han hincision hsite hwith hsmall hamount hof hpurulent hdrainage, hno hdehiscence,
hand hno hfluctuance? h- hCorrect h hAnswer h- hCellulitis h(abscesses hwill hhave hfluctuance)
What his hthe htest hto hconfirm hdiagnosis hof h20yo hwith hwho his h6 hfoot h160lbs. hchest hpain hand
hdyspnea hthat hoccurred hwhile hplaying hbasketball? h- hCorrect h hAnswer h- hChest hXray h(look hfor
hsigns hof hspontaneous hpneumothorax- hcommon hin hskinny, htall hmales)
Which hof hthe hfollowing his ha hphysical hexam hfinding hcharacterized hby hpain hand hinspiratory harrest
hduring hpalpation hof hthe hright hupper hquadrant? h- hCorrect h hAnswer h- hMurphy's hSign h(gallbladder
hinflammation)
, A hwoman his hbeing hseen hfor hpre-op hevaluation. hA hchest hradiograph hreveals hbilateral hhilar
hadenopathy hwith hsymmetric henlargement hof hthe hhila. hSerum hangiotensin-converting henzyme
hlevels hare hordered hand hfound hto hbe helevated. hWhich hof hthe hfollowing his hthe hmost hlikely
hdiagnosis? h- hCorrect h hAnswer h- hSarcoidosis h(common hin hAA hwomen, hbl hhilar hadenopathy,
helevated hserum hace)
Patient hhas huncontrolled hGERD hand hworsening hdysphagia. hWhat his hbest hinitial htest? h- hCorrect h
hAnswer h- hUpper hendoscopy
A h53-year-old hoverweight hman hpresents hto hthe houtpatient hclinic hwith hrecurrent hburning
habdominal hpain hthat hoccurs htwo hto hthree hhours hafter ha hmeal. hWhich hof hthe hfollowing hwould
hbe hthe hmost hfrequent hphysical hexamination hfinding hin hthis hpatient? h- hCorrect h hAnswer h-
hEpigastric htenderness
Patient hwith hnecrotizing hpancreatitis, hwhat hwill hyou hmost hlikely hdiscover hin hpatient's hH&P? h-
hCorrect h hAnswer h- hEcchymosis hof hthe hflanks h(Grey-Turners' hsign)
What his htest hof hchoice hto hevaluate hDVT? h- hCorrect h hAnswer h- hvenous hdoppler hUS
What his ha hlikely hcause hof ha hrespiratory hacidosis hon ha hpt hin han hICU hwho his hintubated? h-
hCorrect h hAnswer h- hHypoventilation h(retaining htoo hmuch hCO2)
What his hit hcalled hwhen ha hperson hhas hpain hin htheir hlegs hwhen hexercising hand hit hresolves hat
hrest? h- hCorrect h hAnswer h- hclaudication
What his hthe hmost hcommon hvision hchange hwith ha hpituitary htumor? h- hCorrect h hAnswer h- hdec
htemporal hvision
Patient hpresents hwith hvague hepigastric hpain hwith hweight hloss. hWhat his hmost hlikely hdiagnosis? h-
hCorrect h hAnswer h- hPancreatic hcancer h(Courvoisier hsign-palpable, hnon-tender hgallbladder hwith
hjaundice)
What his hbest hroute hof hadministration hfor hiron hin ha hpatient hwho his hpost-roux-en-y hgastric
hbypass hsurgery? h- hCorrect h hAnswer h- hIV h(not horal hbecause hworried habout habsorption hrate)
What his hbest htest hfor ha hhigh hrisk hpheochromocytoma hpatient? h- hCorrect h hAnswer h- hHigh hRisk:
hPlasma hfractionated hmetanephrines
Low hrisk: h24-hour hurine hmetanephrines
In ha hpatient hwith ha hdiagnosed hpheochromocytoma hpreparing hfor hsurgical hresection, hwhy hmust
hthe hpreoperative hpreparation hinvolve hpropranolol hinitiation, hafter ha h10-14 hday hcourse hof
hphenoxybenzamine? h- hCorrect h hAnswer h- hTo havoid hunopposed halpha-adrenergic hreceptor
hstimulation
Answers with complete solutions 100% Correct
What his hthe hmanagement hsteps hof hpheochromocytoma? h- hCorrect h hAnswer h- hControl hHTN hwith
halpha hblocker hfirst hthen huse hbeta hblocker h(propranolol)
Adrenalectomy hafter hHTN his hcontrolled
What his hthe hbest hprevention hfor hesophageal hstrictures? h- hCorrect h hAnswer h- hPPI htherapy
h(strictures husually hdue hto huntreated hGERD hcausing hscar htissue hto hbuild hup)
What his hthe hbest hmanagement hfor h75% hblockage hof hthe hleft hcommon hcarotid hartery? h- hCorrect
h hAnswer h- hCarotid hendarterectomy
hemorrhoid hstaging h- hCorrect h hAnswer h- h1: hNo hprolapse hjust hprominent hblood hvessels
2: hprolapse hupon hbearing hdown hbut hspontaneous hreduction
3: hprolapse hupon hbearing hdown hwith hmanual hreduction
4: hprolapse hwith hinability hto hreduce
What his hthe hbiggest hlifetime hmanagement hfor hpost-roux-en-y hgastric hbypass hsurgery? h- hCorrect h
hAnswer h- hMicronutrient hsupplementation
What his hit hcalled hwith han hincision hsite hwith hsmall hamount hof hpurulent hdrainage, hno hdehiscence,
hand hno hfluctuance? h- hCorrect h hAnswer h- hCellulitis h(abscesses hwill hhave hfluctuance)
What his hthe htest hto hconfirm hdiagnosis hof h20yo hwith hwho his h6 hfoot h160lbs. hchest hpain hand
hdyspnea hthat hoccurred hwhile hplaying hbasketball? h- hCorrect h hAnswer h- hChest hXray h(look hfor
hsigns hof hspontaneous hpneumothorax- hcommon hin hskinny, htall hmales)
Which hof hthe hfollowing his ha hphysical hexam hfinding hcharacterized hby hpain hand hinspiratory harrest
hduring hpalpation hof hthe hright hupper hquadrant? h- hCorrect h hAnswer h- hMurphy's hSign h(gallbladder
hinflammation)
, A hwoman his hbeing hseen hfor hpre-op hevaluation. hA hchest hradiograph hreveals hbilateral hhilar
hadenopathy hwith hsymmetric henlargement hof hthe hhila. hSerum hangiotensin-converting henzyme
hlevels hare hordered hand hfound hto hbe helevated. hWhich hof hthe hfollowing his hthe hmost hlikely
hdiagnosis? h- hCorrect h hAnswer h- hSarcoidosis h(common hin hAA hwomen, hbl hhilar hadenopathy,
helevated hserum hace)
Patient hhas huncontrolled hGERD hand hworsening hdysphagia. hWhat his hbest hinitial htest? h- hCorrect h
hAnswer h- hUpper hendoscopy
A h53-year-old hoverweight hman hpresents hto hthe houtpatient hclinic hwith hrecurrent hburning
habdominal hpain hthat hoccurs htwo hto hthree hhours hafter ha hmeal. hWhich hof hthe hfollowing hwould
hbe hthe hmost hfrequent hphysical hexamination hfinding hin hthis hpatient? h- hCorrect h hAnswer h-
hEpigastric htenderness
Patient hwith hnecrotizing hpancreatitis, hwhat hwill hyou hmost hlikely hdiscover hin hpatient's hH&P? h-
hCorrect h hAnswer h- hEcchymosis hof hthe hflanks h(Grey-Turners' hsign)
What his htest hof hchoice hto hevaluate hDVT? h- hCorrect h hAnswer h- hvenous hdoppler hUS
What his ha hlikely hcause hof ha hrespiratory hacidosis hon ha hpt hin han hICU hwho his hintubated? h-
hCorrect h hAnswer h- hHypoventilation h(retaining htoo hmuch hCO2)
What his hit hcalled hwhen ha hperson hhas hpain hin htheir hlegs hwhen hexercising hand hit hresolves hat
hrest? h- hCorrect h hAnswer h- hclaudication
What his hthe hmost hcommon hvision hchange hwith ha hpituitary htumor? h- hCorrect h hAnswer h- hdec
htemporal hvision
Patient hpresents hwith hvague hepigastric hpain hwith hweight hloss. hWhat his hmost hlikely hdiagnosis? h-
hCorrect h hAnswer h- hPancreatic hcancer h(Courvoisier hsign-palpable, hnon-tender hgallbladder hwith
hjaundice)
What his hbest hroute hof hadministration hfor hiron hin ha hpatient hwho his hpost-roux-en-y hgastric
hbypass hsurgery? h- hCorrect h hAnswer h- hIV h(not horal hbecause hworried habout habsorption hrate)
What his hbest htest hfor ha hhigh hrisk hpheochromocytoma hpatient? h- hCorrect h hAnswer h- hHigh hRisk:
hPlasma hfractionated hmetanephrines
Low hrisk: h24-hour hurine hmetanephrines
In ha hpatient hwith ha hdiagnosed hpheochromocytoma hpreparing hfor hsurgical hresection, hwhy hmust
hthe hpreoperative hpreparation hinvolve hpropranolol hinitiation, hafter ha h10-14 hday hcourse hof
hphenoxybenzamine? h- hCorrect h hAnswer h- hTo havoid hunopposed halpha-adrenergic hreceptor
hstimulation
