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General Surgery EORE Exam Questions and Answers Fully Solved

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General Surgery EORE Exam Questions and Answers Fully Solved Volkmann's Contracture - Answers may occur from an untreated compartment syndrome or an arterial injury. Loss of two-point discrimination - Answers One (if not thee) of the earliest signs of compartment syndrome IV Rehydration for 24-72 hours - Answers mainstay of therapy for rhabdomyolysis Ectopic pregnancy - Answers possible pregnant woman presents with vaginal bleeding or abdominal pain, high suspicion for? Prehn's sign - Answers elevation of the scrotum with the affected epididymis to the level of the symphysis pubis brings relief from the pain Ectopia lentis aortic root dilation aortic dissection - Answers Major criteria for the dx of Marfan's disease Cigarette smoking - Answers primary risk factor for the development of aortic aneurysms Tamoxifen - Answers adjuvant therapy of choice in post-menopausal estrogen receptor positive axillary node negative breast cancer 10 - Answers % of body surface area that requires transfer to a burn center nafcillin, gentamicin, and metronidazole - Answers Appropriate antibiotic prophylaxis and treatment prior to open abdominal surgery Anaerobic bacteria - Answers metronidazole is effective against a wide variety of what bacteria? Gram - anaerobes - Answers Gentamicin covers against what bacteria? penicillinase-resistant organisms - Answers Nafcillin provides treatment for what bacteria? increased fluid production due to increased hydrostatic pressure - Answers pathophysiologic process of a transudative pleural effusion? CHF Cirrhosis Atelectasis Hypoalbuminemia - Answers Causes of transudative pleural effusion Shock wave lithotripsy - Answers Procedure indicated for renal stone 6mm or intractable pain CT urography - Answers done to evaluate the upper and lower urinary tract for neoplasms, and benign conditions such as urolithiasis Urethrogram - Answers done to evaluate the urinary system with pelvic fracture Lateral x-ray - Answers Initial screening test to r/o c-spine fracture migratory ecchymosis - Answers Benign PE finding s/p pacemaker insertion Volar forearm - Answers splint of choice for Colles' fracture 40 - Answers Degree of angulation in a boxer's fracture that requires an open reduction Alpha-adrenergic blocker - Answers Medication to control HTN pre-op phechromcytomectomy DIC - Answers hemorrhage, platelet count of 10,000/microliter, prolonged prothrombin level, and the presence of fibrin split products is indicative of? Arterial thromobosis - Answers Loss of arterial pulse and cool to touch is indicative of? 2-4 weeks - Answers Amount of time smoking cessation shows improvements in healing pre-op CBC and HCG - Answers What laboratory test must all women of childbearing age have before entering the O.R.? Beta-blocker - Answers What preoperative medication can decrease postoperative cardiac events and death? 1. NPO/IVF 2. Preoperative antibiotics 3. Type and cross blood (PRBCs) - Answers What must you always order preoperatively for your patient undergoing a major operation? Potassium - Answers What electrolyte must you check preoperatively if a patient is on hemodialysis? 40 - Answers Age that requires a pre-op EKG decreased CVP; decreased BP; increased pulse rate - Answers A patient with hypovolemic shock would most likely exhibit Squamous cell carcinoma - Answers common in patients with a smoking history and presents with a central mass, hilar adenopathy and mediastinal widening Peripheral - Answers Adenocarcinoma lung cancer presents in what area of the lungs? Peritonitis - Answers Abdominal rigidity is most commonly seen in:

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General Surgery EORE Exam Questions and Answers Fully Solved

Volkmann's Contracture - Answers may occur from an untreated compartment syndrome or an arterial
injury.

Loss of two-point discrimination - Answers One (if not thee) of the earliest signs of compartment
syndrome

IV Rehydration for 24-72 hours - Answers mainstay of therapy for rhabdomyolysis

Ectopic pregnancy - Answers possible pregnant woman presents with vaginal bleeding or abdominal
pain, high suspicion for?

Prehn's sign - Answers elevation of the scrotum with the affected epididymis to the level of the
symphysis pubis brings relief from the pain

Ectopia lentis

aortic root dilation

aortic dissection - Answers Major criteria for the dx of Marfan's disease

Cigarette smoking - Answers primary risk factor for the development of aortic aneurysms

Tamoxifen - Answers adjuvant therapy of choice in post-menopausal estrogen receptor positive axillary
node negative breast cancer

>10 - Answers % of body surface area that requires transfer to a burn center

nafcillin, gentamicin, and metronidazole - Answers Appropriate antibiotic prophylaxis and treatment
prior to open abdominal surgery

Anaerobic bacteria - Answers metronidazole is effective against a wide variety of what bacteria?

Gram - anaerobes - Answers Gentamicin covers against what bacteria?

penicillinase-resistant organisms - Answers Nafcillin provides treatment for what bacteria?

increased fluid production due to increased hydrostatic pressure - Answers pathophysiologic process of
a transudative pleural effusion?

CHF

Cirrhosis

Atelectasis

Hypoalbuminemia - Answers Causes of transudative pleural effusion

,Shock wave lithotripsy - Answers Procedure indicated for renal stone >6mm or intractable pain

CT urography - Answers done to evaluate the upper and lower urinary tract for neoplasms, and benign
conditions such as urolithiasis

Urethrogram - Answers done to evaluate the urinary system with pelvic fracture

Lateral x-ray - Answers Initial screening test to r/o c-spine fracture

migratory ecchymosis - Answers Benign PE finding s/p pacemaker insertion

Volar forearm - Answers splint of choice for Colles' fracture

>40 - Answers Degree of angulation in a boxer's fracture that requires an open reduction

Alpha-adrenergic blocker - Answers Medication to control HTN pre-op phechromcytomectomy

DIC - Answers hemorrhage, platelet count of 10,000/microliter, prolonged prothrombin level, and the
presence of fibrin split products is indicative of?

Arterial thromobosis - Answers Loss of arterial pulse and cool to touch is indicative of?

2-4 weeks - Answers Amount of time smoking cessation shows improvements in healing pre-op

CBC and HCG - Answers What laboratory test must all women of childbearing age have before entering
the O.R.?

Beta-blocker - Answers What preoperative medication can decrease postoperative cardiac events and
death?

1. NPO/IVF

2. Preoperative antibiotics

3. Type and cross blood (PRBCs) - Answers What must you always order preoperatively for your patient
undergoing a major operation?

Potassium - Answers What electrolyte must you check preoperatively if a patient is on hemodialysis?

>40 - Answers Age that requires a pre-op EKG

decreased CVP; decreased BP; increased pulse rate - Answers A patient with hypovolemic shock would
most likely exhibit

Squamous cell carcinoma - Answers common in patients with a smoking history and presents with a
central mass, hilar adenopathy and mediastinal widening

Peripheral - Answers Adenocarcinoma lung cancer presents in what area of the lungs?

, Peritonitis - Answers Abdominal rigidity is most commonly seen in:

Loss of bicarbonate: diarrhea, ileus, fistula, high-output ileostomy, carbonic anhydrase inhibitors



Increase in acids: lactic acidosis (ischemia), ketoacidosis, renal failure, necrotic tissue - Answers What
are the surgical causes of the following conditions:

Metabolic acidosis

Vomiting, NG suction, diuretics, alkali ingestion, mineralocorticoid excess - Answers What are the
surgical causes of the following conditions: Metabolic alkalosis

Hypoventilation (e.g., CNS depression)

drugs (e.g., morphine)

PTX

pleural effusion

parenchymal lung disease

acute airway obstruction - Answers What are the surgical causes of the following conditions:

Respiratory acidosis

Hyperventilation (e.g., anxiety, pain, fever, wrong ventilator settings) - Answers What are the surgical
causes of the following conditions:

Respiratory alkalosis

Tachycardia

Tachypnea

Hypotension - Answers Vital sign findings of hypovolemia

Lab error - Answers What is a common cause of electrolyte abnormalities?

Iatrogenic overdose

blood transfusion

renal failure

diuretics

acidosis

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