Surgery EOR Questions and Answers Latest 2022 Already Passed

Surgery EOR Questions and Answers Latest 2022 Already Passed what is the most common type of liver cancer? hepatocellular carcinoma tx for hemochromatosis (excessive iron loading) deferoxamine chelation HBsAg acute/chronic infection HBeAg VERY INFECTIOUS acute/chronic infection infectivity wild type viral infection anti-HBc marker of exposure persists indefinitely anti-HBe low infectivity Anti-HBs marker of immunity VACCINATION what can cause false + for hemoccult? grapefruit, red meat, turnips radishes, horseradish, cauliflower VITAMIN C, NSAIDS, ASA "gold standard" to diagnose chronic pancreatitis ERCP study of choice for gallbladder studies U/S study of choice for diverticulosis barium enema MCC LGI bleed diverticulosis (MC in sigmoid colon) most common cause acute pancreatitis biliary disease (gallstones) alcohol most common type of pancreatic cancer ductal adenocarcinoma (MC location = head) what is courvoiser's sign? palpable, nontender gallbladder. indicates obstruction of distal CBD due to mass. TOC for pancreatic cancer whipple (pancreatoduodenecotom) MCC colon cancer adenocarcinoma MCC esophageal cancer SCC what drug can be used to treat acute mesenteric ischemia? papavarine (vasodilator) what is the study of choice for zollinger ellison syndrome? secretin stimulating test + if secretin does NOT inhibit gastrin secretion Tx: PPI, sx, chemo T/F: cholangitis is an emergency true. infection of biliary tract due to obstruction --> leads to biliary stasis and bacterial overgrowth. MCC cholangitis choledocolithiasis. post ERCP. what is charcot's triad? RUQ pain jaundice fever reynold's pentad? charcot's triad septic shock altered mental status MCC gallbladder carcinoma adenocarcinoma MCC cirrhosis alcoholic hepatitis (2nd MCC is Hep B & C) omgea loop sign and coffee bean sign are characteristic of volvulus (SOC = SIGMOIDOSCOPY b/c you can diagnose and TREAT at the same time!) what kind of volvulus needs emergency surgery? cecal volvulus what is diagnostic and therapeutic for intusseption? barium enema ("currant jelly sools" & "sausage like mass") MCC UGI bleed PUD MCC PUD H pylori NSAID what causes a UGI bleed that is a mucosal tear at or just below GE junction due to forceful vomiting? mallory weiss tear tx for mallory weiss tear resolves spontaneously what is boerhaave's syndrome? Hallmarks: transmural tear causing esophageal perforation due to vomiting and retching that presents w/ UGI bleed TOC: EMERGENT surgical treatment hallmarks of esophageal varices massive GI bleed, hematemesis, liver disease, cirrhosis TOC: hemodynamic stabilization, *endoscopic hemastasis* ex: drinking around holidays MCC LGIB dierticulsis always suspect with occult blood loss & change in bowel patterns? colon neoplasm tx for peritonsillar abscess I&D clindamycin MC breast cancer IDC what is an adrenal medulla catecholamine secreting tumor? pehochromocytoma suspect pehochromocytoma in who? pt with HTN uncontrolled by meds S&S: HA, diaphoresis, palpitations, severe HTN