Page 1 of 97
SURGERY EOR Comprehensive Exam Questions
and Correct Detailed Answer S Already Graded
A+ Brand New! 100% Guaranteed Pass
_______is infection of one or more diverticula...typically from
____obstruction. **Answer**Diverticulitis; fecaltih
In diverticulitis, colonoscopy is not recommended. Why? - ✔✔✔
Correct Answer > possible perforation
What is the acute treatment of diverticulitis? - ✔✔✔ Correct Answer >
medical management -- IVF, bowel rest, IV abx
After 2 hospitalizations from diverticulitis, what is
recommended? **Answer**elective sigmoid colectomy
What is the treatment for a colovesical fistula? - ✔✔✔ Correct Answer
> colectomy and primary bladder closure
_______is a congenital anomaly -- a remnant of the embryonic
vitelline/omphalomesenteric duct -- located w/in 2 feet of
the ileocecal valve. **Answer**Meckel's diverticulum
,Page 2 of 97
What is the Meckel's diverticulum "rule of 2's"? - ✔✔✔ Correct Answer
> 2 inches longs, located within 2 feet of the ileocecal valve, 2
times as common in males than females, 2% of the
population, 2% symptomatic, 2 types of ectopic tissue -- gastric
& pancreatic
For Meckel's diverticulum patients, those presenting with
malabsorption, impaction, perforation etc. are treated how?
**Answer**with surgical resection and/or small bowel
resection
What are the three most common causes of a small bowel
obstruction? ABC's **Answer**A = adhesions
B = bulge (hernias)
C = cancer and tumor
What are the some other causes of a SBO? GIVES BAD CRAMPS -
✔✔✔ Correct Answer > gallstone ileus (air in biliary tree),
intussuseption, volvuls, external compression, SMA syndrome
(seen with weight loss), Bezoars (trapped mass), abscesses,
diverticulitis, chrohn's disease, radiation enteritis, annular
pancreas, Meckel's diverticulum, Peritoneal adhesions, stricture
What does the PE show with a SBO? - ✔✔✔ Correct Answer >
distended tympanic abdomen, high pitches bowel sounds --
,Page 3 of 97
delayed findings are lethargic, dehydrated, tachycardia,
decreased skin turgor, hypotension
What is the treatment for a SBO? - ✔✔✔ Correct Answer >
resuscitation, NG tube decompression, bowel rest
What condition mimics SBO? **Answer**paralytic ilius
The number 1 cause of a colonic obstruction is a _______. What
are some other causes? **Answer**neoplasm; diverticular
disease, volvulus, adhesions
Colonic obstruction PE findings? **Answer**abdominal distention,
high pitched metallic rushes, gurgles, tender palpable masses --
closed loop obstruction or diverticular disease
What is the treatment for colonic obstruction? Surgical
treatment? **Answer**IVF, NGT decompression, careful
observation
Surgical: acute colonic obstruction with cecal diameter greater
than 12cm
__________is the rotation of the large intestine on the axis
formed by the mesentery. **Answer**colonic volvulus
, Page 4 of 97
70% of colonic volvulus occur in the _____. 30% of colonic
volvulus occur in the _____. **Answer**sigmoid colon; cecum
On abdominal series or barium enema, what is the classic
appearance of a volvulus? **Answer**birds beak or funnel
The treatment for __________is rectal tube insertion for signmoid
volvulus or emergent laparotomy if suspected perforation or
cecal volvulus. **Answer**colonic volvulus
A _______is an obstruction of the perianal glands.
Cryptoglandular in origin. Presents with perianal pain and
swelling, spontaneous drainage of purulent material. What are
the cardinal signs?
Treatment? **Answer**perianal abscess; pain, fever, redness,
swelling, loss of function; I&D
What is Goodsall's rule? **Answer**anterior-opening fistulas
tend to follow a simple direct course while posterior- opening
fistulas may follow a devious, curving path with some even
being horseshoe-shaped before opening in the posterior
midline.
SURGERY EOR Comprehensive Exam Questions
and Correct Detailed Answer S Already Graded
A+ Brand New! 100% Guaranteed Pass
_______is infection of one or more diverticula...typically from
____obstruction. **Answer**Diverticulitis; fecaltih
In diverticulitis, colonoscopy is not recommended. Why? - ✔✔✔
Correct Answer > possible perforation
What is the acute treatment of diverticulitis? - ✔✔✔ Correct Answer >
medical management -- IVF, bowel rest, IV abx
After 2 hospitalizations from diverticulitis, what is
recommended? **Answer**elective sigmoid colectomy
What is the treatment for a colovesical fistula? - ✔✔✔ Correct Answer
> colectomy and primary bladder closure
_______is a congenital anomaly -- a remnant of the embryonic
vitelline/omphalomesenteric duct -- located w/in 2 feet of
the ileocecal valve. **Answer**Meckel's diverticulum
,Page 2 of 97
What is the Meckel's diverticulum "rule of 2's"? - ✔✔✔ Correct Answer
> 2 inches longs, located within 2 feet of the ileocecal valve, 2
times as common in males than females, 2% of the
population, 2% symptomatic, 2 types of ectopic tissue -- gastric
& pancreatic
For Meckel's diverticulum patients, those presenting with
malabsorption, impaction, perforation etc. are treated how?
**Answer**with surgical resection and/or small bowel
resection
What are the three most common causes of a small bowel
obstruction? ABC's **Answer**A = adhesions
B = bulge (hernias)
C = cancer and tumor
What are the some other causes of a SBO? GIVES BAD CRAMPS -
✔✔✔ Correct Answer > gallstone ileus (air in biliary tree),
intussuseption, volvuls, external compression, SMA syndrome
(seen with weight loss), Bezoars (trapped mass), abscesses,
diverticulitis, chrohn's disease, radiation enteritis, annular
pancreas, Meckel's diverticulum, Peritoneal adhesions, stricture
What does the PE show with a SBO? - ✔✔✔ Correct Answer >
distended tympanic abdomen, high pitches bowel sounds --
,Page 3 of 97
delayed findings are lethargic, dehydrated, tachycardia,
decreased skin turgor, hypotension
What is the treatment for a SBO? - ✔✔✔ Correct Answer >
resuscitation, NG tube decompression, bowel rest
What condition mimics SBO? **Answer**paralytic ilius
The number 1 cause of a colonic obstruction is a _______. What
are some other causes? **Answer**neoplasm; diverticular
disease, volvulus, adhesions
Colonic obstruction PE findings? **Answer**abdominal distention,
high pitched metallic rushes, gurgles, tender palpable masses --
closed loop obstruction or diverticular disease
What is the treatment for colonic obstruction? Surgical
treatment? **Answer**IVF, NGT decompression, careful
observation
Surgical: acute colonic obstruction with cecal diameter greater
than 12cm
__________is the rotation of the large intestine on the axis
formed by the mesentery. **Answer**colonic volvulus
, Page 4 of 97
70% of colonic volvulus occur in the _____. 30% of colonic
volvulus occur in the _____. **Answer**sigmoid colon; cecum
On abdominal series or barium enema, what is the classic
appearance of a volvulus? **Answer**birds beak or funnel
The treatment for __________is rectal tube insertion for signmoid
volvulus or emergent laparotomy if suspected perforation or
cecal volvulus. **Answer**colonic volvulus
A _______is an obstruction of the perianal glands.
Cryptoglandular in origin. Presents with perianal pain and
swelling, spontaneous drainage of purulent material. What are
the cardinal signs?
Treatment? **Answer**perianal abscess; pain, fever, redness,
swelling, loss of function; I&D
What is Goodsall's rule? **Answer**anterior-opening fistulas
tend to follow a simple direct course while posterior- opening
fistulas may follow a devious, curving path with some even
being horseshoe-shaped before opening in the posterior
midline.
