General-Surgery

Question 1

Hemorrhoids bleed when they are ________ hurts when they are _______

Answer 1

internal-bleed

external-hurt

Question 2

Young women, excessive pain when defecation and blood streaks covering the stools

Answer 2

Anal fissure

Question 3

What part of the GI is considered upper GI?Dx to check for bleeding in that area is

Answer 3

• Tip of the nose to the ligament of Treitz

- Use upper GI endoscopy

Question 4

Dx bleeding hemorrhoid

Answer 4

anoscopy/ colonoscopy when no active bleeding

Question 5

Dx for excessive rectal bleeding 2ml/min ( 1 unit of blood q4hr)

Answer 5

angiogram

Question 6

Dx for bleeding < 0.5 ml/min

Answer 6

wait till bleeding stop and do the colonoscopy

Question 7

Dx for bleeding between 0.5ml/min - 2ml/min

Answer 7

Tagged red-cell study

Question 8

Blood per rectum in a child is _____ work up with

Answer 8

Meckel diverticulum

Technetium scan- look for ectopic gastric mucosa

Question 9

Diagnostic for acute diverticulitis

Answer 9

CT scan of abd

Question 10

Acute diverticulitis tx

Answer 10

NPO, IV fluids, abx

if no improvement surgery or after two attacks elective

Question 11

A large, thin-walled, distended gallbladder in malignant obstruction is called

Answer 11

Courvoisier-terrier sign

Question 12

Acute pancreatitis is mostly seen in

Answer 12

complication of gallstones

Question 13

Acute edematous pancreatitis is mostly seen in

Answer 13

the alcoholic or pt with gallstones

Question 14

Early laboratory clue for acute hemorrhagic pancreatitis is ___, criteria used is________

Answer 14

low hematocrit

Ranson’s criteria