surgery test prep #3

Question 1

The most common type of hernia?

Answer 1

inguinal

Question 2

pt presents with cramping abdominal pain, nausea and vomitting, abdominal distension,
what test you want? tx?

Answer 2

bowel obstruction
abdo series, barium enema
tx. IV fluids, potassium, NG tube,

Question 3

apple core lesions?

Answer 3

colon cancer

Question 4

another name for C.Diff

Answer 4

psuedomembranous colitis

Question 5

diverticulosis is most common where?
pain is located where?
what do you see on labs, TOC?
tx?

Answer 5

sigmoid
LLQ
barium enema
bulking agents, pain relief “levsin”

Question 6

diverticulosis complications?

Answer 6

painless bleeding, diverticulitis

Question 7

diverticulitis complications?

Answer 7

bowel obstruction, abscess, fistulas

Question 8

whats diverticulitis?

sx’s

Answer 8

diverticula perferate and bowle jiuce leaks into abdomin resulting in inflammation, peritonitis,
sx’s=FEVER, dysuria, appendicytis sx’s but in LLQ

Question 9

pt presents with malabsorption, wt loss, diarrhea, RLQ abdo pain, fever?
test and what do you see?
tx?

Answer 9

Crohns=colonoscopy=skip lesions, fistulae, luminal strictures, transmural in terminal ileum
tx=sulfasalazine, 5-ASA, Metronidazole, 6mercap, cholestramine

Question 10

pt presents with hematochezia, abdo pain, tenesmus, fever
test and findings?
tx?

Answer 10

U.C=involves the rectum=in mucosa and submucosa, crypt abscess, colonoscpy,
tx? sulfalazine, 5-ASA, then surgery.