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Heartburn and dyspepsia (General Surgery EOR - Smarty PANCE) Exam Questions and Answers Graded A+

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Heartburn and dyspepsia (General Surgery EOR - Smarty PANCE) Exam Questions and Answers Graded A+ What is GERD? Excessive reflux of gastric contents into the esophagus, "heartburn" What are the causes of GERD? -Decreased lower esophageal sphincter (LES) tone (50% of cases) -Decreased esophageal motility to clear refluxed fluid -Gastric outlet obstruction -Hiatal hernia in 50% of patients What are the signs/symptoms of GERD ? Heartburn, regurgitation, respiratory problems/pneumonia fr...

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Hematemesis and Upper GI Bleed (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct

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Hematemesis and Upper GI Bleed (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct Define upper GI bleed Bleeding into the lumen of the proximal GI tract, proximal to the ligament of Treitz What are the signs/symptoms of an upper GI bleed? Hematemesis, melena, syncope, shock, fatigue, coffee-ground emesis, hematochezia, epigastric discomfort, epigastric tenderness, signs of hypovolemia, guaiac-positive stools Why is it possible to have hematochezia in an upper G...

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Colorectal carcinoma (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Pass

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Colorectal carcinoma (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Pass Define colorectal cancer? Adenocarcinoma of the colon or rectum What is the incidence of colorectal cancer? Most common GI cancer Second most common cancer in the United States Incidence increases with age starting at 40 and peaks at 70 to 80 years How common is colorectal cancer as a cause of cancer deaths? Second most common cause of cancer deaths What is the lifetime risk of colorectal canc...

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Bariatric Surgery (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct

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Bariatric Surgery (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct What is bariatric surgery? Weight reduction surgery for the morbidly obese Define morbid obesity 1. BMI > 40 (basically, 100 pounds above ideal body weight) or 2. BMI > 35 with a medical problem related to morbid obesity What is BMI Body Mass Index; a measure of body weight relative to height What is the formula for BMI? body weight in kg divided by height in meters squared What is a f...

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Gastric Cancer (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct

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Gastric Cancer (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct What is the incidence of gastric cancer? Low in United States (10/100,000); high in Japan (78/100,000) What are the associated risk factors? Diet—smoked meats, high nitrates, low fruits and vegetables, alcohol, tobacco Environment—raised in high-risk area, poor socioeconomic status, atrophic gastritis, male gender, blood type A, previous partial gastrectomy, pernicious anemia, polyps, Helicob...

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Pancreatic Carcinoma (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct

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Pancreatic Carcinoma (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct Define pancreatic carcinoma Adenocarcinoma of the pancreas arising from duct cells What are the associated risk factors for pancreatic carcinoma? Smoking 3 x risk, diabetes mellitus, heavy alcohol use, chronic pancreatitis, diet high in fried meats, previous gastrectomy What is the male to female ratio for pancreatic carcinoma? 3:2 What is the African American to white ratio for pancreatic ...

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Appendicitis (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct

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Appendicitis (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct What is appendicitis? Inflammation of the appendix caused by obstruction of the appendiceal lumen, producing a closed loop with resultant inflammation that can lead to necrosis and perforation Define Psoas Sign Pain elicited by extending the hip with the knee in full extension, seen with appendicitis and psoas inflammation Define Obturator Sign Pain upon internal rotation of the leg with the hip a...

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Pyloric Stenosis (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct

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Pyloric Stenosis (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct What is it pyloric stenosis? Hypertrophy of smooth muscle of pylorus, resulting in obstruction of outflow What are the associated risks for pyloric stenosis? Family history, firstborn males are affected most commonly, decreased incidence in African American population What is the incidence of pyloric stenosis? 1 in 750 births, M:F ratio 4:1 What is the average age at onset of pyloric stenosis?...

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Pancreatic pseudocyst (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Pass

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Pancreatic pseudocyst (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Pass What is a pancreatic pseudocyst? Encapsulated collection of pancreatic fluid What makes it a "pseudo" cyst? Wall is formed by inflammatory fibrosis, NOT epithelial cell lining What is the incidence of a pancreatic pseudocyst? 1 in 10 after alcoholic pancreatitis What are the associated risk factors for a pancreatic pseudocyst? Acute pancreatitis < chronic pancreatitis from alcohol What...

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Diverticular disease (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct

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Diverticular disease (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct Describe diverticulitis Infection or perforation of a diverticulum What is diverticulosis? Condition in which diverticula can be found within the colon, especially the sigmoid; diverticula are actually false diverticula in that only mucosa and submucosa herniate through the bowel musculature; true diverticula involve all layers of the bowel wall and are rare in the colon Describe the patho...

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