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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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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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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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Liver neoplasms (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct
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Liver neoplasms (General Surgery EOR - 
Smarty PANCE) Exam Questions and 
Answers 100% Correct 
What is the most common liver cancer? 
Metastatic disease outnumbers primary tumors 20:1; primary site is usually the GI tract 
What is the most common primary malignant liver tumor? 
Hepatocellular carcinoma (hepatoma) 
What is the most common primary benign liver tumor? 
Hemangioma 
What lab tests comprise the workup for liver metastasis? 
LFTs (AST and alkaline phosphatase are most useful), CEA for...
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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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Cholangitis (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Pass
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Cholangitis (General Surgery EOR - Smarty PANCE) 
Exam Questions and Answers 100% Pass 
What is cholangitis? 
Bacterial infection of the biliary tract from obstruction (either partial or complete); 
potentially life-threatening 
What are the common causes of cholangitis? 
Choledocholithiasis Stricture (usually postoperative) Neoplasm (usually ampullary 
carcinoma) Extrinsic compression (pancreatic pseudocyst/pancreatitis) Instrumentation 
of the bile ducts (e.g., PTC/ERCP) Biliary stent 
What is...
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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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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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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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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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