Toxic Megacolon (General Surgery EOR -

Smarty PANCE) Exam Questions and

Answers 100% Correct

What is toxic megacolon?

Toxic megacolon is a life-threatening complication characterized by rapid dilatation of

the colon, often associated with inflammatory bowel disease (IBD) or infections.

● Tox...
Toxic Megacolon (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct
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Toxic Megacolon (General Surgery EOR -

Smarty PANCE) Exam Questions and

Answers 100% Correct

What is toxic megacolon?

Toxic megacolon is a life-threatening complication characterized by rapid dilatation of

the colon, often associated with inflammatory bowel disease (IBD) or infections.

● Tox...
Peptic Ulcer Disease (General Surgery EOR - Smarty PANCE)

Exam Questions and Answers 100% Pass

Define peptic ulcer disease

PUD is an ulcer of the upper GI tract mucosa involving the proximal duodenum

(duodenal ulcer~90%) and distal stomach (gastric ulcer~10%)

What is the incidence in the US?

1...
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Peptic Ulcer Disease (General Surgery EOR - Smarty PANCE)

Exam Questions and Answers 100% Pass

Define peptic ulcer disease

PUD is an ulcer of the upper GI tract mucosa involving the proximal duodenum

(duodenal ulcer~90%) and distal stomach (gastric ulcer~10%)

What is the incidence in the US?

1...
Hemorrhoids (General Surgery EOR - Smarty PANCE)

Exam Questions and Answers 100% Pass

What are hemorrhoids?

Engorgement of the venous plexuses of the rectum, anus, or both; with protrusion of the

mucosa, anal margin, or both

Why do we have "healthy" hemorrhoidal tissue?

It is thought to be i...
Hemorrhoids (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Pass
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Hemorrhoids (General Surgery EOR - Smarty PANCE)

Exam Questions and Answers 100% Pass

What are hemorrhoids?

Engorgement of the venous plexuses of the rectum, anus, or both; with protrusion of the

mucosa, anal margin, or both

Why do we have "healthy" hemorrhoidal tissue?

It is thought to be i...
Hernias (General Surgery EOR - Smarty PANCE)

Exam Questions and Answers 100% Correct

What type of inguinal hernia is felt on the side of the finger during exam?

Direct

What type of inguinal hernia is felt on the tip of the finger during exam?

Indirect

Will umbilical hernias in children <12 ...
Hernias (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct
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Hernias (General Surgery EOR - Smarty PANCE)

Exam Questions and Answers 100% Correct

What type of inguinal hernia is felt on the side of the finger during exam?

Direct

What type of inguinal hernia is felt on the tip of the finger during exam?

Indirect

Will umbilical hernias in children <12 ...
Melena and hematochezia (General Surgery EOR - Smarty

PANCE) Exam Questions and Answers 100% Pass

What is melena?

A black, tarry stool indicating an upper GI bleed

What is hematochezia?

Bright red blood in stool indicating lower GI bleed

In colorectal cancer from which site is melena more comm...
Melena and hematochezia (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Pass
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Melena and hematochezia (General Surgery EOR - Smarty

PANCE) Exam Questions and Answers 100% Pass

What is melena?

A black, tarry stool indicating an upper GI bleed

What is hematochezia?

Bright red blood in stool indicating lower GI bleed

In colorectal cancer from which site is melena more comm...
Small Bowel Obstruction (General Surgery

EOR - Smarty PANCE) Exam Questions

and Answers 100% Correct

What is small bowel obstruction (SBO)?

Mechanical obstruction to the passage of intraluminal contents

What are the signs/ symptoms of SBO?

Abdominal discomfort, cramping, nausea, abdominal dist...
Small Bowel Obstruction (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct
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Small Bowel Obstruction (General Surgery

EOR - Smarty PANCE) Exam Questions

and Answers 100% Correct

What is small bowel obstruction (SBO)?

Mechanical obstruction to the passage of intraluminal contents

What are the signs/ symptoms of SBO?

Abdominal discomfort, cramping, nausea, abdominal dist...
Ulcerative Colitis vs. Crohn's Disease (General Surgery EOR -

Smarty PANCE) Exam Questions and Answers 100% Pass

Only the rectum and colon

Ulcerative Colitis

Any part of the GI tract

Crohn's Disease

GI bleeding, fulminant colitis, and toxic megacolon

Ulcerative Colitis

Fistulas and renal s...
Ulcerative Colitis vs. Crohn's Disease (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Pass
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Ulcerative Colitis vs. Crohn's Disease (General Surgery EOR -

Smarty PANCE) Exam Questions and Answers 100% Pass

Only the rectum and colon

Ulcerative Colitis

Any part of the GI tract

Crohn's Disease

GI bleeding, fulminant colitis, and toxic megacolon

Ulcerative Colitis

Fistulas and renal s...
Hiatal hernia (General Surgery EOR - Smarty PANCE)

Exam Questions and Answers 100% Correct

What is a sliding esophageal hiatal hernia?

Both the stomach and GE junction herniate into the thorax via the esophageal hiatus;

also known as type I hiatal hernia

What is the incidence of hiatal hernia?
...
Hiatal hernia (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct
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Hiatal hernia (General Surgery EOR - Smarty PANCE)

Exam Questions and Answers 100% Correct

What is a sliding esophageal hiatal hernia?

Both the stomach and GE junction herniate into the thorax via the esophageal hiatus;

also known as type I hiatal hernia

What is the incidence of hiatal hernia?
...
Anal disease (fissures, abscess, fistula) (General Surgery EOR -

Smarty PANCE) Exam Questions and Answers 100% Pass

Perirectal Abscess . . . What is it?

Abscess formation around the anus/rectum

What are the signs/ symptoms of a perirectal abscess?

Rectal pain, drainage of pus, fever, perianal m...
Anal disease (fissures, abscess, fistula) (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Pass
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Anal disease (fissures, abscess, fistula) (General Surgery EOR -

Smarty PANCE) Exam Questions and Answers 100% Pass

Perirectal Abscess . . . What is it?

Abscess formation around the anus/rectum

What are the signs/ symptoms of a perirectal abscess?

Rectal pain, drainage of pus, fever, perianal m...
Small bowel carcinoma (General Surgery EOR

- Smarty PANCE) Exam Questions and

Answers 100% Pass

What is small bowel carcinoma?

Small bowel carcinoma is a rare malignant tumor originating in the small intestine,

comprising only a small percentage of all gastrointestinal malignancies.

What are c...
Small bowel carcinoma (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Pass
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Small bowel carcinoma (General Surgery EOR

- Smarty PANCE) Exam Questions and

Answers 100% Pass

What is small bowel carcinoma?

Small bowel carcinoma is a rare malignant tumor originating in the small intestine,

comprising only a small percentage of all gastrointestinal malignancies.

What are c...
Cholelithiasis and choledocholithiasis (General Surgery

EOR - Smarty PANCE) Exam Questions and Answers

100% Correct

Define cholelithiasis

Gallstones in gallbladder

Define choledocholithiasis

Gallstone in common bile duct

Define cholecystitis

Inflammation of gallbladder

Define cholangitis

I...
Cholelithiasis and choledocholithiasis (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct
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Cholelithiasis and choledocholithiasis (General Surgery

EOR - Smarty PANCE) Exam Questions and Answers

100% Correct

Define cholelithiasis

Gallstones in gallbladder

Define choledocholithiasis

Gallstone in common bile duct

Define cholecystitis

Inflammation of gallbladder

Define cholangitis

I...
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 carci...
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 carci...
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 Strictu...
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 Strictu...
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 ac...
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 ac...
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 inciden...
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 inciden...
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 affect...
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 affect...
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 Psoa...
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 Psoa...
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 ...
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 ...
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...
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...
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 proble...
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 proble...
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 wi...
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 wi...
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,...
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,...
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 esophag...
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 esophag...
Family Medicine EOR: Infectious Disease

(Smarty PANCE) Exam Questions and

Answers 100% Pass

What is the causative agent of acquired immunodeficiency syndrome?

HIV is the causative agent of acquired immunodeficiency syndrome

What is the RNA structure of HIV?

HIV is single-stranded and linear en...
Family Medicine EOR: Infectious Disease (Smarty PANCE) Exam Questions and Answers 100% Pass
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Family Medicine EOR: Infectious Disease

(Smarty PANCE) Exam Questions and

Answers 100% Pass

What is the causative agent of acquired immunodeficiency syndrome?

HIV is the causative agent of acquired immunodeficiency syndrome

What is the RNA structure of HIV?

HIV is single-stranded and linear en...
Family Medicine EOR: Hematology (Smarty PANCE)

Exam Questions and Answers 100% Correct |

Latest Version

Normal or ↓ MCV, ↓ TIBC, ↑ Ferritin (high iron stores) ↓ serum erythropoietin

Anemia of chronic disease

The only anemia where all three cell lines are decreased (pancytopenia) ↓ WBC...
Family Medicine EOR: Hematology (Smarty PANCE) Exam Questions and Answers 100% Correct | Latest Version
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Family Medicine EOR: Hematology (Smarty PANCE)

Exam Questions and Answers 100% Correct |

Latest Version

Normal or ↓ MCV, ↓ TIBC, ↑ Ferritin (high iron stores) ↓ serum erythropoietin

Anemia of chronic disease

The only anemia where all three cell lines are decreased (pancytopenia) ↓ WBC...
Acute and chronic cholecystitis (General Surgery

EOR - Smarty PANCE) Exam Questions and

Answers 100% Correct

What is the pathogenesis of acute cholecystitis?

Obstruction of cystic duct leads to inflammation of the gallbladder; 95% of cases result

from calculi, and 5% from acalculous obstruction...
Acute and chronic cholecystitis (General Surgery EOR - Smarty PANCE) Exam Questions and Answers 100% Correct
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Acute and chronic cholecystitis (General Surgery

EOR - Smarty PANCE) Exam Questions and

Answers 100% Correct

What is the pathogenesis of acute cholecystitis?

Obstruction of cystic duct leads to inflammation of the gallbladder; 95% of cases result

from calculi, and 5% from acalculous obstruction...
Acute Abdomen (Smarty PANCE) Exam

Questions and Answers 100% Pass

What is an acute abdomen?

Acute abdomen refers to sudden and severe abdominal pain that requires urgent

medical evaluation and often surgical intervention.

Name three common causes of acute abdomen.

Appendicitis, cholecystitis, ...
Acute Abdomen (Smarty PANCE) Exam Questions and Answers 100% Pass
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Acute Abdomen (Smarty PANCE) Exam

Questions and Answers 100% Pass

What is an acute abdomen?

Acute abdomen refers to sudden and severe abdominal pain that requires urgent

medical evaluation and often surgical intervention.

Name three common causes of acute abdomen.

Appendicitis, cholecystitis, ...
Family Medicine EOR: ENOT/Ophthalmology (Smarty

PANCE) Exam Questions and Answers 100% Pass |

Latest Version

Acute vs. chronic sinusitis?

● Acute sinusitis: symptoms for < 4 weeks duration

● Chronic sinusitis: symptoms for > 12 consecutive weeks

● The disease is subacute when sympt...
Family Medicine EOR: ENOT/Ophthalmology (Smarty PANCE) Exam Questions and Answers 100% Pass | Latest Version
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Family Medicine EOR: ENOT/Ophthalmology (Smarty

PANCE) Exam Questions and Answers 100% Pass |

Latest Version

Acute vs. chronic sinusitis?

● Acute sinusitis: symptoms for < 4 weeks duration

● Chronic sinusitis: symptoms for > 12 consecutive weeks

● The disease is subacute when sympt...
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