Gastrointestinal (Smarty
PANCE)
Exam
2026
Questions and Answers
(A+ Grade Guarantee)
, Surgery EOR: Gastrointestinal (Smarty PANCE)
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1. Anal Disorders
2. What are common types of Hemorrhoids, anal fissures, anal abscess, and fistulas
anal disorders?
3. What are the symptoms of he- Painless bright red rectal bleeding, pruritus, and discomfort
morrhoids?
4. What is the treatment for inter- Increased fiber intake, sitz baths, and rubber band ligation
nal hemorrhoids? for severe cases
5. What causes anal fissures? Trauma during defecation, constipation, or hard stools
6. What is the hallmark symptom Sharp pain with bowel movements and blood on the toilet
of anal fissures? paper
7. What is the treatment for Topical nitroglycerin, botulinum toxin, or lateral internal
chronic anal fissures? sphincterotomy
8. What is the most common Infection of the anal glands, typically with Staphylococcus
cause of an anorectal abscess? aureus or E. coli
9. How is an anorectal abscess Incision and drainage, followed by antibiotics if necessary
treated?
10. What is an anal fistula? An abnormal connection between the anal canal and the
perianal skin
11. How are anal fistulas typically Surgical fistulotomy to prevent recurrent infection and ab-
treated? scess formation
12. Appendicitis
2026
, Surgery EOR: Gastrointestinal (Smarty PANCE)
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13. What is the most common Obstruction of the appendiceal lumen by a fecalith or lym-
cause of acute appendicitis? phoid hyperplasia
14. What are the classic symptoms Periumbilical pain migrating to the right lower quadrant,
of appendicitis? fever, nausea, and vomiting
15. What is McBurney's point? The point one-third of the distance from the anterior supe-
rior iliac spine to the umbilicus, tender in appendicitis
16. What imaging is used to con- Abdominal ultrasound or CT scan
firm appendicitis?
17. What is the treatment for acute Appendectomy (laparoscopic or open)
appendicitis?
18. What are the potential compli- Perforation, peritonitis, abscess formation
cations of untreated appendici-
tis?
19. What is a common differen- Ovarian torsion, ectopic pregnancy, pelvic inflammatory dis-
tial diagnosis for appendicitis ease
in women?
20. How is appendicitis managed IV antibiotics for early, uncomplicated cases (though surgery
non-surgically in select pa- is definitive)
tients?
2026