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Abdominal pain in the surgical setting TEST FINAL EXAM AND
PRACTICE EXAM 20262027 BANK 2 VERSIONS QUESTIONS
WITH DETAILED VERIFIED ANSWERS EXAM QUESTIONS
WILL COME FROM HERE (100% CORRECT ANSWERS A+
GRADED
What's apart of the foregut - ANSWERS--Esophagus
Stomach
Proximal duodenum
Liver gallbladder
Pancreas
Spleen
Blood supply for forget - ANSWERS--celiac artery and branches
Midgut components - ANSWERS--Distal half of second portion of
duodenum
Jejunum
Ileum
Appendix
Lg bowel (cecum, ascending colon, 2/3 transverse colon)
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Midgut blood supply - ANSWERS--SMA and branches
Hindgut components - ANSWERS--Distal 1/3 transverse colon,
descending colon, sigmoid colon, rectum
Blood supply to hindgut - ANSWERS--IMA and branches
What makes up the peritoneum - ANSWERS--parietal and visceral
peritoneum and peritoneal cavity
What is the mesentery - ANSWERS--double layer of peritoneum that
provides means for neurovascular communication from organ to body
wall
What is the omentum - ANSWERS--a fold of peritoneum connecting the
stomach with other abdominal organs.
- greater and lesser
What is visceral pain - ANSWERS--Distention of organ —> stretched
serosal surface where the visceral pain receptors are located
- early manifestation
- hard to localize
- poorly characterized
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What is somatic pain - ANSWERS--Receptors in parietal lining are
stimulated
- later in process
- intense and constant
- well-localized
What is referred pain - ANSWERS--Pain felt at different location than
source
What are the catergories and sources of abdominal pain - ANSWERS--
Intra and extra abdominal
- GI and GU are MC sources
Diffuse, severe, colicky pain in band like fashion, previous abdominal
surgery indicates - ANSWERS--SBO
Pain out of proportion usually indication - ANSWERS--Bowel
compromise
Epigastric pain radiating straight through to back - ANSWERS--
Pancreatitis or PUD
Concerning PE findings with acute abdomen - ANSWERS--Mottling,
brusing, trauma
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Distended, protruberant abdomen
Check groin for hernias!!!
What labs to check - ANSWERS--CBC with diff
CMP, Mg, phosphorus
UA
Lactic acid
What to do if suspect acute abdomen or peritonitis - ANSWERS--STAT
plain abdominal fat plate to r/o Pneumoperitoneum
When is imaging performed after PO contrast ingested - ANSWERS--90
minutes!!
What further testing may be needed for pre op - ANSWERS--PTPTTINR,
type and screen, HCG
What is required in the prep - ANSWERS--NPO with IVF
EKG
CXR
Hold anticoagulation
Optimize temp
Stress dose steroids if necessary
Abdominal pain in the surgical setting TEST FINAL EXAM AND
PRACTICE EXAM 20262027 BANK 2 VERSIONS QUESTIONS
WITH DETAILED VERIFIED ANSWERS EXAM QUESTIONS
WILL COME FROM HERE (100% CORRECT ANSWERS A+
GRADED
What's apart of the foregut - ANSWERS--Esophagus
Stomach
Proximal duodenum
Liver gallbladder
Pancreas
Spleen
Blood supply for forget - ANSWERS--celiac artery and branches
Midgut components - ANSWERS--Distal half of second portion of
duodenum
Jejunum
Ileum
Appendix
Lg bowel (cecum, ascending colon, 2/3 transverse colon)
,2|Page
Midgut blood supply - ANSWERS--SMA and branches
Hindgut components - ANSWERS--Distal 1/3 transverse colon,
descending colon, sigmoid colon, rectum
Blood supply to hindgut - ANSWERS--IMA and branches
What makes up the peritoneum - ANSWERS--parietal and visceral
peritoneum and peritoneal cavity
What is the mesentery - ANSWERS--double layer of peritoneum that
provides means for neurovascular communication from organ to body
wall
What is the omentum - ANSWERS--a fold of peritoneum connecting the
stomach with other abdominal organs.
- greater and lesser
What is visceral pain - ANSWERS--Distention of organ —> stretched
serosal surface where the visceral pain receptors are located
- early manifestation
- hard to localize
- poorly characterized
,3|Page
What is somatic pain - ANSWERS--Receptors in parietal lining are
stimulated
- later in process
- intense and constant
- well-localized
What is referred pain - ANSWERS--Pain felt at different location than
source
What are the catergories and sources of abdominal pain - ANSWERS--
Intra and extra abdominal
- GI and GU are MC sources
Diffuse, severe, colicky pain in band like fashion, previous abdominal
surgery indicates - ANSWERS--SBO
Pain out of proportion usually indication - ANSWERS--Bowel
compromise
Epigastric pain radiating straight through to back - ANSWERS--
Pancreatitis or PUD
Concerning PE findings with acute abdomen - ANSWERS--Mottling,
brusing, trauma
, 4|Page
Distended, protruberant abdomen
Check groin for hernias!!!
What labs to check - ANSWERS--CBC with diff
CMP, Mg, phosphorus
UA
Lactic acid
What to do if suspect acute abdomen or peritonitis - ANSWERS--STAT
plain abdominal fat plate to r/o Pneumoperitoneum
When is imaging performed after PO contrast ingested - ANSWERS--90
minutes!!
What further testing may be needed for pre op - ANSWERS--PTPTTINR,
type and screen, HCG
What is required in the prep - ANSWERS--NPO with IVF
EKG
CXR
Hold anticoagulation
Optimize temp
Stress dose steroids if necessary
