General Surgery EOR 2026 ACTUAL 2025/2026
QUESTIONS AND 100% CORRECT ANSWER
|pass guaranteed |grade A+
A 64-year-old man presents for a bulge in the groin area that he noticed over the last week. It is
not painful or tender. In the morning upon waking, he feels it is smaller, and as the day
progresses and he is on his feet for long hours at work, it gets larger. On physical exam, you
notice a bulge in the left inguinal area that is soft and increases with Valsalva maneuver. There is
no overlying erythema or warmth. Which of the following risk factors is associated with the
most likely diagnosis?
A Alcohol use disorder
B Male sex
C Substance use disorder
D Younger age
B male sex
Which of the following types of bile duct stones is most likely to be found in the primary form of
choledocholithiasis?
A Calcium oxalate stone
B Cholesterol stone
C Mixed stone
D Pigmented stone
D pigmented stone
,A 32-year-old G1A0P1 woman presents with two days of worsening abdominal pain. She has not
passed stool or flatus since an uncomplicated spontaneous vaginal delivery with epidural
anesthesia two days ago. Her medical and surgical history is otherwise unremarkable. On
examination, her abdomen is distended, tympanic to percussion, and diffusely tender. The
remainder of her physical exam and vitals are normal. Which of the following would most likely
be seen on a CT abdomen and pelvis with IV contrast?
A Acute appendicitis
B Colonic dilation without mechanical obstruction
C Intraluminal colorectal mass
D Small bowel obstruction with adhesions
B colonic dilation without mechanical obstruction
A 65-year-old man with myasthenia gravis presents with severe headache and drowsiness and is
diagnosed with respiratory acidosis. Which of the following arterial blood gas findings would
you expect to see in this patient?
A pH 7.20, PaCO2 50 mm Hg, and bicarbonate 23 mEq/L
B pH 7.25, PaCO2 40 mm Hg, and bicarbonate 20 mEq/L
C pH 7.55, PaCO2 30 mm Hg, and bicarbonate 24 mEq/L
D pH 7.60, PaCO2 40 mm Hg, and bicarbonate 28 mEq/L
A pH 7.20, PaCO2 50mmHG, and bicarbonate 23 mEq/L
A 32-year-old man is admitted to the hospital for fever and severe pain in his right finger. The
patient cut his finger with a hedge trimmer 4 days ago and did not seek medical treatment. He
has been taking ibuprofen at home. Vital signs are T 39.1°C (102.4°F), BP 88/58 mm Hg, HR 110
bpm, RR 26 breaths per minute, and pulse oximetry 97% on room air. Physical examination is
significant for a 2 cm laceration over the distal interphalangeal joint of the right index finger.
,Hand radiographs are significant for a nondisplaced, oblique fracture of the distal phalanx of the
right index finger. Arterial blood gas values are as follows:
pH: 7.15
pCO2: 36 mm Hg
HCO3: 12 mmol/L
Anion gap: 32 mEq/L
Which of the following acid-base disorders best describes the patient's condition?
A Metabolic acidosis
B Metabolic alkalosis
C Respiratory acidosis
D Respiratory alkalosis
A metabolic acidosis
What is the most appropriate IV fluid for a preoperative patient who is NPO?
A5% dextrose in water
BHalf-normal saline
CLactated Ringer solution
DNormal saline
C lactated ringer solution
A 65-year-old man with a history of hypertension, hyperlipidemia, and diabetes mellitus
presents to his primary care provider for a preoperative physical for an upcoming
cholecystectomy. While interviewing the patient for a review of systems, he mentions he gets a
, crushing chest pain when going up more than one flight of stairs. The pain radiates to his jaw
but goes away after resting for about 10 minutes. He reports this happens one to two times per
week. What medication is recommended to prevent cardiovascular events during his
procedure?
AAtenolol
BIsosorbide mononitrate
CIvabradine
DRanolazine
A atenolol
A 75-year-old man presents to the emergency department after a motor vehicle collision, in
which he was thrown from his vehicle. The patient's vital signs are BP 160/100 mm Hg, pulse
110 bpm, respiration 10/min, and oxygenation 96% on room air. He has a past medical history of
atrial fibrillation and is anticoagulated with warfarin. Lab work reveals hemoglobin 9.5 g/dL and
an international normalized ratio of 10.5. A noncontrast CT of his head shows a significant
subdural hemorrhage. Neurosurgery is consulted on the patient's case. What is the best next
step in the management of this patient?
A Administer protamine sulfate
B Administer vitamin K and fresh frozen plasma
C Administer vitamin K only
D Transfuse one unit of packed red blood cells
B administer viatmin K and fresh frozen plasma
A 54-year-old woman with chronic kidney disease who is receiving hemodialysis is admitted to
the hospital with acute cholecystitis and is scheduled to undergo a cholecystectomy during the
hospitalization. The patient has normal vital signs, and there are no signs of volume overload on
physical exam. Which of the following findings would be an indication for urgent preoperative
dialysis in this patient?
QUESTIONS AND 100% CORRECT ANSWER
|pass guaranteed |grade A+
A 64-year-old man presents for a bulge in the groin area that he noticed over the last week. It is
not painful or tender. In the morning upon waking, he feels it is smaller, and as the day
progresses and he is on his feet for long hours at work, it gets larger. On physical exam, you
notice a bulge in the left inguinal area that is soft and increases with Valsalva maneuver. There is
no overlying erythema or warmth. Which of the following risk factors is associated with the
most likely diagnosis?
A Alcohol use disorder
B Male sex
C Substance use disorder
D Younger age
B male sex
Which of the following types of bile duct stones is most likely to be found in the primary form of
choledocholithiasis?
A Calcium oxalate stone
B Cholesterol stone
C Mixed stone
D Pigmented stone
D pigmented stone
,A 32-year-old G1A0P1 woman presents with two days of worsening abdominal pain. She has not
passed stool or flatus since an uncomplicated spontaneous vaginal delivery with epidural
anesthesia two days ago. Her medical and surgical history is otherwise unremarkable. On
examination, her abdomen is distended, tympanic to percussion, and diffusely tender. The
remainder of her physical exam and vitals are normal. Which of the following would most likely
be seen on a CT abdomen and pelvis with IV contrast?
A Acute appendicitis
B Colonic dilation without mechanical obstruction
C Intraluminal colorectal mass
D Small bowel obstruction with adhesions
B colonic dilation without mechanical obstruction
A 65-year-old man with myasthenia gravis presents with severe headache and drowsiness and is
diagnosed with respiratory acidosis. Which of the following arterial blood gas findings would
you expect to see in this patient?
A pH 7.20, PaCO2 50 mm Hg, and bicarbonate 23 mEq/L
B pH 7.25, PaCO2 40 mm Hg, and bicarbonate 20 mEq/L
C pH 7.55, PaCO2 30 mm Hg, and bicarbonate 24 mEq/L
D pH 7.60, PaCO2 40 mm Hg, and bicarbonate 28 mEq/L
A pH 7.20, PaCO2 50mmHG, and bicarbonate 23 mEq/L
A 32-year-old man is admitted to the hospital for fever and severe pain in his right finger. The
patient cut his finger with a hedge trimmer 4 days ago and did not seek medical treatment. He
has been taking ibuprofen at home. Vital signs are T 39.1°C (102.4°F), BP 88/58 mm Hg, HR 110
bpm, RR 26 breaths per minute, and pulse oximetry 97% on room air. Physical examination is
significant for a 2 cm laceration over the distal interphalangeal joint of the right index finger.
,Hand radiographs are significant for a nondisplaced, oblique fracture of the distal phalanx of the
right index finger. Arterial blood gas values are as follows:
pH: 7.15
pCO2: 36 mm Hg
HCO3: 12 mmol/L
Anion gap: 32 mEq/L
Which of the following acid-base disorders best describes the patient's condition?
A Metabolic acidosis
B Metabolic alkalosis
C Respiratory acidosis
D Respiratory alkalosis
A metabolic acidosis
What is the most appropriate IV fluid for a preoperative patient who is NPO?
A5% dextrose in water
BHalf-normal saline
CLactated Ringer solution
DNormal saline
C lactated ringer solution
A 65-year-old man with a history of hypertension, hyperlipidemia, and diabetes mellitus
presents to his primary care provider for a preoperative physical for an upcoming
cholecystectomy. While interviewing the patient for a review of systems, he mentions he gets a
, crushing chest pain when going up more than one flight of stairs. The pain radiates to his jaw
but goes away after resting for about 10 minutes. He reports this happens one to two times per
week. What medication is recommended to prevent cardiovascular events during his
procedure?
AAtenolol
BIsosorbide mononitrate
CIvabradine
DRanolazine
A atenolol
A 75-year-old man presents to the emergency department after a motor vehicle collision, in
which he was thrown from his vehicle. The patient's vital signs are BP 160/100 mm Hg, pulse
110 bpm, respiration 10/min, and oxygenation 96% on room air. He has a past medical history of
atrial fibrillation and is anticoagulated with warfarin. Lab work reveals hemoglobin 9.5 g/dL and
an international normalized ratio of 10.5. A noncontrast CT of his head shows a significant
subdural hemorrhage. Neurosurgery is consulted on the patient's case. What is the best next
step in the management of this patient?
A Administer protamine sulfate
B Administer vitamin K and fresh frozen plasma
C Administer vitamin K only
D Transfuse one unit of packed red blood cells
B administer viatmin K and fresh frozen plasma
A 54-year-old woman with chronic kidney disease who is receiving hemodialysis is admitted to
the hospital with acute cholecystitis and is scheduled to undergo a cholecystectomy during the
hospitalization. The patient has normal vital signs, and there are no signs of volume overload on
physical exam. Which of the following findings would be an indication for urgent preoperative
dialysis in this patient?
