Common surgical presentations, perioperative care, and post operative complications tested on the PANCE.
40 cards · mixed cards · AI-written, checked twice. Edit anything.
- In classic appendicitis, initial periumbilical pain typically migrates to which location?
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Right lower quadrant (McBurney's point)- Murphy's sign
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Inspiratory arrest during palpation of the right upper quadrant, suggesting acute cholecystitis- Charcot's triad for acute cholangitis consists of fever, right upper quadrant pain, and ____.
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jaundice- What two additional findings turn Charcot's triad into Reynolds' pentad?
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Hypotension and altered mental status- What is the most common cause of small bowel obstruction in adults?
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Adhesions from prior abdominal surgery- What is the most common cause of large bowel obstruction in adults?
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Colorectal cancer- Diverticulitis most commonly affects which part of the colon?
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Sigmoid colon- In adults, colonic volvulus most commonly occurs at which location?
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Sigmoid colon- What classic stool finding is associated with intussusception?
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Currant jelly stools- What ultrasound finding is classic for intussusception?
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Target sign (also called doughnut sign)- An indirect inguinal hernia passes through the internal inguinal ring, located where relative to the inferior epigastric vessels?
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Lateral to the inferior epigastric vessels- A direct inguinal hernia protrudes through Hesselbach's triangle, located where relative to the inferior epigastric vessels?
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Medial to the inferior epigastric vessels- Which type of hiatal hernia is most common, where the gastroesophageal junction slides above the diaphragm?
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Type I (sliding) hiatal hernia- What surgical procedure wraps the gastric fundus around the lower esophagus to treat refractory GERD?
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Nissen fundoplication- A perforated peptic ulcer classically shows what finding on an upright chest X-ray?
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Free air under the diaphragm (pneumoperitoneum)
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