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