Acute Abdomen

Question 1

What compromises the intrinsic disease in a mechanically cause obstruction? (Harrison pp 1981)

Answer 1

1. Congenital
2. Inflammotory
3. Neoplastic
4. Traumatic

Question 2

What is the most common cause of mechanical obstruction of the small intestine? (Harrison pp 1981)

Answer 2

Extrinsic disease

Question 3

It is responsible for > 90% of cases of early postoperative obstruction. (Harrison pp 1981)

Answer 3

Adhesions

Question 4

Operations that likely to create adhesions and causes bowel obstruction. (Harrison pp 1981)

Answer 4

Appendectomy
Colon Surgery
Gynecological Surgery

Question 5

It defined when bowel twists on its mesenteric axis and can cause partial or complete obstruction and vascular insufficiency. (Harrison pp 1982)

Answer 5

Volvulus

Question 6

Which part of the digestive tract is usually affected by volvulus? (Harrison 1982)

Answer 6

Sigmoid colon

Question 7

What are the risk factors included to have volvulus? (Harrison pp 1982)

Answer 7

1. Institutionalization
2. Neuropsychiatric conditions
3. Chronic constipation
4. Aging

Question 8

It is also known as ileus and pseudo-obstruction, that presents when dysmotility prevents intestinal contents from being propelled distally and NO mechanical blockage exists. (Harrison pp 1982)

Answer 8

Functional Obstruction

Question 9

It is known as pseudo-obstruction of the colon. (Harrison pp 1982)

Answer 9

Ogilvie’s syndrome

Question 10

What are the most common cultured intraluminal organs ? (Harrison pp 1982)

Answer 10

Escherichia coli
Streptococcus faecalis
Klebsiella

Question 11

It is the most common precursor for strangulation? (Harrison pp 1982)

Answer 11

Closed-loop obstruction

Question 12

The risk is greatest to have cecal perforation when the cecal diamater exceeds how many cm? (Harrison pp 1982)

Answer 12

12 cm

Question 13

It is the characteristics response of acute intestinal obstruction. (Harrison pp 1982)

Answer 13

Increased intestinal contractility which occurs proximally and distally to the obstruction.

Question 14

What are the cardinal signs of acute intestinal obstruction? (Harrison pp 1983)

Answer 14

1. colicky abdominal pain
2. abdominal distention
3. emesis
4. obstipation

Question 15

It is described as high pitched, musical tinkling bowel sounds and peristaltic rushes that occurs with early small bowel obstruction. (Harrison pp 1983)

Answer 15

Borborygmi

Question 16

What are the possible complications of acute intestinal obstruction? (Harrison pp 1983)

Answer 16

P-I-N
Perotinitis
Ischemia
Necrosis

Question 17

What laboratories that strongly suggestive of malignancy? (Harrison pp 1983)

Answer 17

Guaiac- positive stools

Iron deficiency anemia

Question 18

In a plain films, a staircasing pattern of dilated air and fluid filled small bowel loops > 2.5cm in diameter with little or no air seen in the colon are classical findings of? (Harrison pp 1984)

Answer 18

Small bowel obstruction

Question 19

It is the classical sign seen in volvulus in a plain film? (Harrison pp 1984)

Answer 19

coffee bean shaped

Question 20

If in a CT scan, there is a bird’s beak, ‘c-loop’ or whorl it is a sign of what? (Harrison pp 1984)

Answer 20

Colonic volvulus

Question 21

These are considered late findings indicating the presence of bowel necrosis. (Harrison pp 1984)

Answer 21

Mesenteric volvulus
Pneumoperitoneum
Penumatosis intestinalis

Question 22

It is a diagnostic that can accurately identify neoplasia. (Harrison pp 1984)

Answer 22

CT enteroclysis

Question 23

It is still remains the most common emergency general surgical disease. (Harrison pp 1985)

Answer 23

Appendicitis

Question 24

It is an important step in the development of appendicitis. (Harrison pp 1986)

Answer 24

Obstruction of the appendiceal lumen

Question 25

It is found approximately in 50% of patients with gangrenous appendicitis who perforate. (Harrison pp 1986)

Answer 25

Appendiceal fecalith

Question 26

How many hours have passed since symptoms started and more likely is associated with appendiceal perforation? (Harrison pp 1986)

Answer 26

48 hrs

Question 27

What is the most common symptoms in appendicitis? (Harrison pp 1987)

Answer 27

Abdominal pain

Question 28

If the temperature is > 38.3C and rigors what complications beside appendicitis should be considered? (Harrison pp 1987)

Answer 28

Perforation | Phlegmon or abscess formation

Question 29

It is the internal rotation of the hip causes pain, suggesting the possibility of inflamed appendicitis. (Harrison pp 1987)

Answer 29

Obturator Sign

Question 30

It is located approximately 1/3 of the way along a line originating at the anterior iliac spine and running to the umbilicus. (Harrison pp 1987)

Answer 30

McBurney's point

Question 31

Parietal peritoneal irritation is often best elicited by what? (Harrison pp 1987)

Answer 31

Gentle abdominal percussion or jiggling the patient's gurney or bed

Question 32

It is highly operator dependent and sensitivity of 0.86 and also specificity of 0.81. (Harrison pp 1988)

Answer 32

Ultrasonography

Question 33

What should be seen in ultrasonography report in patient with appendicitis? (Harrison pp 1988)

Answer 33

Presence of appendicitis with wall thickening Increased in appendiceal diameter Presence of free fluid

Question 34

It is the most common extrauterine general surgical emergency observed during pregnancy (Harrison pp 1988)

Answer 34

Appendicitis

Question 35

The most common postoperative complications of appendectomy. (Harrison pp 1988)

Answer 35

Fever | Leukocytosis

Question 36

It is most commonly caused by the abnormal presence of physiologic fluids like gastric juice, bile, pancreatic enzymes, blood or urine. (Harrison pp 1989)

Answer 36

Aseptic peritonitis