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General Surgery · Gastrointestinal surgery: short bowel syndrome
Sample itemAfter extensive small-bowel resection, a patient has chronic diarrhea, weight loss, electrolyte losses, and malabsorption. What syndrome is present?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Short bowel syndrome
Short bowel syndrome results when insufficient functional small intestine remains for adequate fluid and nutrient absorption. Management includes diet modification, antidiarrheals, micronutrient replacement, and sometimes parenteral support.
Option by option
A. Achalasia
Achalasia is an esophageal motility disorder.
B. Anal fissure
Anal fissure causes painful defecation.
C. Short bowel syndrome (correct)
Correct. Extensive resection with malabsorption defines short bowel syndrome.
D. Irritable bowel syndrome
IBS does not cause severe nutrient malabsorption after surgery.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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