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COMPONENT SEPARATION - Department of Surgery at SUNY ...

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A 75-yo man taking NSAIDS for arthritis has an<br />

acute abdomen and free air. His symptoms<br />

are 6 hrs old and his vital signs are stable<br />

after 1 L <strong>of</strong> NS. A perfor<strong>at</strong>ed duodenal ulcer<br />

is identified, which is the best required<br />

oper<strong>at</strong>ion:<br />

A. Suture closure <strong>of</strong> the perfor<strong>at</strong>ion<br />

B. Omental p<strong>at</strong>ch <strong>of</strong> the perfor<strong>at</strong>ion<br />

C. Repair <strong>of</strong> the perfor<strong>at</strong>ion and HSV<br />

D. Repair <strong>of</strong> the perfor<strong>at</strong>ion and truncal<br />

vagotomy<br />

E. Repair <strong>of</strong> the perfor<strong>at</strong>ion and gastric<br />

resection

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