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surgery paea questions
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surgery paea questionsPyloric stenosis
SX= non bilious projectile vomiting in a newborn
Dx =US
tx =? - CORRECT ANSWER-Myotomy = tx
Pt who got elective endoscopy after GERD dx. Wakes up w/ pain and HoTN.
What other PE sign would be seen? - CORRECT ANSWER-SubQ emphysema
Man w/ newly diagnosed UC. When should he get his first colonoscopy? = -
CORRECT ANSWER-8yrs post diagnosis
When should a healthy person get their 1st colonoscopy = - CORRECT
ANSWER-50yo
Patient with mass in neck and reed sternberg cells. Dx? - CORRECT
ANSWER-Hodgkin's lymphoma (Tx = CHOP)
Smoker had 1cm mass in lung on CXR. What is the next step? - CORRECT
ANSWER-CT
Tall thin man with scapular pain and different BPs in each arm. What is this? -
CORRECT ANSWER-Aortic dissection
Guy with PAD has bilateral calf pain and ABI of 0.8 (normal around 1.0). Next
step? - CORRECT ANSWER-monitored exercise
Patient has epigastric postprandial pain 2-3 hrs. Dx? - CORRECT
ANSWER-Chronic mesenteric ischemia
Patient has epigastric postprandial pain 2-3 hrs, what is the diagnostic test - -
CORRECT ANSWER-answer is CTA
Drug to give after carotid endarterectomy? - CORRECT ANSWER-CCB
,Vaccine to give post splenectomy? - CORRECT ANSWER-Pneumococcal
POD 5 fever, cough, tachycardia, rales on auscultation? - CORRECT
ANSWER-pneumonia
Patient on Warfarin what is increased? - CORRECT ANSWER-PT
Post gastrectomy patient has tachycardia, diaphoresis, anxiety, diarrhea after
eating sugary foods. Dx? - CORRECT ANSWER-Early dumping syndrome
Chronic etOH patient has new onset epigastric pain, palpable mass. Vitals
normal. Dx? - CORRECT ANSWER-chronic pancreatitis
Patient with exercise induced asthma what is recommended for periop tx? -
CORRECT ANSWER-Beta agonist ((?) incentive spirometer (other: preop deep
breathing exercises, preop IV steroids))
Old man presenting with constipation, obstipation, etc (LBO sx). Initial study? -
CORRECT ANSWER-Colonoscopy (abd XR, decompression weren't options)
Patient has halitosis, regurgitation of food. Diagnostic test? - CORRECT
ANSWER-Barium swallow
Pt had portacaval shunting now has neuro sx. What happened? - CORRECT
ANSWER-Hepatic encephalopathy
Person w/ fistulas, aphthous ulcers. Dx = - CORRECT ANSWER-Crohn's
Dude with history of hemorrhagic stroke has a PE. Treat with an... - CORRECT
ANSWER-IVC filter
Woman w/ thickened skin, dimpling of hair follicles, skin changes. Type of breast
problem? = - CORRECT ANSWER-inflammatory carcinoma
30 yo woman with urinary retention, increase urgency/frequency. Noted detrusor
muscle dysfunction. Dx? = - CORRECT ANSWER-MS
, 60 yo woman w/ controlled HTN and DM comes in w/ recurrent DVTs. On
Warfarin and HCTZ. She isn't symptomatic however. INR was 2.5 (or 2.9). What
should you do to treat her = - CORRECT ANSWER-IVC filter
Pt w/ claudication in butt, hips and impotence. Where is the arterial insufficiency
most likely located? = - CORRECT ANSWER-aortoiliac (SFA, Iliacs were other
options)
Pt s/p resection from gastric carcinoma. Now having paresthesias and decreased
vibratory sense. Dx? = - CORRECT ANSWER-Pernicious anemia
Parapalegic pt who is beginning to get decubitus ulcer. What should you do? = -
CORRECT ANSWER-Alleviate pressure points
See the apple core lesion on the barium. Dx? = - CORRECT ANSWER-Colon CA
Pt who is on meslamine and keeps getting increasing sx of moderate Crohn's.
Next move? = - CORRECT ANSWER-Prednisone (steroids)
Pt on warfarin and the INR was 9. What should you tx them w/ if there's no active
bleeding? = - CORRECT ANSWER-PO Vit K
Recognize Trousseau's sign. Also where is trousseau's sign seen? = -
CORRECT ANSWER-Hypocalcemia
Pt comes in w/ symptomatic hypercalcemia. What are these symptoms likey? = -
CORRECT ANSWER-fatigue/weakness (stones we're an option)
When would you do a parathyroidectomy on a pt = - CORRECT ANSWER-Hip fx
from osteopenia??
Tx for testicular CA = - CORRECT ANSWER-SURGERY oophorectomy
Recognize thyrotoxicosis! It's tx? = - CORRECT ANSWER-IV PTU
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