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PAEA General Surgery Questions with Correct Answers
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PAEA General Surgery Questions with Correct Answers
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PAEA General Surgery Questions with CorrectAnswers
Earliest sign of lower extremity acute arterial insufficiency. Correct
Answer-Hyperthesias along distribution of peroneal nerve. No great toe
dorsiflexion. Foot drop.
MC site of embolism in acute arterial insufficiency? Correct Answer-
Femoral Artery
Aortoiliac occlusion, impotence, butt claudication, absent/decreased
femoral pulses. Can be secondary to either athero or takayasu Correct
Answer-Leriche Syndrome
- most commonly at SFA at adductor canal
- nonoperative management: Cilostazol
- operative management: fem pop bypass which uses the saphenous vein
reversed OR endarterectomy which is limited to short lesions of the SFA
at the adductor canal or origin of profunda. Correct Answer-
Infrainguinal Disease
The management of primary acute arterial occlusion Correct Answer-
depends upon distinguishing between embolism and thrombosis.
- Emboli are sudden in onset, have a demonstrable source and lodge
most frequently at the common femoral bifurcation. Embolectomy is the
treatment of choice.
,- Acute thrombosis is usually preceded by prolonged, progressive,
ischemia, is less abrupt in onset and occurs most commonly in the
superficial femoral artery. The initial treatment is anticoagulation with
heparin, followed by artery repair if indicated. One of the goals of
treatment for Acute Limb Ischemia is to prevent thrombus propagation;
therefore, expedient anticoagulation with heparin is indicated as soon as
the diagnosis is suspected.
What is the recommended imaging modality in the assessment of acute
arterial embolism that is not immediately limb-threatening, according to
the American College of Radiology. Correct Answer-CTA of the pelvis
with runoff
Gold standard test for carotid artery stenosis? Correct Answer-carotid
angiogram
When do you use carotid endarterectomy in carotid artery stenosis?
Correct Answer-- ipsilateral neurological symptoms with carotid artery
stenosis as seen on angiogram
- asymptomatic with >70% carotid stenosis
- give CCB after to prevent vasospasm
complications:
- vagus nerve injury from clamping of common carotid
- hoarseness from RLN injury
- horner syndrome d/t injury to sympathetic plexus
,What test do you use to assess AAA in acute phase? Correct Answer-CT
What test do you use to assess AAA for screening/ to follow aneurysm
already known? Correct Answer-U/S
MC peripheral aneurysm? Correct Answer-popliteal
A compartment pressure of _____________ is an indication for
fasiotomy? Correct Answer-30mmHg
normal pressure = 0-8mmHg
Thyroglossal duct cysts elevates with Correct Answer-swallowing and
tongue protrusion
centrally located, full thickness abdominal wall defect leading to
exposed bowel Correct Answer-gastroschisis
herniation of abdominal contents into the base of the umbilical cord with
protective membrane present. Correct Answer-Omphalocele
narrowing of the pyloric canal due to hypertrophy of the musculature
Correct Answer-pyloric stenosis
usually evident between 2 weeks- 2 months old
, - *nonbilious, projectile vomiting*
- hungry after vomiting
- *midepigastric mass "olive"*
- hypochloremic metabolic alkalosis with paradoxic aciduria
- first born male Correct Answer-pyloric stenosis
- get an U/S
What test do you run for pyloric stenosis? Correct Answer-U/S
- reveals elongated pyloric channel and thickened pyloric wall
Radiographic contrst series of pyloric stenosis reveal Correct Answer---
string sign - from elongated pyloric channel
-- shoulder sign - bulge of pyloric muscle into the antrum
-- double track sign - parallel streaks of barium into the narrow channel
obliteration of the entire extrahepatic biliary tree at or above the porta
hepatis Correct Answer-biliary atresia
- neonatal jaundice beyond first week
- hyperbilirubinemia
- high GGT level
- signs of portal hypertension
- accounts for 90% of extrahepatic obstruction in neonates Correct
Answer-biliary atresia
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