Exam (elaborations)
SURGERY PAEA QUESTIONS AND ANSWERS
- Course
- Institution
SURGERY PAEA QUESTIONS AND ANSWERS
[Show more]
Content preview
SURGERY PAEA QUESTIONS AND ANSWERSPyloric stenosis
SX= non bilious projectile vomiting in a newborn
Dx =US
tx =? - Answers -Myotomy = tx
Pt who got elective endoscopy after GERD dx. Wakes up w/ pain and HoTN. What
other PE sign would be seen? - Answers -SubQ emphysema
Man w/ newly diagnosed UC. When should he get his first colonoscopy? = - Answers -
8yrs post diagnosis
When should a healthy person get their 1st colonoscopy = - Answers -50yo
Patient with mass in neck and reed sternberg cells. Dx? - Answers -Hodgkin's
lymphoma (Tx = CHOP)
Smoker had 1cm mass in lung on CXR. What is the next step? - Answers -CT
Tall thin man with scapular pain and different BPs in each arm. What is this? - Answers
-Aortic dissection
Guy with PAD has bilateral calf pain and ABI of 0.8 (normal around 1.0). Next step? -
Answers -monitored exercise
Patient has epigastric postprandial pain 2-3 hrs. Dx? - Answers -Chronic mesenteric
ischemia
Patient has epigastric postprandial pain 2-3 hrs, what is the diagnostic test - - Answers -
answer is CTA
Drug to give after carotid endarterectomy? - Answers -CCB
Vaccine to give post splenectomy? - Answers -Pneumococcal
POD 5 fever, cough, tachycardia, rales on auscultation? - Answers -pneumonia
Patient on Warfarin what is increased? - Answers -PT
Post gastrectomy patient has tachycardia, diaphoresis, anxiety, diarrhea after eating
sugary foods. Dx? - Answers -Early dumping syndrome
Pt w/ claudication in butt, hips and impotence. Where is the arterial insufficiency most
likely located? = - Answers -aortoiliac (SFA, Iliacs were other options)
,Pt s/p resection from gastric carcinoma. Now having paresthesias and decreased
vibratory sense. Dx? = - Answers -Pernicious anemia
Parapalegic pt who is beginning to get decubitus ulcer. What should you do? = -
Answers -Alleviate pressure points
See the apple core lesion on the barium. Dx? = - Answers -Colon CA
Pt who is on meslamine and keeps getting increasing sx of moderate Crohn's. Next
move? = - Answers -Prednisone (steroids)
Pt on warfarin and the INR was 9. What should you tx them w/ if there's no active
bleeding? = - Answers -PO Vit K
Recognize Trousseau's sign. Also where is trousseau's sign seen? = - Answers -
Hypocalcemia
Pt comes in w/ symptomatic hypercalcemia. What are these symptoms likey? = -
Answers -fatigue/weakness (stones we're an option)
When would you do a parathyroidectomy on a pt = - Answers -Hip fx from osteopenia??
Tx for testicular CA = - Answers -SURGERY oophorectomy
Recognize thyrotoxicosis! It's tx? = - Answers -IV PTU
Muscle protruding through mucosa in proximal esophagus, Dx? = - Answers -Zenker's
Diverticulum (think this was right but other options were Schatzki ring, hiatal hernia)
NOT ZENKERS
Lady had progressive left ear pain, then facial droop, inability to raise eyebrow. -
Answers -Acoustic schwannoma
Sign of UC? - Answers -Bloody diarrhea
Patient has paresthesias and muscle weakness/spasms after total thyridectomy. Why? -
Answers -Hypoparathyroidism
Patient has PUD that has not gone away with treatment over the year. Definitive Dx for
diagnosis (zollinger Ellison) ? - Answers -Measure gastrin levels
What would put guy with testicular cancer at higher risk? - Answers -Cryptochorsism
Woman with hematuria what would reduce her risk of bladder ca? - Answers -Gender
, Consequence of feeding syndrome with anorexia?? - Answers -hypophosphatemia
hypomagnesemia
thiamine def.
hyponatremia
hypokalemia
What cells do you see in asplenic pt? = - Answers -Howell-Jolly bodies
What is the process behind Addisons? = - Answers -Adrenal insuff (autoimmune)
Dx test for Addison's = - Answers -ACTH stimulation test
Person gets N/V, fatigue after pituitary tumor removal. Test you should run? = -
Answers -Serum cortisol level
Woman w/ fluctuant, erythematous mass in axilla. Afebrile. First treatment for this? = -
Answers -I&D
Pt w/ ogliuria, increased BUN:Cr and low urine Na. Likely dx? = - Answers -Hepatorenal
syndrome - prerenal azotemia
Pt with all the signs of a DVT. What would you likely see on PE? = - Answers -Pain
upon dorsiflexion of foot (Homan's sign)
Pt was urinating 5.5L of fluid in 6hrs. What was their metabolic state = - Answers -
hypokalemic alkalosis
Pt had respiratory acidosis. What lab finding would you see? = - Answers -pH of 7.05
Pt w/ PMH of PUD. Comes in w/ wt loss, projectile vomiting after she eats. Likely PE
sign you would see? =
Cancer (?) - Answers -rebound tenderness (this is probably a perforated ulcer and you
would likely see peritoneal signs)
Pt with ABI of 0.68 what is treatment? - Answers -Angio
Pt POD5 cxr shows lobar infiltrates - Answers -PNA
SE of thyroidectomy - Answers -hypocalcemia
Moderate risk for colon cancer - Answers -first degree relative
What surgery to do for crohns - Answers -R hemicol
Hydrocele presentation - Answers -Pumpkin sign
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller GEEKA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now