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100 surgical Microvignettes Flashcards

1
Q

Elderly woman, SBO, and air in biliary tract

A

Gallstone ileus

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2
Q

Elderly woman with pain down inner aspect of thigh

A

Obturator hernia (Howship-Romberg sign)

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3
Q

Abdominal pain, hypotension, and abdominal pulsatile mass

A

Ruptured abdominal aortic aneurysm (AAA)

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4
Q

Abdominal pain “out of proportion” to abdominal exam

A

Mesenteric ischemia

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5
Q

Arm pain and syncope with arm movement

A

Subclavian steal syndrome

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6
Q

Increasing creatinine on ACE inhibitor

A

Renal artery stenosis

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7
Q

child with MIDline neck mass

A

Thyrogossal duct cyst

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8
Q

Child with LATERAL neck mass

A

Branchial cleft cyst

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9
Q

Crush injury and dark urine

A

Myoglobinuria

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10
Q

LGIB+technetium pertechnetate scan

A

Meckel’s diverticulum

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11
Q

Flushing, diarrhea and RHF

A

carcinoid

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12
Q

Pneumaturia and LLQ pain

A

Colovesicular fistula

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13
Q

Desmoid tumor, osteoma and colon cancer

A

Gardner’s syndrome

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14
Q

Epigastric pain radiating to back and flank ecchymosis

A

Hemorrhagic pancreatitis

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15
Q

Pancreatitis and palpable epigastric mass

A

Pancreatic pseudocyst

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16
Q

Liver abscess with “anchovy paste”

A

Amebic abscess

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17
Q

RUQ pain, travel and exposure to sheep

A

Hydatid cyst

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18
Q

Caput medusa

A

portal HPN

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19
Q

45-year-old woman with RUQ pain for 12 hours, fever and leukocytosis

A

Acute cholecystitis

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20
Q

Elderly man with large nontender palbable gallbladder

A

Pancreatic cancer(Courvoisier’s sign)

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21
Q

Female taking birth control pills with liver mass

A

Hepatic adenoma

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22
Q

Liver tumor with “central scar”

A

Focal nodular hyperplasia

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23
Q

Pancreatic mass, gallstones, diabetes and diarrhea

A

Somatostatinoma

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24
Q

RUQ bruit and CHF in young adult

A

Liver hemangioma

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25
Q

Excruciating pain with bowel movement

A

Anal fissure

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26
Q

Abdominal pain, diarrhea and anal fistulae

A

Crohn’s disease

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27
Q

EKG with peaked T waves

A

Hyperkalemia

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28
Q

buccal mucosa with pigmentation

A

Peutz-Jegers syndrome

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29
Q

LLQ pain, fever and change in bowel habits

A

Diverticulitis

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30
Q

Elevated urin 5-HIAA carcinoid

A

Carcinoid

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31
Q

Institutionalized, abdominal pain, vomiting, and distention, with proximal colonic dilation

A

Sigmoid Volvulus

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32
Q

Infant with projectile vomiting

A

Pyloric stenosis

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33
Q

Newborn with failure to pass meconium in first 24 hours

A

Hirshsprung’s disease

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34
Q

Infant with bilious vomiting

A

Malrotation

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35
Q

Infant with abdominal defect and umbilical cord on sac

A

Omphalocele

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36
Q

Teenager with knee pain, “onion skinning” on xray

A

Ewing’s sarcoma

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37
Q

Pulmonary capillary wedge pressure <18, CXR - bilateral pulmonary infiltrates, PaO2:FiO2 ration <300

A

ARDS

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38
Q

Increased peak airway pressure, low urine output, and urinary bladder >25mmHg

A

Abdominal compartment syndrome

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39
Q

Newborn with inability to pass and NGT

A

Esophageal atresia

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40
Q

Traumatic blinding in one eye followed by blindness in the contralateral eye 2 weeks later

A

Sympathetic ophthalmia

41
Q

Mitotic pupil, ptosis, and anhydrosis

A

Horner’s Syndrome

42
Q

Traumatic head injury, conscious inER followed by unconciousness

A

Epidural hematoma (“lucid interval”)

43
Q

“worst headache of my life”

A

Subarachnoid hemorrhage

44
Q

Hematura, flank pain, and abdominal mass (palpable)

A

Renal cell carcinoma

45
Q

60-year-old white man with painless hematuria

A

Bladder cancer

46
Q

RUQ pain, jaundice, and fever

A

Cholangitis

47
Q

Epigastric pain radiating to back, with nausea and vomiting

A

pancreatitis

48
Q

Chest pain radiating to back and described as “tearing” pain

A

Aortic dissection

49
Q

40-yea-old man with tachycardia/hypetension and confusion on POD day#2

A

Alcohol withdrawal

50
Q

Marfanoid body habutus and mucosal neuromas

51
Q

Psammoma bodies

A

Papillar thyroid cancer

52
Q

Sulphur granules

A

Actinomycosis infection

53
Q

Thyroid tumor with AMYLOID tissue

A

Thyeroid medullary cancer

54
Q

PALPABLE neck tumor and hypercalcemia

A

Parathyroid Cancer

55
Q

Hypertension, diphoresis(episodic), and palpitations

A

Pheochromocytoma

56
Q

Jejunal ulcers

A

Zollinger-Ellison syndrome

57
Q

Pituitary tumor, pancreatic tumor, and parathyroid tumor

58
Q

Necrotizing migratory erythema

A

Glaucagonoma

59
Q

Medullary thyroid CA, pheochromocytoma, and hyperparathyroidism

60
Q

Hypokalemia refractory to IV potassium supplementation

A

Hypomagnesemia

61
Q

Newborn with pneumatosis

A

Necrotizing enterocolitis (NEC)

62
Q

Child with abdominal mass that crosses midline

A

Neuroblastoma

63
Q

Child <4years of age with abdominal tumor that does no cross the midline

A

Wilm’s tumor

64
Q

“currant jelly” stools and abdominal colic

A

Intussuscetpion

65
Q

Femur fracture, respiratory failure, petechiae, and mental status changes

A

Fat embolism

66
Q

Hearing loss, tinnitus, and vertigo

A

Menier’s disease

67
Q

Adolescent boy with nasal obstruction and recurrent epistaxis

A

Juvenile nasopharyngeal angiofibroma

68
Q

Child <5 years of age sitting upright and drooling with “hot potato voice”

A

Epiglotittis

69
Q

Angina, syncope, and CHF

A

Aortic stenosis

70
Q

Tobacco use, asbestos exposrue, and pleuritic chest pain

A

Mesothelioma

71
Q

Supracondylar fracture and contracture of forearm flexors

A

Volkmann’s contracture

72
Q

Tibia fracture, “pain out of proportion”, pain on passive foot movement, and palpable pulses

A

Compartment syndrome

73
Q

25 year old man with liver mass with fibrous septae and No history of cirrhosis or hepatitis

A

Fibrolaminar hepatocellular CA

74
Q

ECG with flattening of T waves and U waves

A

Hypokalemia

75
Q

Central Pontine Myelinosis

A

Too rapid correction of hyponatremia

76
Q

Polydipsia, polyuria, and constipation

A

Hypercalcemia

77
Q

Factor VIII deficiency

A

Hemophilia A

78
Q

Abdominal pain, fever, hypotension, HYPERkalemia, and HYPOnatremia

A

Adrenal Insufficiency (Addison’s dse)

79
Q

Massive urine output and Hypernatremia

A

Diabetes insipidus

80
Q

Increased urine osmolality, Hyponatremia, and low serum osmolality

81
Q

IV antibiotics, fever, diarrhea

A

C. difficile pseudomemranous colitis

82
Q

Bleeding gums and wound dehisence

A

Vitamin C defficiency

83
Q

Fever, central line, and Hyperglycemia

A

Central line infection

84
Q

Appendectomy followed by fever and abdominal pain on POD #7

A

Peritoneal abscess

85
Q

Advancing crepitus, fever, and blood blisters

A

Necrotizing fascitis

86
Q

High INTRAoperative fever

A

Malignant Hyperthermia

87
Q

Confusion, ataxia, and ophthalmoplegia

A

Wernick’s enecephalopathy

88
Q

Tracheal deviation, decreased breath sounds, hyperresonance

A

Tension pneumothorax

89
Q

Hypotension, decreased heart sounds, JVD

A

Pericardial tamponade

90
Q

Four ribs broken in two places and pulmonary contrusion

A

Flail chest

91
Q

Otrorrhea (clear) and Battlesign

A

Basila skull fracure

92
Q

Ulcer and decreased pain with food

A

Duodenal ulcer

93
Q

Vomiting, retching, and epigastric pain

A

Mallory-Weiss tear

94
Q

Fever on POD #1, with “bronze” weeping, tender wound

A

Clostridial wound infection

95
Q

Hematochezia and tenesmus

A

Rectal cancer

96
Q

UGIB, jaundice and RUQ pain

97
Q

Gallstones, epigastric pain radiating to the back and nausea

A

Gallston pancreatitis

98
Q

18-year-old woman with bloody nipple discharge

A

Ductal papilloma

99
Q

Irritability, diaphoresis, weakness, trenulousenss and palpitations

A

Insulinoma

SR (15 decks)

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