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Surgery > 5/17/13 b > Flashcards

5/17/13 b Flashcards

1
Q

What is the Charcot triad of cholangitis?

A

fever/chills, jaundice, and RUQ pain

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2
Q

What is the differenital dx (2) of a painless cystic mass above the testicle?

A

epididymal cyst and spermatocele

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3
Q

What is the tx for epididymal cyst or spermatocele?

A

no tx if asymptomatic

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4
Q

What should be the next step to identify the source of lower GI bleeding when anoscopy and rectal exam are negative in a pt who is actively bleeding?

A

erythrocyte scintigraphy

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5
Q

What is the tx for a displaced femoral neck fracture?

A

replacement of femoral head w/ prosthesis

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6
Q

What is the preferred tx for pyogenic liver abscess?

A

percutaneous drainage

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7
Q

What is the next step for pts w/ GERD who fail medical therapy?

A

Nissen fundoplication

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8
Q

What does Cushing’s triad indicate?

A

increased intracranial pressure

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9
Q

What is Cushing’s triad?

A

bradycardia, hypertension, and irregular breathing

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10
Q

Pt under general anesthesia develops muscle rigidity, sinus tachycardia, hyp[erthermia, and skin cyanosis and mottling. What happened?

A

malignant hyperthermia

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11
Q

What is the mainstay of tx for malignant hyperthermia?

A

dantrolene

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12
Q

What kind of a drug is dantrolene?

A

muscle relaxant

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13
Q

What is the tx for a non-strangulated, reducible umbilical hernia in an infant?

A

none, unless persists beyond 2 yo

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14
Q

What is the treatment for follicular thyroid cancer?

A

total thyroidectomy followed by radioactive iodine

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15
Q

Why is radioactive iodine used post-op in follicular carcinoma of the thyroid?

A

metastases will take up iodine once thyroid is gone

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16
Q

Pt has chills, fever, and low back and perineal pain. Rectal exam shows tender, swollen prostate. Dx?

A

prostatitis

17
Q

What 2 organisms most commonly cause prostatitis?

A

E. coli and Chlamydia

18
Q

What are good antibiotic choices for the Gram-negative rods that usu. cause prostatitis?

A

fluoroquinolone or TMP-SMX

19
Q

What kind of testicular cancer produces AFP and, histologically, consists of sheets of small, poorly differentiated cells w/ scant cytoiplasm and crowded nuclei?

A

embryonal carcinoma

20
Q

What testicular cancer produces AFP and, histologically, demonstrates papillary structures resembling glomeruli?

A

yolk-sac tumor

21
Q

What testicular cancer produces placental alk phos (PLAP) and is composed of nests of large, round, clear cells w/ central nuclei and obvious nucleoli resembling spermatocytes? This accounts for almost half of all testicular cancers.

A

seminoma

22
Q

What testicular cancer produces β-hCG and consists of cytotrophoblastic and syncytiotrphoblastic cells resembling chorionic villi?

A

choriocarcinoma

Surgery (20 decks)

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