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Surgery SHELF > General Surgery > Flashcards

General Surgery Flashcards

1
Q

Treatment of Inflammatory Breast Cancer

A

Neo-adjuvant chemotherapy, surgery, radiation

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2
Q

Breast cancer size warranting systemic therapy

A

1cm

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3
Q

Evaluation of pathologic discharge

A

Mammography/US, ductography

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4
Q

Treatment of intraductal papilloma

A

Duct excision

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5
Q

Risk factor for duct ectasia

A

Smoking

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6
Q

Diagnosis and treatment of duct ectasia

A

ductogram; duct excision

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7
Q

Large tumor that distorts breast but does not become fixed

A

Cystosarcoma Phyllodes

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8
Q

Bilateral tenderness related to the menstrual cycle

A

Mammary Dysplasia

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9
Q

Diagnosis of hiatal hernia

A

Barium Esophagogram

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10
Q

Study to assess gastric emptying

A

Nuclear Scintigraphy

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11
Q

Contraindication for Nissen

A

gastroparesis

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12
Q

Diagnosis of Boerhaave Syndrome

A

CT or contrast esophagram

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13
Q

Preferred diagnostic testing for esophageal tumor

A

Endoscopic US

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14
Q

Treatment of gastric lymphoma

A

Eradication of H pylori

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15
Q

treatment of early post-op SBO

A

NG decompression

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16
Q

Non-operative treatment for SBO

A

Gastrografin challenge

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17
Q

Medical Prophylaxis of variceal bleeds

A

Beta blocker

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18
Q

Diagnosis of carcinoid

A

24 hour urine 5-HIAA

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19
Q

Diagnosis of Meckel Diverticulum

A

Technetium Scan

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20
Q

Viral painful abdominal lymphadenopathy common in children that can masquerade as appendicitis

A

Mesenteric adenitis

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21
Q

Treatment of appendiceal abscess

A

antibiotics and CT-guided drainage

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22
Q

Adult with ascites and mild acute abdomen

A

Primary peritonitis

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23
Q

Treatment of primary peritonitis

A

Antibiotics

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24
Q

Evaluation of colorectal cancer

A

CT (screen for metastases), CEA level, surgical excision/staging

25
Q

Indication for chemotherapy in colorectal cancer

A

Stage III or IV disease (FOLFOX: oxaliplatin, leucovorin, 5-FU)

26
Q

Staging of Rectal Cancer

A

Endoscopic US/MRI

27
Q

Antibiotics used in Crohn Disease

A

Metronidazole, Ciprofloxacin

28
Q

Most effective immunosuppressive therapy for Crohn disease (especially anorectal) but can lead to lymphoma

A

infliximab

29
Q

Antibiotics for uncomplicated diverticulitis

A

Amoxicillin/Clavulanate or Metronidazole/Quinolone

30
Q

Parrot’s beak pattern on AXR

A

Sigmoid volvulus

31
Q

Treatment of sigmoid volvulus

A

proctosigmoidoscopic exam and rectal tube placement

32
Q

Indication for rubber band ligation of hemorrhoids

A

prolapse

33
Q

Indication for hemorrhoidectomy

A

severe pain

34
Q

Medical treatment for anal fissure

A

topical nitroglycerin or topical nifedipine

35
Q

Chronic anal fissure treatment

A

Lateral internal sphincterotomy or botulinum toxin

36
Q

Type of cancer and treatment of anal cancer

A

Squamous cell carcinoma; NIGRO protocol

37
Q

Type of hernia with highest incarceration rate

A

Femoral

38
Q

When to perform lap chole in patients with gallstone pancreatitis

A

same hospitalization

39
Q

Charcot’s triad is _____ and suggests diagnosis of _____.

A

RUQ pain, fever, jaundice; Ascending cholangitis

40
Q

Treatment of ascending cholangitis

A

IV antibiotics, fluids, biliary decompression

41
Q

Cancer marker for pancreatic cancer

A

19-9

42
Q

Evaluation of pancreatic cancer compared to mesenteric vessels

A

Endoscopic US

43
Q

Which pancreatic cyst? no malignant transformation; no mucin/CEA/amylase

A

serous cyst

44
Q

Which pancreatic cyst? hormone stimulated, may be benign or malignant; positive mucin/CEA

A

mucinous cyst

45
Q

Which pancreatic cyst? involves main pancreatic duct or side branches, high risk for malignancy; positive mucin/CEA/amylase

A

Intraductal Papillary Mucinous Neoplasm

46
Q

Contraindications to Whipple

A

Invasion of SMA or >90 degrees SMV; distant metastases

47
Q

Hepatic adenoma size requiring resection

A

5cm

48
Q

Type of hepatic adenoma with high risk of malignant transformation

A

Beta-catenin

49
Q

Diagnosis of hepatic adenoma

A

Laparoscopic US/biopsy

50
Q

Diagnosis of hepatic hemangioma

A

CT/MRI usually; angiography gold standard

51
Q

Treatment of hepatic hemangioma

A

resection or embolization

52
Q

Diagnosis of hepatic focal nodular hyperplasia

A

Radiolabeled sulfur colloid scintigraphy

53
Q

Diagnosis of hepatocellular carcinoma

A

Laparoscopic US/biopsy

54
Q

Tumor markers for hepatocellular carcinoma

A

AFP, ferritin

55
Q

Diagnosis and treatment of amebic abscess

A

Serology, Metronidazole

56
Q

Diagnosis of pancreatitis

A

Clinical

57
Q

Timing and treatment of pancreatic abscess

A

10 days after episode; drainage

58
Q

Timing and treatment of pancreatic pseudocyst

A

5 weeks; endoscopic/percutaneous drainage if >6cm

59
Q

Medical management of chronic pancreatitis

A

insulin and pancreatic enzymes

Surgery SHELF (9 decks)

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