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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
Indication for chemotherapy in colorectal cancer
Stage III or IV disease (FOLFOX: oxaliplatin, leucovorin, 5-FU)
26
Staging of Rectal Cancer
Endoscopic US/MRI
27
Antibiotics used in Crohn Disease
Metronidazole, Ciprofloxacin
28
Most effective immunosuppressive therapy for Crohn disease (especially anorectal) but can lead to lymphoma
infliximab
29
Antibiotics for uncomplicated diverticulitis
Amoxicillin/Clavulanate or Metronidazole/Quinolone
30
Parrot's beak pattern on AXR
Sigmoid volvulus
31
Treatment of sigmoid volvulus
proctosigmoidoscopic exam and rectal tube placement
32
Indication for rubber band ligation of hemorrhoids
prolapse
33
Indication for hemorrhoidectomy
severe pain
34
Medical treatment for anal fissure
topical nitroglycerin or topical nifedipine
35
Chronic anal fissure treatment
Lateral internal sphincterotomy or botulinum toxin
36
Type of cancer and treatment of anal cancer
Squamous cell carcinoma; NIGRO protocol
37
Type of hernia with highest incarceration rate
Femoral
38
When to perform lap chole in patients with gallstone pancreatitis
same hospitalization
39
Charcot's triad is _____ and suggests diagnosis of _____.
RUQ pain, fever, jaundice; Ascending cholangitis
40
Treatment of ascending cholangitis
IV antibiotics, fluids, biliary decompression
41
Cancer marker for pancreatic cancer
19-9
42
Evaluation of pancreatic cancer compared to mesenteric vessels
Endoscopic US
43
Which pancreatic cyst? no malignant transformation; no mucin/CEA/amylase
serous cyst
44
Which pancreatic cyst? hormone stimulated, may be benign or malignant; positive mucin/CEA
mucinous cyst
45
Which pancreatic cyst? involves main pancreatic duct or side branches, high risk for malignancy; positive mucin/CEA/amylase
Intraductal Papillary Mucinous Neoplasm
46
Contraindications to Whipple
Invasion of SMA or >90 degrees SMV; distant metastases
47
Hepatic adenoma size requiring resection
5cm
48
Type of hepatic adenoma with high risk of malignant transformation
Beta-catenin
49
Diagnosis of hepatic adenoma
Laparoscopic US/biopsy
50
Diagnosis of hepatic hemangioma
CT/MRI usually; angiography gold standard
51
Treatment of hepatic hemangioma
resection or embolization
52
Diagnosis of hepatic focal nodular hyperplasia
Radiolabeled sulfur colloid scintigraphy
53
Diagnosis of hepatocellular carcinoma
Laparoscopic US/biopsy
54
Tumor markers for hepatocellular carcinoma
AFP, ferritin
55
Diagnosis and treatment of amebic abscess
Serology, Metronidazole
56
Diagnosis of pancreatitis
Clinical
57
Timing and treatment of pancreatic abscess
10 days after episode; drainage
58
Timing and treatment of pancreatic pseudocyst
5 weeks; endoscopic/percutaneous drainage if >6cm
59
Medical management of chronic pancreatitis
insulin and pancreatic enzymes

Surgery SHELF (9 decks)

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