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Surgery > Kaplan, SU2M, FA, Surgical Recall > Flashcards

Kaplan, SU2M, FA, Surgical Recall Flashcards

1
Q

Post op confusion, what labs do you need to order?

A

ABG
CXR
CBC

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2
Q

What tumors are MC found in the middle mediastinum?

A

Bronchopneumonia and pericardial cysts, thyroid goiter, tracheal tumor

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3
Q

What can cause compartment syndrome in a closed environment?

A

Fascial sheath

Cast

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4
Q

Pt > 60 y/o w/RLQ pain can have what?

A

Cecil diverticulitis

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5
Q

If a nodule is determined to be LOW probability of malignancy, what is the workup?

Intermediate?

High?

A

Serial CT scan

1 cm or larger —> PET scan and if + then biopsy

Biopsy and lobectomy

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6
Q

LLQ pain, what is your DDx (4)?

A

Sigmoid volvulus
Sigmoid diverticulitis
Ovarian torsion
Ectopic pregnancy

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7
Q

How do you diagnose a peripheral SCC?

Central?

A

CT guided FNA

Bronchoscopy

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8
Q

What is obturator sign?

A

Pain w/IR of right thigh

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9
Q

What are the symptoms of compartment syndrome?

A 
#1 Pain - severe, worse w/muscle stretch
Pallor
Paresthesia
Poikilothermia (cold limb)
Paralysis
Pulselessness
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10
Q

Lung SCC MC located where?

Growth?

A

Centrally in lung hilum

Slow, late METS

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11
Q

What breast tumor is associated w/a radial scar?

A

Tubular carcinoma

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12
Q

What are 3 signs of appendicitis?

A

Rovsings
Psoas
Obturator

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13
Q

What tumors are MC found in the posterior mediastinum?

A

Neurogenic tumors, Esophageal tumors, hiatal hernia, vertebral lesion

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14
Q

What is the MC cause of compartment syndrome?

What else?

A

fracture
Burn
Crush injury

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15
Q

Treatment for Non small-cell lung cancer stage 1?

2?

3?

A

Surgical resection

Surgical resection + chemotherapy

Chemotherapy and XRT +/- surgical resection

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16
Q

METS from breast cancer MC go where? What symptoms do they cause?

A

Bone - pain
Lung - dyspnea
Liver - ABD pain, jaundice, nausea

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17
Q

What is Rovsing’s sign

A

Palpation of LLQ causes pain the RLQ

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18
Q

What kind of breast cancer do men develop?

A

Almost 100% get ductal carcinoma

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19
Q

1st step in w/u of a suspicious mass in postmenoupasual woman is what?

In woman < 30?

A

Mammogram

US

20
Q

What characterizes breast cancer Stage II?

III?

IV?

A

Tumor is 2-5 cm

Nodal involvement or tumor > 5 cm

METS

21
Q

Sipple syndrome = ?

A

MEN II

22
Q

What shock has pt warm/flushed w/dec CO?

Inc CO but NO change in PCWP?

A

Neurogenic

Septic

23
Q

What postop FEV1 must you have?

This means what must have preop?
If less you need what?

A

> 800cc

> /= 2 L needed for a pneumonectomy
V/Q scan

24
Q

What are the RFs for breast Cancer?

A 
NAACP 
Nullparity
Age at menarche (younger than 13)
Age at menopause (older than 55)
Cancer of the breast (self or family)
Pregnancy w/1st child (> 30 y/o)
25
Q

What is light’s criteria?

A

pleural fluid to serum protein > .5
Pleural fluid to serum LDH > .6
Pleural fluid LDH > 2/3 upper limit of lab’s normal LDH

26
Q

What is the treatment of inflammatory carcinoma of the breast?

A

Chemotherapy 1st!!!

Then radiation, mastectomy or BOTH

27
Q

Spinal stenosis is d/t what?

Symptoms?

Best imaging?

A

OA of spine, #1 lumbar

b/L leg and buttock pain

MRI

28
Q

Breast pain or tenderness that varies w/menstrual cycles; cysts and nodular fullness indicates what?

Dx how?

A

Fibrocystic disease

Aspirate is straw-colored or green

29
Q

RLQ pain, what is your differential (4)?

A

Appendicitis
Ovarian torsion
Ectopic pregnancy
Cecal diverticulitis

30
Q

What presents as a solid, mobile, well-circumscribed round breast mass in pt < 40 y/o?

MC in whom?

A

Fibroadenoma

Pts under 30 y/o

31
Q

What shock has pt pale/cool w/increased PCWP?

Decreased?

A

Cardiogenic

Hypovolemic

32
Q

What is the blood supply to the prox 1/3 of the esophagus?

Mid

Distal?

A

Inf thyroid, anterior intercostals

Esophageal aa, bronchial aa

Left gastric, left inf phrenic

33
Q

Pt presents w/a solitary pulmonary nodule, 1 step?

Next?

If suspicious for malignancy do what?
If benign?

A

Old CXR

CT w/thin sections

Biopsy and resect
Follow q3 months

34
Q

How do you biopsy a nonpalpable mass seen on mammogram?

A

Stereotactic (aka mammotome) or needle localization biopsy

35
Q

1 RF?

ABD pain after eating that is described as cramping and causes 10/10 pain w/no guarding, no rebound tenderness and a soft ABD indicates what?

A

Mesenteric ischemia

AFib

36
Q

Treatment for local recurrence in breast after lumpectomy and radiation is called what?

A

Salvage mastectomy

37
Q

Lung large cell cancer located where?

Growth?

A

Peripheral

V. Malignant

38
Q

Claudication is evaluated how?

What is pathologic?

Symptomatic?

A

Ankle-brachial index

< 0.9

< 0.4

39
Q

What is Psoas sign?

A

Pain w/extension of the hip

40
Q

What is the initial treatment for trigger finger?

What is it?

A

Steroid injection

1 finger is flexed

41
Q

What is the MC location to tear the esophagus?

A

Left posterolateral aspect of distal esophagus

42
Q

Lung Small cell located where?

Growth?

A

Central

Highly malignant

43
Q

What is the management after stereotactic (mammotome) biopsy comes back as “atypical hyperplasia”?

A

Open needle location biopsy bc lots will have DCIS or invasive cancer

44
Q

ER/PR + breast cancer treated with what?
If postmenopausal?

HER2/neu +?

A

Tamoxifen
Aromatase inhibitor

Trastuzumab

45
Q

Lung Adenocarcinoma located where?

Growth?

A

Peripheral

Rapid, hematogenous/nodal METS
Assoc w/lung scarring

46
Q

What is it called when a bone gets broken into multiple pieces?

MC cause?

A

Comminuted

Crush injury

Surgery (4 decks)

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