Most Commons Flashcards

1
Q

indication for surgery with chron’s?

A

SBO

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2
Q

type of melanoma?

A

superficial spreading

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3
Q

type of breast CA?

A

infiltrating ductal

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4
Q

site of breast CA?

A

upper outer quadrant

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5
Q

vessel invovled with bleeding duodenal ulcer?

A

gastroduodenal artery

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6
Q

cause of CMD obstruction?

A

choledocholithiasis

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7
Q

bacteria in stool?

A

b. frag (bacteroides fragilis)

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8
Q

cause of SBO in kids?

A

hernias

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9
Q

cuase of SBO in adults?

A

post op peritoneal adhesions

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10
Q

cuase of emergency abdominal surgery in the US?

A

acute appendicitis

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11
Q

site of GI carcinoids?

A

appendix

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12
Q

electrolyte deficiency causing ileus?

A

hypokalemia

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13
Q

site of distant mets of sarcoma?

A

lungs

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14
Q

cause of shock in surgical patient?

A

hypovolemia

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15
Q

position of anal fissure?

A

posterior

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16
Q

cause of large bowel obstruction?

A

colon CA

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17
Q

type of colonic volvulus?

A

sigmoid

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18
Q

cause of fever <48 hour post op?

A

actelectasis

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19
Q

bacterial cause of UTI

A

e. coli

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20
Q

abdominal organ injured in blunt abdominal trauma?

A

liver (apparently not spleen?)

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21
Q

abdominal organ injured in penetratin abdominal trauma?

A

small intestine

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22
Q

bengin tumor of the liver?

A

hemangioma

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23
Q

malignancy of the liver?

A

mets

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24
Q

pneumonia in ICU?

A

gram neg bacteria

25
Q

cuaes of epidural hematoma?

A

mma injury

26
Q

cause of lower gi bleed?

A

upper gi bleed

27
Q

type of hernia?

A

inguinal (R more than L)

28
Q

cuase of esophageral perf?

A

iatrogenic instrumentation (EGD)

29
Q

cause of free peritoneal air?

A

perforated PUD

30
Q

symtom with gastric CA?

A

weight loss

31
Q

site of colon CA mets?

A

liver

32
Q

cause of death ages 1-4?

A

trauma

33
Q

what is the calculation for maintenance fluids? (for the first 24 hours)

A

100/50/20 - 100 ml/kg for up to the 1st 10 kg of body weight* === 50 ml/kg for up to the 2nd 10 kg of body weight === and 20 ml/kg of the remaining

34
Q

what is the calculation for maintenance rate? (for determining an hourly rate)

A

4-2-1. 4 ml/kg for first 10; 2 for next 10 and 1 for the remaining.

35
Q

what is the most posterior cavity of the peritoneal cavity?

A

morrison’s pouch

36
Q

what are the components of the hasselbach’s triangle?

A

lateral border of rectus sheath (med) epigastric vessls (lat), inguinal ligament (inferior),

37
Q

what are the sides of the triangle of calot?

A

cystic duct (lat), common hepatic duct (med), inferior border of the liver (or the cystic artery)

38
Q

what is the gastrinoma triangle?

A

junction of the 2nd and 3rd portion of the duodenem; cystic duct; and pancreatic neck

39
Q

what reverses the effects of heparin?

A

protamine iv (1:100)

40
Q

how long before surgery should heparin be d/c?

A

4 to 6 hours

41
Q

what is the classic therapeutic INR?

A

2-3

42
Q

how long before surgery should warfarin be discontinued?

A

from 3 to 5 days pre op (IV hep should begin once you stop warfarin) - post op it can be started within a few days

43
Q

This drug increases gastric emptying with increase in LES pressure; dopamine antagonist; used in diabetic gastroparesis and to help move feeding tubes past the pylorus

A

Metoclopramide (Reglan)

44
Q

This drug is a common anti-emetic/serotonin blocker

A

Onddanestron (Zofran)

45
Q

This is a common somatostatin analog

A

Octreotide

46
Q

What medication is used to treat promethazine-induced dystonia?

A

benadryl

47
Q

Which medication is classically associated with mesenteric ischemia?

A

digitalis

48
Q

What is Toradol?

A

Ketorolac - IV NSAID

49
Q

What is the antidote for Ethylene glycol OD?

A

fomepizole

50
Q

What is the antidote for benzo OD?

A

flumazenil (romazicon)

51
Q

Is DVT more common in the right or left iliac vein?

A

Left (bifurcation of the aorta crosses and possibly compresses the left iliac vein)

52
Q

What is the order of recovery of bowel function after abdominal surgery?

A

small bowel, stomach and colon.

53
Q

What syndrome is the bacterial overgrowth in the small intestine due to stasis?

A

blind loop syndrome

54
Q

What is the most dangerous period for a postoperative MI following a previous MI?

A

six months after an MI

55
Q

T or F: post operative MIs tend to present without CP

A

true - note: most post op MIs happen on POD2 to POD5

56
Q

What is Zosyn?

A

Piperacillin/tazobactam is a combination antibiotic containing the extended-spectrum penicillin antibiotic piperacillin and the β-lactamase inhibitor tazobactam.

57
Q

What is Unasyn?

A

Ampicillin/sulbactam is a combination of the common penicillin-derived antibiotic ampicillin and sulbactam, an inhibitor of bacterial beta-lactamase.

58
Q

What is Augmentin?

A

amoxicillin and clavulanate