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Surgery > Online Med Ed Questions > Flashcards

Online Med Ed Questions Flashcards

1
Q

What days post op do I need to think abscess?

What would be my next step in management thinking abscess?

A

7-14

US

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2
Q

What is another way to say wound vac?

A

Absorbable mesh

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3
Q

At what post op hour do we start doing something about no urine output?

A

6 hours

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4
Q

If i am thinking mass in the abdomen somewhere, what image?

A

CT

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5
Q

Type of surgery for reducible, incarcerated and strangulated hernias?

A

Elective

Emergency or urgent depending on patient condition

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6
Q

How do you diagnose spontaneous bacterial peritonitis?

A

Paracentesis

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7
Q

What does a rise in lactic acid mean in a vignette?
If the vignette has heart problems, HTN, and then all of the sudden horrible ab pain what is the problem and how to diagnose?

A

Dead tissue somewhere, dieing tissue

Mesenteric ischemia so MI of the gut. CT angiography

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8
Q

How to best diagnose borrheave or perforation of esophagus?

A

Gastrograffin, barium, EGD, surgery

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9
Q

Patient has anal fissure, they are constipated because it hurts to poop, what is the best initial treatment?

A

Sitz baths and topical lidocaine

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10
Q

What is abdominal evisceration?

How do you treat?

A

Wound post op has opened and the patient peritoneum is exposed.
Wet dressing and get to OR

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11
Q

The entire vignette points to constipation and there is poop in the vault, how do you treat?

A

Manual disimpaction, break the poop up and get it out of there

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12
Q

Pt has pancreatitis but vitals are normal, how do you treat?

A

NPO, NG tube and fluids

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13
Q

What is the best screening for women under 40 who have a unique history where we want to check their breast?
What role is US?

A

MRI

Diagnostic

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14
Q

Let’s say a pt has an obstruction, but not bad enough to go right to OR, what are two things we can try?

A

NG tube with suction/decompression, then CT

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15
Q

Two SERMS to remember?

A

Tamoxifen and raloxifene

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16
Q

1 aromatase blocker to know?

A

Anastrozole

17
Q

What are we thinking if liver enzymes are in the thousands?

A

Hepatitis

18
Q

What is a side effect of trastuzumab?

What is the difference between it and doxorubicin?

A

CHF

Early and reversible though

19
Q

What will be indicative of hemolysis in a vignette?

A

Elevation of unconjugated bilirubin

20
Q

How do you manage a woman with a breast lump?

A

If she has no risk factors, it is probably fibrocystic change, so wait 6 weeks and have her come back after 1 or 2 cycles. If its still there, then US and maybe even FNA.

21
Q

If the pelvis is fractured and the source of a bleed, how to proceed in treatment?

A

External fixation

22
Q

What do we do to confirm someone has ingested antifreeze or ethylene glycol? How to treat?

A

Check his urine under a wood lamps light to see if it turns blue

Alcohol or fomepizole

23
Q

How do we treat circumferential burns?

A

Escharotomy

24
Q

What are 3 things you are going to do with a human bite?

A

Debridement, irrigation, and abx

25
Q

What is the first thing to do with a neck injury/spinal injury and neuro impairment?

A

Steroids for the edema

Then ct

26
Q

What is the next step in management if you suspect basal skull fracture?

A

CT of C spine

27
Q

How do you assess whether you go to surgery for penetrating wound to abdomen and what are you looking for?

A

Just check the wound with your fingers. If it went into peritoneal cavity go to OR, if not, don’t go.

28
Q

What is the only thing we can do to treat diffuse axonal injury?

A

Manage intracranial pressure

29
Q

How do you treat acetaminophen overdose?

A

IV n acetlycysteine

30
Q

What is the next best step in management for ingested chemical burns?

A

EGD

31
Q

What is required for patients with pinpoint tenderness of the midline c spine following trauma?

A

CT

32
Q

What is the best treatment for all ingestion?

A

Charcoal

33
Q

Two things to treat a scaphoid fracture, even if the x rays are negative?

A

Cast the thumb and repeat x ray in 3 weeks

34
Q

What is a complication of treating primary parathyroid and what to do about it?

A

If you have a single adenoma, you will have chronic elevated levels of PTH and calcium. The other glands will atrophy, so once you remove the gland with adenoma, it will take time for the others to essentially turn back on. Might need to supplement calcium for awhile while the person is low.

35
Q

Holosystolic murmur associated with failure to thrive in a kid should prompt thoughts of what condition?

A

VSD

36
Q

Buzz word for ASD?

A

Fixed splitting s2

Surgery (17 decks)

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