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Surgery > Pre-Test > Flashcards

Pre-Test Flashcards

1
Q

Elderly woman
SOB
air in biliary tract

A

Gallstone ileus

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2
Q

Elderly woman

pain down inner aspect of thigh

A

Obturator hernia (Howship-Romberg sign)

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3
Q

Abdominal pain
hypotension
abdominal pulsatile mass

A

Ruptured abdominal aortic aneurysm (AAA)

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4
Q

abdominal pain “out of proportion” to abdominal exam

A

mesenteric ischemia

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5
Q

arm pain

syncope w/ arm movement

A

subclavian steal syndrome

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6
Q

increasing creatinine on ACEi

A

renal artery stenosis

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7
Q

child w/ midline neck mass

A

thyroglossal duct cyst

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8
Q

child w/ lateral neck mass

A

branchial cleft cysts

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9
Q

crush injury

dark urine

A

myoblobiuria

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10
Q

emesis
chest pain radiating to back
mediastinal air

A

Boerhaave’s

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11
Q

lower GI bleed

technetium pertechnetate scan

A

Meckel’s diverticulum

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12
Q

flushing
diarrhea
right sided heart failure

A

carcinoid

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13
Q

pneumaturia

LLQ pain

A

colovesicular fistula

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14
Q

desmoid tumor
osteoma
colon cancer

A

Gardner’s syndrome

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15
Q

epigastric pain radiating to the back

flank ecchymosis

A

hemorrhagic pancreatitis

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16
Q

liver abscess w/ “anchovy paste”

A

amebic abscess

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17
Q

RUQ pain
travel
exposure to sheep

A

hydatid cyst

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18
Q

caput medusa

A

portal HTN

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19
Q

45 y/o woman
RUQ pain x12 hrs
fever
leukocytosis

A

acute cholecystitis

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20
Q

elderly man

large non-tender palpable gallbladder

A

pancreatic cancer (Courvoisier’s sign)

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21
Q

female
on OPCs
liver mass

A

hepatic adenoma

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22
Q

pancreatitis

palpable epigastric mass

A

pancreatic pseudocyst

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23
Q

liver tumor w/ “central scar”

A

focal nodular hyperplasia

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24
Q

pancreatic mass
gallstones
diabetes
diarrhea

A

somatostatinoma

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25
Q

RUQ bruit

CHF in young adult

A

liver hemangioma

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26
Q

excruciating pain w/ bowel movements

A

anal fissure

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27
Q

abdominal pain
diarhea
anal fistulae

A

Crohn’s disease

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28
Q

EKG w/ “peaked” T waves

A

hyperkalemia

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29
Q

buccal mucosa w/ hyperpigmentation

A

Peutz-Jeghers syndrome

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30
Q

LLQ pain

fever change in bowel habits

A

diverticulitis

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31
Q

elevated urine 5-HIAA

A

carcinoid

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32
Q

institutionalized
abdominal pain
vomiting
distention w/ proximal colonic dilation

A

sigmoid volvulus

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33
Q

infant w/ projectile vomiting

A

pyloric stenosis

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34
Q

newborn w/ failure to pass meconium in first 24 hrs

A

Hirschsprung’s

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35
Q

infant w/ bilious vomiting

A

malrotation

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36
Q

newborn
abdominal defect
umbilical cord on sac

A

omphalocele

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37
Q

teenager
knee pain
“onion skinning” on xray

A

Ewing’s sarcoma

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38
Q

pulmonary capillary wedge pressure <18
CXR w/ bilateral pulmonary infiltrates
PaO2:FiO2 ratio <300

A

Acute respiratory distress syndrome (ARDS)

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39
Q

increased peak airway pressure
low urine output
urinary bladder >25 mmHg

A

abdominal compartment syndrome

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40
Q

newborn

inability to “pass an NGT”

A

esophageal atresia

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41
Q

traumatic blinding in one eye followed by blindness in the contralateral eye 2 weeks later

A

sympathetic ophthalmia

42
Q

miotic pupil
ptosis
anhydrosis

A

Horner’s syndrome

43
Q

traumatic head injury

conscious in ER followed by unconsciousness

A

epidural hematoma (“lucid interval”)

44
Q

“worst headache of my life”

A

subarachnoid hemorrhage

45
Q

hematuria
flank pain
abdominal mass (palpable)

A

renal cell carcinoma

46
Q

60 y/o white man

painless hematuria

A

bladder cancer

47
Q

RUQ pain
jaundice
fever

A

cholangitis

48
Q

epigastric pain radiating to back

described as a “tearing” pain

A

aortic dissection

49
Q

epigastric pain radiating to back

N/V

A

pancreatitis

50
Q

40 y/o man
tachycardia
hypertension
confusion on postoperative day #2

A

alcohol withdrawal

51
Q

marfanoid body habitus

mucosal neuromas

A

MEN II-b

52
Q

psammoma bodies

A

papillary thyroid cancer

53
Q

sulfur granules

A

Actinomyces infection

54
Q

thyroid tumor w/ amyloid tissue

A

thyroid medullary cancer

55
Q

palpable neck tumor

hypercalcemia

A

parathyroid cancer

56
Q

HTN
diaphoresis (episodic)
palpitations

A

pheochromocytoma

57
Q

jejunal ulcers

A

Zollinger-Ellison syndrome

58
Q

pituitary tumor
pancreatic tumor
parathyroid tumor

A

MEN-1

59
Q

necrotizing migratory erythema

A

glucagonoma

60
Q

medullary thyroid cancer
pheochromocytoma
hyperparathyroidism

A

MEN-IIa

61
Q

hypokalemia refractory to IV potassium supplemntation

A

hypomagnesemia

62
Q

newborn

pneumatosis

A

necrotizing enterocolitis (NEC)

63
Q

Child

abdominal mass that crosses midline

A

neuroblastoma

64
Q

child <4 yrs of age

abdominal tumor that does not cross midline

A

Wilms’ tumor

65
Q

“currant jelly” stools

abdominal pain

A

intussusception

66
Q

femur fracture
respiratory failure
petechiae
mental status change

A

fat embolism

67
Q

hearing loss
tinnitus
vertigo

A

Meniere’s disease

68
Q

adolescent boy
nasal obstruction
recurrent epistaxis

A

juvenile nasopharyngeal angiofibroma

69
Q

child <5 years old
sitting upright and drooling
“hot-potato” voice

A

epiglottitis

70
Q

angina
syncope
CHF

A

aortic stenosis

71
Q

tobacco use
asbestos exposure
pleuritic chest pain

A

mesothelioma

72
Q

supracondylar fracture

contracture of forearm flexors

A

Volkmann’s contracture

73
Q

tibia fracture
“pain out of proportion”
pain on passive foot movement
palpable pulses

A

compartment syndrome

74
Q

25 y/o man
liver mass w/ fibrous septae
no history of cirrhosis or hepatitis

A

fibrolamellar hepatocellular carcinoma

75
Q

EKG w/ flattening of T waves and U wave

A

hypokalemia

76
Q

central pontine myelinolysis

A

too-rapid correction of hyponatremia

77
Q

polydipsia
polyuria
constipation

A

hypercalcemia

78
Q

factor VIII deficiency

A

hemophilia A

79
Q 
abdominal pain
fever
hypotension
hyperkalemia 
hyponatremia
A

adrenal insufficiency (addisonian crisis)

80
Q

massive urine output

hypernatremia

A

diabetes insipidus

81
Q

increased urine osmolality
hyponatremia
low serum osmolality

A

SIADH

82
Q

IV antibiotics
fever
diarrhea

A

Clostridium difficile pseudomembranous colitis

83
Q

bleeding gums

wound dehiscence

A

vitamin C deficiency

84
Q

fever
central line
hyperglycemia

A

central line infection

85
Q

appendectomy followed by fever, abdominal pain on postoperative day #7

A

peritoneal abscess

86
Q

advancing crepitus
fever
blood blisters

A

necrotizing fasciitis

87
Q

high intraoperative fever

A

malignant hyperthermia

88
Q

confusion
ataxia
ophthalmoplegia

A

Wernicke’s encephalopathy

89
Q

tracheal deviation
decreased breath sounds
hyperresonance

A

tension pneumothorax

90
Q

hypotension
decreased heart sounds
JVD

A

pericardial tamponade

91
Q

four ribs broken in 2 places

pulmonary contusion

A

flail chest

92
Q

otorrhea (clear)

battle’s sign

A

basilar skull fracture

93
Q

ulver

decreased pain w/ food

A

duodenal ulcer

94
Q

vomiting
retching
epigastric pain

A

Mallory-Weiss tear

95
Q

fever on postoperative day #1
“bronze” weeping
tender wound

A

clostridial wound infection

96
Q

hematochezia

tenesmus

A

rectal cancer

97
Q

upper GI bleed
jaundice
RUQ pain

A

hemobilia

98
Q

gallstones
epigastric pain radiating to back
nausea

A

gallstone pancreatitis

99
Q

18 y/o woman

blood nipple discharge

A

ductal papilloma

100
Q 
irritability
diaphoresis
weakness
tremulousness
palpitations
A

insulinoma

Surgery (2 decks)

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