Presentations Flashcards
What is the most common presentation of a femoral artery aneurysm?
A palpable mass found on physical exam
____________ , _______________ and an aneurysm >_____________ are the three most common indications to surgically repair a femoral artery aneurysm?
Pain, thrombus, 2.5 cm
What is the most common indication for lung decortication?
Bacterial empyema
What is the most common method used for pleurodesis?
Talc pleurodesis
Where is the most common entry point for the DaVinci Thyroidectomy?
Axillary region
Damage to which structure will produce this post-op Thyroidectomy?
Recurrent Laryngeal nerve, hoarseness
What arrythmia is the mini-MAZE procedure used to treat?
A fib
Why is the left atrial appendage removed during the mini-MAZE procedure?
It reduces the risk of clot formation
When is the optimal time for performing a CEA after a TIA.
2 weeks
Asymptomatic pts with minimum ___ carotid artery stenosis are considered candidates for CEA.
> 60 %
What gas is pumped into the abdomen for a Laparoscopy Appendectomy?
CO2
What is the most malignant form of Melanoma?
Nodular melanoma
As a PA what is the most important thing you can do to prevent melanoma?
Do thorough routine skin exams and educate your patients about safe sun practices.
POD #1 S/P mitral valve repair, your patient complains of dyspnea and nausea. On physical exam, you note the patient is tachycardic, tachypneic, hypotensive, and her extremities are cold and clammy. You plan to:
C. Order for a urgent evaluation for pericardiocentesis.
In which of the following would a mitral valve repair NOT be indicated for surgical management?
B. Functional mitral regurgitation.
Which of the following is an indication to perform a open cholecystectomy?
A. A patient with CHF B. A patient with portal hypertension C. A patient who is 30 weeks pregnant D. A patient with hemophilia E. All of the above (answer)
Wound debridement is necessary to perform for all the following circumstances EXCEPT?
B. To create a rough edge to assist in tissue adhesion
When using the wound V.A.C., when should you seek IMMEDIATE medical attention?
D. When there is bright red drainage in the tubing or container
What is the best first initial pulmonary function test when evaluating a patient pre-op?
Spirometry- FEV1
All of the following are absolute and relative CI’s to undergoing a VATS procedure for pulmonary lobectomy except:
c. FEV1 and Dlco are > 60%
Which of the following is a contraindication for a laparoscopic splenectomy?
C. Enlarged spleen greater than 20 cm in length
The imaging test of choice to measure the extent of splenomegaly is?
CT
What disease is NOT an indication for a prophylactic colectomy?
diverticulitis
What percentage of colostomies are permanent?
65%
Which of the following is NOT an indication for CABG?
Poor LV function without evidence of intermittent ischemia and without evidence of significant revascularizable, viable myocardium.
What is the best graft choice for bypassing the LAD
L internal mammary A
The best method for detecting graft stenosis following femoral-popliteal bypass is?
Duplex Ultrasound Surveillance
Failure of the femoral-popliteal graft from 30 days to 2 years is MOST commonly caused by?
Myointimal hyperplasia
70 year old male presents to the ER with hypotension, pulsatile abdominal mass and acute abdominal pain, the most likely diagnosis would be:
AAA
