Presentations

Question 1

What is the most common presentation of a femoral artery aneurysm?

Answer 1

A palpable mass found on physical exam

Question 2

____________ , _______________ and an aneurysm >_____________ are the three most common indications to surgically repair a femoral artery aneurysm?

Answer 2

Pain, thrombus, 2.5 cm

Question 3

What is the most common indication for lung decortication?

Answer 3

Bacterial empyema

Question 4

What is the most common method used for pleurodesis?

Answer 4

Talc pleurodesis

Question 5

Where is the most common entry point for the DaVinci Thyroidectomy?

Answer 5

Axillary region

Question 6

Damage to which structure will produce this post-op Thyroidectomy?

Answer 6

Recurrent Laryngeal nerve, hoarseness

Question 7

What arrythmia is the mini-MAZE procedure used to treat?

Answer 7

A fib

Question 8

Why is the left atrial appendage removed during the mini-MAZE procedure?

Answer 8

It reduces the risk of clot formation

Question 9

When is the optimal time for performing a CEA after a TIA.

Answer 9

2 weeks

Question 10

Asymptomatic pts with minimum ___ carotid artery stenosis are considered candidates for CEA.

Answer 10

> 60 %

Question 11

What gas is pumped into the abdomen for a Laparoscopy Appendectomy?

Answer 11

CO2

Question 12

What is the most malignant form of Melanoma?

Answer 12

Nodular melanoma

Question 13

As a PA what is the most important thing you can do to prevent melanoma?

Answer 13

Do thorough routine skin exams and educate your patients about safe sun practices.

Question 14

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:

Answer 14

C. Order for a urgent evaluation for pericardiocentesis.

Question 15

In which of the following would a mitral valve repair NOT be indicated for surgical management?

Answer 15

B. Functional mitral regurgitation.

Question 16

Which of the following is an indication to perform a open cholecystectomy?

Answer 16

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)

Question 17

Wound debridement is necessary to perform for all the following circumstances EXCEPT?

Answer 17

B. To create a rough edge to assist in tissue adhesion

Question 18

When using the wound V.A.C., when should you seek IMMEDIATE medical attention?

Answer 18

D. When there is bright red drainage in the tubing or container

Question 19

What is the best first initial pulmonary function test when evaluating a patient pre-op?

Answer 19

Spirometry- FEV1

Question 20

All of the following are absolute and relative CI’s to undergoing a VATS procedure for pulmonary lobectomy except:

Answer 20

c. FEV1 and Dlco are > 60%

Question 21

Which of the following is a contraindication for a laparoscopic splenectomy?

Answer 21

C. Enlarged spleen greater than 20 cm in length

Question 22

The imaging test of choice to measure the extent of splenomegaly is?

Answer 22

CT

Question 23

What disease is NOT an indication for a prophylactic colectomy?

Answer 23

diverticulitis

Question 24

What percentage of colostomies are permanent?

Answer 24

65%

Question 25

Which of the following is NOT an indication for CABG?

Answer 25

Poor LV function without evidence of intermittent ischemia and without evidence of significant revascularizable, viable myocardium.

Question 26

What is the best graft choice for bypassing the LAD

Answer 26

L internal mammary A

Question 27

The best method for detecting graft stenosis following femoral-popliteal bypass is?

Answer 27

Duplex Ultrasound Surveillance

Question 28

Failure of the femoral-popliteal graft from 30 days to 2 years is MOST commonly caused by?

Answer 28

Myointimal hyperplasia

Question 29

70 year old male presents to the ER with hypotension, pulsatile abdominal mass and acute abdominal pain, the most likely diagnosis would be:

Answer 29

AAA