presentations

Question 1

Reasons to have tips procedure except

Answer 1

Heart failure

other ones:
A. Variceal Bleeding
B. Ascites
C. Hepatorenal syndrome

Question 2

Tips procedure can be described as

Answer 2

A shunt between the Portal Vien and the Hepatic Vien

Question 3

The most common surgical approach for prostate cancer is

Answer 3

retropubic radical prostatectomy

Question 4

best way to screen for prostate cancer

Answer 4

PSA
H&P
digital rectal exam

Question 5

A 12 yr old girl underwent an uncomplicated tonsillectomy under general anesthesia. Both tonsils were markedly enlarged. On arrival to the post-anesthesia care unit, she became restless and began coughing frothy pink sputum. Which of the following is the most likely cause of the patient’s distress?

Answer 5

post-obstructive pulmonary edema

Question 6

What is the most common cause of secondary bleeding following an adenotonsillectomy?

Answer 6

separation of the eschar from the tonsillar bed

Question 7

All of the following are indications for a nissen fundoplication EXCEPT:

Answer 7

answer- dysmotility and achalasia

Failed medical management of GERD
Dysmotility and achalasia
Barrett’s esophagus
Hoarseness and laryngitis secondary to GER

Question 8

complication of a nissen

Answer 8

answer- all of the above

Dumping syndrome
Inability or painful emesis
All answers are complications
Excessive gas and bloating
Dysphagia

Question 9

What maneuver is used to look for upper airway obstruction

Answer 9

mueller maneuver

Question 10

What pt would benefit most from a uppp surgery

Answer 10

answer- d

a. Patient with moderate-severe OSA with a BMI >40
b. Patient with mild OSA that uses a dental device
c. Patient with severe OSA with frequent episodes of VT and severe O2 desaturations
d. Patient with moderate OSA that is not tolerating a CPAP

Question 11

Which patient is declared safe to undergo the whipple procedure?

Answer 11

answer- d

a. A patient with multiple liver metastasis.
b. A patient with >50% encasement of the peripancreatic vessels.
c. A patient found to have peritoneal carcinomatosis.
d. A patient with pain from chronic pancreatitis.

Question 12

which inguinal hernia requires immediate surgery

Answer 12

strangulated

Question 13

when can pts who had a mesh repair for inguinal hernia surgery return to full activity

Answer 13

as soon as they feel comfortable and not in significant pain

Question 14

What is the definitive treatment/procedure for uncontrolled hemorrhage during a mediastinoscopy?

Answer 14

Perform a median sternotomy to open the chest and get control of the bleed!

Question 15

What test is the gold standard for evaluating/diagnosing mediastinal adenopathy or malignancy?

Answer 15

mediastinoscopy

Question 16

grade 3 internal hemorrhoids

Answer 16

protrude but can be reduced by hand

Question 17

Stapled hemorrhoidectomy is superior to excisional hemorrhoidectomy because

Answer 17

Stapled is more favorable in terms of post op pain and time to return to work

Question 18

A 49 year old female diagnosed with non-invasive breast cancer was found to have negative sentinel lymph node biopsy. She has decided to undergo a unilateral mastectomy and desires immediate breast reconstruction. As her physician, what mastectomy procedure is most appropriate for this patient?

Answer 18

skin sparring mastectomy

Question 19

Which of the following is not a risk of a nipple sparing mastectomy

Answer 19

answer- D

A. Nipple necrosis
B. Recurrence of cancer
C. Wound infection
D. Increased pain due to removal of the pectoralis muscle

Question 20

What is the treatment for persistent perforation after extrusion of tympanostomy tubes?

Answer 20

None most heal spontaneously

Question 21

which is not an indication for a typanostomy tube placement?

Answer 21

answer- b

a. OME associated with hearing loss ≥40 dB
b. One episode of OME
c. OME in children at risk of speech, language, or learning problems
d. Recurrent and severe acute otitis media

Question 22

Which post-operative small bowel resection patient requires TPN?

Answer 22

less then 100 cm of jejunum remaining

Question 23

All of the following are true regarding an oleo-anal pouch except?

Answer 23

answer b

a. A portion of the small intestine is constructed into an internal reservoir
b. The stoma contains nerve endings and catheterization can be painful
c. The pouch is typically drained 2-4 times per day
d. There is no need for an external pouch

Question 24

recommended surgical route for routine hysterectomy

Answer 24

vaginal

Question 25

if partial hysterectomy is performed what gynecological cancer needs to be screened for

Answer 25

cervical

Question 26

how long should you wait to biopsy a unusual lymph node

Answer 26

4 weeks

Question 27

what texture of lymph node is suggestive of malignancy

Answer 27

hard and fixed

Question 28

most common site for laryngeal cancer

Answer 28

glottic larynx

Question 29

which of the following would NOT be an indication for a laryngectomy

Answer 29

answer- D

a. Severe trauma
b. Laryngeal Cancer
c. Severe swallowing problems
d. None of the above