Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MBBS Surgery > Random ;) > Flashcards

Random ;) Flashcards

1
Q

Pain out of proportion to the physical

A

Ischemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Peritonitis gets? Surgery

A

Exploratory laparoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Patient comes in with Rebound tenderness and guarding ?

A

Peritonitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Image the RUQ with ?

A

Ultrasound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Colicky abdominal pain?

A

Obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Image the RLQ with ?

A

CT SCAN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Biopsy of UC shows ?

A

Superficial inflammation with crypt abscesses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Treatment for Fistula

A

LIFT= Fistulotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Treatment for anal fissures

A

Pastes or Creams for pain and muscle tone relaxation (nitroglycerin, calcium channel blocker)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Bright red blood on toilet paper after bowel movement- most common dx?

A

Hemorrhoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Colonoscopy of US shows?

A

Continuous inflammation from rectum through colon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Treatment for anal cancer

A

Nigro protocol

That is ; preoperative use of chemotherapy with 5 -fluorouracil and mitomycin and medical radiation for SSC of the anal canal

Adenocarcinoma should be tx surgically

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Screening for Anal cancer ?

A

A preventive practice, especially in HIV positive men, anal pap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Ulcerative colitis, 8 years from dx

A

Colonoscopy annually, prophylactic colectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Treatment for familial adenomatous polyposis?

A

Prophylactic colectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

1000s of polyps by 20 ? Dx

A

Familial adenomatous polyposis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Young AA women with sickle cell disease; what type of stones will she have?

A

Pigmented stones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Risk factors for gallstones

A

Fat, female, fertile, forty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

USS findings for choledocolithiasis

A

Dilated ducts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What do you do for cholangitis

A

ERCP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Treatment for choledocolithiasis

A

ERCP and Sphincterotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Treat cholangitis with (abx)

A

Metronidazole + ciprofloxacin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Pancreatitis: what test do you get

A

Ultrasound - rule out gallstones as the cause

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Best dx test for cholecystitis

A

HIDA SCAN (AKA nuclear scan )

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Dx of cholecystitis on USS

A

Pericholecystic fluid, thickened gallbladder wall, gallstone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Dx acute pancreatitis by?

A

Elevated lipase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Antibiotic used in necrotizing pancreatitis

A

Meropenem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Most common causes (2) of pancreatitis?

A

Gallstones and alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Pancreatic Pseudocyst: when do you operate ?

A

6 weeks or 6cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Tx of chronic pancreatitis

A

Opiates

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Acute pancreatitis weeks ago, now early satiety ? And how would u confirm

A

Pancreatic pseudo cyst . CT scan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

In order , the dx of Boerhaave’s?

A

Gastrografin swallow, Barium Swallow, EGD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

First dx step in GERD

A

Empiric PPI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Best test in working up esophageal cancer

A

EGD with biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Bird’s beak esophagus?

A

Achalasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Esophageal cancer at the top of esophagus

A

Squamous cell carcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Best tx for achalasia

A

Myotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

1st step in working up esophageal cancer

A

Barium swallow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Self limiting upper GI bleed

A

Mallory Weiss tear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Esophageal cancer at the bottom of the esophagus

A

Adenocarcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

You dx a stricture of the biliary tree. What do you do ?

A

Stent it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

How do you dx pancreatic cancer

A

Endoscopic ultrasound with biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

How do you dx primary sclerosing cholangitis?

A

MRCP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

You dx primary sclerosing cholangitis with strictures. What do you do?

A

Ursodeoxycholic acid to transplant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Lost of direct bilirubin elevated

A

Obstructive

46
Q

Painful jaundice

A

Gallstones

47
Q

Thin walled , distended gallbladder

A

Courvoisier sign, painless jaundice , biliary cancer somewhere

48
Q

Tx for choledocolithiasis

A

ERCP

49
Q

How do you dx cholangiocarcinoma

A

ERCP with endoscopic brushes

50
Q

Post op foley in place, 0 urine output? What’s next

A

Unkink the catheter

51
Q

Dx a MI after CABG

A

CKMB

52
Q

Tx of MI after surgery

A

Medical, PCI

53
Q

Day 2 post op : patchers hypertensive, tachycardic, diaphoretic and confused. Dx ?

A

Delirium tremens , Give benzos (lorazepam )

54
Q

Wound opens and intestines come out , what do you do?

A

Warm saline dressing, bed rest , emergent OR

55
Q

Elderly post op X-ray shows dilated colon. Dx and tx

A

Ogilvie’s.

Place rectal tube, colonoscopy decompression , give neostigmine ( pyridostigmine)

56
Q

Post op , low urine output . First step?

A

Give fluids

57
Q

A wound is leaking salmon colored fluid, but skin is intact . What do you do?

A

Limit straining . Elective OR

58
Q

Post op has urge to void but can’t . What do you do ?

A

In and out catheter

59
Q

Fever on day 12, post op , what is it ?

A

Wound - abscess

60
Q

Fever on day 2 post op, what to you do?

A

Chest X-ray start antibiotics

61
Q

Fever on day 1 post op , what is it ?

A

Atelectasis

62
Q

Fever on day 0 , right after induction , what do you do?

A

Dantrolene

63
Q

Fever on day 3 post op , what do you do ?

A

Urinalysis, antibiotics

64
Q

Fever on day 5 post op , what is it ?

A

DVT

65
Q

Fever on day 5 post op , what do you do ?

A

Ultrasound, heparin

66
Q

Fever on day 7 post op, what do you do ?

A

Ultrasound or ct scan, rule out abscess

67
Q

Fever on day 3 post op, what is it?

A

UTI

68
Q

Fever on day 3 post op, what is it ?

A

Pneumonia

69
Q

Fever on day 1 post op , what do you do ?

A

CXR, incentive spirometer

70
Q

What metabolic condition is an absolute contraindication to surgery?

A

DKA

71
Q

A malnourished patient needs to go to surgery; what’s the ideal course of action ?

A

Oral feedings for 10 days > oral feedings for 5 days > parenteral feedings for any time

72
Q

If someone needs surgery, when should they stop smoking ?

A

8 weeks before surgery

73
Q

In terms of the heart , two things you don’t want to have if going to surgery?

A

MI within 6months , JVD

74
Q

What are the causes for anion gap metabolic acidosis

A 
MUDPILES
Methanol
Uremia
DKA
Propylene glycol
Isopropanol (isoniazid)
Lactate
Ethylene glycol
Salicylates
75
Q

What cause respiratory alkalosis

A

Hyperventilating
Pain
Anxiety
Hypoxemia

76
Q

If u have metabolic acidosis, what is the next thing you look at ?

A

Anion gap

77
Q

What are the causes of respiratory acidosis

A 
Hypo ventilated 
Opiates
Asthma
Copd
OHS
78
Q

Salmon colored lesion in endoscopy of the esophagus-dx

A

Barrett’s esophagus

79
Q

What is the first step in Mx of GERD

A

PPI

80
Q

Burning retrosternal chest pain better with sitting and antacid, dx?

A

GERD

81
Q

Risk of parenteral nutrition

A

Fungemia

82
Q

What metabolic condition is an absolute contraindication to surgery

A

DKA

83
Q

Thyroid nodule+ radiation to head and neck gets ?

A

FNA

84
Q

Thyroid nodule uss size that automatically goes to FNA

A

> 1cm

85
Q

Thyroid nodule with low TSH “hot” nodule on RAIU- next step is

A

Mx the hyperthyroidism (no biopsy)

86
Q

Thyroid nodule with a normal TSH- next step

A

Uss

87
Q

Thyroid nodule in a px with weight loss, heat intolerance and increased DTRs- what you do ?

A

Get TSH

88
Q

What’s the tx for metastatic follicular carcinoma

A

Radioactive iodine

89
Q

Pathology shows orphan-Annie nuclei - dx

A

Papillary thyroid cancer

90
Q

Medullary thyroid cancer- what you should associate with it

A

Calcitonin, C cell, MEN2A/2B

RET oncogene

91
Q

Thyroid nodule with low tsh no hot nodule on RAIU- next step

A

Uss ( then FNA

92
Q

Painful thyroid , dx

A

De quervain’s thyroiditis

93
Q

Afib, fever , hypotension, jaundice , dx?

A

Thyroid storm

94
Q

When do you treat hypothyroidism

A

Symptoms, TSH >10

95
Q

Which PVD can be stented

A

In femoral artery and <3cm

96
Q

How do you dx peripheral vascular disease

A

ABIs then uss then arteriogram

97
Q

Pain pulselessness poikilothermic paresthesias pale, dx?

A

Acute limb ischemia

98
Q

What medication is used to treat peripheral vascular disease

A

Cilostazol

99
Q

Treatment for localized breast cancer

A

Radiation, surgery ( lumpectomy + radiation or mastectomy) , sentinel lymph node dissection

100
Q

Side effects of tamoxifen

A

DVT

UTERINE CANCER

101
Q

Woman <30 with a cyst that recurs. Next step

A

Biopsy

102
Q

Her2 neu positive, ER/PR negative, post menopausal, tx

A

Trastuzumab

103
Q

Her2 neu negative, ER/PR positive premenopausal, tx

A

tamoxifen

104
Q

What’s the screening timing for breast cancer

A

50q2 Or 40q1

105
Q

Ulcer on sacrum

A

Decubitus ulcer , roll patient

106
Q

First test to dx PVD

A

Abi

107
Q

Ulcer on malleolus

A

Venous stasis

108
Q

Hairless leg, shiny or scaly legs , decreased pulses

A

PVD

109
Q

Best test for PVD

A

Arteriogram

110
Q

Ulcer that heals and breaks down over and over

A

Marjoljn ulcer, SCC

111
Q

Ulcer on heels and toes

A

Diabetic, neuropathy ulcer

112
Q

Define excisional and incisional biopsy

A

Excisional- biopsy by removing the entire mass

Incisional- biopsy by removing a piece of the mass

MBBS Surgery (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions