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MTBs Step 3 > Random Ass Qs (Surg) > Flashcards

Random Ass Qs (Surg) Flashcards

1
Q

Baby is diagnosed with pyloric stenosis. What happens next?

A

Fluid resuscitation and correcting metabolic derangements

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2
Q

Can newborn pyloric stenosis progress to complete obstruction?

A

Yes

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3
Q

What should any baby with bilious emesis immediately be evaluated for?

A

Malrotation with volvulus

By upper GI contrast study

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4
Q

When is sentinel lymph node bx CI in breast cx?

A
  • palpable axillary nodes
  • multicentric disease
  • hx of reaction to blue dye
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5
Q

Patient develops neck swelling and dyspnea after thyroid surgery. What’s the immediate next step?

A

Reopen wound to check for hematoma

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6
Q

What type of thyroid cancer is associated with amyloid on biopsy?

A

Medullary

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7
Q

What is the treatment for medullary thyroid cancer?

A

Total thyroidectomy with modified radical neck dissection if palpable lymph node

**very aggressive cancer

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8
Q

What are the effects of inflating the abdomen with CO2 for laparoscopic surgery?

A
  • hypercarbic
  • acidotic
  • decreased venous return
  • increased afterload
  • distended peritoneum
  • elevated diaphragm
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9
Q

In what position will patients with septic arthritis of the hip present?

A

Hip flexed and externally rotated

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10
Q

Describe the scoring for GCS

A

Eye: Spontaneous 4, Speech 3, Pain 2, None 1

Motor: Obeys 6, Localizes 5, Withdraws 4, Flexion 3, Extension 2, Flaccid 1

Verbal: Oriented 5, Confused 4, Words 3, Sounds 2, None 1

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11
Q

What are symptoms of zinc deficiency?

A

Diarrhea, AMS, alopecia, dermatitis

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12
Q

Where would the aorta most likely be damaged in a deceleration injury?

A

Just distal to left subclavian artery

**aorta is fixed here and susceptible to shear forces

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13
Q

Where is the most common location of a gastrinoma?

A

Pancreas

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14
Q

Esophageal manometry demonstrates absence of peristaltic waves and non relaxing LES…….dx?

A

Achalasia

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15
Q

Esophageal manometry demonstrates presence of peristaltic waves but non relaxing LES…..dx?

A

Pseudo-achalasia (tumor or iatrogenic)

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16
Q

Precordial crackles heard on auscultation correlating with heart sounds + mediastinal emphysema ….. dx?

A

Esophageal perforation

17
Q

What is the most common cause of anorectal fistula and abscess?

A

Infection of the anal glands

18
Q

What is the most common need for surgery in Crohn’s disease?

A

Recurrent bowel obstruction

19
Q

Ulcerative colitis vs Crohn’s disease : which has higher increased risk of colon cancer?

A

Ulcerative colitis (10-20%)

20
Q

At the start of a hemicectomy for colon cancer a large mass in the liver is confirmed to be a met. What now?

A

Continue with hemicolectomy and do met evaluation after

21
Q

How does a Halsted radical mastectomy differ from a modified radical mastectomy?

A

Modified preserves pectoralis major

22
Q

During colonoscopy a bx finds a polyp to be a villous adenoma with atypia but it cannot be removed through the colonoscope. What now?

A

Hemicolectomy due to malignant potential

23
Q

Duodenal vs Gastric ulcer:

Which has a higher incidence of association with malignant process?

A

Gastric

24
Q

Where is the most common site of emboli event in acute mesenteric ischemia?

A

SMA

25
Q

What typically causes the symptoms of TIA?

A

Embolic event

26
Q

Describe the blood supply to the stomach and where those arteries branch

A
  • right gastric (hepatic)
  • left gastric (celiac trunk)
  • right gastroepiploic (gastroduodenal)
  • left gastroepiploic (splenic)
  • short gastrics (splenic)
27
Q

In what type of carcinoid tumor might you see carcinoid syndrome?

A
  • massive hepatic met

- tumors that bypass hepatic filter (ie retroperitoneal)

28
Q

What is the most common normal intestinal flora that bowel surgery exposes to the wound?

A

Bacteroides

29
Q

Where is the bleeding in subdural hemorrhage?

A

Bridging veins

30
Q

Where is the bleeding in epidural hematoma?

A

Middle meninges artery

31
Q

What anesthetic should be avoided in burn/crush injury patients? Why?

A
  • succinylcholine

- adds to hyperkalemia leading to cardiac arrest

32
Q

What is the most common site of extra-adrenal pheochromocytoma?

A

Paraaortic area (along embryonic path of gland)

33
Q

Core breast biopsy demonstrates atypical ducal hyperplasia. What is the next step in treatment?

A

Excisional biopsy to establish diagnosis

34
Q

Is zenker diverticulum a true diverticulum?

A

No, it only involves mucosa and submucosa

35
Q

When should an elective cholecystectomy be performed for incidentally found gallstones?

A
  • Stone >2.5cm
  • children
  • sickle cell
  • calcifications in gall bladder wall
36
Q

Gall bladder removed for stones is found to have cancer invasive into submucosa, what now?

A

Observation and follow up

37
Q

What is hungry bone syndrome?

A

Hypocalcemia following surgical correction of hyperparathyroidism

MTBs Step 3 (30 decks)

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