Random Ass Qs (Surg) Flashcards
Baby is diagnosed with pyloric stenosis. What happens next?
Fluid resuscitation and correcting metabolic derangements
Can newborn pyloric stenosis progress to complete obstruction?
Yes
What should any baby with bilious emesis immediately be evaluated for?
Malrotation with volvulus
By upper GI contrast study
When is sentinel lymph node bx CI in breast cx?
- palpable axillary nodes
- multicentric disease
- hx of reaction to blue dye
Patient develops neck swelling and dyspnea after thyroid surgery. What’s the immediate next step?
Reopen wound to check for hematoma
What type of thyroid cancer is associated with amyloid on biopsy?
Medullary
What is the treatment for medullary thyroid cancer?
Total thyroidectomy with modified radical neck dissection if palpable lymph node
**very aggressive cancer
What are the effects of inflating the abdomen with CO2 for laparoscopic surgery?
- hypercarbic
- acidotic
- decreased venous return
- increased afterload
- distended peritoneum
- elevated diaphragm
In what position will patients with septic arthritis of the hip present?
Hip flexed and externally rotated
Describe the scoring for GCS
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
What are symptoms of zinc deficiency?
Diarrhea, AMS, alopecia, dermatitis
Where would the aorta most likely be damaged in a deceleration injury?
Just distal to left subclavian artery
**aorta is fixed here and susceptible to shear forces
Where is the most common location of a gastrinoma?
Pancreas
Esophageal manometry demonstrates absence of peristaltic waves and non relaxing LES…….dx?
Achalasia
Esophageal manometry demonstrates presence of peristaltic waves but non relaxing LES…..dx?
Pseudo-achalasia (tumor or iatrogenic)
Precordial crackles heard on auscultation correlating with heart sounds + mediastinal emphysema ….. dx?
Esophageal perforation
What is the most common cause of anorectal fistula and abscess?
Infection of the anal glands
What is the most common need for surgery in Crohn’s disease?
Recurrent bowel obstruction
Ulcerative colitis vs Crohn’s disease : which has higher increased risk of colon cancer?
Ulcerative colitis (10-20%)
At the start of a hemicectomy for colon cancer a large mass in the liver is confirmed to be a met. What now?
Continue with hemicolectomy and do met evaluation after
How does a Halsted radical mastectomy differ from a modified radical mastectomy?
Modified preserves pectoralis major
During colonoscopy a bx finds a polyp to be a villous adenoma with atypia but it cannot be removed through the colonoscope. What now?
Hemicolectomy due to malignant potential
Duodenal vs Gastric ulcer:
Which has a higher incidence of association with malignant process?
Gastric
Where is the most common site of emboli event in acute mesenteric ischemia?
SMA
