Surgery 2 Flashcards

Subspeciality

1
Q

Finger unstable to flex dx rx

A

Jersey finger

Splint

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2
Q

Pop and forced flexion of digits dx rx

A

Trigger finger

Steroids

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3
Q

Carpal tunnel step wise rx

A

N SAID
SPLINT
STEROIDS
NERVE CONDUCTION VELOCITY

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4
Q

6 to 10 yrs old funky gait

A

Leg calve Perth disease

Avascular necrosis of femur head

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5
Q

Teenager athletes knee pain nodule on tibia dx

A

Osteochondrosis

Osgood schlatters

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6
Q

Teenager nontraumatic knee pain or hip pain dx rx

A

Xray

Slipped capital femoral epiphysitis

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7
Q

Cyanotic heart disease at age 3

Down syndrome babies too have rx

A

Tetralogy of fallot

All others are after birth

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8
Q

Holosystolic murmur
At birth
At adults

A

Vsd

Mitral regur

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9
Q

Fixed split rx

A

Asd

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10
Q

Mom diabetic
CHD
Dx CHD

A

Transposition of great vessels

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11
Q

VSD rx

A

Must closed in first yr
If comorbidities closed as soon as possible
CHF FTT

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12
Q

Patent ducts arteriosus med
If close
Keep it open

A

Indomethacin

Prostaglandins

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13
Q

Persistent conjugated hyoerbilurubinemia
After aggressive rx
Dx
Rx

A

Biliary atresia

Phenobarbital after 1 wk hida

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14
Q

Testicular cancer definitely diagnosis histologically

A

Orchiectomy without needle

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15
Q

Renal cell carcinoma tx

A

Nephrectomy

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16
Q

Testicular ca sensitive to chemo plus radiation

A

Seminoma

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17
Q

Prostate cancer rx

A

Leuprolide

Flutamide

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18
Q

PSA increased next step

A

Biopsy

Trans rectal or transurethral

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19
Q

BPH acute dx rx

A

Urinalysis + - creatinine

Alpha blockers osins

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20
Q

Chronic BPH

A

Finasteride

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21
Q

Tender prostate dx rx

A

Urinalysis
Sterile then Nsaid
If not cipro

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22
Q

Testicular torsion rx dx

A

Transillumination -ve

Us with doppler

23
Q

Aortic dissection dx

A

Ct angiogram
If creatinine high
TEE>MRI

24
Q

PVD rx

A

Cilostazole

25
Q
Melanoma
On face
Arm
Back very large
2-4mm deep 
>4mm deep
A
Punch biopsy
Excision al biopsy
Punch biopsy
Wide excision al plus sentiental LN biopsy
Debulking palliation
26
Q

Basal cell ca

Large on extremity rx

A

Amputation on an extremity

27
Q

SCC small on extremity

A

Excision al biopsy

28
Q

Oligohydromnios no urine output

1st day of life

A

Post urethral valve

29
Q

Vesicourethral reflex dx

A

Voiding cystourethrogram

30
Q

Retrograde ejaculation rx

A

TURP

31
Q

Non bacterial prostatitis rx

A

Sitz bath anti inflammatory

32
Q

Priapism rx

A

First ice packs
Fails alpha agonist (phenylephrine or epinephrine)
> 3 hours urology consultation

33
Q

Cleft lip reconstruction rx

A

10 gm hb
10 wks
10 pounds wt
3 mnths of age

34
Q

Pain red constricted irregular pupil rx dx

Angle closure glaucome

A

Ant uveitis or iritis
Slip lamp ex shows leukocytes
Same ACG
difference in increase intra ocular pressure

35
Q

Sever photo phobia

Inability to open eye rx

A

Keratitis (infection)

Inflammation of cornea

36
Q

Purulent eye drainage rx dx

A

Bacterial conjuctivitis
Erythromycin ointment
Salfa drops polumyxin

If contact lenses fluroquinolones
No steroids

37
Q

PVD RX

A

RISK FACTORS CONTROL
SMOKING CESSATION
EXERCISE

38
Q

Fracture distal third of clavicle rx

A

ORIF

save subclavian A brachial plexus

39
Q

Nasopharyngeal cancer assossiation

A

EBV infection

40
Q

MCR damage valgus stress dx rx

A

MRI

Early ambulation and bracing

41
Q

2 mnth old constipation

FTT BIRTH no pass meconium until third day dx rx

A

Hirschprung disease
First barium enema followed by rectal biopsy
Resection of a ganglionic segment

42
Q

Green vomiting double bubble sign on xray

New born

A

Malrotation

43
Q

Colicky ab pain
N v
Multiple dilated loops of small bowel on xray rx dx

A

Do ct scan w contrast

Mesenteric ischemia

44
Q

Pheochromocytoma urinary both metabolites increases
If only ne increases
Tx

A

Do MRI for adrenals

Give Octreotides MIBI scan

45
Q

Congenital hip dislocation dx rx

A

Developmental dysplasia
Us upto 6mnths
Pauliks harness keep legs abducted upto 6mnths

46
Q

Cupping of disc
Peripheral loss of vision
Tunnel vision

A

Open angle glaucoma

47
Q

Aids < 50 cd4

Dx rx

A

CMV
GANICYLOVIR
FOSCARNET

48
Q

Tuberous sclerosis eye

A

Retinal hemartoma

49
Q

Sudden liss of vision

Floaters funds hard to visualize

A

Diabetic retinopathy

Vitrous hemorhage

50
Q

Abcess upper and lower eye lid tender

A

Hordeolum or stye

Staph aureus warm compress if fail incision and drain

51
Q

Ch granulamatous inflammation of meibomian gland hard pain less

A

Chalazian

Incision and curettage

52
Q

Athhlatic

Pain in 3rd and 4th toe dx rx

A

Morton neuroma

Conservative bilateral shoe insert

53
Q

Young athlete rapid directional change
Rapid swelling
Hemarthrosis dx rx

A

ACL MRI
If athletes reconstructive surgery
If not knee brace immobilization