Surgery 2 Cases

Question 1

What is the difference between an abscess and a TB fungal infection on CXR

Answer 1

Air fluid levels

Question 2

Things that present as cavitations

Answer 2

TB
histoplasmosis
Coccidiomicosis

Question 3

Empyema has what sign on CXR

Answer 3

D - shape

Question 4

Exudate content

Answer 4

Protein greater 3
SG

Question 5

EXUDATIVE effusions can lead to what

Answer 5

Thick fibrous cavitations

Question 6

Treatment for chylothorax

Answer 6

Diet change with
Medium chains fatty acids

Question 7

What would further localize and characterize a lung mass when you suspect cancer.

Answer 7

CT with Bronchoscopy

Question 8

Non small cell carcinoma

Question 9

What is a paraneoplastic syndrome

Answer 9

A cancerous cause for the release of some type of hormone inappropriately.

Example : CA2+ ; ADH ; carcinoid

Question 10

What should you do what after visualizing a new mass

Answer 10

Check previous cxr’s

Question 11

Management of a new infiltrate with a productive cough

Answer 11

Potentially ABX repeat CXR obtain a CT of chest and bronchoscopy

Question 12

TXM for malignant effusion

Answer 12

THORACOSTOMY

With pleurodesis

Question 13

Law Laplace

Question 14

Asx pulsatile mass what should you check

Answer 14

PAD - ABI
Carotid pulses

Question 15

What percentage of occlusion for carotid venectomy

Answer 15

More than 50%

Question 16

Infrarenal aorta aneurysm

Answer 16

Risk of rupture
Blue toe micro vascular
AV Fistula = communication between aorta and adjacent vein
(Fistulize with the IVC) = increased venous return = high output heart failure
GI bleed

Question 17

Infrarenal AAA is suggestive for anuerysm where?

Answer 17

Femoral and popliteal arteries

Question 18

What would you use to assess AAA after U/S

Answer 18

MRA

Question 19

Men or women most likely to rupture

Answer 19

[Women]

Question 20

AAA complications

Answer 20

Painful discoloration of the great toe

Hematochezia

Question 21

How does colonic ischemia present

Answer 21

Post AAA surgery with painful sxs

Question 22

Multiple or solitary is malignant

Answer 22

Multiple = malignant

Question 23

Malignant thyroid cancers are what as far as hormone producing

Answer 23

They do not produce hormone!

Question 24

Know the reasons for thyriodectomy and radio scan

Question 25

Greater than what thyroid nodule would cause obstructive symptoms

Answer 25

4 cm

Question 26

Scintigraphy can show what

Answer 26

Hot or cold nodules only for FOLLICULAR neoplasm

Question 27

Non tender firm thyroid mass is likely

Answer 27

Thyroid carcinoma

Question 28

Initial testing for thyroid cancer

Answer 28

FNAB

Question 29

Know indications for thyroid removal

Question 30

Difference between papillary and follicular issues

Question 31

Medullary thyroid carcinoma you should do what

Answer 31

Check for familial MEN2 (hyperprathyroidism) and pheo

Question 32

Normal breast cancer mass radiographic screening by what?

Answer 32

BIRADS

Question 33

Fibroadenoma vs fibrocystic change

Question 34

Dense breast tissue would benefit from what imaging

Answer 34

U/S

Then MRI

Question 35

What kind of breast treatment is chemopreventative

Answer 35

Anti estrogen meds

Question 36

FNA vs Cord biopsy

Answer 36

Cord biopsy can detect hormone

Question 37

Non palpable mass on breast tissue

Answer 37

Wide needle wire biopsy

Question 38

Mammography detects what

Answer 38

Non palpable breast abnormalities

Question 39

Risks for breast cancer

Question 40

What is the TRIPLE NEGATIVE of breast cancer

Question 41

At BIRADS 4 consider what

Answer 41

Biopsy

Question 42

Paget’s disease presentation

Question 43

Inflammatory breast cancer presents as what and how do you differ

Answer 43

Mastitis and ABX does not fix

Question 44

Breast abscess txm

Answer 44

IV ABX with I and D

Question 45

Most common cause of ARDs

Answer 45

Sepsis

Then trauma