Surgery

Question 1

MC areas of ischemic colitis

Answer 1

splenic flexure, rectosigmoid junction

Question 2

post gastrectomy abd pain, D/N, hypotension, dizziness, tachycardia, diaphoresis

Answer 2

dumping syndrome

Question 3

tx of dumping syndrome

Answer 3

dietary modification - small, fx meals, fiber, protein

Question 4

2 tests for meniscal tear

Answer 4

McMurrays or Thessalys - pain, click or catch is positive

Question 5

jaundice, normal LFTs, elevated unconjugated bili following a stressor

Answer 5

Gilbert’s - decreased UDP glucuronaltransferase

Question 6

baby with rentinoblastoma need to be f/u around puberty to make sure they don’t develop

Answer 6

osteosarcoma

Question 7

tx of gonococcal conjunctivitis

Answer 7

ceftriaxone, ppx with erythro

Question 8

tx of chlamydial conjunctivitis

Answer 8

oral erythromycin

Question 9

anterior mediastinal mass with beta-HCG and AFP

Answer 9

germ cell tumor

Question 10

tx of acute medaitinitis

Answer 10

debridement followed by long course of abx therapy

Question 11

hypotension, elevated JVP, tachy

Answer 11

pericardial tamponade

Question 12

presence of significant facial trauma in a patient excludes placement of

Answer 12

orotrachial intubation

Question 13

fluid collections less than 3 cm are treated with

Answer 13

IV abx

Question 14

fluid collections greater than 3 cm are treated with

Answer 14

CT guided drainage

Question 15

presence of any of these 4 things requires emergent exploratory laparotomy in a PAT pt

Answer 15

hemodynamic inst, peritonitis, evisceration, blood in NG tube or on DRE

Question 16

tx of DVT in pt with ESRD

Answer 16

unfx heparin bridge to warf

Question 17

large bowel dist, small bowel dist, decreased bowel sounds

Answer 17

ileus

Question 18

medical mgmt of increased ICP

Answer 18

mannitol, elevate HOB, hyperventilation to pCO2 28-32

Question 19

fat embolism clinical triad

Answer 19

petechial rash, resp distress, neuro dysfxn

Question 20

head trauma, LOC, lucid interval, die

Answer 20

epidural hematoma

Question 21

lens shaped bleed on head CT

Answer 21

epidural hematoma

Question 22

head injury, AMS, i/l occulomotor n palsey

Answer 22

uncal herniation

Question 23

BUN:Cr greater than 20, oliguria (less than 500mL/day), unremarkable urine sediment

Answer 23

prerenal AKI

Question 24

early satiety, nausea, non-bilious vomiting, wt loss

Answer 24

gastric outlet obst

Question 25

absolute CI to sx

Answer 25

diabetic coma, DKA

Question 26

stop smoking how long before sx

Answer 26

8wks

Question 27

number one goldman’s index for poor op outcomes

Answer 27

CHF, EF less than 35 means no sx

Question 28

pt on vent with low PaO2 what do you do?

Answer 28

increase FiO2

Question 29

appropriate rate to correct hyponatremia

Answer 29

.5-1 meq/hr or 12-24meq/d

Question 30

tx of HIT

Answer 30

leparudin or agatroban

Question 31

lights criteria, transudative if

Answer 31

LDH<200, LDH eff/serum <0.6, protein eff/serum <0.5

Question 32

pleural trasudates are most likely

Answer 32

CHF, nephrotic, cirrhotic,

Question 33

lung mass and PTHrp

Answer 33

sq cell ca

Question 34

lung mass and exudate with high hylauroindase

Answer 34

adeno ca

Question 35

lambert eaton and lung mass

Answer 35

SCC

Question 36

lung mass and SIADH

Answer 36

SCC

Question 37

triple therapy for H pylori

Answer 37

PPI, clarith, ammox for 2 weeks

Question 38

p/o AAA repair, loss of pain and temp with flaccid paralysis in LE

Answer 38

anterior spinal a occlusion - anterior cord syndrome

Question 39

tx of malignant hyperthermia

Answer 39

dantroline

Question 40

Low caloric intake, hypomenorrhea, low bone density in a F athlete with bone pain

Answer 40

Stress fracture

Question 41

if EF is less than this CHF pt is not sx candidate

Answer 41

35%

Question 42

first line med for overflow incontinence d/t BPH

Answer 42

alpha-antagonist (-osin = alpha1 blockers)