Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

MTBs Step 3 > Surgery > Flashcards

Surgery Flashcards

1
Q

when do you intubate on the Glasgo Coma scale

A

8

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

intubation method in pt with extensive facial trauma

A

cricothyroidotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

intubation method in pt with cervical spine injury

A

flexible bronchoscope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Systemic Inflammatory Response Syndrome(SIRS)

A

2+ of the following criteria needed:

  • Temp <36 or >38
  • HR >90
  • RR>20; PCO2 >32
  • WBC <4K or >12K
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Pt with head injury w/scalp laceration and linear skull fraction on CT, no LOC. do they need surgery?

A

nope! asymptomatic head injury w/closed fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Pt with head injury, scalp laceration, depressed fracture is seen on CT, denies LOC. surgery?

A

yes! surgery alwasy done due to depressed fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Pt with head trauma w/LOC. next step?

A

CT w/o contrast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Pt with ecchymosis around both eyes(racoon eyes) and behind ears(battle’s sign) + leaking CSF. W/U? tx for CSF leak? complications?

A

CT of head and neck = basal skull fracture!

  • CSF leak will stop by itself
  • Neurapraxia/facial paralysis make occur 2-3 days later but will resolve in 8-10 wks
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Brain Abscess

sx? dx? tx?

A

sx: Fever, HA, FND
dx: CT scan w/o contrast
tx: IV Abx + Surgical drainage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Epidural Abscess

sx? rf? dx? tx?

A

sx: fever, back/neck pain & TENDERNESS OVER AREA ON THE BACK +/- lower extremity weakness
rf: IVDU
dx: MRI
Tx: Bx + I&D + abx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Anterior Spinal Artery Sydrome

sx? dx? tx?

A

sx: infarction of anterior 2/3rd of SC = loss of motor function below lesion & sensation
dx: MRI
tx: support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Epidural hematoma

A

trauma, LOC, lens-shaped hematoma, arterial blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Subdural Hematoma

A

venous blood, no LOC, crescent shaped, semilunar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Diffuse Axonal Injury

A

Diffuse axonal injury (DAI) is a prolonged posttraumatic coma that is not due to ischemia or a mass lesion,
Most commonly follows deceleration injuries,
Damage characteristically occurs at grey-white junctions

*bad prognosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

pt presents with sudden on set of severe diffuse abdominal pain. PE is normal. pain is worse with eating. W/U?

A

acute mesenteric ischemia! = angiography or surgery asap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

1 risk factor for perioperative complications

A

Cardiac risk = DM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

person with chronic renal failure. what do you need to do for them before surgery?

A

aggresive IV hydration 24 hr prior; if on dialysis must be dialyized within 24 hrs of surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Post-op fever day 1

A

atelectasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Post-op fever day 3

A

UTI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Post-op fever day 5

A

DVT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Post-op fever day 7

A

abscess/wound infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Median Arcuate Ligament Syndrome(MALS)

A

MAL compresses celiac trunk causing ischemia. presents just like chronic mesenteric ischemia but seen in a patient who just recently lost alot of weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Tx of Gas gangrene

A

IV PCN + Hyperbaric O2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

when you suspect a fracture how should you xray?

A

2 views 90 degrees to each other and always include the joints above and below + check xrays in line of force

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Fat Embolism | sx? tx?
sx: hx of bone fracture, neurologic dysfunction, petechial rash, respiratory distress tx: supportive w/O2 goal >90%
26
Compression fracture | presentation? dx? tx?
shitty bones/osteoprosis = fracture doing normal shit, often have no trauma hx, + point tenderness over fracture. dx: XR tx : ??
27
Pathological Fracture | presentation? dx? tx?
fracture due to 2nd dz & often follows minimal trauma dx: XR tx: tx fracture & look for cause
28
Stress Fracture | presentation? dx? tx?
fracture due to overuse, seen in marathon runners n shit. dx: usualy not seen on XR may need CT tx: stop, Anagesia
29
Person with face fracture what else do you need to look at?
cervical spine
30
Clavicle Fracture | presentation? dx? tx?
sx: shoulder trauma, pain, swelling, misalignment or "step off" dx: XR + ANGIOGRAM TO ASSESS INJURY TO SUBCLAVIAN A& BRACHIAL PLEXUS Tx: sling
31
Anterior Shoulder Dislocation | presentation? dx? tx?
SX: pain, swelling, arm is EXTERNALLY ROTATED dx: XR + CHECK FOR AXIALLY A&N INJRUY tx: reduction + sling
32
Posterior Shoulder Dislocation | presentation? dx? tx?
sx: seen wit person who had a seizure, pain, swelling, ARM IS INTERNALLY ROTATED dx: XR tx: reduction + sling
33
Colles Fracture
pt called on outstreached hand = dinner fork deformity = distal radius moves superioly + posterioly
34
Monteggia Fracture
blow to ulnar = fractures ulnar and dislocated radius
35
Galeazzi Fracture
blow to radius = fractures radius and dislocated ulnar
36
Scaphoid Fracture | dx? tx?
fall on outstretched hand = persistant pain in anatomical snuffbox; takes about 3 weeks to see on XR tx: thumb spica casts
37
Trigger Finger | tx?
idiopathic fibrous band inflammation causing popping sound = tendon popping over inflammation * women waks up with weird hand shit tx: steroid injection
38
De Quervains Tenosynovitis | tx?
tendonitis of thumb + wrist = steroid injection + rest
39
Dupuytren Contraction | tx?
thickening of palmer fascia causing perm flexion and decreased extension of hand tx: surgery
40
MCL or LCL injury
caused by blow to the opposite side of knee | tx: surgery
41
ACL or PCL injury
positve anterior/post draw sign | tx: surgery; old ppl get rehab
42
Meniscal injury
pt complains of a "catching or popping" sesnation in knee | tx: surgery
43
Osteoarthritis of Knee | when do you replace?
wear & tear = XR shows narrowing and sclerotic changes tx: PT, steroids, anaglesia *replace when pt has trouble walking or inability to perform ADLs or bone on bone
44
What will you see on MRI for disc herniation vs Spinal stenosis?
herniation will show bulging at the discs but stensosis will show dipping inward at the discs
45
Spinal Stenosis | sx? dx? tx?
* arthritis changes resultin in a narrowing of the spinal canal = osteophytes form causing pain and weakness. Lumbar > Cervical sx: neck/bk pain, bilateral leg/butt pain + numbness(this is bc its in the canal!), pseudoclaudication(worse with walking and improves with flexion/leaning forward) dx: MRI = shows dipping at discs tx: NSAIDS + Surgery
46
Plantar Fasciitis | sx? dx? tx?
sx: overweight pt with sharp heel pain every time their foot strikes the ground dx: XR shows bone spur + pain on palpation of spur tx: symptomatic = resolves in 12-18m
47
Morton Neuroma | sx? dx? tx?
sx: inflammation of the common digital nerve at the 3rd interspace between the 3rd and 4th toes, caused by wearing pointy-toed shoes dx: palpable + tender neroma tx: analgesics + better footwear
48
tx of acute epididymitis
ceftriaxone + doxy
49
Subclavian Steal Syndrome
plaque at origin o fthe subclavian allows to blood to be stolen from vertebral A for arm. sx: visual sx, equilibrium probs, claudication in the arm during exercises dx: angiography tx: bypass surgery
50
Best thing you can do for a AAA <5cm
control BP
51
Pt presents with pain in legs that is relieved by rest dx?
Arteriosclerotic Occlusive disease of the lower extremities
52
Arteriosclerotic Occlusive Disease of the Lower Extremity | sx? dx? tx?
sx: leg pain with use and relieved by rest dx: ABI <0.9 tx: #1 = stop smoking, Cilostazol + ASA + start walking to promote colateral circulation
53
Subacromial impingement
pain in abduction and interal rotation + overhead activities tx: steroids
54
Rotator Cuff tear
weakness and pain tx: steroids
55
Biceps tendonitis & rupture
if rupture usually have visable bulge, ecchymosis and audiable snap rupture = surgery tendonitis = steroids
56
Adhesive Capsulitis
DECREASED ACTIVE AND PASSIVE ROM
57
Acromiclavicular separation(AC separation)
pain over the AC joint(anterior superior lateral shoulder), and pain on adduction of arm, usually caused by tackle
58
Superior Labrium Anterior Posterior Tear(SLAP)
shoulder instability = locking and clicking + pain | tx: surgery!
59
Patellar Tendonitis
pain INFERIOR to the patella
60
IT band syndrome
lateral knee pain
61
Patello-femoral syndrome
anterior knee pain under the patella
62
Atlantoaxially instablity
seen w/RA & DS = dx w/XR & tx w surgical fusion
63
Osgood Schlayer Disease
active kid undergoing growth spurt + anterior knee pain(usually bilateral)
64
Nursemaids Elbow
radial head pulled otu of annual ligamanet

MTBs Step 3 (30 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions