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Surgery Shelf Exam > Surgery > Flashcards

Surgery Flashcards

1
Q

DX: abdominal pain + tachycardia + left chest wall/shoulder pain =

A

splenic injury

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2
Q

Injury to the axillary nerve results in…

A

decreased shoulder abduction

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3
Q

Palpable breast mass >30 y/o…

A

gets a mammogram

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4
Q

Abx of choice for cat bite ppx

A

Augmentin

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5
Q

DX: tachycardia + HTN + cardiac arrhythmias + high fever + tremor + AMS + lid lag =

A

thyroid storm

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6
Q

Most common cause of liver mets

A

Colon cancer

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7
Q

Most common solitary liver lesion in a young woman on OCPs

A

Hepatic adenoma

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8
Q

No poop/gas after surgery?

A

Ileus (opioids)

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9
Q

Poop/gas after surgery then cessation of BM?

A

MBO – adhesions

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10
Q

Fall/car accident + hoarse voice + HTN in UE and hypotension in LE =

A

blunt thoracic aortic injury (CT angio to DX)

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11
Q

Pathophys of diabetic foot ulcers

A

polymicrobial infection due to contiguous spread

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12
Q

Peeing out “sand”

A

Uric acid stones

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13
Q

S/E of halothane

A

acute liver failure

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14
Q

S/E of etomidate

A

adrenal insufficiency

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15
Q

S/E of nitrous oxide

A

neurotoxicity (B12)

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16
Q

S/E of propofol

A

severe hypotension

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17
Q

S/E of succinylcholine

A

cardiac arrhythmia

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18
Q

Dx test for stable AAA rupture

A

CT scan of the abdomen

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19
Q

Dx test for unstable AAA rupture

A

FAST u/s

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20
Q

Dx test for esophageal perf

A

Water soluable contrast esophagram

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21
Q

Anterior shoulder dislocations are most commonly caused by…

A

falling on outstretched hands

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22
Q

Posterior shoulder dislocations are most commonly caused by…

A

falling onto back (seizure)

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23
Q

Most common primary cardiac neoplasm

A

myxoma

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24
Q

Myxomas often occur in the…

A

left atrium

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25
Q

Widened mediastinum + pleural effusion with high amylase =

A

Boerhaave Syndrome (esophageal perforation)

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26
Q

Male with recurrent sx of UTI, pain with ejaculation, and pyuria/bacteriuria =

A

chronic bacterial prostatitis

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27
Q

Tx for complicated diverticulitis with abscess

A

CT-guided percutaneous drainage

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28
Q

Lab to follow with medullary thyroid cancer

A

serum calcitonin

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29
Q

Dx test for suspected gastic cancer

A

EGD

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30
Q

Most common cause of hypocalcemia in a young woman…

A

decreased secretion of parathyroid hormone

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31
Q

S/P transplant + diarrhea + rash =

A

GVD; CD8+ T-lymphocyte mediated injury

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32
Q

Pathophysiology of acute pyelo in man…

A

BPH –> high post-void residual volume

33
Q

chest/back pain + fever + pleural effusion in the setting of self-induced vomiting =

A

esophageal perforation

34
Q

Recent lap appy + fever + abdominal sx =

A

intra-abdominal abscess

35
Q

Screening timeline for patients with liver cirrhosis (to prevent HCC)

A

U/S q 6 months

36
Q

Tx for gallstone pancreatitis

A

ERCP

37
Q

Dx test for VAP

A

Lower respiratory tract sampling = gram stain and cx

38
Q

Knee give way + pop =

A

Patellar dislocation

39
Q

Small pulsatile mass in groin region

A

femoral artery aneurysm

40
Q

Regurgitant murmur + prosthetic valve =

A

ECHO!

41
Q

Pancreatic cancer in the body or tail of the organ may present with constant, progressive…

A

back pain that is worse at night when supine.

42
Q

Dx test for pancreatic cancer..

A

CT scan of abdomen

43
Q

Asian patient with persistent abdominal pain…

A

gastric cancer

44
Q

Older adult + progressive gait instability + weakness in extremities + LMN (arms) + UMN (legs) =

A

cervical myelopathy (spondylosis)

45
Q

Fluid used to resuscitate severe burn victims

A

LR

46
Q

Always do this after placing a central venous catheter

A

Confirm wtih CXR

47
Q

Suprasternal crepitus

A

Esophageal perforation

48
Q

Post-op patient with hypotension, JVD, and new-onset RBBB

A

Massive pulmonary embolism

49
Q

Liver mass - arterial flow and central scar on imaging

A

Focal nodular hyperplasia

50
Q

Liver mass - women on OCP + hemorrhage

A

Hepatic adenoma

51
Q

Liver mass - acute or chronic liver injury

A

Regenerative nodules

52
Q

Liver mass - increased AFP

A

HCC

53
Q

Liver mass - single/multiple lesions; known primary

A

Mets

54
Q

Retropharyngeal abscesses can lead to…

A

acute necrotizing mediastinitis

55
Q

Massive hemothorax (>1500 mL) should lead to…

A

emergent thoracotomy

56
Q

Respiratory acidosis with profound hypoxemia think…

A

alveolar hypotension

57
Q

Low riding patella on imaging

A

quadriceps tendon rupture

58
Q

Palpable cord like veins

A

superficial thrombophlebitis

59
Q

PPX imaging for superficial thrombophlebitis

A

CT scan of abdomen (related to pancreatic cancer)

60
Q

Acute aortic dissection; first line of imaging

A

CT angiography

61
Q

Hypotension and bradycardia secondary to neurogenic shock is caused by…

A

injury to descending spinal tracts (usually above T1)

62
Q

Continuous murmur/bruit over femoral catheter site

A

AV fistula

63
Q

Supracondylar fracture can affect the _____ artery and ____ nerve.

A

brachial, median

64
Q

Sudden dyspnea and unilateral side pain in patient with COPD…

A

ruptured bleb/pneumothorax

65
Q

RUQ pain + fever + single, subcapsular lesion in the right lobe =

A

entamoeba histolytica

66
Q

Crescent Sign

A

Ruptured Popliteal Cyst

67
Q

High thyroglobulin s/p thyroidectomy

A

CANCER

68
Q

Post cardiac surgery lesions on torso

A

HIT

69
Q

Post cardiac surgery lesions on LE

A

fat embolism

70
Q

Testicular mass suspicious for cancer…

A

radical inguinal orchiectomy

71
Q

Nerve associated with uncal herniation

A

Oculomotor

72
Q

Anticoag to use for CKD patients

A

Unfractionated

73
Q

3 causes of compartment syndrome

A

cardiac/arterial source
arterial thrombosis
iatrogenic/direct blunt trauma

74
Q

Lytic lesion with concentric layers of reactive bone

A

Osteosarcoma

75
Q

Dx test of choice for Zenker Diverticulum

A

Contrast esophagram

76
Q

Splenic abscess is typically due to…

A

infective endocarditis

77
Q

Traumatic pelvic injury think…

A

extraperitoneal bladder injury

78
Q

Day 7 post-op patient that develops watery diarrhea (no abx)

A

C. DIFF

Surgery Shelf Exam (1 decks)

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