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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
Widened mediastinum + pleural effusion with high amylase =
Boerhaave Syndrome (esophageal perforation)
26
Male with recurrent sx of UTI, pain with ejaculation, and pyuria/bacteriuria =
chronic bacterial prostatitis
27
Tx for complicated diverticulitis with abscess
CT-guided percutaneous drainage
28
Lab to follow with medullary thyroid cancer
serum calcitonin
29
Dx test for suspected gastic cancer
EGD
30
Most common cause of hypocalcemia in a young woman...
decreased secretion of parathyroid hormone
31
S/P transplant + diarrhea + rash =
GVD; CD8+ T-lymphocyte mediated injury
32
Pathophysiology of acute pyelo in man...
BPH --> high post-void residual volume
33
chest/back pain + fever + pleural effusion in the setting of self-induced vomiting =
esophageal perforation
34
Recent lap appy + fever + abdominal sx =
intra-abdominal abscess
35
Screening timeline for patients with liver cirrhosis (to prevent HCC)
U/S q 6 months
36
Tx for gallstone pancreatitis
ERCP
37
Dx test for VAP
Lower respiratory tract sampling = gram stain and cx
38
Knee give way + pop =
Patellar dislocation
39
Small pulsatile mass in groin region
femoral artery aneurysm
40
Regurgitant murmur + prosthetic valve =
ECHO!
41
Pancreatic cancer in the body or tail of the organ may present with constant, progressive...
back pain that is worse at night when supine.
42
Dx test for pancreatic cancer..
CT scan of abdomen
43
Asian patient with persistent abdominal pain...
gastric cancer
44
Older adult + progressive gait instability + weakness in extremities + LMN (arms) + UMN (legs) =
cervical myelopathy (spondylosis)
45
Fluid used to resuscitate severe burn victims
LR
46
Always do this after placing a central venous catheter
Confirm wtih CXR
47
Suprasternal crepitus
Esophageal perforation
48
Post-op patient with hypotension, JVD, and new-onset RBBB
Massive pulmonary embolism
49
Liver mass - arterial flow and central scar on imaging
Focal nodular hyperplasia
50
Liver mass - women on OCP + hemorrhage
Hepatic adenoma
51
Liver mass - acute or chronic liver injury
Regenerative nodules
52
Liver mass - increased AFP
HCC
53
Liver mass - single/multiple lesions; known primary
Mets
54
Retropharyngeal abscesses can lead to...
acute necrotizing mediastinitis
55
Massive hemothorax (>1500 mL) should lead to...
emergent thoracotomy
56
Respiratory acidosis with profound hypoxemia think...
alveolar hypotension
57
Low riding patella on imaging
quadriceps tendon rupture
58
Palpable cord like veins
superficial thrombophlebitis
59
PPX imaging for superficial thrombophlebitis
CT scan of abdomen (related to pancreatic cancer)
60
Acute aortic dissection; first line of imaging
CT angiography
61
Hypotension and bradycardia secondary to neurogenic shock is caused by...
injury to descending spinal tracts (usually above T1)
62
Continuous murmur/bruit over femoral catheter site
AV fistula
63
Supracondylar fracture can affect the _____ artery and ____ nerve.
brachial, median
64
Sudden dyspnea and unilateral side pain in patient with COPD...
ruptured bleb/pneumothorax
65
RUQ pain + fever + single, subcapsular lesion in the right lobe =
entamoeba histolytica
66
Crescent Sign
Ruptured Popliteal Cyst
67
High thyroglobulin s/p thyroidectomy
CANCER
68
Post cardiac surgery lesions on torso
HIT
69
Post cardiac surgery lesions on LE
fat embolism
70
Testicular mass suspicious for cancer...
radical inguinal orchiectomy
71
Nerve associated with uncal herniation
Oculomotor
72
Anticoag to use for CKD patients
Unfractionated
73
3 causes of compartment syndrome
cardiac/arterial source arterial thrombosis iatrogenic/direct blunt trauma
74
Lytic lesion with concentric layers of reactive bone
Osteosarcoma
75
Dx test of choice for Zenker Diverticulum
Contrast esophagram
76
Splenic abscess is typically due to...
infective endocarditis
77
Traumatic pelvic injury think...
extraperitoneal bladder injury
78
Day 7 post-op patient that develops watery diarrhea (no abx)
C. DIFF

Surgery Shelf Exam (1 decks)

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