Surgery Block 1

Question 1

Alvarado score of what allows patients to be safely observed

Answer 1

0 to 4

Question 2

5 to 8 Alvarado gets what for appendicitis

Answer 2

Diagnostic imaging and txt w antibiotics

Question 3

Who can benefit from laparoscopic appendectomy

Answer 3

Obese and pregnant

Question 4

What is the diagnostic study of choice after an Alvarado greater than 6

Answer 4

CT

Question 5

What is the most common size and type of tumor for a bending appendicitis

Answer 5

Less than 2 cm carcinoid

Question 6

What does a pt get that has an adenocarcinoma found from appendicitis get

Answer 6

Right hemicolectomy

Question 7

What is mediastinal crunching a common sign for

Answer 7

Subcutaneous emphysema

Question 8

What is the different between boerhave and Mallory Weiss

Answer 8

Mallory would have normal vitals with Hemoptysis

Boerhave = widened mediating pneumomediastinum

Question 9

What sxs are consistent with esophageal perforation

Answer 9

Repeat emesis
Chest pain
Abdominal pain
Fever

Question 10

What is the most common site for iatrogenic perf of the esophagus

Answer 10

Killians triangle = iatrogenic
Cricopharengous muscle = boerhave

Question 11

When do you use a water soluble esophagram for assess rupture

Answer 11

With achalasia or just previous trauma

Question 12

If you dont get the surgery for boearhves within how much time you are at HIGH risk

Answer 12

24 hours

Question 13

What are two reasons i could have air in the biliary tree

Answer 13

-gas producing bacteria

-bowel gas fistula (gallstone ILEUS)

Question 14

What is the general management for cholecystitis and IMAGE

Answer 14

NPO

Hospitalizations

IV ABX

HIDA

Question 15

Cholangitis

Answer 15

IV ABX cool down
Then ERCP surgery

Question 16

What can develop from a distal biliary stone

Answer 16

Pancreatitis

Question 17

Cholecystomy tubes are +/- for what

Answer 17

Temporary management

Question 18

Think cholangitis think

Answer 18

Charcots triad

Question 19

CDL is considered when the CBD is what size

Answer 19

Over 3mm

Question 20

Pancreatic cancer presentation =

Answer 20

Courviseir sign

Feel your gallbladder through your skin

Question 21

What is the gold standard for diagnosis GERD

Answer 21

Ph monitoring

Question 22

What does GERD present with 85% of the time

Answer 22

Hiatal Hernia

Question 23

What type of ulcer is better when you eat

Answer 23

Duodenal ulcer

Question 24

What is the initial management of duodenal ulcer

Answer 24

PPI
Biopsy
EGD

Question 25

Tary stools are usually a bleed where

Answer 25

Upper

Question 26

What can we do with a GI endoscope

Answer 26

Clip Sclerose Stop the bleed COAG -ligation

Question 27

What type of GI bleed is self limiting

Answer 27

Nonvariceal upper GI bleed

Question 28

What can control the source of a bleed refractory txm wise

Answer 28

Vagotomy

Question 29

Duodenal ulcer perforation are treated with what

Answer 29

A graham patch (momentum patch)

Question 30

Diverticulitis has what CT findings

Answer 30

Sigmoid colon with fat stranding pericolonic inflammation

Question 31

Diverticulitis commonly develops what

Answer 31

Colon cancer

Question 32

An abscess will prevent as what

Answer 32

A fluid collection

Question 33

After perf drainage for diverticula what do you get

Answer 33

Colonoscopy

Question 34

Apple core ct is consistent with what

Answer 34

Descending colon Adenocarcinoma

Question 35

Where else do you need to look if you have colon cancer

Answer 35

Liver and lungs