Surgery oral exam 2

Question 1

PAD meds

Answer 1

• ASA indefinitely (start pre-operatively)

- below-knee bypass graft surgeries with prosthetics: plavix + ASA

Question 2

chronic pancreatitis surgery

Answer 2

-surgical procedures: denervation, resection, or decompression of dilated pancreatic duct

Question 3

Anal lymphatic drainage

Answer 3

• above pectinate line –> internal iliac, inferior mesenteric lymph nodes
• below pectinate line –> superficial inguinal lymph nodes

Question 4

PO and IV contrast

Answer 4

• appendicitis (if can tolerate PO)
• diverticulitis
• pancreatitis
• SBO (if can tolerate PO)

Question 5

IV contrast only

Answer 5

• GI bleed
• mesenteric ischemia
• unstable trauma (bc takes 45 min for PO contrast, but preference: PO, rectal, and IV contrast)
• AAA

Question 6

Blunt chest trauma:

Answer 6

• CXR supine
• FAST
• EKG (elderly, heart disease)
• when stable –> CT w IV contrast

Question 7

Blunt abdml trauma

Answer 7

• CXR
• Pelvic Xray
• FAST

Question 8

Inflammatory ca.

Answer 8

• modified mastectomy (includes Level 1 and 2 nodes)
• neoadjuvant chemo
• post-mastectomy radiation

Question 9

Modified radical mastectomy

Answer 9

=breast tissue + axillary nodes (level 1 and 2)

-for inflammatory breast ca, pagets ds of the breast

Question 10

Breast cancer FU post-surgery

Answer 10

• annual mammogram
• H and P q6mo x 5 yr, then annually
• annual GYN exam if taking tamoxifen and have a uterus

Question 11

Trauma pt, how often cycle H and H

Answer 11

q4-6 hrs

Question 12

Labs for a trauma

Answer 12

• chem 7
• CBC
• Coags
• Type and cross
• UA
• LFTs
• Amylase
• Lactic acid

Question 13

Causes of elevated amylase

Answer 13

• pancreatic issues
• truama
• surgery
• mesenteric ischemia
• SBO
• perforated PUD
• appendicitis
• cholecystitis