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Surgery > Surgery Rapid Fire Review > Flashcards

Surgery Rapid Fire Review Flashcards

1
Q

Elderly woman, SBO, and air in biliary tract.

A

Gallstone ileus

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2
Q

Elderly woman with pain down inner aspect of thigh.

A

Obturator hernia (howship romberg sign)

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3
Q

Abdominal pain, hypotension, and abdominal pulsatile mass.

A

Ruptured abdominal aortic aneurysm

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4
Q

Abdominal pain “out of proportion” to abdominal exam.

A

Mesenteric ischemia

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5
Q

Arm pain and syncope with arm movement.

A

subclavian steal syndrome

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6
Q

Increasing creatinine on ACE inhibitor.

A

Renal artery stenosis

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7
Q

Child with midline neck mass.

A

Thyroglossal duct cyst

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8
Q

Child with lateral neck mass.

A

Branchial cleft cyst

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9
Q

Crush injury and dark urine.

A

Myoglobinuria

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10
Q

Emesis, chest pain radiating to back, and mediastinal air.

A

Boerhaave’s

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11
Q

Lower GI bleed + technetium pertechnetate scan.

A

Meckel’s diverticulum

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12
Q

Flushing, diarrhea, and right sided heart failure.

A

Carcinoid

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13
Q

Pneumoaturia and LLW pain.

A

Colovesicular fistula

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14
Q

Desmoid tumor, osteoma, and colon cancer.

A

Gardner’s syndrome

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15
Q

Epigastric pain radiating to back and flank ecchymosis.

A

Hemorrhagic pancreatitis

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16
Q

Pancreatitis and palpable epigastric mass.

A

Pancreatic pseudocyst

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17
Q

Liver abscess with “anchovy paste”.

A

Amebic abscess

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18
Q

RUQ pain, travel, and exposure to sheep.

A

Hydatid cyst

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19
Q

Caput medusa

A

Portal hypertension

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20
Q

45 year old woman with RUQ pain for 12 hours, fever and leukocytosis.

A

Acute cholecystitis

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21
Q

Elderly man with large nontender palpable gallbladder

A

Pancreatic cancer (Courvoisier’s sign)

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22
Q

Female taking birth control pills with liver mass.

A

Hepatic adenoma

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23
Q

Liver tumor with “central scar”.

A

Focal nodular hyperplasia

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24
Q

Pancreatic mass, gallstones, diabetes and diarrhea.

A

Somatostatinoma

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25
Q

RUQ bruit and CHF in young adult.

A

Liver hemangioma

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26
Q

Excruciating pain with bowel movement.

A

Anal fissure

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27
Q

Abdominal pain, diarrhea, and anal fistulae.

A

Crohn’s disease

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28
Q

ECG with peaked T waves

A

Hyperkalemia

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29
Q

Buccal mucosa with pigmentation

A

Peutz-Jeghers syndrome

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30
Q

LLQ pain, fever, and change in bowel habits.

A

Diverticulitis

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31
Q

Elevated urine 5-HIAA

A

carcinoid

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32
Q

Institutionalized, abdominal pain, vomiting and distention, with proximal colonic dilation.

A

Sigmoid volvulus

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33
Q

Infant with projectile vomiting.

A

Pyloric stenosis

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34
Q

Newborn with failure to pass meconium in first 24 hours.

A

Hirschsprung’s disease

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35
Q

Infant with bilious vomiting

A

malrotation

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36
Q

Newborn with abdominal defect and umbilical cord on sac.

A

Omphalocele

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37
Q

Teenager with knee pain and “onion skinning” on X-Ray.

A

Ewing’s sarcoma

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38
Q

Pulmonary capillary wedge pressure less than 8, CXR with bilateral pulmonary infiltrates, and PaO2:FiO2 ratio less than 200

A

Acute respiratory distress syndrome (ARDS)

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39
Q

Increased peak airway pressure, low urine output, and urinary bladder >25mmHg.

A

Abdominal compartment syndrome

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40
Q

Newborn with inability to pass an NGT.

A

esophageal atresia

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41
Q

Traumatic bliding in one eye followed by blindness in the contralateral eye 2 weeks later.

A

Sympathetic ophthalmia

42
Q

Mitotic pupil, ptosis, and anhydrosis.

A

Horner’s syndrome

43
Q

Traumatic head injury, conscious in ER followed by unconsciousness.

A

Epidural hematoma (“lucid interval”)

44
Q

Worst headache of my life

A

Subarachnoid hemorrhage

45
Q

Hematuria, flank pain, and abdominal mass (palpable).

A

Renal cell carcinoma

46
Q

60 year old white man with painless hematuria.

A

bladder cancer

47
Q

RUQ pain, jaundice and fever.

A

Cholangitis

48
Q

Epigastric pain radiating to back, with nausea and vomiting.

A

Pancreatitis

49
Q

Chest pain radiating to back and described as a tearing pain.

A

Aortic dissection

50
Q

40 year old man with tachycardia, hypotension and confusion on postoperative day 2.

A

Alcohol withdrawal

51
Q

Marfanoid body habitus and mucosal neuromas.

A

MEN II-B

52
Q

Psammoma bodies

A

Papillary thyroid cancer

53
Q

Sulphur granules

A

actinomyces infection

54
Q

Thyroid tumor with amyloid tissue

A

Thyroid medullary cancer

55
Q

Palpable neck tumor and hypercalcemia

A

parathyroid cancer

56
Q

Hypertension, diaphoresis (episodic), and palpitations.

A

Pheochromocytoma

57
Q

Jejunal ulcers

A

Zollinger-Ellison syndrome

58
Q

Pituitary tumor, pancreatic tumor, and parathyroid tumor

A

MEN-I

59
Q

Necrotizing migratory erythema

A

Glocagonomoa

60
Q

Medullary thyroid cancer, pheochromocytoma, and hyperparathyroidism.

A

MEN-IIa

61
Q

Hypokalemia refractory to IV potassium asupplementation.

A

Hypomagnesemia

62
Q

Newborn with pneumatosis

A

Necrotizing enterocolitis (NEC)

63
Q

Child with abdominal mass that crosses midline

A

Neuroblastoma

64
Q

Child less than 4 years of age with abdominal tumor that does not cross midline

A

Wilms tumor

65
Q

Currant jelly stools and abdominal colic.

A

Intussusception

66
Q

Femur fracture, respiratory failure, petechiae, and mental status changes

A

Fat embolism

67
Q

Hearing loss, tinnitus, and vertigo

A

Meniere’s disease

68
Q

Adolescent boy with nasal obstruction and recurrent epistaxis.

A

Juvenile nasopharyngeal angiofibroma

69
Q

Child less than 5 years of age sitting upright and drooling with “hot potato” voice

A

Epiglottitis

70
Q

Angina, syncope, and CHF.

A

Aortic stenosis

71
Q

Tobacco use, asbestos exposure, and pleuritic chest pain.

A

Mesothelioma

72
Q

Supracondylar fracture and contracture of forearm flexors.

A

Volkmann’s contracture

73
Q

Tibia fracture, “pain out of proportion”, pain on passive foot movement, and palpable pulses.

A

Compartment syndrome

74
Q

25 year old man with liver mass with fibrous septae and NO history of cirrhosis or hepatitis.

A

Fibrolamellar hepatocellular carcinoma

75
Q

EKG with flattening of T waves and U waves.

A

Hypokalemia

76
Q

Central pontine myelinosis.

A

Too rapid correction of hyponatremia

77
Q

Polydipsia, polyuria, and constipation.

A

Hypercalcemia

78
Q

Factor VIII deficiency.

A

Hemophilia A

79
Q

Abdominal pain, fever, hypotension, hyperkalemia and hyponatremia.

A

Adrenal insufficiency (Addisonian crisis)

80
Q

Massive urine output and hypernatremia.

A

Diabetes insipidus

81
Q

Increased urine osmolality, hyponatremia, and low serum osmolality.

A

SIADH

82
Q

IV antibiotics, fever, diarrhea

A

C. diff. pseudomembranous colitis

83
Q

Bleeding gums and wound dehiscence

A

Vitamin C deficiency

84
Q

Fever, central line, and hyperglycemia.

A

central line infection

85
Q

Appendectomy followed by fever and abdominal pain on postoperative day #7.

A

Peritoneal abscess

86
Q

Advancing crepitus, fever, and blood blisters.

A

Necrotizing fasciitis

87
Q

High intraoperative fever.

A

Malignant hyperthermia

88
Q

Confusion, ataxia, and ophthalmoplegia

A

Wernicke’s encephalopathy

89
Q

Tracheal deviation, decreased breath sounds, and hyperresonance.

A

Tension pneumothorax

90
Q

Hypotension, decreased heart sounds, and JVD

A

Pericardial tamponade

91
Q

Four ribs broken in two places and pulmonary contusion.

A

Flail chest

92
Q

Otorrhea (clear) and Battle’s sign.

A

Basilar skull fracture

93
Q

Ulcer decreased pain with food.

A

Duodenal ulcer

94
Q

Vomiting, retching, and epigastric pain

A

Mallory-Weiss tear

95
Q

Fever on postoperative day #1, with “bronze” weeping, tender wound.

A

Clostridial wound infection

96
Q

Hematochezia and tenesmus

A

Rectal cancer

97
Q

Upper GI bleed, jaundice, and RUQ pain

A

Hemobilia

98
Q

Gallstones, epigastric pain radiating to back, and nausea.

A

Gallstone pancreatitis

99
Q

18 year old woman with bloody nipple discharge

A

Ductal papilloma

100
Q

Irritability, diaphoresis, weakness, tremulousness, and palpitations.

A

Insulinoma

Surgery (33 decks)

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