Surgery / Trauma

Question 1

AAA

surveillance and surgery indications?

Answer 1

Surveillance :
3.0–3.9 cm: 24 months
4.0–4.5 cm: 12 months
4.5–5.0 cm: 6 months
>5.0 cm: 3 months

Surgical indication :

• men > 5.5cm women > 5.0cm
• rapid growth > 1cm/yr
• unexplained ab pain/tenderness

Question 2

bloody nipple discharge,

the most likley Dx?

Answer 2

1. breast duct papilloma

2. Paget’s disease

Question 3

the most common finding associated with unilateral cryptorchidism ?

Answer 3

inguinal hernia

Question 4

inguinal hernia in children

what’s the 6-2 rule?

Answer 4

Diagnosed between birth and 6 weeks, surgery with 2 days.
Diagnosed between 6 weeks and 6 months, surgery within 2 weeks.
Diagnosed after 6 months, surgery within 2 months

Question 5

a patient with asymptomatic gallstone

What is the indication (size) for prophylactic cholecystectomy?

Answer 5

3cm

Question 6

during appendectomy,

appendiceal carcinoid was found. what to do?

Answer 6

< 1cm : appendectomy
1-2cm : location at tip, middle –> appendectomy
location at base –> hemi-colectomy
>2cm : hemicolectomy

Question 7

primary pneumothorax management

Answer 7

<15% AND asymptomatic : O2
>15% or symptomatic :
stable : aspiration
sick or tension pneumo : intercostal chest drainage