Surgical Recall

Question 1

Elderly woman, SBO, air in biliary tract

Answer 1

Gallstone ileus

Question 2

Elderly woman with pain down inner aspect of thigh

Answer 2

Obturator hernia (Howship-Romberg sign)

Question 3

Abdominal pain, hypotension, abdominal pulsatile mass

Answer 3

Rupture abdominal aortic aneurysm

Question 4

Abdominal pain “out of proportion” to abdominal exam

Answer 4

Mesenteric Ischemia

Question 5

Arm pain and syncope with arm movement

Answer 5

Sublavian steal syndrome

Question 6

Increasing creatinine on ACE inhibitor

Answer 6

Renal artery stenosis

Question 7

Child with MIDLINE neck mass

Answer 7

Thyrogloassal duct cyst

Question 8

Child wtih LATERAL neck mass

Answer 8

Branchial cleft cyst

Question 9

Crush injury and dark urine

Answer 9

Myoglobinuria

Question 10

Emesis, chest pain radiating to back, and mediastinal air

Answer 10

Boerhaave’s

Question 11

Lower GI bleed + technetium pertechnetate scan

Answer 11

Meckel’s diverticulum

Question 12

Flushing, diarrhea, and right-sided heart failure

Answer 12

Carcinoid

Question 13

Pneumaturia and LLQ pain

Answer 13

colovesicular fistula

Question 14

Desoid tumor, osteoma, and colon cancer

Answer 14

Gardner’s syndrom

Question 15

Epigastric pain radiating to back and flank ecchymosis

Answer 15

hemorrhagic pancreatitis

Question 16

Pancreatitis and palpable epigastric mass

Answer 16

pancreatic pseudocyst

Question 17

Liver abscess with “anchovy paste”

Answer 17

amebic abscess

Question 18

RUQ pain, travel, and exposure to sheep

Answer 18

Hydatid cyst

Question 19

Caput medusa

Answer 19

portal hypertension

Question 20

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

Answer 20

acute cholecystitis

Question 21

Elderly man with large non-tender palpable gallbladder

Answer 21

pancreatic cancer (Courvoisier’s sign)

Question 22

Female taking birth control pills with liver mass

Answer 22

hepatic adenoma

Question 23

Liver tumor with “Central scar”

Answer 23

focal nodular hyperplasia

Question 24

Pancreatic mass, gallstones, diabetes, and diarrhea

Answer 24

somatostatinoma

Question 25

RUQ bruit and CHF in young adult

Answer 25

liver hemangioma

Question 26

Excruciating pain with bowel movement

Answer 26

anal fissure

Question 27

Abdominal pain, diarrhea, and anal fistula

Answer 27

Crohn's disease

Question 28

EKG with "peaked" T waves

Answer 28

hyperkalemia

Question 29

Buccal mucosa with pigmentation

Answer 29

Peutz-Jeghers syndrome

Question 30

LLQ pain, fever, and change in bowel habits

Answer 30

Diverticulitis

Question 31

Elevated urine 5-HIAA

Answer 31

Carcinoid

Question 32

Institutionalized, abdominal pain, vomiting, and distension with proximal colonic dilation

Answer 32

sigmoid volvulus

Question 33

Infant with projectile vomiting

Answer 33

pyeloric stenosis

Question 34

Newborn with failure to pass meconium in first 24 hours

Answer 34

Hirschsprung's

Question 35

Infant with bilious vomiting

Answer 35

malrotation

Question 36

Newborn with abdominal defect and umbilical cord on sac

Answer 36

Omphalocele

Question 37

Teenager with knee pain and "onion skinning" on x-ray

Answer 37

Ewing's sarcoma

Question 38

Pulmonary capillary wedge pressure <18, CXR with bilateral pulmonary infiltrates, and PaO2:FIO2 ratio <300

Answer 38

ARDS

Question 39

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

Answer 39

Abdominal compartment syndrome

Question 40

Newborn with inability to "pass an NGT"

Answer 40

Esophageal atresia

Question 41

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

Answer 41

Sympathetic ophthalmia

Question 42

Mitotic pupil, ptosis, and anhydrosis

Answer 42

Horner's syndrome

Question 43

Traumatic head injury, conscious in ER followed by unconsciousness

Answer 43

Epidural hematoma

Question 44

"worst headache of my life"

Answer 44

subarachnoid hemorrhage

Question 45

Hematuria, flank plank pain, and abdominal mass

Answer 45

renal cell carcinoma

Question 46

60-year-old white man with painless hematuria

Answer 46

bladder cancer

Question 47

RUQ pain, jaundice, fever

Answer 47

cholangitis

Question 48

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

Answer 48

aortic dissection

Question 49

40-year-old man with tachycardia/hypertension and confusion on postoperative day 2

Answer 49

alcohol withdrawal