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PLE SEPTEMBER 2018 > Surgical RECALL Rapid Review Only > Flashcards

Surgical RECALL Rapid Review Only 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 (AAA)

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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 the 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

Pneumaturia and LLQ 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

RUQ pain, travel, and exposure to sheep

A

RUQ pain, travel, and exposure to sheep

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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)

22
Q

Female taking birth control pills with liver mass

A

Female taking birth control pills with liver mass

23
Q

Liver tumor with “central scar”

A

Focal nodular hyperplasia

24
Q

Pancreatic mass, gallstones, diabetes, and diarrhea

A

Somatostatinoma

25
Q

RUQ bruit and CHF in young adult

A

Liver hemangioma

26
Q

Excruciating pain with bowel movement

A

Excruciating pain with bowel movement

27
Q

Abdominal pain, diarrhea, and anal fistulae

A

Crohn’s disease

28
Q

EKG with “peaked” T waves

A

Hyperkalemia

29
Q

Buccal mucosa with pigmentation

A

Peutz–Jeghers syndrome

30
Q

LLQ pain, fever, and change in bowel habits

A

Diverticulitis

31
Q

Elevated urine 5-HIAA

A

Carcinoid

32
Q

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

A

Sigmoid volvulus

33
Q

Infant with projectile vomiting

A

Infant with projectile vomiting

34
Q

Newborn with failure to pass meconium in first 24 hours

A

Newborn with failure to pass meconium in first 24 hours

35
Q

Infant with bilious vomiting

A

Malrotation

36
Q

Newborn with abdominal defect and umbilical cord on sac

A

Omphalocele

37
Q

Teenager with knee pain and “onion skinning” on x-ray

A

Ewing’s sarcoma

38
Q

Pulmonary capillary wedge pressure <18, CXR with bilateral pulmonary infiltrates, and PaO2:FiO2 ratio <300

A

Acute respiratory distress syndrome (ARDS)

39
Q

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

A

Abdominal compartment syndrome

40
Q

Newborn with inability to “pass an NGT”

A

Esophageal atresia

41
Q

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

A

Sympathetic ophthalmia

42
Q

Miotic 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

“Worst headache of my life”

45
Q

Hematuria, flank pain, and abdominal mass (palpable)

A

Renal cell carcinoma

46
Q

60-year-old white man with painless hematuria

A

60-year-old white man with painless hematuria

47
Q

RUQ pain, jaundice, and fever

A

Cholangitis

48
Q

Epigastric pain radiating to back, with nausea and vomiting

A

Epigastric pain radiating to back, with nausea and vomiting

49
Q

Chest pain radiating to back and described as a “tearing” pain

A

Chest pain radiating to back and described as a “tearing” pain

50
Q

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

A

Alcohol withdrawal

PLE SEPTEMBER 2018 (26 decks)

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