SURGERY PAEA QUESTIONS LATEST UPDATE

SURGERY PAEA QUESTIONS LATEST UPDATE Pyloric stenosis Dx and sx = US/non bilious projectile vomiting in a newborn - Myotomy = tx Pt who got elective endoscopy after GERD dx. Wakes up w/ pain and HoTN. What other PE sign would be seen? - SubQ emphysema Man w/ newly diagnosed UC. When should he get his first colonoscopy? = - 8yrs post diagnosis When should a healthy person get their 1st colonoscopy = - 50yo Patient with mass in neck and reed sternberg cells. Dx? - Hodgkin's lymphoma (Tx = CHOP) Smoker had 1cm mass in lung on CXR. What is the next step? - CT Tall thin man with scapular pain and different BPs in each arm. What is this? - Aortic dissection Guy with PAD has bilateral calf pain and ABI of 0.8 (normal around 1.0). Next step? - monitored exercise Patient has epigastric postprandial pain 2-3 hrs. Dx? - Chronic mesenteric ischemia Patient has epigastric postprandial pain 2-3 hrs, what is the diagnostic test - - answer is CTA SURGERY PAEA QUESTIONS LATEST UPDATE 2 | P a g e Drug to give after carotid endarterectomy? - CCB Vaccine to give post splenectomy? - Pneumococcal POD 5 fever, cough, tachycardia, rales on auscultation? - pneumonia Patient on Warfarin what is increased? - PT Post gastrectomy patient has tachycardia, diaphoresis, anxiety, diarrhea after eating sugary foods. Dx? - Early dumping syndrome Chronic etOH patient has new onset epigastric pain, palpable mass. Vitals normal. Dx? - chronic pancreatitis Patient with exercise induced asthma what is recommended for periop tx? - Beta agonist ((?) incentive spirometer (other: preop deep breathing exercises, preop IV steroids)) Old man presenting with constipation, obstipation, etc (LBO sx). Initial study? - Colonoscopy (abd XR, decompression weren't options) Patient has halitosis, regurgitation of food. Diagnostic test? - Barium enema Pt had portacaval shunting now has neuro sx. What happened? - Hepatic encephalopathy SURGERY PAEA QUESTIONS LATEST UPDATE 3 | P a g e Person w/ fistulas, aphthous ulcers. Dx = - Crohn's Dude with history of hemorrhagic stroke has a PE. Treat with an... - IVC filter Woman w/ thickened skin, dimpling of hair follicles, skin changes. Type of breast problem? = - inflammatory carcinoma 30 yo woman with urinary retention, increase urgency/frequency. Noted detrusor muscle dysfunction. Dx? = - MS 60 yo woman w/ controlled HTN and DM comes in w/ recurrent DVTs. On Warfarin and HCTZ. She isn't symptomatic however. INR was 2.5 (or 2.9). What should you do to treat her = - IVC filter Pt w/ claudication in butt, hips and impotence. Where is the arterial insufficiency most likely located? = - aortoiliac (SFA, Iliacs were other options) Pt s/p resection from gastric carcinoma. Now having paresthesias and decreased vibratory sense. Dx? = - Pernicious anemia Parapalegic pt who is beginning to get decubitus ulcer. What should you do? = - Alleviate pressure points See the apple core lesion on the barium. Dx? = - Colon CA