✓ 5- Dr. High Yield: Surgery Exam
Questions and Answers A+ Guide
GSW to abd (below nipple) --> next step? - correct
answers✅✅ex lap (explorative laparotomy)
Stab wound to abd + stable --> next step? - correct
answers✅✅CT abd
stab wound + unstable or peritonitis --> next step? - correct
answers✅✅ex lap (explorative laparotomy)
blunt abdomen trauma w/ peritoneal signs --> next step? -
correct answers✅✅ex lap (explorative laparotomy)
peritoneal signs= peritonitis signs
blunt abdomen trauma w/ hypotension but NO peritoneal signs --
> next step? - correct answers✅✅FAST to look for where they
are bleeding
Focused Assessment with Sonography in Trauma
blunt abdomen trauma + hemodynamically stable --> next step?
- correct answers✅✅CT of abdomen
,✓ 5- Dr. High Yield: Surgery Exam
Questions and Answers A+ Guide
stab wound + unstable or peritonitis --> next step? - correct
answers✅✅ex lap (explorative laparoscopy)
stab wound abd + stable --> next step? - correct
answers✅✅CT abd
differentiate cardiac tamponade v tension pneumo - correct
answers✅✅BOTH +/- Beck triad
PTX= Absent breath sounds
Tension pneumo=
Respiratory distress + Absent breath sounds
Cardiac tamponade=
Beck triad: Hypotension, JVD, Distant heart sounds
No resp distress
IVF in trauma - correct answers✅✅2 large bore IV lines (16
gage needles)
cardiac tamponade unsure dx--> next step? - correct
answers✅✅FAST or ECHO to ensure dx
then do Pericardiocentesis
,✓ 5- Dr. High Yield: Surgery Exam
Questions and Answers A+ Guide
Focused Assessment with Sonography in Trauma
Beck Triad:
1- Hypotension
2- JVD
3- Distant heart sounds
cardiac tamponade sure dx--> next step? - correct
answers✅✅Pericardiocentesis
Beck Triad:
1- Hypotension
2- JVD
3- Distant heart sounds
Dx + Tx tension pneumothorax - correct answers✅✅Dx=
Clinical
Tx=
1st= Thoracentesis (2nd or 3rd intercostal midclavicular line)=
"Needle decompression"
2nd= Chest tube (4th intercostal ant. axillary line)
Dx + TX non-tension pneumothorax - correct
answers✅✅Clinical
, ✓ 5- Dr. High Yield: Surgery Exam
Questions and Answers A+ Guide
Tx= Chest tube (4th intercostal ant. axillary line)
Head trauma + LOC --> next step? - correct answers✅✅Head
CT w/o contrast
epidural= lens (wide)-- middle meningeal A.
subdural= crescent (narrow)-- bridging V.
Epidural hematoma head CT pic - correct answers✅✅Lens=
wide (middle meningeal A.)
sx= lucid interval
tx= emergency craniotomy
lens shaped on CT
tx - correct answers✅✅Epidural hematoma (middle meningeal
A.)
Lens= Wide
tx= emergency craniotomy
-vs-
subdural hematoma
Crescent= Narrow
Questions and Answers A+ Guide
GSW to abd (below nipple) --> next step? - correct
answers✅✅ex lap (explorative laparotomy)
Stab wound to abd + stable --> next step? - correct
answers✅✅CT abd
stab wound + unstable or peritonitis --> next step? - correct
answers✅✅ex lap (explorative laparotomy)
blunt abdomen trauma w/ peritoneal signs --> next step? -
correct answers✅✅ex lap (explorative laparotomy)
peritoneal signs= peritonitis signs
blunt abdomen trauma w/ hypotension but NO peritoneal signs --
> next step? - correct answers✅✅FAST to look for where they
are bleeding
Focused Assessment with Sonography in Trauma
blunt abdomen trauma + hemodynamically stable --> next step?
- correct answers✅✅CT of abdomen
,✓ 5- Dr. High Yield: Surgery Exam
Questions and Answers A+ Guide
stab wound + unstable or peritonitis --> next step? - correct
answers✅✅ex lap (explorative laparoscopy)
stab wound abd + stable --> next step? - correct
answers✅✅CT abd
differentiate cardiac tamponade v tension pneumo - correct
answers✅✅BOTH +/- Beck triad
PTX= Absent breath sounds
Tension pneumo=
Respiratory distress + Absent breath sounds
Cardiac tamponade=
Beck triad: Hypotension, JVD, Distant heart sounds
No resp distress
IVF in trauma - correct answers✅✅2 large bore IV lines (16
gage needles)
cardiac tamponade unsure dx--> next step? - correct
answers✅✅FAST or ECHO to ensure dx
then do Pericardiocentesis
,✓ 5- Dr. High Yield: Surgery Exam
Questions and Answers A+ Guide
Focused Assessment with Sonography in Trauma
Beck Triad:
1- Hypotension
2- JVD
3- Distant heart sounds
cardiac tamponade sure dx--> next step? - correct
answers✅✅Pericardiocentesis
Beck Triad:
1- Hypotension
2- JVD
3- Distant heart sounds
Dx + Tx tension pneumothorax - correct answers✅✅Dx=
Clinical
Tx=
1st= Thoracentesis (2nd or 3rd intercostal midclavicular line)=
"Needle decompression"
2nd= Chest tube (4th intercostal ant. axillary line)
Dx + TX non-tension pneumothorax - correct
answers✅✅Clinical
, ✓ 5- Dr. High Yield: Surgery Exam
Questions and Answers A+ Guide
Tx= Chest tube (4th intercostal ant. axillary line)
Head trauma + LOC --> next step? - correct answers✅✅Head
CT w/o contrast
epidural= lens (wide)-- middle meningeal A.
subdural= crescent (narrow)-- bridging V.
Epidural hematoma head CT pic - correct answers✅✅Lens=
wide (middle meningeal A.)
sx= lucid interval
tx= emergency craniotomy
lens shaped on CT
tx - correct answers✅✅Epidural hematoma (middle meningeal
A.)
Lens= Wide
tx= emergency craniotomy
-vs-
subdural hematoma
Crescent= Narrow
