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