Surgery - Rosh Boost Exam Review UPDATED ACTUAL Questions and
CORRECT Answers
1. -Anginal Chest What findings would you see in a PT with HCOM?
Pain
-Dyspnea on ex-
ertion
-Bisferiens
Carotid Pulse
-Left Ventricular
Hypertrophy
2. -BB or CCBs How do you treat HCOM?
-ICD for high-risk
PTs
3. Infection > Malig- What is the MC cause of Exudative Pleural Effusion?
nancy, PE
4. Pleural Effusion Pt w/dullness to percussion, decreased breath sounds, decreased tactile fremitus,
and blunted costophrenic angles?
5. Surgical closure Pt w/palpitations, SOB, paroxysmal nocturnal dyspnea, HR of 130, a wide, fixed
of ASD split, and an echo that shows an ASD of 2.5cm, how do you treat the underlying
cause of A-fib?
6. Percutaneous Pt w/palpable breast mass in the upper outer quadrant of right breast, with
Breast Bx no pain, nipple discharge, or skin changes, who has a hx of fibrocystic breast
changes and a firm, nontender, mobile mass that is 2cm in diameter, mammo
shows well-circumscribed, solid lesion w/o calcification and US shows hypoechoic
solid nodule with well-defined margins, what is the next best step?
7. Laryngoscopy What is the diagnostic test to do for someone who was choking but now has FB
w/Bronchoscopy aspiration?
8.
, Subarachnoid What is characterized by an arterial bleed located between the arachnoid and pia
Hemorrhage layers?
9. Ruptured Berry Subarachnoid Hemorrhage is MC a result of what?
Aneurysm
10. Subarachnoid Pt with N/V, neck pain/stiffness, and a brief loss of consciousness?
Hemorrhage
11. Sigmoid Volvulus
12. Sigmoid Volvulus Pt w/worsening abdominal pain and distention over the last 3 days, chronic
constipation for years, now unable to pass gas, abdominal pain that is diffuse and
colicky with moments of severe crampy discomfort, mild tenderness to palpation,
and tympany?
13. Endoscopic How do you treat Sigmoid Volvulus?
detorsion &
Rectal Tube
Placement
14. Hemothorax Pt who presents after a car accident reports chest pain on left side which worsens with
deep breaths, increased HR & RR, decreased oxygen, chest wall that is tender,
auscultation reveals diminished breath sounds on left side and trachea is midline
with no JVD?
15. Tube Thoracosto- How do you treat a Hemothorax?
my
, 16. Partial Opioid Ag- What is the MOA of the med used to tx opioid use disorder?
onist
(Buprenorphine)
17. Needle Aspira- How do you treat a Breast Abscess?
tion & Clin-
damycin
18. Calcium Glu- PT w/muscle weakness that progresses to flaccid paralysis and an EKG that looks
conate like this, how do you treat?
(Hyperkalemia)
19. Observation & What is the most appropriate next step in management for an incidental finding
Follow-up Imag- of Pancreatic Pseudocyst?
ing
20. Internal Jugular Where is the MC location to place a Central Line placement especially for he-
Vein modialysis PTs?
21. Serum Lipase What is the best test to establish a diagnosis of Pancreatitis?
22. Loss of lung vol- Pt who is 2 days postop develops SOB, right-sided chest pain, increased BP &
ume due to col- RR, and decreased oxygen saturation, exam shows diminished chest expansion
lapse of lung tis- and fine crackles to the right lower lung field, what is the underlying cause of the
sue diagnosis?
(Atelectasis)
23. IV Atropine 1mg How do you treat AV Block or Bradycardia?
24. Discharge home US shows gallstones in the gallbladder, what is the next best step in management?
w/follow-up for
Cholecystectomy
(Cholelithiasis)
CORRECT Answers
1. -Anginal Chest What findings would you see in a PT with HCOM?
Pain
-Dyspnea on ex-
ertion
-Bisferiens
Carotid Pulse
-Left Ventricular
Hypertrophy
2. -BB or CCBs How do you treat HCOM?
-ICD for high-risk
PTs
3. Infection > Malig- What is the MC cause of Exudative Pleural Effusion?
nancy, PE
4. Pleural Effusion Pt w/dullness to percussion, decreased breath sounds, decreased tactile fremitus,
and blunted costophrenic angles?
5. Surgical closure Pt w/palpitations, SOB, paroxysmal nocturnal dyspnea, HR of 130, a wide, fixed
of ASD split, and an echo that shows an ASD of 2.5cm, how do you treat the underlying
cause of A-fib?
6. Percutaneous Pt w/palpable breast mass in the upper outer quadrant of right breast, with
Breast Bx no pain, nipple discharge, or skin changes, who has a hx of fibrocystic breast
changes and a firm, nontender, mobile mass that is 2cm in diameter, mammo
shows well-circumscribed, solid lesion w/o calcification and US shows hypoechoic
solid nodule with well-defined margins, what is the next best step?
7. Laryngoscopy What is the diagnostic test to do for someone who was choking but now has FB
w/Bronchoscopy aspiration?
8.
, Subarachnoid What is characterized by an arterial bleed located between the arachnoid and pia
Hemorrhage layers?
9. Ruptured Berry Subarachnoid Hemorrhage is MC a result of what?
Aneurysm
10. Subarachnoid Pt with N/V, neck pain/stiffness, and a brief loss of consciousness?
Hemorrhage
11. Sigmoid Volvulus
12. Sigmoid Volvulus Pt w/worsening abdominal pain and distention over the last 3 days, chronic
constipation for years, now unable to pass gas, abdominal pain that is diffuse and
colicky with moments of severe crampy discomfort, mild tenderness to palpation,
and tympany?
13. Endoscopic How do you treat Sigmoid Volvulus?
detorsion &
Rectal Tube
Placement
14. Hemothorax Pt who presents after a car accident reports chest pain on left side which worsens with
deep breaths, increased HR & RR, decreased oxygen, chest wall that is tender,
auscultation reveals diminished breath sounds on left side and trachea is midline
with no JVD?
15. Tube Thoracosto- How do you treat a Hemothorax?
my
, 16. Partial Opioid Ag- What is the MOA of the med used to tx opioid use disorder?
onist
(Buprenorphine)
17. Needle Aspira- How do you treat a Breast Abscess?
tion & Clin-
damycin
18. Calcium Glu- PT w/muscle weakness that progresses to flaccid paralysis and an EKG that looks
conate like this, how do you treat?
(Hyperkalemia)
19. Observation & What is the most appropriate next step in management for an incidental finding
Follow-up Imag- of Pancreatic Pseudocyst?
ing
20. Internal Jugular Where is the MC location to place a Central Line placement especially for he-
Vein modialysis PTs?
21. Serum Lipase What is the best test to establish a diagnosis of Pancreatitis?
22. Loss of lung vol- Pt who is 2 days postop develops SOB, right-sided chest pain, increased BP &
ume due to col- RR, and decreased oxygen saturation, exam shows diminished chest expansion
lapse of lung tis- and fine crackles to the right lower lung field, what is the underlying cause of the
sue diagnosis?
(Atelectasis)
23. IV Atropine 1mg How do you treat AV Block or Bradycardia?
24. Discharge home US shows gallstones in the gallbladder, what is the next best step in management?
w/follow-up for
Cholecystectomy
(Cholelithiasis)
