SURGERY PAEA QUESTIONS AND ANSWERS
Pyloric stenosis
SX= non bilious projectile vomiting in a newborn
Dx =US
tx =? - Answers -Myotomy = tx
Pt who got elective endoscopy after GERD dx. Wakes up w/ pain and HoTN. What
other PE sign would be seen? - Answers -SubQ emphysema
Man w/ newly diagnosed UC. When should he get his first colonoscopy? = - Answers -
8yrs post diagnosis
When should a healthy person get their 1st colonoscopy = - Answers -50yo
Patient with mass in neck and reed sternberg cells. Dx? - Answers -Hodgkin's
lymphoma (Tx = CHOP)
Smoker had 1cm mass in lung on CXR. What is the next step? - Answers -CT
Tall thin man with scapular pain and different BPs in each arm. What is this? - Answers
-Aortic dissection
Guy with PAD has bilateral calf pain and ABI of 0.8 (normal around 1.0). Next step? -
Answers -monitored exercise
Patient has epigastric postprandial pain 2-3 hrs. Dx? - Answers -Chronic mesenteric
ischemia
Patient has epigastric postprandial pain 2-3 hrs, what is the diagnostic test - - Answers -
answer is CTA
Drug to give after carotid endarterectomy? - Answers -CCB
Vaccine to give post splenectomy? - Answers -Pneumococcal
POD 5 fever, cough, tachycardia, rales on auscultation? - Answers -pneumonia
Patient on Warfarin what is increased? - Answers -PT
Post gastrectomy patient has tachycardia, diaphoresis, anxiety, diarrhea after eating
sugary foods. Dx? - Answers -Early dumping syndrome
Pt w/ claudication in butt, hips and impotence. Where is the arterial insufficiency most
likely located? = - Answers -aortoiliac (SFA, Iliacs were other options)
,Pt s/p resection from gastric carcinoma. Now having paresthesias and decreased
vibratory sense. Dx? = - Answers -Pernicious anemia
Parapalegic pt who is beginning to get decubitus ulcer. What should you do? = -
Answers -Alleviate pressure points
See the apple core lesion on the barium. Dx? = - Answers -Colon CA
Pt who is on meslamine and keeps getting increasing sx of moderate Crohn's. Next
move? = - Answers -Prednisone (steroids)
Pt on warfarin and the INR was 9. What should you tx them w/ if there's no active
bleeding? = - Answers -PO Vit K
Recognize Trousseau's sign. Also where is trousseau's sign seen? = - Answers -
Hypocalcemia
Pt comes in w/ symptomatic hypercalcemia. What are these symptoms likey? = -
Answers -fatigue/weakness (stones we're an option)
When would you do a parathyroidectomy on a pt = - Answers -Hip fx from osteopenia??
Tx for testicular CA = - Answers -SURGERY oophorectomy
Recognize thyrotoxicosis! It's tx? = - Answers -IV PTU
Muscle protruding through mucosa in proximal esophagus, Dx? = - Answers -Zenker's
Diverticulum (think this was right but other options were Schatzki ring, hiatal hernia)
NOT ZENKERS
Lady had progressive left ear pain, then facial droop, inability to raise eyebrow. -
Answers -Acoustic schwannoma
Sign of UC? - Answers -Bloody diarrhea
Patient has paresthesias and muscle weakness/spasms after total thyridectomy. Why? -
Answers -Hypoparathyroidism
Patient has PUD that has not gone away with treatment over the year. Definitive Dx for
diagnosis (zollinger Ellison) ? - Answers -Measure gastrin levels
What would put guy with testicular cancer at higher risk? - Answers -Cryptochorsism
Woman with hematuria what would reduce her risk of bladder ca? - Answers -Gender
, Consequence of feeding syndrome with anorexia?? - Answers -hypophosphatemia
hypomagnesemia
thiamine def.
hyponatremia
hypokalemia
What cells do you see in asplenic pt? = - Answers -Howell-Jolly bodies
What is the process behind Addisons? = - Answers -Adrenal insuff (autoimmune)
Dx test for Addison's = - Answers -ACTH stimulation test
Person gets N/V, fatigue after pituitary tumor removal. Test you should run? = -
Answers -Serum cortisol level
Woman w/ fluctuant, erythematous mass in axilla. Afebrile. First treatment for this? = -
Answers -I&D
Pt w/ ogliuria, increased BUN:Cr and low urine Na. Likely dx? = - Answers -Hepatorenal
syndrome - prerenal azotemia
Pt with all the signs of a DVT. What would you likely see on PE? = - Answers -Pain
upon dorsiflexion of foot (Homan's sign)
Pt was urinating 5.5L of fluid in 6hrs. What was their metabolic state = - Answers -
hypokalemic alkalosis
Pt had respiratory acidosis. What lab finding would you see? = - Answers -pH of 7.05
Pt w/ PMH of PUD. Comes in w/ wt loss, projectile vomiting after she eats. Likely PE
sign you would see? =
Cancer (?) - Answers -rebound tenderness (this is probably a perforated ulcer and you
would likely see peritoneal signs)
Pt with ABI of 0.68 what is treatment? - Answers -Angio
Pt POD5 cxr shows lobar infiltrates - Answers -PNA
SE of thyroidectomy - Answers -hypocalcemia
Moderate risk for colon cancer - Answers -first degree relative
What surgery to do for crohns - Answers -R hemicol
Hydrocele presentation - Answers -Pumpkin sign
Pyloric stenosis
SX= non bilious projectile vomiting in a newborn
Dx =US
tx =? - Answers -Myotomy = tx
Pt who got elective endoscopy after GERD dx. Wakes up w/ pain and HoTN. What
other PE sign would be seen? - Answers -SubQ emphysema
Man w/ newly diagnosed UC. When should he get his first colonoscopy? = - Answers -
8yrs post diagnosis
When should a healthy person get their 1st colonoscopy = - Answers -50yo
Patient with mass in neck and reed sternberg cells. Dx? - Answers -Hodgkin's
lymphoma (Tx = CHOP)
Smoker had 1cm mass in lung on CXR. What is the next step? - Answers -CT
Tall thin man with scapular pain and different BPs in each arm. What is this? - Answers
-Aortic dissection
Guy with PAD has bilateral calf pain and ABI of 0.8 (normal around 1.0). Next step? -
Answers -monitored exercise
Patient has epigastric postprandial pain 2-3 hrs. Dx? - Answers -Chronic mesenteric
ischemia
Patient has epigastric postprandial pain 2-3 hrs, what is the diagnostic test - - Answers -
answer is CTA
Drug to give after carotid endarterectomy? - Answers -CCB
Vaccine to give post splenectomy? - Answers -Pneumococcal
POD 5 fever, cough, tachycardia, rales on auscultation? - Answers -pneumonia
Patient on Warfarin what is increased? - Answers -PT
Post gastrectomy patient has tachycardia, diaphoresis, anxiety, diarrhea after eating
sugary foods. Dx? - Answers -Early dumping syndrome
Pt w/ claudication in butt, hips and impotence. Where is the arterial insufficiency most
likely located? = - Answers -aortoiliac (SFA, Iliacs were other options)
,Pt s/p resection from gastric carcinoma. Now having paresthesias and decreased
vibratory sense. Dx? = - Answers -Pernicious anemia
Parapalegic pt who is beginning to get decubitus ulcer. What should you do? = -
Answers -Alleviate pressure points
See the apple core lesion on the barium. Dx? = - Answers -Colon CA
Pt who is on meslamine and keeps getting increasing sx of moderate Crohn's. Next
move? = - Answers -Prednisone (steroids)
Pt on warfarin and the INR was 9. What should you tx them w/ if there's no active
bleeding? = - Answers -PO Vit K
Recognize Trousseau's sign. Also where is trousseau's sign seen? = - Answers -
Hypocalcemia
Pt comes in w/ symptomatic hypercalcemia. What are these symptoms likey? = -
Answers -fatigue/weakness (stones we're an option)
When would you do a parathyroidectomy on a pt = - Answers -Hip fx from osteopenia??
Tx for testicular CA = - Answers -SURGERY oophorectomy
Recognize thyrotoxicosis! It's tx? = - Answers -IV PTU
Muscle protruding through mucosa in proximal esophagus, Dx? = - Answers -Zenker's
Diverticulum (think this was right but other options were Schatzki ring, hiatal hernia)
NOT ZENKERS
Lady had progressive left ear pain, then facial droop, inability to raise eyebrow. -
Answers -Acoustic schwannoma
Sign of UC? - Answers -Bloody diarrhea
Patient has paresthesias and muscle weakness/spasms after total thyridectomy. Why? -
Answers -Hypoparathyroidism
Patient has PUD that has not gone away with treatment over the year. Definitive Dx for
diagnosis (zollinger Ellison) ? - Answers -Measure gastrin levels
What would put guy with testicular cancer at higher risk? - Answers -Cryptochorsism
Woman with hematuria what would reduce her risk of bladder ca? - Answers -Gender
, Consequence of feeding syndrome with anorexia?? - Answers -hypophosphatemia
hypomagnesemia
thiamine def.
hyponatremia
hypokalemia
What cells do you see in asplenic pt? = - Answers -Howell-Jolly bodies
What is the process behind Addisons? = - Answers -Adrenal insuff (autoimmune)
Dx test for Addison's = - Answers -ACTH stimulation test
Person gets N/V, fatigue after pituitary tumor removal. Test you should run? = -
Answers -Serum cortisol level
Woman w/ fluctuant, erythematous mass in axilla. Afebrile. First treatment for this? = -
Answers -I&D
Pt w/ ogliuria, increased BUN:Cr and low urine Na. Likely dx? = - Answers -Hepatorenal
syndrome - prerenal azotemia
Pt with all the signs of a DVT. What would you likely see on PE? = - Answers -Pain
upon dorsiflexion of foot (Homan's sign)
Pt was urinating 5.5L of fluid in 6hrs. What was their metabolic state = - Answers -
hypokalemic alkalosis
Pt had respiratory acidosis. What lab finding would you see? = - Answers -pH of 7.05
Pt w/ PMH of PUD. Comes in w/ wt loss, projectile vomiting after she eats. Likely PE
sign you would see? =
Cancer (?) - Answers -rebound tenderness (this is probably a perforated ulcer and you
would likely see peritoneal signs)
Pt with ABI of 0.68 what is treatment? - Answers -Angio
Pt POD5 cxr shows lobar infiltrates - Answers -PNA
SE of thyroidectomy - Answers -hypocalcemia
Moderate risk for colon cancer - Answers -first degree relative
What surgery to do for crohns - Answers -R hemicol
Hydrocele presentation - Answers -Pumpkin sign
