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