General Surgery Rosh Review (2023/2024) Already Passed

General Surgery Rosh Review (2023/2024) Already Passed What is the management steps of pheochromocytoma? Control HTN with alpha blocker first then use beta blocker (propranolol) Adrenalectomy after HTN is controlled What is the best prevention for esophageal strictures? PPI therapy (strictures usually due to untreated GERD causing scar tissue to build up) What is the best management for 75% blockage of the left common carotid artery? Carotid endarterectomy hemorrhoid staging 1: No prolapse just prominent blood vessels 2: prolapse upon bearing down but spontaneous reduction 3: prolapse upon bearing down with manual reduction 4: prolapse with inability to reduce What is the biggest lifetime management for post-roux-en-y gastric bypass surgery? Micronutrient supplementation What is it called with an incision site with small amount of purulent drainage, no dehiscence, and no fluctuance? Cellulitis (abscesses will have fluctuance) What is the test to confirm diagnosis of 20yo with who is 6 foot 160lbs. chest pain and dyspnea that occurred while playing basketball? Chest Xray (look for signs of spontaneous pneumothorax- common in skinny, tall males) Which of the following is a physical exam finding characterized by pain and inspiratory arrest during palpation of the right upper quadrant? Murphy's Sign (gallbladder inflammation) A woman is being seen for pre-op evaluation. A chest radiograph reveals bilateral hilar adenopathy with symmetric enlargement of the hila. Serum angiotensin-converting enzyme levels are ordered and found to be elevated. Which of the following is the most likely diagnosis? Sarcoidosis (common in AA women, bl hilar adenopathy, elevated serum ace) Patient has uncontrolled GERD and worsening dysphagia. What is best initial test? Upper endoscopy A 53-year-old overweight man presents to the outpatient clinic with recurrent burning abdominal pain that occurs two to three hours after a meal. Which of the following would be the most frequent physical examination finding in this patient? Epigastric tenderness Patient with necrotizing pancreatitis, what will you most likely discover in patient's H&P? Ecchymosis of the flanks (Grey-Turners' sign) What is test of choice to evaluate DVT? venous doppler US What is a likely cause of a respiratory acidosis on a pt in an ICU who is intubated? Hypoventilation (retaining too much CO2) What is it called when a person has pain in their legs when exercising and it resolves at rest? claudication What is the most common vision change with a pituitary tumor? dec temporal vision Patient presents with vague epigastric pain with weight loss. What is most likely diagnosis? Pancreatic cancer (Courvoisier sign-palpable, non-tender gallbladder with jaundice) What is best route of administration for iron in a patient who is post-roux-en-y gastric bypass surgery? IV (not oral because worried about absorption rate