SURGERY PAEA QUESTIONS LATEST UPDATE

SURGERY PAEA QUESTIONS LATEST UPDATE Pyloric stenosis Dx and sx = US/non bilious projectile vomiting in a newborn - Myotomy = tx Pt who got elective endoscopy after GERD dx. Wakes up w/ pain and HoTN. What other PE sign would be seen? - SubQ emphysema Man w/ newly diagnosed UC. When should he get his first colonoscopy? = - 8yrs post diagnosis When should a healthy person get their 1st colonoscopy = - 50yo Patient with mass in neck and reed sternberg cells. Dx? - Hodgkin's lymphoma (Tx = CHOP) Smoker had 1cm mass in lung on CXR. What is the next step? - CT Tall thin man with scapular pain and different BPs in each arm. What is this? - Aortic dissection Guy with PAD has bilateral calf pain and ABI of 0.8 (normal around 1.0). Next step? - monitored exercise Patient has epigastric postprandial pain 2-3 hrs. Dx? - Chronic mesenteric ischemia Patient has epigastric postprandial pain 2-3 hrs, what is the diagnostic test - - answer is CTA Drug to give after carotid endarterectomy? - CCB Vaccine to give post splenectomy? - Pneumococcal POD 5 fever, cough, tachycardia, rales on auscultation? - pneumonia Patient on Warfarin what is increased? - PT Post gastrectomy patient has tachycardia, diaphoresis, anxiety, diarrhea after eating sugary foods. Dx? - Early dumping syndrome Chronic etOH patient has new onset epigastric pain, palpable mass. Vitals normal. Dx? - chronic pancreatitis Patient with exercise induced asthma what is recommended for periop tx? - Beta agonist ((?) incentive spirometer (other: preop deep breathing exercises, preop IV steroids)) Old man presenting with constipation, obstipation, etc (LBO sx). Initial study? - Colonoscopy (abd XR, decompression weren't options) Patient has halitosis, regurgitation of food. Diagnostic test? - Barium enema Pt had portacaval shunting now has neuro sx. What happened? - Hepatic encephalopathy