5- Dr. High Yield: Surgery Exam Questions and Answers A+ Guide

✓ 5- Dr. High Yield: Surgery Exam
Questions and Answers A+ Guide

GSW to abd (below nipple) --> next step? - correct
answers✅✅ex lap (explorative laparotomy)


Stab wound to abd + stable --> next step? - correct
answers✅✅CT abd


stab wound + unstable or peritonitis --> next step? - correct
answers✅✅ex lap (explorative laparotomy)


blunt abdomen trauma w/ peritoneal signs --> next step? -
correct answers✅✅ex lap (explorative laparotomy)




peritoneal signs= peritonitis signs


blunt abdomen trauma w/ hypotension but NO peritoneal signs --
> next step? - correct answers✅✅FAST to look for where they
are bleeding


Focused Assessment with Sonography in Trauma


blunt abdomen trauma + hemodynamically stable --> next step?
- correct answers✅✅CT of abdomen

,✓ 5- Dr. High Yield: Surgery Exam
Questions and Answers A+ Guide

stab wound + unstable or peritonitis --> next step? - correct
answers✅✅ex lap (explorative laparoscopy)


stab wound abd + stable --> next step? - correct
answers✅✅CT abd


differentiate cardiac tamponade v tension pneumo - correct
answers✅✅BOTH +/- Beck triad
PTX= Absent breath sounds




Tension pneumo=
Respiratory distress + Absent breath sounds


Cardiac tamponade=
Beck triad: Hypotension, JVD, Distant heart sounds
No resp distress


IVF in trauma - correct answers✅✅2 large bore IV lines (16
gage needles)


cardiac tamponade unsure dx--> next step? - correct
answers✅✅FAST or ECHO to ensure dx
then do Pericardiocentesis

,✓ 5- Dr. High Yield: Surgery Exam
Questions and Answers A+ Guide

Focused Assessment with Sonography in Trauma


Beck Triad:
1- Hypotension
2- JVD
3- Distant heart sounds


cardiac tamponade sure dx--> next step? - correct
answers✅✅Pericardiocentesis


Beck Triad:
1- Hypotension
2- JVD
3- Distant heart sounds


Dx + Tx tension pneumothorax - correct answers✅✅Dx=
Clinical
Tx=
1st= Thoracentesis (2nd or 3rd intercostal midclavicular line)=
"Needle decompression"
2nd= Chest tube (4th intercostal ant. axillary line)


Dx + TX non-tension pneumothorax - correct
answers✅✅Clinical

, ✓ 5- Dr. High Yield: Surgery Exam
Questions and Answers A+ Guide

Tx= Chest tube (4th intercostal ant. axillary line)


Head trauma + LOC --> next step? - correct answers✅✅Head
CT w/o contrast


epidural= lens (wide)-- middle meningeal A.
subdural= crescent (narrow)-- bridging V.


Epidural hematoma head CT pic - correct answers✅✅Lens=
wide (middle meningeal A.)
sx= lucid interval
tx= emergency craniotomy


lens shaped on CT
tx - correct answers✅✅Epidural hematoma (middle meningeal
A.)
Lens= Wide
tx= emergency craniotomy


-vs-


subdural hematoma
Crescent= Narrow