Surgery Paea Questions And Answers Latest Update
Surgery Paea Questions And
Answers Latest Update
Pyloric stenosis
SX= non bilious projectile vomiting in a newborn
Dx =US
tx =? - ✔✔✔-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
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,Surgery Paea Questions And Answers Latest Update
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 swallow
Pt had portacaval shunting now has neuro sx. What happened? - ✔✔✔-Hepatic
encephalopathy
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, Surgery Paea Questions And Answers Latest Update
Person w/ fistulas, aphthous ulcers. Dx = - ✔✔✔-Crohn's
Dude with history of hemorrhagic stroke has a PE. Treat with an... - ✔✔✔-IVC filter
Woman w/ thickened skin, dimpling of hair follicles, skin changes. Type of breast
problem? = - ✔✔✔-inflammatory carcinoma
30 yo woman with urinary retention, increase urgency/frequency. Noted detrusor
muscle dysfunction. Dx? = - ✔✔✔-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 = - ✔✔✔-IVC filter
Pt w/ claudication in butt, hips and impotence. Where is the arterial insufficiency
most likely located? = - ✔✔✔-aortoiliac (SFA, Iliacs were other options)
Pt s/p resection from gastric carcinoma. Now having paresthesias and decreased
vibratory sense. Dx? = - ✔✔✔-Pernicious anemia
Parapalegic pt who is beginning to get decubitus ulcer. What should you do? = -
✔✔✔-Alleviate pressure points
See the apple core lesion on the barium. Dx? = - ✔✔✔-Colon CA
Pt who is on meslamine and keeps getting increasing sx of moderate Crohn's. Next
move? = - ✔✔✔-Prednisone (steroids)
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Surgery Paea Questions And
Answers Latest Update
Pyloric stenosis
SX= non bilious projectile vomiting in a newborn
Dx =US
tx =? - ✔✔✔-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
©®™ Page 1
,Surgery Paea Questions And Answers Latest Update
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 swallow
Pt had portacaval shunting now has neuro sx. What happened? - ✔✔✔-Hepatic
encephalopathy
©®™ Page 2
, Surgery Paea Questions And Answers Latest Update
Person w/ fistulas, aphthous ulcers. Dx = - ✔✔✔-Crohn's
Dude with history of hemorrhagic stroke has a PE. Treat with an... - ✔✔✔-IVC filter
Woman w/ thickened skin, dimpling of hair follicles, skin changes. Type of breast
problem? = - ✔✔✔-inflammatory carcinoma
30 yo woman with urinary retention, increase urgency/frequency. Noted detrusor
muscle dysfunction. Dx? = - ✔✔✔-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 = - ✔✔✔-IVC filter
Pt w/ claudication in butt, hips and impotence. Where is the arterial insufficiency
most likely located? = - ✔✔✔-aortoiliac (SFA, Iliacs were other options)
Pt s/p resection from gastric carcinoma. Now having paresthesias and decreased
vibratory sense. Dx? = - ✔✔✔-Pernicious anemia
Parapalegic pt who is beginning to get decubitus ulcer. What should you do? = -
✔✔✔-Alleviate pressure points
See the apple core lesion on the barium. Dx? = - ✔✔✔-Colon CA
Pt who is on meslamine and keeps getting increasing sx of moderate Crohn's. Next
move? = - ✔✔✔-Prednisone (steroids)
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