surgery paea questions and answers
Pyloric |stenosis |
SX= |non |bilious |projectile |vomiting |in |a |newborn
Dx |=US
tx |=? |- |ANSWERS✔✔Myotomy |= |tx
Pt |who |got |elective |endoscopy |after |GERD |dx. |Wakes |up |w/ |pain |and |HoTN. |What |other |PE |sign |
would |be |seen? |- |ANSWERS✔✔SubQ |emphysema
Man |w/ |newly |diagnosed |UC. |When |should |he |get |his |first |colonoscopy? |= |- |ANSWERS✔✔8yrs |post |
diagnosis
When |should |a |healthy |person |get |their |1st |colonoscopy |= |- |ANSWERS✔✔50yo
Patient |with |mass |in |neck |and |reed |sternberg |cells. |Dx? |- |ANSWERS✔✔Hodgkin's |lymphoma |(Tx |= |
CHOP)
Smoker |had |1cm |mass |in |lung |on |CXR. |What |is |the |next |step? |- |ANSWERS✔✔CT
Tall |thin |man |with |scapular |pain |and |different |BPs |in |each |arm. |What |is |this? |- |ANSWERS✔✔Aortic |
dissection
Guy |with |PAD |has |bilateral |calf |pain |and |ABI |of |0.8 |(normal |around |1.0). |Next |step? |- |
ANSWERS✔✔monitored |exercise
Patient |has |epigastric |postprandial |pain |2-3 |hrs. |Dx? |- |ANSWERS✔✔Chronic |mesenteric |ischemia
,Patient |has |epigastric |postprandial |pain |2-3 |hrs, |what |is |the |diagnostic |test |- |- |ANSWERS✔✔answer |
is |CTA
Drug |to |give |after |carotid |endarterectomy? |- |ANSWERS✔✔CCB
Vaccine |to |give |post |splenectomy? |- |ANSWERS✔✔Pneumococcal
POD |5 |fever, |cough, |tachycardia, |rales |on |auscultation? |- |ANSWERS✔✔pneumonia
Patient |on |Warfarin |what |is |increased? |- |ANSWERS✔✔PT
Post |gastrectomy |patient |has |tachycardia, |diaphoresis, |anxiety, |diarrhea |after |eating |sugary |foods. |Dx?
|- |ANSWERS✔✔Early |dumping |syndrome
Chronic |etOH |patient |has |new |onset |epigastric |pain, |palpable |mass. |Vitals |normal. |Dx? |- |
ANSWERS✔✔chronic |pancreatitis
Patient |with |exercise |induced |asthma |what |is |recommended |for |periop |tx? |- |ANSWERS✔✔Beta |
agonist |((?) |incentive |spirometer |(other: |preop |deep |breathing |exercises, |preop |IV |steroids))
Old |man |presenting |with |constipation, |obstipation, |etc |(LBO |sx). |Initial |study? |- |
ANSWERS✔✔Colonoscopy |(abd |XR, |decompression |weren't |options)
Patient |has |halitosis, |regurgitation |of |food. |Diagnostic |test? |- |ANSWERS✔✔Barium |swallow
Pt |had |portacaval |shunting |now |has |neuro |sx. |What |happened? |- |ANSWERS✔✔Hepatic |
encephalopathy
Person |w/ |fistulas, |aphthous |ulcers. |Dx |= |- |ANSWERS✔✔Crohn's
, Dude |with |history |of |hemorrhagic |stroke |has |a |PE. |Treat |with |an... |- |ANSWERS✔✔IVC |filter
Woman |w/ |thickened |skin, |dimpling |of |hair |follicles, |skin |changes. |Type |of |breast |problem? |= |- |
ANSWERS✔✔inflammatory |carcinoma
30 |yo |woman |with |urinary |retention, |increase |urgency/frequency. |Noted |detrusor |muscle |
dysfunction. |Dx? |= |- |ANSWERS✔✔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 |= |- |
ANSWERS✔✔IVC |filter
Pt |w/ |claudication |in |butt, |hips |and |impotence. |Where |is |the |arterial |insufficiency |most |likely |
located? |= |- |ANSWERS✔✔aortoiliac |(SFA, |Iliacs |were |other |options)
Pt |s/p |resection |from |gastric |carcinoma. |Now |having |paresthesias |and |decreased |vibratory |sense. |Dx? |
= |- |ANSWERS✔✔Pernicious |anemia
Parapalegic |pt |who |is |beginning |to |get |decubitus |ulcer. |What |should |you |do? |= |- |
ANSWERS✔✔Alleviate |pressure |points
See |the |apple |core |lesion |on |the |barium. |Dx? |= |- |ANSWERS✔✔Colon |CA
Pt |who |is |on |meslamine |and |keeps |getting |increasing |sx |of |moderate |Crohn's. |Next |move? |= |- |
ANSWERS✔✔Prednisone |(steroids)
Pt |on |warfarin |and |the |INR |was |9. |What |should |you |tx |them |w/ |if |there's |no |active |bleeding? |= |- |
ANSWERS✔✔PO |Vit |K
Recognize |Trousseau's |sign. |Also |where |is |trousseau's |sign |seen? |= |- |ANSWERS✔✔Hypocalcemia
Pyloric |stenosis |
SX= |non |bilious |projectile |vomiting |in |a |newborn
Dx |=US
tx |=? |- |ANSWERS✔✔Myotomy |= |tx
Pt |who |got |elective |endoscopy |after |GERD |dx. |Wakes |up |w/ |pain |and |HoTN. |What |other |PE |sign |
would |be |seen? |- |ANSWERS✔✔SubQ |emphysema
Man |w/ |newly |diagnosed |UC. |When |should |he |get |his |first |colonoscopy? |= |- |ANSWERS✔✔8yrs |post |
diagnosis
When |should |a |healthy |person |get |their |1st |colonoscopy |= |- |ANSWERS✔✔50yo
Patient |with |mass |in |neck |and |reed |sternberg |cells. |Dx? |- |ANSWERS✔✔Hodgkin's |lymphoma |(Tx |= |
CHOP)
Smoker |had |1cm |mass |in |lung |on |CXR. |What |is |the |next |step? |- |ANSWERS✔✔CT
Tall |thin |man |with |scapular |pain |and |different |BPs |in |each |arm. |What |is |this? |- |ANSWERS✔✔Aortic |
dissection
Guy |with |PAD |has |bilateral |calf |pain |and |ABI |of |0.8 |(normal |around |1.0). |Next |step? |- |
ANSWERS✔✔monitored |exercise
Patient |has |epigastric |postprandial |pain |2-3 |hrs. |Dx? |- |ANSWERS✔✔Chronic |mesenteric |ischemia
,Patient |has |epigastric |postprandial |pain |2-3 |hrs, |what |is |the |diagnostic |test |- |- |ANSWERS✔✔answer |
is |CTA
Drug |to |give |after |carotid |endarterectomy? |- |ANSWERS✔✔CCB
Vaccine |to |give |post |splenectomy? |- |ANSWERS✔✔Pneumococcal
POD |5 |fever, |cough, |tachycardia, |rales |on |auscultation? |- |ANSWERS✔✔pneumonia
Patient |on |Warfarin |what |is |increased? |- |ANSWERS✔✔PT
Post |gastrectomy |patient |has |tachycardia, |diaphoresis, |anxiety, |diarrhea |after |eating |sugary |foods. |Dx?
|- |ANSWERS✔✔Early |dumping |syndrome
Chronic |etOH |patient |has |new |onset |epigastric |pain, |palpable |mass. |Vitals |normal. |Dx? |- |
ANSWERS✔✔chronic |pancreatitis
Patient |with |exercise |induced |asthma |what |is |recommended |for |periop |tx? |- |ANSWERS✔✔Beta |
agonist |((?) |incentive |spirometer |(other: |preop |deep |breathing |exercises, |preop |IV |steroids))
Old |man |presenting |with |constipation, |obstipation, |etc |(LBO |sx). |Initial |study? |- |
ANSWERS✔✔Colonoscopy |(abd |XR, |decompression |weren't |options)
Patient |has |halitosis, |regurgitation |of |food. |Diagnostic |test? |- |ANSWERS✔✔Barium |swallow
Pt |had |portacaval |shunting |now |has |neuro |sx. |What |happened? |- |ANSWERS✔✔Hepatic |
encephalopathy
Person |w/ |fistulas, |aphthous |ulcers. |Dx |= |- |ANSWERS✔✔Crohn's
, Dude |with |history |of |hemorrhagic |stroke |has |a |PE. |Treat |with |an... |- |ANSWERS✔✔IVC |filter
Woman |w/ |thickened |skin, |dimpling |of |hair |follicles, |skin |changes. |Type |of |breast |problem? |= |- |
ANSWERS✔✔inflammatory |carcinoma
30 |yo |woman |with |urinary |retention, |increase |urgency/frequency. |Noted |detrusor |muscle |
dysfunction. |Dx? |= |- |ANSWERS✔✔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 |= |- |
ANSWERS✔✔IVC |filter
Pt |w/ |claudication |in |butt, |hips |and |impotence. |Where |is |the |arterial |insufficiency |most |likely |
located? |= |- |ANSWERS✔✔aortoiliac |(SFA, |Iliacs |were |other |options)
Pt |s/p |resection |from |gastric |carcinoma. |Now |having |paresthesias |and |decreased |vibratory |sense. |Dx? |
= |- |ANSWERS✔✔Pernicious |anemia
Parapalegic |pt |who |is |beginning |to |get |decubitus |ulcer. |What |should |you |do? |= |- |
ANSWERS✔✔Alleviate |pressure |points
See |the |apple |core |lesion |on |the |barium. |Dx? |= |- |ANSWERS✔✔Colon |CA
Pt |who |is |on |meslamine |and |keeps |getting |increasing |sx |of |moderate |Crohn's. |Next |move? |= |- |
ANSWERS✔✔Prednisone |(steroids)
Pt |on |warfarin |and |the |INR |was |9. |What |should |you |tx |them |w/ |if |there's |no |active |bleeding? |= |- |
ANSWERS✔✔PO |Vit |K
Recognize |Trousseau's |sign. |Also |where |is |trousseau's |sign |seen? |= |- |ANSWERS✔✔Hypocalcemia
