Surgery COMAT questions
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1. What is the size guideline Spontaneous pneumothorax:
for treatment of a spon- <2 cm observe
taneous pneumothorax? >2 cm large and stable = needle aspiration or chest tube
2. 5 W's of Post-op surgery? 5 W's
• Wind
ËPneumonia, PE, Aspiration
• Wound
ËSurgical site infections
• Water
ËUrinary tract infections
§ Increased risk due to indwelling catheters
§ Associated with enteric organisms ie. E. coli, Klebsiella, Proteus
mirabillis
• Walk
ËDeep vein thrombosis
• Wonder Drugs
ËDrug fever, blood products, IV lines
ËDrug fever: diagnosis of exclusion
§ Usually associated with anticonvulsants, antibiotics (beta-lactams,
sulfonamides) and allopurinol
§ Occurs within 1-2 weeks of drug initiation
3. Modified Radial Mastec- MRM includes:
tomy vs. Simple mastec- • Includes axillary dissection
tomy? • Level I and Level II axillary dissection being the standard procedure
4. altnernate name for acnes inversa
hidradenitis suppurative
5. What is hidradenitis sup- hronic skin inflammatory condition that is associated with:
purativa? • Induration
, Surgery COMAT questions
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• Abscess
• Sinus tracts
It is similar in character and location as many other conditions but can
be differentiated by careful history and identifying presence of hyper-
keratosis induced follicular occlusion (family history and reccurrence)
6. What is Paraphimosis? Paraphimosis is considered a urological emergency and occurs when
the retracted foreskin develops a fixed constriction proximal to the
glans
7. Treatment of parphimo- The glans is first compressed for several minutes to decrease edema
sis?
Followed by application of ice and attempting to push the prepuce
distally while the glans is pushed proximally
8. Balanoposthitis is an inflammation secondary to an infection of the glans penis and
the surrounding foreskin
The majority of cases are due to poor hygiene or external irritation
with subsequent colonization by a fungus
9. Treatment of Bal-
anoposthitis?
, Surgery COMAT questions
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Cleaning the region with soap and water, adequate hygiene, avoid-
ing moist environment and application of antifungal creams such as
nystatin or clotrimazole
10. Peyronie's disease Peyronie's disease is a rare condition also known as chronic inflam-
mation of the tunica albuginea
Associated with abnormal growth of the fibrous plaques and scar
formation in the sheath of tissue surrounding the corpora cavernosa
(tunica albuginea) of the penis
11. Phimosis Phimosis is the inability to retract the foreskin proximally to the glans
penis
• Can be a result of normal development or may be due to infection
or poor hygiene
12. Priapism? Priapism is another urological emergency but is not involved with
foreskin constriction or retraction difficulties
• Priapism is a urological emergency and is defined as painful,
involntary and persistent erection in which both corpora cavernosa
are engorged with stagnant blood
• Impotence can result with sustained erection, thus urgent action is
imperative when faced with this condition
, Surgery COMAT questions
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13. Treatment of priapism? adequate analgesia, hydration, stopping the offending agent, admin-
istration of terbutaline (beta2-mimetic), application of ice packs and
corporal aspiration of blood
14. A-fib complication and The patient in the vignette has A-fib as seen in the exhibit and is
acute abdomen? reportedly non-compliant with medical therapy predisposing him to
atrial clot formatiom which can subsequently embolize and cause
ischemic colitis. These patients present with:
• Acute abdominal pain
• Bloody diarrhea
• Vomiting
• Abdominal tenderness
15. Other causes of ischemic • Embolus
colitis • Hypoperfusion from any cause
• Bowel obstruction
16. Clinical findings of is- • Labs show characteristically elevated WBC count and elevated lactic
chemic colitis? acid level because of ischemia
• Imaging techniques:
ËCT scan can show bowel wall thickening
ËBarium enema may show a "thumb printing"
ËSigmoidoscopy can reveal bloody and edematous tissue
17. Treatment of ischemic • Aimed at the cause, in this case embolization is a possibility
colitis? • If treatment is delayed the bowel necroses then surgical resection
Study online at https://quizlet.com/_2f4wmp
1. What is the size guideline Spontaneous pneumothorax:
for treatment of a spon- <2 cm observe
taneous pneumothorax? >2 cm large and stable = needle aspiration or chest tube
2. 5 W's of Post-op surgery? 5 W's
• Wind
ËPneumonia, PE, Aspiration
• Wound
ËSurgical site infections
• Water
ËUrinary tract infections
§ Increased risk due to indwelling catheters
§ Associated with enteric organisms ie. E. coli, Klebsiella, Proteus
mirabillis
• Walk
ËDeep vein thrombosis
• Wonder Drugs
ËDrug fever, blood products, IV lines
ËDrug fever: diagnosis of exclusion
§ Usually associated with anticonvulsants, antibiotics (beta-lactams,
sulfonamides) and allopurinol
§ Occurs within 1-2 weeks of drug initiation
3. Modified Radial Mastec- MRM includes:
tomy vs. Simple mastec- • Includes axillary dissection
tomy? • Level I and Level II axillary dissection being the standard procedure
4. altnernate name for acnes inversa
hidradenitis suppurative
5. What is hidradenitis sup- hronic skin inflammatory condition that is associated with:
purativa? • Induration
, Surgery COMAT questions
Study online at https://quizlet.com/_2f4wmp
• Abscess
• Sinus tracts
It is similar in character and location as many other conditions but can
be differentiated by careful history and identifying presence of hyper-
keratosis induced follicular occlusion (family history and reccurrence)
6. What is Paraphimosis? Paraphimosis is considered a urological emergency and occurs when
the retracted foreskin develops a fixed constriction proximal to the
glans
7. Treatment of parphimo- The glans is first compressed for several minutes to decrease edema
sis?
Followed by application of ice and attempting to push the prepuce
distally while the glans is pushed proximally
8. Balanoposthitis is an inflammation secondary to an infection of the glans penis and
the surrounding foreskin
The majority of cases are due to poor hygiene or external irritation
with subsequent colonization by a fungus
9. Treatment of Bal-
anoposthitis?
, Surgery COMAT questions
Study online at https://quizlet.com/_2f4wmp
Cleaning the region with soap and water, adequate hygiene, avoid-
ing moist environment and application of antifungal creams such as
nystatin or clotrimazole
10. Peyronie's disease Peyronie's disease is a rare condition also known as chronic inflam-
mation of the tunica albuginea
Associated with abnormal growth of the fibrous plaques and scar
formation in the sheath of tissue surrounding the corpora cavernosa
(tunica albuginea) of the penis
11. Phimosis Phimosis is the inability to retract the foreskin proximally to the glans
penis
• Can be a result of normal development or may be due to infection
or poor hygiene
12. Priapism? Priapism is another urological emergency but is not involved with
foreskin constriction or retraction difficulties
• Priapism is a urological emergency and is defined as painful,
involntary and persistent erection in which both corpora cavernosa
are engorged with stagnant blood
• Impotence can result with sustained erection, thus urgent action is
imperative when faced with this condition
, Surgery COMAT questions
Study online at https://quizlet.com/_2f4wmp
13. Treatment of priapism? adequate analgesia, hydration, stopping the offending agent, admin-
istration of terbutaline (beta2-mimetic), application of ice packs and
corporal aspiration of blood
14. A-fib complication and The patient in the vignette has A-fib as seen in the exhibit and is
acute abdomen? reportedly non-compliant with medical therapy predisposing him to
atrial clot formatiom which can subsequently embolize and cause
ischemic colitis. These patients present with:
• Acute abdominal pain
• Bloody diarrhea
• Vomiting
• Abdominal tenderness
15. Other causes of ischemic • Embolus
colitis • Hypoperfusion from any cause
• Bowel obstruction
16. Clinical findings of is- • Labs show characteristically elevated WBC count and elevated lactic
chemic colitis? acid level because of ischemia
• Imaging techniques:
ËCT scan can show bowel wall thickening
ËBarium enema may show a "thumb printing"
ËSigmoidoscopy can reveal bloody and edematous tissue
17. Treatment of ischemic • Aimed at the cause, in this case embolization is a possibility
colitis? • If treatment is delayed the bowel necroses then surgical resection
