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Surgery COMAT questions with verified answers graded A+ latest version

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Surgery COMAT questions with verified answers graded A+ latest version

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Surgery COMAT questions with verified answers
graded A+ latest version
1. What is the size guideline Spontaneous pneumothorax:
for treatment of a spon- <2 cm observes
taneous pneumothorax? >2 cm large and stable = needle aspiration or chest tube


2. 5 W's of Post-op surgery? 5 W's
• Wind
Pneumonia, PE, Aspiration
• Wound
Surgical site infections
• Water
Urinary tract infections
§ Increased risk due to indwelling catheters
§ Associated with enteric organisms ie. E. coli, Klebsiella, Proteus
mirabilia
• 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- purativa?
tomy vs. Simple mastec-
tomy?

4. altnernate name for
hidradenitis suppurative

5. What is hidradenitis sup-


,Surgery COMAT questions with verified answers
graded A+ latest version
MRM includes:
• Includes axillary dissection
• Level I and Level II axillary dissection

being the standard procedure acnes

inversa


hronic skin inflammatory condition that is
associated with:
• Induration






,Surgery COMAT questions with verified answers
graded A+ latest version
• Abscess
• Sinus tracts
It is similar in character and location as many other conditions but can
be ditterentiated 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 with verified answers
graded A+ latest version
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 diflculties
• 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
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