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Exam (elaborations)
Surgery NBME Form 1 - Questions and Answers
Surgery NBME Form 1 - Questions and Answers 42 yo - hospital w/ piece of meat lodged in lower esophagus meat removed by esophagoscopy w/ difficulty evening - 101 F most app dx study? water-soluble contrast upper gastrointestinal study don't repeat what procedure damaged her esophagus water-soluble aka gastrograffin - dx esophageal rupture neck x-ray - if food/thing stuck in oropharynx upper GI study - if want to look at thorax if this procedure is non-dx > Ba study if perforation confirmed...
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Exam (elaborations)
Surgery NBME Form 2 - Questions and Answers
PopularSurgery NBME Form 2 - Questions and Answers 37 yo - ED 30 min after MVA arrival: abd pain vitals stable PE: abd - diffuse tenderness; dec bowel sounds supine X-ray shown - herniation of abd contents into thorax most likely dx? ruptured diaphragm hx of blunt trauma/MVA, abnormal CXR, left lower lung opacity, elevated hemidiaphragm, and mediastinal deviation MC on the left bc there's no liver to protect it CXR: herniation of abd contents into thorax 42 yo - 2 days of RU abd pain and gen itching...
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Exam (elaborations)
Surgery NBME Form 4 - Questions and Answers
Surgery NBME Form 4 - Questions and Answers obese 72 yo - ED 15 min after collapsed at home > wife reports he's had upper abd pain, n/v for past 24 hrs PMHx: HTN and CAD diaphoretic 97.7 F P: 115/min, irr irregular RR: 22/min palp sys BP: 80 mmHg PE: no JVD; lungs clear; no murmurs/gallops; abd tender/rigid pulm art cath: dec CI, mean pulm art pressure, PCWP; inc SVR predominant type of shock in this pt? hypovolemic shocks vs swan-ganz Cath parameters (cardiac index (CI), CVP, PCWP, SVR) 1...
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Exam (elaborations)
Surgery NBME Form 3 - Questions and Answers
Surgery NBME Form 3 - Questions and Answers 3 wk old - 18 days of inc yellow skin/eyes born to 24 yo woman, G2P2, uncomplicated preg/delivery > 3175g at birth breast-fed exclusively today weights 3345g BR = 15 (direct - 13) most likely dx? biliary artesia suspected in 6-8 wk old babies - persistent, prog inc jaundice (more conj) dx: 1 wk of phenobarbital > HIDA scan if no bile reaches duodenum w/ phenobarbital > surgical exploration 22 yo - pain/edema of R.upper ext > 10 days after...
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