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Flashcards in Diagnostic Deck (18)
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1

A 70kg male patient presents with extensive bleeding due to gunshot wound in the hip area. Assessment of the patient revealed evidence orthostatic hypotension and tachycardia. What is the estimated blood loss of the patient?

15-30% (Class II)

2

The type of shock with increased cardiac index, low systemic vascular resistance, and unchanged venous capacitance.

Neurogenic

3

The type of shock with decreased cardiac index, high systemic vascular resistance, and decreased venous capacitance.

Hypovolemic

4

The type of shock with decreased cardiac index, high systemic vascular resistance, and unchanged venous capacitance.

Cardiogenic

5

The type of shock with increased cardiac index, low systemic vascular resistance, and increased venous capacitance.

Septic

6

What is the maintenance fluid requirement of a 65kg man?

2400 mL

7

What is the infection rate of an elective left hemicolectomy?

9.4% - 25%

8

A patient sustained penetrating Zone 2 neck injury. He presents with stable vital signs, but with dysphagia, and stridor. What is the next best step in management of the patient?

Operative neck exploration

9

A patient sustained blunt abdominal injury. He presents at the ER alert with stable vital signs. PE revealed soft, non-tender abdomen. What is the next best step in management of the patient?

Do FAST

10

A pharmacologic agent used in burns that had good eschar penetration, but known for its adverse effects including metabolic acidosis, and inhibition of epithelialization.

Mafenide acetate

11

A pharmacologic agent used in burns that does not penetrate eschar, mildly inhibits epithelialization, and causes transient leukopenia.

Silver sulfadiazine

12

A pharmacologic agent used in burns that stains contacted areas, leeches sodium from wounds, and may cause methemoglobinemia.

Silver nitrate

13

What structures are preserved during modified radical mastectomy?

Lymph node level III

14

The following are removed during Crile radical neck dissection, except:
a. Internal Jugular Vein
b. External Jugular Vein
c. spinal accessory nerve
d. Sternocleidomastoid
e. Level V lymph nodes

b. External Jugular Vein

15

A type of diaphragmatic hernia where there is upward dislocation of gastric fundus alongside normally positioned cardia.

Type II (rolling/fundus)

Type I: sliding/cardia
Type III: upward dislocation of both
Type IV and V: herniation

16

Most common cause of acute mesenteric ischemia.

Arterial embolus

Venous thrombosis: SMA
Vasospasm: non occlusive MI
Arterial thrombosis: proximal

17

Most common cause of Acute appendicitis in adult.

Fecalith

Pedia: Lymphoid hyperplasia

18

You are presented with an intubated, alert patient, who follows simple commands. What is his Glasgow coma scale score?

E4V1M6

GCS: 11