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Flashcards in General Surgery Deck (59):
1

Treatment of Inflammatory Breast Cancer

Neo-adjuvant chemotherapy, surgery, radiation

2

Breast cancer size warranting systemic therapy

1cm

3

Evaluation of pathologic discharge

Mammography/US, ductography

4

Treatment of intraductal papilloma

Duct excision

5

Risk factor for duct ectasia

Smoking

6

Diagnosis and treatment of duct ectasia

ductogram; duct excision

7

Large tumor that distorts breast but does not become fixed

Cystosarcoma Phyllodes

8

Bilateral tenderness related to the menstrual cycle

Mammary Dysplasia

9

Diagnosis of hiatal hernia

Barium Esophagogram

10

Study to assess gastric emptying

Nuclear Scintigraphy

11

Contraindication for Nissen

gastroparesis

12

Diagnosis of Boerhaave Syndrome

CT or contrast esophagram

13

Preferred diagnostic testing for esophageal tumor

Endoscopic US

14

Treatment of gastric lymphoma

Eradication of H pylori

15

treatment of early post-op SBO

NG decompression

16

Non-operative treatment for SBO

Gastrografin challenge

17

Medical Prophylaxis of variceal bleeds

Beta blocker

18

Diagnosis of carcinoid

24 hour urine 5-HIAA

19

Diagnosis of Meckel Diverticulum

Technetium Scan

20

Viral painful abdominal lymphadenopathy common in children that can masquerade as appendicitis

Mesenteric adenitis

21

Treatment of appendiceal abscess

antibiotics and CT-guided drainage

22

Adult with ascites and mild acute abdomen

Primary peritonitis

23

Treatment of primary peritonitis

Antibiotics

24

Evaluation of colorectal cancer

CT (screen for metastases), CEA level, surgical excision/staging

25

Indication for chemotherapy in colorectal cancer

Stage III or IV disease (FOLFOX: oxaliplatin, leucovorin, 5-FU)

26

Staging of Rectal Cancer

Endoscopic US/MRI

27

Antibiotics used in Crohn Disease

Metronidazole, Ciprofloxacin

28

Most effective immunosuppressive therapy for Crohn disease (especially anorectal) but can lead to lymphoma

infliximab

29

Antibiotics for uncomplicated diverticulitis

Amoxicillin/Clavulanate or Metronidazole/Quinolone

30

Parrot's beak pattern on AXR

Sigmoid volvulus

31

Treatment of sigmoid volvulus

proctosigmoidoscopic exam and rectal tube placement

32

Indication for rubber band ligation of hemorrhoids

prolapse

33

Indication for hemorrhoidectomy

severe pain

34

Medical treatment for anal fissure

topical nitroglycerin or topical nifedipine

35

Chronic anal fissure treatment

Lateral internal sphincterotomy or botulinum toxin

36

Type of cancer and treatment of anal cancer

Squamous cell carcinoma; NIGRO protocol

37

Type of hernia with highest incarceration rate

Femoral

38

When to perform lap chole in patients with gallstone pancreatitis

same hospitalization

39

Charcot's triad is _____ and suggests diagnosis of _____.

RUQ pain, fever, jaundice; Ascending cholangitis

40

Treatment of ascending cholangitis

IV antibiotics, fluids, biliary decompression

41

Cancer marker for pancreatic cancer

19-9

42

Evaluation of pancreatic cancer compared to mesenteric vessels

Endoscopic US

43

Which pancreatic cyst? no malignant transformation; no mucin/CEA/amylase

serous cyst

44

Which pancreatic cyst? hormone stimulated, may be benign or malignant; positive mucin/CEA

mucinous cyst

45

Which pancreatic cyst? involves main pancreatic duct or side branches, high risk for malignancy; positive mucin/CEA/amylase

Intraductal Papillary Mucinous Neoplasm

46

Contraindications to Whipple

Invasion of SMA or >90 degrees SMV; distant metastases

47

Hepatic adenoma size requiring resection

5cm

48

Type of hepatic adenoma with high risk of malignant transformation

Beta-catenin

49

Diagnosis of hepatic adenoma

Laparoscopic US/biopsy

50

Diagnosis of hepatic hemangioma

CT/MRI usually; angiography gold standard

51

Treatment of hepatic hemangioma

resection or embolization

52

Diagnosis of hepatic focal nodular hyperplasia

Radiolabeled sulfur colloid scintigraphy

53

Diagnosis of hepatocellular carcinoma

Laparoscopic US/biopsy

54

Tumor markers for hepatocellular carcinoma

AFP, ferritin

55

Diagnosis and treatment of amebic abscess

Serology, Metronidazole

56

Diagnosis of pancreatitis

Clinical

57

Timing and treatment of pancreatic abscess

10 days after episode; drainage

58

Timing and treatment of pancreatic pseudocyst

5 weeks; endoscopic/percutaneous drainage if >6cm

59

Medical management of chronic pancreatitis

insulin and pancreatic enzymes