Most Commons

Question 1

indication for surgery with chron’s?

Answer 1

SBO

Question 2

type of melanoma?

Answer 2

superficial spreading

Question 3

type of breast CA?

Answer 3

infiltrating ductal

Question 4

site of breast CA?

Answer 4

upper outer quadrant

Question 5

vessel invovled with bleeding duodenal ulcer?

Answer 5

gastroduodenal artery

Question 6

cause of CMD obstruction?

Answer 6

choledocholithiasis

Question 7

bacteria in stool?

Answer 7

b. frag (bacteroides fragilis)

Question 8

cause of SBO in kids?

Answer 8

hernias

Question 9

cuase of SBO in adults?

Answer 9

post op peritoneal adhesions

Question 10

cuase of emergency abdominal surgery in the US?

Answer 10

acute appendicitis

Question 11

site of GI carcinoids?

Answer 11

appendix

Question 12

electrolyte deficiency causing ileus?

Answer 12

hypokalemia

Question 13

site of distant mets of sarcoma?

Answer 13

lungs

Question 14

cause of shock in surgical patient?

Answer 14

hypovolemia

Question 15

position of anal fissure?

Answer 15

posterior

Question 16

cause of large bowel obstruction?

Answer 16

colon CA

Question 17

type of colonic volvulus?

Answer 17

sigmoid

Question 18

cause of fever <48 hour post op?

Answer 18

actelectasis

Question 19

bacterial cause of UTI

Answer 19

e. coli

Question 20

abdominal organ injured in blunt abdominal trauma?

Answer 20

liver (apparently not spleen?)

Question 21

abdominal organ injured in penetratin abdominal trauma?

Answer 21

small intestine

Question 22

bengin tumor of the liver?

Answer 22

hemangioma

Question 23

malignancy of the liver?

Answer 23

mets

Question 24

pneumonia in ICU?

Answer 24

gram neg bacteria

Question 25

cuaes of epidural hematoma?

Answer 25

mma injury

Question 26

cause of lower gi bleed?

Answer 26

upper gi bleed

Question 27

type of hernia?

Answer 27

inguinal (R more than L)

Question 28

cuase of esophageral perf?

Answer 28

iatrogenic instrumentation (EGD)

Question 29

cause of free peritoneal air?

Answer 29

perforated PUD

Question 30

symtom with gastric CA?

Answer 30

weight loss

Question 31

site of colon CA mets?

Answer 31

liver

Question 32

cause of death ages 1-4?

Answer 32

trauma

Question 33

what is the calculation for maintenance fluids? (for the first 24 hours)

Answer 33

100/50/20 - 100 ml/kg for up to the 1st 10 kg of body weight* === 50 ml/kg for up to the 2nd 10 kg of body weight === and 20 ml/kg of the remaining

Question 34

what is the calculation for maintenance rate? (for determining an hourly rate)

Answer 34

4-2-1. 4 ml/kg for first 10; 2 for next 10 and 1 for the remaining.

Question 35

what is the most posterior cavity of the peritoneal cavity?

Answer 35

morrison's pouch

Question 36

what are the components of the hasselbach's triangle?

Answer 36

lateral border of rectus sheath (med) epigastric vessls (lat), inguinal ligament (inferior),

Question 37

what are the sides of the triangle of calot?

Answer 37

cystic duct (lat), common hepatic duct (med), inferior border of the liver (or the cystic artery)

Question 38

what is the gastrinoma triangle?

Answer 38

junction of the 2nd and 3rd portion of the duodenem; cystic duct; and pancreatic neck

Question 39

what reverses the effects of heparin?

Answer 39

protamine iv (1:100)

Question 40

how long before surgery should heparin be d/c?

Answer 40

4 to 6 hours

Question 41

what is the classic therapeutic INR?

Answer 41

2-3

Question 42

how long before surgery should warfarin be discontinued?

Answer 42

from 3 to 5 days pre op (IV hep should begin once you stop warfarin) - post op it can be started within a few days

Question 43

This drug increases gastric emptying with increase in LES pressure; dopamine antagonist; used in diabetic gastroparesis and to help move feeding tubes past the pylorus

Answer 43

Metoclopramide (Reglan)

Question 44

This drug is a common anti-emetic/serotonin blocker

Answer 44

Onddanestron (Zofran)

Question 45

This is a common somatostatin analog

Answer 45

Octreotide

Question 46

What medication is used to treat promethazine-induced dystonia?

Answer 46

benadryl

Question 47

Which medication is classically associated with mesenteric ischemia?

Answer 47

digitalis

Question 48

What is Toradol?

Answer 48

Ketorolac - IV NSAID

Question 49

What is the antidote for Ethylene glycol OD?

Answer 49

fomepizole

Question 50

What is the antidote for benzo OD?

Answer 50

flumazenil (romazicon)

Question 51

Is DVT more common in the right or left iliac vein?

Answer 51

Left (bifurcation of the aorta crosses and possibly compresses the left iliac vein)

Question 52

What is the order of recovery of bowel function after abdominal surgery?

Answer 52

small bowel, stomach and colon.

Question 53

What syndrome is the bacterial overgrowth in the small intestine due to stasis?

Answer 53

blind loop syndrome

Question 54

What is the most dangerous period for a postoperative MI following a previous MI?

Answer 54

six months after an MI

Question 55

T or F: post operative MIs tend to present without CP

Answer 55

true - note: most post op MIs happen on POD2 to POD5

Question 56

What is Zosyn?

Answer 56

Piperacillin/tazobactam is a combination antibiotic containing the extended-spectrum penicillin antibiotic piperacillin and the β-lactamase inhibitor tazobactam.

Question 57

What is Unasyn?

Answer 57

Ampicillin/sulbactam is a combination of the common penicillin-derived antibiotic ampicillin and sulbactam, an inhibitor of bacterial beta-lactamase.

Question 58

What is Augmentin?

Answer 58

amoxicillin and clavulanate