Online Med Ed Questions

Question 1

What days post op do I need to think abscess?

What would be my next step in management thinking abscess?

Answer 1

7-14

US

Question 2

What is another way to say wound vac?

Answer 2

Absorbable mesh

Question 3

At what post op hour do we start doing something about no urine output?

Answer 3

6 hours

Question 4

If i am thinking mass in the abdomen somewhere, what image?

Answer 4

CT

Question 5

Type of surgery for reducible, incarcerated and strangulated hernias?

Answer 5

Elective

Emergency or urgent depending on patient condition

Question 6

How do you diagnose spontaneous bacterial peritonitis?

Answer 6

Paracentesis

Question 7

What does a rise in lactic acid mean in a vignette?
If the vignette has heart problems, HTN, and then all of the sudden horrible ab pain what is the problem and how to diagnose?

Answer 7

Dead tissue somewhere, dieing tissue

Mesenteric ischemia so MI of the gut. CT angiography

Question 8

How to best diagnose borrheave or perforation of esophagus?

Answer 8

Gastrograffin, barium, EGD, surgery

Question 9

Patient has anal fissure, they are constipated because it hurts to poop, what is the best initial treatment?

Answer 9

Sitz baths and topical lidocaine

Question 10

What is abdominal evisceration?

How do you treat?

Answer 10

Wound post op has opened and the patient peritoneum is exposed.
Wet dressing and get to OR

Question 11

The entire vignette points to constipation and there is poop in the vault, how do you treat?

Answer 11

Manual disimpaction, break the poop up and get it out of there

Question 12

Pt has pancreatitis but vitals are normal, how do you treat?

Answer 12

NPO, NG tube and fluids

Question 13

What is the best screening for women under 40 who have a unique history where we want to check their breast?
What role is US?

Answer 13

MRI

Diagnostic

Question 14

Let’s say a pt has an obstruction, but not bad enough to go right to OR, what are two things we can try?

Answer 14

NG tube with suction/decompression, then CT

Question 15

Two SERMS to remember?

Answer 15

Tamoxifen and raloxifene

Question 16

1 aromatase blocker to know?

Answer 16

Anastrozole

Question 17

What are we thinking if liver enzymes are in the thousands?

Answer 17

Hepatitis

Question 18

What is a side effect of trastuzumab?

What is the difference between it and doxorubicin?

Answer 18

CHF

Early and reversible though

Question 19

What will be indicative of hemolysis in a vignette?

Answer 19

Elevation of unconjugated bilirubin

Question 20

How do you manage a woman with a breast lump?

Answer 20

If she has no risk factors, it is probably fibrocystic change, so wait 6 weeks and have her come back after 1 or 2 cycles. If its still there, then US and maybe even FNA.

Question 21

If the pelvis is fractured and the source of a bleed, how to proceed in treatment?

Answer 21

External fixation

Question 22

What do we do to confirm someone has ingested antifreeze or ethylene glycol? How to treat?

Answer 22

Check his urine under a wood lamps light to see if it turns blue

Alcohol or fomepizole

Question 23

How do we treat circumferential burns?

Answer 23

Escharotomy

Question 24

What are 3 things you are going to do with a human bite?

Answer 24

Debridement, irrigation, and abx

Question 25

What is the first thing to do with a neck injury/spinal injury and neuro impairment?

Answer 25

Steroids for the edema | Then ct

Question 26

What is the next step in management if you suspect basal skull fracture?

Answer 26

CT of C spine

Question 27

How do you assess whether you go to surgery for penetrating wound to abdomen and what are you looking for?

Answer 27

Just check the wound with your fingers. If it went into peritoneal cavity go to OR, if not, don’t go.

Question 28

What is the only thing we can do to treat diffuse axonal injury?

Answer 28

Manage intracranial pressure

Question 29

How do you treat acetaminophen overdose?

Answer 29

IV n acetlycysteine

Question 30

What is the next best step in management for ingested chemical burns?

Answer 30

EGD

Question 31

What is required for patients with pinpoint tenderness of the midline c spine following trauma?

Answer 31

CT

Question 32

What is the best treatment for all ingestion?

Answer 32

Charcoal

Question 33

Two things to treat a scaphoid fracture, even if the x rays are negative?

Answer 33

Cast the thumb and repeat x ray in 3 weeks

Question 34

What is a complication of treating primary parathyroid and what to do about it?

Answer 34

If you have a single adenoma, you will have chronic elevated levels of PTH and calcium. The other glands will atrophy, so once you remove the gland with adenoma, it will take time for the others to essentially turn back on. Might need to supplement calcium for awhile while the person is low.

Question 35

Holosystolic murmur associated with failure to thrive in a kid should prompt thoughts of what condition?

Answer 35

VSD

Question 36

Buzz word for ASD?

Answer 36

Fixed splitting s2