Pestana

Question 1

best dx test for ureteral stones

Answer 1

CT

Question 2

metabolic complication that is an absolute contraindication to surgery

Answer 2

diabetic coma

Question 3

tx for follicular thyroid cancer

Answer 3

total thyroidectomy

Question 4

treatment for gas gangrene

Answer 4

penicillin + clinda, surgical debridement, hyperbaric O2

Question 5

how to lower ICP

Answer 5

elevated head, hyperventilate, diuresis/mannitol

Question 6

decision b/t LR + NS for hypovolemic hyponatremic pt

Answer 6

NS if there is alkalosis

LR if acidotic/nml

Question 7

see elevated ___ w/ myocardial contusion

Answer 7

troponins

Question 8

diarrhea, ulcers beyond first part of duodenum

Answer 8

zollinger-ellison (gastrinoma)

Question 9

1st thing to suspect in post-op pt w/ confusion/disorientation

Answer 9

hypoxia

Question 10

claudication of the arm + visual symptoms/equilibrium problems with exercise

Answer 10

subclavian steal syndrome

Question 11

severe migratory necrolytic dermatitis in a pt w/ mild DM, anemia, glossitis + stomatitis

Answer 11

glucagonoma

Question 12

firm, rubbery mass in breast that moves easily in young woman

Answer 12

fibroadenoma

Question 13

standard dx test for PE

Answer 13

CT angio - treat w/ heparin

Question 14

acute abdomen in pt w/ a-fib or recent MI

Answer 14

mesenteric ischemia

Question 15

onion skinning pattern in diaphysis of long bones

Answer 15

ewing sarcoma

Question 16

treatment of amebic liver abscess

Answer 16

metronidazole

Question 17

treatment for SCC of the anus

Answer 17

nigro chemoradiation protocol

Question 18

treatment for intact wound w/ large amounts of pink fluid soaking the dressing

Answer 18

wound dehiscence - surgical closure

Question 19

surgical tx for GERD

Answer 19

nissen fundoplication

Question 20

sunburst pattern around knee (upper tibia or lower femur)

Answer 20

osteosarcoma

Question 21

hypokalemia in a pt not on diuretics, usually w/ modest hypernatremia + met alkalosis

Answer 21

primary hyperaldo - high aldo levels w/ low renin

Question 22

pts who get renovascular HTN

Answer 22

• young women w/ fibromuscular dysplasia

- old men w/ atherosclerotic dz

Question 23

antidote for black widow spider bite

Answer 23

IV calcium gluconate

Question 24

sequence of testing for esophageal dysmotility

Answer 24

barium swallow then manometry

Question 25

workup for melena

Answer 25

upper GI endoscopy

Question 26

most common source of fever post-op day 1

Answer 26

atelectasis

Question 27

MALT lymphoma is highly assoc w/ ___

Answer 27

H pylori infection

Question 28

paralysis + burning in upper extremities w/ preservation of lower extremities

Answer 28

central cord syndrome (seen in elderly w/ neck hyperextension)

Question 29

treatment for sigmoid volvulus

Answer 29

rigid rectosigmoidoscopy w/ rectal tube left in

Question 30

fever PO day 5

Answer 30

DVT

Question 31

workup for blood per rectum in a child

Answer 31

technetium scan to look for meckel

Question 32

blood nipply discharge in young woman

Answer 32

intraductal papilloma

Question 33

workup for thin-walled, dilated gallbladder on sonogram

Answer 33

CT scan, then MRCP if negative

Question 34

minimal FEV1 needed for pneumonectomy

Answer 34

800ml

Question 35

first step in workup of obstructive jaundice

Answer 35

US

Question 36

fever PO day 3

Answer 36

UTI (or pneumonia from atelectasis)

Question 37

workup for cushing

Answer 37

low dose then high does dex suppression test - if cortisol remains high, then cushing

Question 38

most common cause of inc pulmonary risk for surgery

Answer 38

smoking - should stop at least 8 wks prior to procedure

Question 39

PO day 3 - confusion, hallucinations, combative

Answer 39

alcohol withdrawal (delirium tremens)