presentations Flashcards
Reasons to have tips procedure except
Heart failure
other ones:
A. Variceal Bleeding
B. Ascites
C. Hepatorenal syndrome
Tips procedure can be described as
A shunt between the Portal Vien and the Hepatic Vien
The most common surgical approach for prostate cancer is
retropubic radical prostatectomy
best way to screen for prostate cancer
PSA
H&P
digital rectal exam
A 12 yr old girl underwent an uncomplicated tonsillectomy under general anesthesia. Both tonsils were markedly enlarged. On arrival to the post-anesthesia care unit, she became restless and began coughing frothy pink sputum. Which of the following is the most likely cause of the patient’s distress?
post-obstructive pulmonary edema
What is the most common cause of secondary bleeding following an adenotonsillectomy?
separation of the eschar from the tonsillar bed
All of the following are indications for a nissen fundoplication EXCEPT:
answer- dysmotility and achalasia
Failed medical management of GERD
Dysmotility and achalasia
Barrett’s esophagus
Hoarseness and laryngitis secondary to GER
complication of a nissen
answer- all of the above
Dumping syndrome Inability or painful emesis All answers are complications Excessive gas and bloating Dysphagia
What maneuver is used to look for upper airway obstruction
mueller maneuver
What pt would benefit most from a uppp surgery
answer- d
a. Patient with moderate-severe OSA with a BMI >40
b. Patient with mild OSA that uses a dental device
c. Patient with severe OSA with frequent episodes of VT and severe O2 desaturations
d. Patient with moderate OSA that is not tolerating a CPAP
Which patient is declared safe to undergo the whipple procedure?
answer- d
a. A patient with multiple liver metastasis.
b. A patient with >50% encasement of the peripancreatic vessels.
c. A patient found to have peritoneal carcinomatosis.
d. A patient with pain from chronic pancreatitis.
which inguinal hernia requires immediate surgery
strangulated
when can pts who had a mesh repair for inguinal hernia surgery return to full activity
as soon as they feel comfortable and not in significant pain
What is the definitive treatment/procedure for uncontrolled hemorrhage during a mediastinoscopy?
Perform a median sternotomy to open the chest and get control of the bleed!
What test is the gold standard for evaluating/diagnosing mediastinal adenopathy or malignancy?
mediastinoscopy
grade 3 internal hemorrhoids
protrude but can be reduced by hand
Stapled hemorrhoidectomy is superior to excisional hemorrhoidectomy because
Stapled is more favorable in terms of post op pain and time to return to work
A 49 year old female diagnosed with non-invasive breast cancer was found to have negative sentinel lymph node biopsy. She has decided to undergo a unilateral mastectomy and desires immediate breast reconstruction. As her physician, what mastectomy procedure is most appropriate for this patient?
skin sparring mastectomy
Which of the following is not a risk of a nipple sparing mastectomy
answer- D
A. Nipple necrosis
B. Recurrence of cancer
C. Wound infection
D. Increased pain due to removal of the pectoralis muscle
What is the treatment for persistent perforation after extrusion of tympanostomy tubes?
None most heal spontaneously
which is not an indication for a typanostomy tube placement?
answer- b
a. OME associated with hearing loss ≥40 dB
b. One episode of OME
c. OME in children at risk of speech, language, or learning problems
d. Recurrent and severe acute otitis media
Which post-operative small bowel resection patient requires TPN?
less then 100 cm of jejunum remaining
All of the following are true regarding an oleo-anal pouch except?
answer b
a. A portion of the small intestine is constructed into an internal reservoir
b. The stoma contains nerve endings and catheterization can be painful
c. The pouch is typically drained 2-4 times per day
d. There is no need for an external pouch
recommended surgical route for routine hysterectomy
vaginal
