Random Kaplan Qbank

Question 1

documented DVT on exam and recent history of intracranial surgery - what do you do?

Answer 1

place IVC filter

- ALL anticoagulation is absolutely contraindicated

Question 2

patient with a cataract - recommended management?

Answer 2

if patient is comfortable with their vision - surgery or glasses may not be necessary; refer to ophtho for more detailed analysis

Question 3

MCC complication post-thyroid surgery?

Answer 3

hematoma - thyroid is highly vascular organ

Question 4

what do you do if a patient post-thyroid surgery begins to have stridor, difficulty breathing and cyanosis?

Answer 4

open their wound to evacuate the hematoma that is likely causing compression

Question 5

child presents with severe throat pain, difficulty swallowing, drooling, pain radiating to the ear, trismus and fever - dx?

Answer 5

peritonsillar abscess

Question 6

tx. peritonsillar abscess

Answer 6

antibiotics

tonsillectomy

Question 7

indications for tonsillectomy

Answer 7

1. peritonsillar abscess
2. obstructive tonsils + sleep apnea
3. dysphagia
4. speech defects
5. inability to cry
6. 7 cases of strep in 1 year, 5 in each of 2 years, 3 in each of 3 years

Question 8

MC perioperative event associated with major vascular surgery

Answer 8

myocardial infarction

- should receive coronary angiogram prior to surgery to assess need for bypass/stenting

Question 9

necrotizing diabetic foot infection

Answer 9

serous brown discharge
swelling of the foot
crepitus
fever
high leukocyte counts

Question 10

management of necrotizing diabetic foot ulcer

Answer 10

1. foot and leg XR to delineate spread

2. OR - debridement/amputation

Question 11

Tx. choledochal cyst

Answer 11

surgical removal

Question 12

complication of ERCP

Answer 12

pancreatitis -due to injury to ampulla of Vater or retrograde injection of contrast material (5-7% of patients)

Question 13

complications after ERCP

Answer 13

1. pancreatitis
2. cholangitis
3. pancreatic pseudocyst formation
4. perforation

Question 14

transfusion associated acute lung injury

Answer 14

hypoxemia and lung infiltrates w/in 24 hours of blood transfusion

Question 15

what causes TRALI?

Answer 15

anti-granulocyte abs in the blood donor