Rapid Fire Power Review P767-774 Flashcards
(100 cards)
1
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
1. Elderly woman, SBO,
and air in biliary tract
P767
A
Gallstone ileus
2
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES 2. Elderly woman with pain down inner aspect of thigh P767
A
Obturator hernia (Howship-Romberg sign)
3
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES 3. Abdominal pain, hypotension, and abdominal pulsatile mass P767
A
Ruptured abdominal aortic aneurysm
AAA
4
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES 4. Abdominal pain “out of proportion” to abdominal exam P767
A
Mesenteric ischemia
5
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
5. Arm pain and syncope
with arm movement
P767
A
Subclavian steal syndrome
6
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
6. Increasing creatinine
on ACE inhibitor
P767
A
Renal artery stenosis
7
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
7. Child with MIDLINE
neck mass
P767
A
Thyroglossal duct cyst
8
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
8. Child with LATERAL
neck mass
P767
A
Branchial cleft cyst
9
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
9. Crush injury and dark
urine
P767
A
Myoglobinuria
10
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES 10. Emesis, chest pain radiating to back, and mediastinal air P767
A
Boerhaave’s
11
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES 11. Lower GI bleed \+ technetium pertechnetate scan P767
A
Meckel’s diverticulum
12
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES 12. Flushing, diarrhea, and right-sided heart failure P768
A
Carcinoid
13
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
13. Pneumaturia and LLQ
pain
P768
A
Colovesicular fistula
14
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
14. Desmoid tumor, osteoma,
and colon cancer
P768
A
Gardner’s syndrome
15
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES 15. Epigastric pain radiating to back and flank ecchymosis P768
A
Hemorrhagic pancreatitis
16
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
16. Pancreatitis and
palpable epigastric mass
P768
A
Pancreatic pseudocyst
17
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
17. Liver abscess with
“anchovy paste”
P768
A
Amebic abscess
18
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
18. RUQ pain, travel, and
exposure to sheep
P768
A
Hydatid cyst
19
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
19. Caput medusa
P768
A
Portal hypertension
20
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES 20. 45-year-old woman with RUQ pain for 12 hours, fever, and leukocytosis P768
A
Acute cholecystitis
21
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES 21. Elderly man with large nontender palpable gallbladder P768
A
Pancreatic cancer (Courvoisier’s sign)
22
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
22. Female taking birth control
pills with liver mass
P768
A
Hepatic adenoma
23
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
23. Liver tumor with
“central scar”
P768
A
Focal nodular hyperplasia
24
Q
TOP 100 CLINICAL SURGICAL MICROVIGNETTES 24. Pancreatic mass, gallstones, diabetes, and diarrhea P768
A
Somatostatinoma
25
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
25. RUQ bruit and CHF in
young adult
P768
Liver hemangioma
26
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
26. Excruciating pain with
bowel movement
P769
Anal fissure
27
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
27. Abdominal pain, diarrhea,
and anal fistulae
P769
Crohn’s disease
28
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
28. EKG with “peaked”
T waves
P769
Hyperkalemia
29
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
29. Buccal mucosa with
pigmentation
P769
Peutz-Jeghers syndrome
30
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
30. LLQ pain, fever, and
change in bowel habits
P769
Diverticulitis
31
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
31. Elevated urine 5-HIAA
P769
Carcinoid
32
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
32. Institutionalized, abdominal
pain, vomiting,
and distention, with
proximal colonic dilation
P769
```
Sigmoid volvulus
33
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
33. Infant with projectile
vomiting
P769
Pyloric stenosis
34
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
34. Newborn with failure
to pass meconium in
first 24 hours
P769
```
Hirschsprung’s
35
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
35. Infant with bilious
vomiting
P769
Malrotation
36
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
36. Newborn with
abdominal defect and
umbilical cord on sac
P769
```
Omphalocele
37
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
37. Teenager with knee
pain and “onion
skinning” on x-ray
P769
```
Ewing’s sarcoma
38
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
38. Pulmonary capillary
wedge pressure 18,
CXR with bilateral pulmonary
infiltrates, and
PaO2:FiO2 ratio <200
P769
```
Acute respiratory distress syndrome
| ARDS
39
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
39. Increased peak airway
pressure, low urine
output, and urinary
bladder >25 mmHg
P770
```
Abdominal compartment syndrome
40
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
40. Newborn with inability
to “pass an NGT”
P770
Esophageal atresia
41
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
41. Traumatic blinding
in one eye followed
by blindness in the
contralateral eye
2 weeks later
P770
```
Sympathetic ophthalmia
42
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
42. Mitotic pupil, ptosis,
and anhydrosis
P770
Horner’s syndrome
43
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
43. Traumatic head
injury, conscious
in ER followed by
unconsciousness
P770
```
Epidural hematoma (“lucid interval”)
44
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
44. “Worst headache of my
life”
P770
Subarachnoid hemorrhage
45
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
45. Hematuria, flank pain,
and abdominal mass
(palpable)
P770
```
Renal cell carcinoma
46
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
46. 60-year-old white
man with painless
hematuria
P770
```
Bladder cancer
47
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
47. RUQ pain, jaundice,
and fever
P770
Cholangitis
48
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
48. Epigastric pain
radiating to back, with
nausea and vomiting
P770
```
Pancreatitis
49
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
49. Chest pain radiating to
back and described as
a “tearing” pain
P770
```
Aortic dissection
50
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
50. 40-year-old man
with tachycardia/
hypertension
and confusion on
postoperative day #2
P771
```
Alcohol withdrawal
51
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
51. Marfanoid body habitus
and mucosal neuromas
P771
MEN II-b
52
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
52. Psammoma bodies
P771
Papillary thyroid cancer
53
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
53. Sulphur granules
P771
Actinomyces infection
54
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
54. Thyroid tumor with
AMYLOID tissue
P771
Thyroid medullary cancer
55
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
55. PALPABLE neck tumor
and hypercalcemia
P771
Parathyroid cancer
56
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
56. Hypertension,
diaphoresis (episodic),
and palpitations
P771
```
Pheochromocytoma
57
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
57. Jejunal ulcers
P771
Zollinger-Ellison syndrome
58
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
58. Pituitary tumor,
pancreatic tumor, and
parathyroid tumor
P771
```
MEN- I
59
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
59. Necrotizing migratory
erythema
P771
Glucagonoma
60
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
60. Medullary thyroid
cancer, pheochromocytoma,
and hyperparathyroidism
P771
```
MEN-IIa
61
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
61. Hypokalemia refractory
to IV potassium
supplementation
P771
```
Hypomagnesemia
62
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
62. Newborn with
pneumatosis
P771
Necrotizing enterocolitis (NEC)
63
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
63. Child with abdominal
mass that crosses midline
P771
Neuroblastoma
64
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
64. Child 4 years of age
with abdominal tumor
that does NOT cross
midline
P772
```
Wilms’ tumor
65
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
65. “Currant jelly” stools
and abdominal colic
P772
Intussusception
66
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
66. Femur fracture,
respiratory failure,
petechiae, and mental
status changes
P772
```
Fat embolism
67
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
67. Hearing loss, tinnitus,
and vertigo
P772
Ménière’s disease
68
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
68. Adolescent boy with
nasal obstruction and
recurrent epistaxis
P772
```
Juvenile nasopharyngeal angiofibroma
69
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
69. Child <5 years of age sitting upright and drooling, with
“hot potato” voice
P772
Epiglottitis
70
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
70. Angina, syncope, and
CHF
P772
Aortic stenosis
71
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
71. Tobacco use, asbestos
exposure, and pleuritic
chest pain
P772
```
Mesothelioma
72
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
72. Supracondylar fracture
and contracture of
forearm flexors
P772
```
Volkmann’s contracture
73
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
73. Tibia fracture, “pain out
of proportion,” pain on
passive foot movement,
and palpable pulses
P772
```
Compartment syndrome
74
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
74. 25-year-old man with
liver mass with fibrous
septae and NO history
of cirrhosis or hepatitis
P772
```
Fibrolamellar hepatocellular carcinoma
75
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
75. EKG with flattening of
T waves and U waves
P773
Hypokalemia
76
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
76. Central pontine
myelinosis
P773
Too-rapid correction of hyponatremia
77
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
77. Polydipsia, polyuria,
and constipation
P773
Hypercalcemia
78
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
78. Factor VIII deficiency
P773
Hemophilia A
79
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
79. Abdominal pain,
fever, hypotension,
HYPERkalemia, and
HYPOnatremia
P773
```
Adrenal insufficiency (Addisonian crisis)
80
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
80. Massive urine output
and HYPERnatremia
P773
Diabetes insipidus
81
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
81. Increased urine
osmolality,
HYPOnatremia, and
low serum osmolality
P773
```
SIADH
82
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
82. IV antibiotics, fever,
diarrhea
P773
Clostridium difficile pseudomembranous
| colitis
83
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
83. Bleeding gums and
wound dehiscence
P773
Vitamin C deficiency
84
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
84. Fever, central line, and
HYPERglycemia
P773
Central line infection
85
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
85. Appendectomy
followed by fever and
abdominal pain on postoperative
day #7
P773
```
Peritoneal abscess
86
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
86. Advancing crepitus,
fever, and blood blisters
P773
Necrotizing fasciitis
87
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
87. High INTRAoperative
fever
P773
Malignant hyperthermia
88
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
88. Confusion, ataxia, and
ophthalmoplegia
P773
Wernicke’s encephalopathy
89
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
89. Tracheal deviation,
decreased breath
sounds, and
hyperresonance
P774
```
Tension pneumothorax
90
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
90. Hypotension, decreased
heart sounds, and JVD
P774
Pericardial tamponade
91
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
91. Four ribs broken in
two places and
pulmonary contusion
P774
```
Flail chest
92
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
92. Otorrhea (clear) and
Battle’s sign
P774
Basilar skull fracture
93
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
93. Ulcer and decreased
pain with food
P774
Duodenal ulcer
94
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
94. Vomiting, retching, and
epigastric pain
P774
Mallory-Weiss tear
95
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
95. Fever on postoperative
day #1, with “bronze”
weeping, tender wound
P774
```
Clostridial wound infection
96
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
96. Hematochezia and
tenesmus
P774
Rectal cancer
97
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
97. Upper GI bleed,
jaundice, and RUQ
pain
P774
```
Hemobilia
98
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
98. Gallstones, epigastric
pain radiating to back,
and nausea
P774
```
Gallstone pancreatitis
99
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
99. 18-year-old woman
with bloody nipple
discharge
P774
```
Ductal papilloma
100
```
TOP 100 CLINICAL SURGICAL MICROVIGNETTES
100. Irritability, diaphoresis,
weakness, tremulousness,
and palpitations
P774
```
Insulinoma
