Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Shelf exams PK Edit > surgery > Flashcards

surgery Flashcards

1
Q

signs to progress to ex lap from conservative measures in SBO

A

fever, hemodynamic instability, luekocytosis, metabolic acidosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

“pain out of proportion to exam findings”

A

acute mesenteric ischemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

peritonsalar abcess sx

A

fever, pharyngeal pain, earache

saliva pooling, deviated uvula,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

tertiary hyperparathyroid

A

renal transplant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

femoral nerve

A

innervates muscles of anterior thigh –> flexion of hip and extension of knee

sensation to medial thigh/medial leg via saphenous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

tibial nerve

A

posterior compartment of thigh/leg

flexion at knee, digits and foot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

scaphoid fracture

A

FOOSH
pain over snuff box
avascular necrosis –> radial artery goes distal pole to proximal pole

does not show up on xray immediately –> thumb spica splint, relook in 2 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

clinical triad of fat embolism syndrome

A

petechiae
neurologic dysfunction
respiratory distress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

patchy alveolar infiltrates not restricted by anatomic borders after trauam

A

pulmonary contusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

leriche syndrome

A

arterial occlusion at bifurcation of common iliac

–>chronic glute, thigh, hip pain and impotence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

ways to decrease ICP

A

hyperventilation –> Co2 removal leads to vasoconstriction

  • elevate head of bed –> venous outflow
  • sedatoin –> dec metabolic demand
  • mannitol
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

atelectasis is most common _____ post op

A

day 2-3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

bloody/ painful diarrhea after AAA repair

A

ischemic bowel due to loss of IMA after graft placement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

retrograde urethrogram

A

used in suspected urethral injury

  • penile fracture
  • urinary retention
  • blood at meatus
  • dysuria, hematuria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

presentations of pancreatic cancer (besides weight loss/fatigue)

A
  • migratory thrombophlebitis (trouseau’s sign)
  • painless jaundice –> panc head, jaundice may come later if at tail
  • gnawing epigastric pain that is worse at night
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

4T’s of mediastinal mass

A

thymoma
teratoma
thyroid neoplasm
terrible lymphoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

hypocalcemia, hyperphosphatemia, normal renal fx

A

hypoparathyroid

  • post surgical
  • autoimmune
  • digeorge
  • non autoimmune
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

reversal of warfarin for emergency ex lap vs non emergent

A

FFP, vit k

FFP will instantly normalize PT time with vit k dependent clotting factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

obstructive sx 24-36 hours after blunt abdominal trauma

A

duodenal hematoma

req NGT decompression, parenteral nutrition until resolve

20
Q

flail chest

A

> 3 contiguos ribs in >2 locations

causes paradoxical movement of chest on inpiration

21
Q

diagnostic characteristics of meningiomas

A

extra axial, dural based, partially classified

22
Q

pathologic nipple discharge

A

unilateral, spontaneous, single duct

23
Q

persistent pneumo despite chest tube with addition of pneumomediastinum

A 
tracheobronchial rupture (after blunt chest trauma)
most common in R bronchus
24
Q

risk factors for post op PNA

A 
age >50
thoraco/ abdominal surgery
surgery >3hrs
preexisting lung dz
poor health

IS!!!

25
Q

Scurvy

A

cutaneous manifestations ( petechiae, coild hairs, follicular hyperkeratosis

  • bleeding gingiva
  • impaired wound healing
  • arthralgias, malaise

alcoholics!!!

26
Q

complicated diverticulosis + management

A

assoc with abcess, perf, fistula

<3= abx
>3= percutaneous drainage
persist for 5 days –> lap drainage/debridement

27
Q

wound infections in burn patients (>20%)

A
  • first 5 days= gram +
  • > 5 days= gram - (PSA), fungi (candida)
  • CHANGE IN APPEARANCE (partial thickness to full thickness)
  • unexplained hyperglycemia
  • oliguria
28
Q

evaluation of posterior urethral injury

A

retrograde urethrogram

29
Q

QT prolongation after thyroidectomy?

A

hypocalcemia

30
Q

patient on longterm GC therapy with cushingoid feature at high risk for……. with surgery

A

acute adrenal crisis

hypotn, n/v, hyponatremia, hypoglycemia

31
Q

how do you prevent acute adrenal crisis

A

stress dose

anyone on >20mg pred for 3 weeks

32
Q

which side of the diaphragm is “weaker”? What is it prone to in BAT

A

L
detachment
hiatal hernia!!!

33
Q

head injury, loc, lucid interval

A

EPIdural hematoma

does not cross suture lines

34
Q

which side is varicocele more common?

A

L

“nutcracker effect” (l spermatic –> l renal passes under SMA)

35
Q

what pH is indication for bicarb in severe acidosis

A

<7.2

36
Q

marjolin ulcer

A

SCC arising in burn wound

37
Q

PPV in tension pneumo?

A

BAD, increases insult of one wayvalve of air out of lung into pleural thatcannot escape

38
Q

nerve injured in anterior shoulder dislocation

A

axillary, weakend deltoid abduction

39
Q

spinal cord injury during repair of TAA

A

anterior cord syndrome (radicular arteries supply anterior spinal artery,artery of Adamkeweitz)

loss of movement, pain, temp (spinothalamic)

maintain position/vib

40
Q

loss of ventricular preload after PPV?

A

hypovolemia –> dec CVP –> PPV –> dec venous return –> collapse capacitance

41
Q

CI to LMWH after surg provoked Dvt?

A

ESRD

use unfractionated and bridge to warf for 3months

42
Q

post op bacterial parotitis

A

who: dehydrated, elderly post, post op
prevention: hydration/oral hygeine
what: staph a

43
Q

compensatyory mechanisms of hypovolemic shock

A

inc SVR, HR, EF

44
Q

extraperitoneal bladder injury vs intra

A

EPBI- pelvic fracture

IPBI- rupture of dome –> intraper leakage –> chemical peritonitis

45
Q

lab measurement assoc with gallstone panc?

A

ALT>150

46
Q

common EARLY sx of compartment syndrome?

A

pain with passive motion, parasthesas

uncommon= pallor and lossofpulses

47
Q

common path after distal gastrostomy (hypotn n/v aftereating)

A

dumping syndrome–>no pyloric regulation

Shelf exams PK Edit (40 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions