Surgery Flashcards

Trauma

1
Q

1st day post operative fever

A

Chest xray spirometry

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2
Q

Afib+mid abd pain+diffuse ab tenderness

A

Mesenteric thromboembolism+arteriography+ex lep

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3
Q

Anal fissure

A

Paste and cream for pain

Muscle tone relaxant

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4
Q

Esophageal ca

A

EGD with biopsy

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5
Q

Post gastrectomy

A

Diety changes
Octreotides
Reconstructive surgery
DUMPING SYNDROME

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6
Q

Hospitalized pt

A

Acalculus cholecystits

Percutaneous cholecystectomy

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7
Q

Reducible hernia
Incarcerated hernia
Strangulated

A

Elective surgery
Urgent
Emergent

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8
Q

10 po day not responding to narcotics analgesics and dyspnea

A

Mediastinitis
Thoracotomy
Debridement and drainage and antibiotics

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9
Q

Diverticulitis comp need emergent surgery

A

Fistula. Perforation
Abcess if wbc increased systemic sx
Fistula

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10
Q

Abcess after diverticulitis under 3cm

A

Percutaneous drainage under ct guidance

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11
Q

Ch pancreatitis rx

A

Suppliments of amylase and lipase

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12
Q

Rhabdomyolysis CK????

A

Should be>5x

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13
Q

Crohn disease stones???

A

Calcium oxalate…. non contrast spiral ct

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14
Q

Free air under diaphragm…sudden abd pain

A

Perf viscous. Immediate leparotomy

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15
Q

Chest wall fixed tumor+nodes

A

Preoperative chemotherapy

Surgical palliation

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16
Q

63 yrs old malena? ???

Dd

A

Colonoscopy
Colon can
Diverticulosis
Hemorhoids

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17
Q

Perforated esophagus???

Rx

A

Gastrograffin swallow
Npo
Iv fluids
Antibiotics

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18
Q

Fever po day 7

A

Us or ct scan to rule out absess

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19
Q

Breast malig >4cm rx

A

Mastectomy+axillary lymph node sampling

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20
Q

Breast malig <4cm

A

Lumpectomy+axillary lymph node biopsy +post operatic radiation

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21
Q

Urgent Emergent hemodialysis

A
Aeiou
Acidosis (alkalinization urine via soda bicarbonate iv)
Electrolytes hyperkalemia
Intoxication
Over fluid
Urinary faliure
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22
Q

Watery foulsmelling diarrhea

A

Clos diff

Fecal cytotoxin essay

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23
Q

Necrotizing pancreatitis rx

A

Meropenem

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24
Q

Pancreatic pseudo cyst rx

A

Operate if 6cm more than 6wks

25
Q

Ch pancreatitis rx

A

Opiates

26
Q

Surgery you should not have these heart diseases

A

MI in 6mnths

Increase jvp

27
Q

Complete small bowel obstruction

A

Leparotomy but first better to prepare
NPO
Fluid and electrolytes replacement
Gastric decompression visit NG tube

28
Q

Ch pancreatitis sx and rx

A

Steotorrhea
Supplemental amylase and lipase
Most accurate diagnosis
Secretin stimulation test

29
Q

Elderly xray shows dilated colon rx

A

Ogilvie ‘
Place rectal tube
Give pyridostigmine

30
Q

Acute pancreatitis weeks ago early satiety???

A

Do ct for pseudocyst

31
Q

Primary sclerosis cholangitis

A

Urodeoxycholic acid

32
Q

Pancreatic ca

A

Endoscopic us and biopsy

33
Q

Colidocholithiasis rx

A

ERCP sphincterotomy

34
Q

FAP rx

A

Prophylactic cholectomy

35
Q

Rx of fistula

A

Fistulotomy LIFT

36
Q

ACLS tear repair
In athletes
In sedantry

A

Surgical reconstruction

Knee brace immobilization and rehabilitation

37
Q

Hit knees against dash board rx

A

Post dis of hip
Rapid avas necrosis of femoral head
Leg shortened adducted ex rotation

38
Q

Supracondylar fracture injury

A

Brachial A

Median N

39
Q

Displaced femoral neck fracture

A

Replace head with metal prosthesis

40
Q

Displace vs non displaced vs displaced plus swelling fractures

A

ORIF
Closed reduction with casting
Closed reduction with splint followed by ORIF

41
Q

Bilateral vibration lost
Ipsilateral vibration lost
Bilateral spastic motor paresis

A

Post cord syn
Brown sequard
Anterior cord or vertebral A occlusion

42
Q

Cherry red skin, blood,urine

A

Cyanide poisoning

Thiosulfate

43
Q

Organophosphate poisoning

A

Atropine

Pralidoxime followed by

44
Q

Lead toxicity >70 mcg/dl

A

I’m dimerceprol

Iv edta followed by

45
Q

Lead toxicity 45___ 69

A

DMSA

Succimer

46
Q

Infantile botulism

A

Human derived immunoglobulin
Icu admission
NG tube
Intubated if necessary

47
Q

Lead level 10—20

A

Cognitive impairment

Behavioral problem

48
Q

Lead poisoning suspected tests????

A

Cbc
Serum iron
Serum ferritin and reticulocyte count

49
Q

Hypotension cause homeopath

A

Black cohosh

50
Q

Hypertension cause homeopathic

A

Licorice

51
Q

Carbon monoxide poisoning rapid test

A

Co oximetry

52
Q

3rd degree burn rx

A

Silver salfadiazine

Early mobilization

53
Q

Sucking chest wound rx

A

Occlusive dressing

54
Q

Pul contusion rx

A

Volume restriction

Diuresis

55
Q

Pneumothorax

Hemothorax

A

Chest tube

Thoracostomy

56
Q

Hemothorax>1500 ml

A

Cut chest open

Thoracotomy

57
Q

Sternal and scapular fracture ddx

A

Myocardial contusion
Pul contusion
Aortic dissection

58
Q

Bleed lens shaped crescent shaped

A

Epidural

Subdural