Surgery Flashcards by Waad Ab

What is the treatment of recurrent esophageal varices bleeding

Atenolol

How well did you know this?

Not at all

Perfectly

Variceal bleeding case. What to give initially after resuscitation

Octeotide

How well did you know this?

Not at all

Perfectly

small (≤3 cm) appendiceal abscess

appendectomy

How well did you know this?

Not at all

Perfectly

Larger (>3 cm) abscesses

intravenous antibiotics and percutaneous drainage first

How well did you know this?

Not at all

Perfectly

PSC do and tx

MRCP, Ursodeoxycholic acid

How well did you know this?

Not at all

Perfectly

Tumors in the lower rectum (ie, tumors within 5 cm of the anal verge)

abdominal perineal resection

How well did you know this?

Not at all

Perfectly

Young patient with breast lump. On examination, an oval mass with smooth surface 2*2cm. what is the most likely diagnosis?

cyst

How well did you know this?

Not at all

Perfectly

Klatskin tumor

cholangiocarcinoma

How well did you know this?

Not at all

Perfectly

Patient post cholecystectomy on day 8 (or 9) develops right mouth corner pain and fever 38.5o C. What is the management?

Antibiotic

How well did you know this?

Not at all

Perfectly

Malleolar ulcer, edema, irregular border

Venous

How well did you know this?

Not at all

Perfectly

Distal points, necrotic Eschar, weak pulse

Arterial

How well did you know this?

Not at all

Perfectly

After appendectomy, a patient got abdominal infection by enterococcus faecium. He is allergic to penicillin. what are you going to give him?

vancomycin

How well did you know this?

Not at all

Perfectly

Repair of AVF is indicated for patients with

claudication or distal limb ischemia
Significant edema or venous insufficiency
Heart failure
Progressive enlargement under ultrasound surveillance

How well did you know this?

Not at all

Perfectly

Case of severe Clostridium difficile diarrhea. What is the management?

Oral vancomycin

How well did you know this?

Not at all

Perfectly

Urethral trauma with bleeding post MVC. What is the next step?

Retrograde urethrogram

How well did you know this?

Not at all

Perfectly

Classic hydatid cyst scenario. What is the management?

treatment for cysts < 5 cm: albendazole

Goal: resect the whole cyst to prevent spillage of its content

Indications: > 10 cm, complicated cysts

How well did you know this?

Not at all

Perfectly

Low anterior resection surgery complicated with sudden bleeding

Clamp infra-renal aorta

How well did you know this?

Not at all

Perfectly

Prenatally diagnosed CDH

antenatal glucocorticoids

How well did you know this?

Not at all

Perfectly

Case of congenital diaphragmatic hernia. What is the management after stabilization?

Surgical repair

How well did you know this?

Not at all

Perfectly

Patient who had recent abdominal surgery presented with fever and other symptoms. what is the most probable cause?

Subphrenic abscess

How well did you know this?

Not at all

Perfectly

The primary cause of postoperative fever that is unique to abdominal surgery is The primary cause of postoperative fever that is unique to abdominal surgery is

deep abdominal abscess.

How well did you know this?

Not at all

Perfectly

45 years with history of bilateral varicose veins f

Endovascular laser ablation

How well did you know this?

Not at all

Perfectly

Patient with GIST tumor. What is the most accurate management?

<2: observe

>2: wide local excision

How well did you know this?

Not at all

Perfectly

Stomach tumor with positive secretin stimulation test:

Gastrinoma

How well did you know this?

Not at all

Perfectly

Post-operative prophylaxis of DVT

Enoxaparin

In patients with cirrhosis of the liver or chronic hepatitis B/C infection, ___ is used as a screening test for HCC!

AFP

Case is acute pericarditis ECG treatment

colchicine plus NSAID

Newborn with bilateral inguinal hernia management?

Herniotomy

Posterior shoulder dislocation, the shoulder was flat, adducted, and internally rotated.

Subacromial

Indication of parathyroid surgery:

Impaired renal function

Medullary carcinoma in left lobe and the right was normal. What to do?

Total thyroidectomy

Breast mass behind areolar BIRADS (5). What investigation to order?

Core tissue biopsy

Patient cannot move distal phalanx

Profundus muscle

Chance fracture

perforated duodenum

Patient with a history of MI 2 weeks back after 24 hours form discharge from hospital the pt Presented to the emergency department with sudden onset of pain and loss of sensation on the right leg. On examination, the right leg is pale , cold , with absent pulse . What is the diagnosis ?

Acute embolic ischemia

Structure entrapped in flat foot

Spring ligament

Patient with atrial fibrillation on warfarin hematoma that required evacuation? INR, 3.9

Vit-K + fresh frozen plasma

Small incisional hernia repair

Primary repair

Large incisional hernia repair

Hernioplasty

Child with otitis media , what antibiotic should be used?

Amoxicillin

Neurogenic shock tx

Fluid Atropine If fluid fails and bradycardiac epinephrine If fluid fails and not bradycardiac phenylephrine

Lower lobe left parathyrodectomy after 4 month pt complaining of tetany, fatigue ,high calcium + high PTH?

Missed adenoma < 6 | Recurrent > 6

Patient young age k/c of lower limb AV malformation, which of the following will indicate intervention?

Claudication

Gray turner sign

Hemorrhagic and necrotizing pancreatitis

Ulcer with intact skin how to manage and what grade

1, transparent film

Ulcer with partial thickness loss how to manage and what grade

2, dressings

Ulcer with necrosis loss how to manage and what grade

4, debridement of necrotic tissue, and appropriate dressings.

Ulcer with tendon showing how to manage and what grade

3, debridement of necrotic tissue, and appropriate dressings.

The presentation of hypercalcemia includes stones bones thrones groans, and psychiatric overtones.

The presentation of hypercalcemia includes stones (nephrolithiasis), bones (bone pain, arthralgias), thrones (increased urinary frequency), groans (abdominal pain, nausea, vomiting), and psychiatric overtones (anxiety, depression, fatigue). Note that these are also the findings of vitamin D overdose!

Pt 56 year old with none specific lower abdominal pain . Normal hormonal levels. On ultrasound, there is a 5 cm adrenal mass , no other signs. What to do ?

Laparoscopic adrenalectomy

Empirical antibiotic therapy Indications:

Erythema and induration extending > 5 cm from the wound edge Fever > 38.5° C Heart rate > 110/min WBC count > 12,000 cells/mm3

Empirical antibiotic therapy of choice

Low risk of MRSA: cefazolin High risk of MRSA, or individuals allergic to beta-lactams: vancomycin

WBC in septic arthritis

>50,000

Septic arthritis triad

Fever warmth redness

AAA rupture testing

CT with contrast

After breast cancer surgery, pt came with numbness , which never most likely injured?

intercostobrachial nerve (ICBN)

After appendectomy , you found a carcinoid tumor >2, what to do ?

right hemicolectomy

After appendectomy , you found a carcinoid tumor <2 , what to do ?

simple appendectomy alone is adequate

Gold standard diagnostic modality for an ulcer in peripheral arterial disease ?

Digital subtraction angiography (DSA)

colon cancer most common site

Rectosigmoid

65 Left illiac fossa pain

Divertcular disease

Old male, Blunt abdomen, urgent to urinat, and painful urination , which diagnostic modality to use ?

retrograde cystourethrography

Questions about pt with toxic nodular goiter , presents with exophthalmos , proptosis , asking for management?

Depends on the other side, total vs hemi

Elderly ICU patient with fluid behind gallbladder. What is the treatment

Percutaneous chole

Case of deep vein thrombosis, 74 year old who is diabetic, hypertensive and has left lower limb pain. On examination, left femoral pulse is intact. Left popliteal + left dorsalis are absent. Best treatment:

Catheter thrombolysis | If a fib consider embolectomy

Patient fell on his leg with skin loss and vascular structure appear and ask about treatment

Debridement and secondary skin graft

young man with back and Buttock pain , improves with movement?

Ankylosing spondylitis

Surgery for hernia with mesh, after 3 weeks came to ER c/o pain and discharge x-ray shows 3x3 cm collection of fluid. high WBC. What is the NEXT?

Open and remove mesh

Localized pain without gastrointestinal upset

Rectus sheath hematoma

mass and tenderness in the right iliac fossa after minor trauma

Rectus sheath hematoma

Case of bilateral multiple breast masses increased in size w mensuration?

Fibrocystic is related to menstruation

OCP increase the risk of thromboembolic events, so should be stopped at least ____ before surgery

1 month

Beck’s triad

Hypotension Muffled heart sounds Increased jvp

Hashimoto’s thyroiditis, found malignant cells, dx:

lymphoma

Management of angiodysplasia:

Endoscopic Cauterization. 2nd: Embolization. 3rd: Right hemicolectomy

X ray shows thumb print sign.

Bowel ischemia

How to prevent hypercalciuria that causes stones:

thiazide

Someone with GERD endoscopy shows esophagitis

nissen fundoplication

Question about renal impairment with arteriovenous anastomoses or shunt:

radio cephalic

What is the first symptom to be found in compartment syndrome?

Pain

posterior acoustic enhancement on US

Phylloid

TSH low, next step?

Thyroid scan

TSH high or normal, next step?

US/FNA

Most common site of volvulus

Elderly sigmoid | Children cecum

GIST with mets?

Imatinib (tki)

Dcis

Lump and radiation | Mast and slnb

Paget

Mastectomy and slnb

Diffuse breast calcification

Mastectomy and slnb

Phylloid

WLE and radio

2.6-2.9 AAA Screen after

5 years

3-3.4 AAA Screen after

3 years

3.4-4.4 AAA Screen after

12 m

4.4-5.4 AAA Screen after

6 m

Smoking increase lung ca by __ folds

Smoking latency period

20 years