Surgery Shelf

Question 1

Carotid Endarectomy

Answer 1

> 85%

Statin + antiplatelet (aspirin or clopidogril), lifestyle changes

Question 2

Parapneumonic pleural effusion

Answer 2

pneumonia, lung abscess, bronchiectasis

Question 3

Light’s criteria

Answer 3

Exudative: pleural pH <7.3, - 7.45, protein ratio > 0.5, LDH > 2/3

Transudative: low protein count, normal glucose. More related to capillary pressure and oncotic pressure.

Question 4

Syringomyelia

Answer 4

Fluid develops in spinal cavity. Cape like decreased sensitivity to pain and temperature. Flaccid paralysis in upper extremities.

Question 5

Brown Sequard syndrome

Answer 5

Hemisection of the spine
- dissociated sensory loss
- unilateral motor defecit

Question 6

Tabes Dorsalis

Answer 6

Loss of vibration and proprioception.

Question 7

Acalculous cholecystitis

Answer 7

Can occur after surgery

If patient unstable, pip/tazo broad spectrum antibiotics and percutaneous cholecystostomy.

Question 8

Duodenal ulcer

Answer 8

H pylori often

Tx: Tetracycline, metronidazole, bismuth and omeprazole

Question 9

Neuroblastoma

Answer 9

CROSSES the midline