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surgery paea questions with answers 2024.docx
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surgery paea questions with answers 2024Pyloric stenosis
SX= non bilious projectile vomiting in a newborn
Dx =US
tx =? CORRECT ANSWER- Myotomy = tx
Pt who got elective endoscopy after GERD dx. Wakes up w/ pain and HoTN. What other PE
sign would be seen? - CORRECT ANSWER- SubQ emphysema
Man w/ newly diagnosed UC. When should he get his first colonoscopy? = CORRECT
ANSWER- - 8yrs post diagnosis
When should a healthy person get their 1st colonoscopy = CORRECT ANSWER- - 50yo
Patient with mass in neck and reed sternberg cells. Dx? - CORRECT ANSWER- Hodgkin's
lymphoma (Tx = CHOP)
Smoker had 1cm mass in lung on CXR. What is the next step? CORRECT ANSWER- - CT
Tall thin man with scapular pain and different BPs in each arm. What is this? CORRECT
ANSWER- - Aortic dissection
,Guy with PAD has bilateral calf pain and ABI of 0.8 (normal around 1.0). Next step? CORRECT
ANSWER- - monitored exercise
Patient has epigastric postprandial pain 2-3 hrs. Dx? CORRECT ANSWER- - Chronic
mesenteric ischemia
Patient has epigastric postprandial pain 2-3 hrs, what is the diagnostic test - CORRECT
ANSWER- - answer is CTA
Drug to give after carotid endarterectomy? - CORRECT ANSWER- CCB
Vaccine to give post splenectomy? - CORRECT ANSWER- Pneumococcal
POD 5 fever, cough, tachycardia, rales on auscultation? - CORRECT ANSWER- pneumonia
Patient on Warfarin what is increased? - CORRECT ANSWER- PT
Post gastrectomy patient has tachycardia, diaphoresis, anxiety, diarrhea after eating sugary
foods. Dx? - CORRECT ANSWER- Early dumping syndrome
Chronic etOH patient has new onset epigastric pain, palpable mass. Vitals normal. Dx? -
CORRECT ANSWER- chronic pancreatitis
Patient with exercise induced asthma what is recommended for periop tx? CORRECT
ANSWER- - Beta agonist ((?) incentive spirometer (other: preop deep breathing exercises,
preop IV steroids))
, Old man presenting with constipation, obstipation, etc (LBO sx). Initial study? CORRECT
ANSWER- - Colonoscopy (abd XR, decompression weren't options)
Patient has halitosis, regurgitation of food. Diagnostic test? - CORRECT ANSWER- Barium
swallow
Pt had portacaval shunting now has neuro sx. What happened? CORRECT ANSWER- -
Hepatic encephalopathy
Person w/ fistulas, aphthous ulcers. Dx = CORRECT ANSWER- - Crohn's
Dude with history of hemorrhagic stroke has a PE. Treat with an... CORRECT ANSWER- - IVC
filter
Woman w/ thickened skin, dimpling of hair follicles, skin changes. Type of breast problem? =
CORRECT ANSWER- - inflammatory carcinoma
30 yo woman with urinary retention, increase urgency/frequency. Noted detrusor muscle
dysfunction. Dx? = CORRECT ANSWER- - MS
60 yo woman w/ controlled HTN and DM comes in w/ recurrent DVTs. On Warfarin and HCTZ.
She isn't symptomatic however. INR was 2.5 (or 2.9). What should you do to treat her =
CORRECT ANSWER- - IVC filter
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