Absite/Surgery questions with correct answers 2023
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Absite/Surgery questions with correct answers 2023Pain out of proportion to the physical exam? - correct answer Ischemia
Colicky abdominal Pain? - correct answer Obstruction
Peritonitis gets what treatment? - correct answer Ex Lap
Rebound Tenderness? - correct answer Peritonitis, ex lap
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Absite/Surgery questions with correct answers 2023
Pain out of proportion to the physical exam? - correct answer Ischemia
Colicky abdominal Pain? - correct answer Obstruction
Peritonitis gets what treatment? - correct answer Ex Lap
Rebound Tenderness? - correct answer Peritonitis, ex lap
Involuntary guarding? - correct answer Peritonitis, ex lap
Image the RUQ with? - correct answer Ultrasound
Image the LLQ with? - correct answer CT scan
Image the RLQ with? - correct answer CT scan
Breast Lump in a woman < 30? - correct answer Come back in a few cycles
Breast lump in a woman that persists? - correct answer Ultrasound
Doxorubicin/Daunorubicin side effects? - correct answer Irreversible and dose-dependent CHF
Her2 Neu negative, ER/PR positive, Pre-menopausal. Treatment? - correct answer SERM, Tamoxifen Her2 Neu Positive, ER/PR negative, post-menopausal. Treatment? - correct answer Trastuzumab
Side effects of Tamoxifen? - correct answer DVTs and uterine Cancer
Trastuzumab side effects? - correct answer Reversible and dose-independent CHF
Treatment for localized breast cancer? - correct answer Radiation, surgery, sentinel lymph node dissection. Surgery=lumpectomy+Radiation OR mastectomy
What's the screening timing for breast cancer? - correct answer 50q2 OR 40q1
Woman < 30 with a mass on ultrasound? - correct answer Biopsy
Woman < 30 with a cyst on ultrasound: next step? - correct answer Drain, FNA
Woman <30 witha cyst that reocurrs? - correct answer Biopsy
1000s of polyps by 20? - correct answer Familial Adenomatous Polyposis
Biopsy of Ulcerative colitis shows? - correct answer Superficial inflammation with crypt abscessess
Colonoscopy of Ulcerative Colitis Shows? - correct answer Continuous inflammation from rectum through colon
Bright red blood on toilet paper after bowel movement - most common diagnosis? - correct answer Hemorrhoids
Screening for Anal Cancer? - correct answer Anoreceptive practice, especially in HIV positive men, anal pap Treatment for anal cancer? - correct answer Nigro protocol not surgery
What is the Nigro protocol? - correct answer Nigro protocol is the pre-operative use of chemotherapy with 5-fluorouracil and mitomycin and medical radiation for squamous cell carcinomas of the anal canal of less than 5 cm, followed by surgical excision if necessary.
Treatment for anal fissures? - correct answer Pastes or creams for pain and muscle tone relaxation (nitroglycerin, calcium channel blocker)
Treatment for familial adenomatous polyposis? - correct answer Prophylactic colectomy
Treatment for fistulas? - correct answer LIFT=Fistulotomy
Ulcerative colitis? 8 years from diagnosis? - correct answer Colonoscopy annually, prophylactic colectomy
1st step in working up esophageal cancer? - correct answer Barium swallow
Best test in working up esophageal cancer? - correct answer EGD with biopsy
Best treatment for achalasia - correct answer Myotomy
Bird's Beak esophagus =? - correct answer Achalasia
Esophageal cancer at the bottom of the esophagus? - correct answer Adenocarcinoma, GERD
Esophageal Cancer at the top of the esophagus? - correct answer Squamous cell carcinoma
First diagnosis step in GERD? - correct answer Empiric PPI
In order, the diagnosis of Boerhaave's? - correct answer Gastrografind swallow, Barium Swallow, EGD Self-limiting upper GI Bleed? - correct answer Mallory-Weiss Tear
When is EGD the first step in GERD? - correct answer Alarm symptoms = anemia, N/V, weight loss
A malnourished patient needs to go to surgery; what's the ideal course of action? - correct answer Oral feedings for 10 days > 5 day > parenteral feeding for any time
If someone needs surgery, when should they stop smoking? - correct answer 8 weeks before surgery
In terms of the heart, two things you don't want to going to surgery? - correct answer Myocardial infarction within 6 months, JVD
Risk of Parenteral nutrition? - correct answer Fungemia
What metabolic condition is an absolute contraindication to surgery? - correct answer DKA
Fever on day 0, right after induction, what do you do? - correct answer Dantrolene
Fever on day 1, what do you do? - correct answer CXR, Incentive spirometry
Fever on day 1, what is it? - correct answer Atelectasis
Fever on day 12, what is it? - correct answer Abscess
Fever on day 2, what do you do? - correct answer Chest X-ray, Start Abx
Fever on day 2, what is it? - correct answer PNA
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