surgery paea questions with answers 2024
Pyloric stenosis SX= non bilious projectile vomiting in a newborn
Dx =US
tx =? - ANSWER: Myotomy = tx
Pt who got elective endoscopy after GERD dx. Wakes up w/ pain and HoTN. What other PE sign would be
seen? - ANSWER: SubQ emphysema
Man w/ newly diagnosed UC. When should he get his first colonoscopy? = - ANSWER: 8yrs post diagnosis
When should a healthy person get their 1st colonoscopy = - ANSWER: 50yo
Patient with mass in neck and reed sternberg cells. Dx? - ANSWER: Hodgkin's lymphoma (Tx = CHOP)
Smoker had 1cm mass in lung on CXR. What is the next step? - ANSWER: CT
Tall thin man with scapular pain and different BPs in each arm. What is this? - ANSWER: Aortic dissection
Guy with PAD has bilateral calf pain and ABI of 0.8 (normal around 1.0). Next step? - ANSWER: monitored
exercise
Patient has epigastric postprandial pain 2-3 hrs. Dx? - ANSWER: Chronic mesenteric ischemia
Patient has epigastric postprandial pain 2-3 hrs, what is the diagnostic test - - ANSWER: answer is CTA Drug to give after carotid endarterectomy? - ANSWER: CCB
Vaccine to give post splenectomy? - ANSWER: Pneumococcal
POD 5 fever, cough, tachycardia, rales on auscultation? - ANSWER: pneumonia
Patient on Warfarin what is increased? - ANSWER: PT
Post gastrectomy patient has tachycardia, diaphoresis, anxiety, diarrhea after eating sugary foods. Dx? - ANSWER: Early dumping syndrome
Chronic etOH patient has new onset epigastric pain, palpable mass. Vitals normal. Dx? - ANSWER: chronic pancreatitis
Patient with exercise induced asthma what is recommended for periop tx? - ANSWER: Beta agonist ((?) incentive spirometer (other: preop deep breathing exercises, preop IV steroids))
Old man presenting with constipation, obstipation, etc (LBO sx). Initial study? - ANSWER: Colonoscopy (abd XR, decompression weren't options)
Patient has halitosis, regurgitation of food. Diagnostic test? - ANSWER: Barium swallow
Pt had portacaval shunting now has neuro sx. What happened? - ANSWER: Hepatic encephalopathy
Person w/ fistulas, aphthous ulcers. Dx = - ANSWER: Crohn's
Dude with history of hemorrhagic stroke has a PE. Treat with an... - ANSWER: IVC filter Woman w/ thickened skin, dimpling of hair follicles, skin changes. Type of breast problem? = - ANSWER: inflammatory carcinoma
30 yo woman with urinary retention, increase urgency/frequency. Noted detrusor muscle dysfunction. Dx? = - 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 = - ANSWER: IVC filter
Pt w/ claudication in butt, hips and impotence. Where is the arterial insufficiency most likely located? = - ANSWER: aortoiliac (SFA, Iliacs were other options)
Pt s/p resection from gastric carcinoma. Now having paresthesias and decreased vibratory sense. Dx? = - ANSWER: Pernicious anemia
Parapalegic pt who is beginning to get decubitus ulcer. What should you do? = - ANSWER: Alleviate pressure points
See the apple core lesion on the barium. Dx? = - ANSWER: Colon CA
Pt who is on meslamine and keeps getting increasing sx of moderate Crohn's. Next move? = - ANSWER: Prednisone (steroids)
Pt on warfarin and the INR was 9. What should you tx them w/ if there's no active bleeding? = - ANSWER: PO Vit K
Recognize Trousseau's sign. Also where is trousseau's sign seen? = - ANSWER: Hypocalcemia
Pt comes in w/ symptomatic hypercalcemia. What are these symptoms likey? = - ANSWER: fatigue/weakness (stones we're an option)
When would you do a parathyroidectomy on a pt = - ANSWER: Hip fx from osteopenia??
Pyloric stenosis SX= non bilious projectile vomiting in a newborn
Dx =US
tx =? - ANSWER: Myotomy = tx
Pt who got elective endoscopy after GERD dx. Wakes up w/ pain and HoTN. What other PE sign would be
seen? - ANSWER: SubQ emphysema
Man w/ newly diagnosed UC. When should he get his first colonoscopy? = - ANSWER: 8yrs post diagnosis
When should a healthy person get their 1st colonoscopy = - ANSWER: 50yo
Patient with mass in neck and reed sternberg cells. Dx? - ANSWER: Hodgkin's lymphoma (Tx = CHOP)
Smoker had 1cm mass in lung on CXR. What is the next step? - ANSWER: CT
Tall thin man with scapular pain and different BPs in each arm. What is this? - ANSWER: Aortic dissection
Guy with PAD has bilateral calf pain and ABI of 0.8 (normal around 1.0). Next step? - ANSWER: monitored
exercise
Patient has epigastric postprandial pain 2-3 hrs. Dx? - ANSWER: Chronic mesenteric ischemia
Patient has epigastric postprandial pain 2-3 hrs, what is the diagnostic test - - ANSWER: answer is CTA Drug to give after carotid endarterectomy? - ANSWER: CCB
Vaccine to give post splenectomy? - ANSWER: Pneumococcal
POD 5 fever, cough, tachycardia, rales on auscultation? - ANSWER: pneumonia
Patient on Warfarin what is increased? - ANSWER: PT
Post gastrectomy patient has tachycardia, diaphoresis, anxiety, diarrhea after eating sugary foods. Dx? - ANSWER: Early dumping syndrome
Chronic etOH patient has new onset epigastric pain, palpable mass. Vitals normal. Dx? - ANSWER: chronic pancreatitis
Patient with exercise induced asthma what is recommended for periop tx? - ANSWER: Beta agonist ((?) incentive spirometer (other: preop deep breathing exercises, preop IV steroids))
Old man presenting with constipation, obstipation, etc (LBO sx). Initial study? - ANSWER: Colonoscopy (abd XR, decompression weren't options)
Patient has halitosis, regurgitation of food. Diagnostic test? - ANSWER: Barium swallow
Pt had portacaval shunting now has neuro sx. What happened? - ANSWER: Hepatic encephalopathy
Person w/ fistulas, aphthous ulcers. Dx = - ANSWER: Crohn's
Dude with history of hemorrhagic stroke has a PE. Treat with an... - ANSWER: IVC filter Woman w/ thickened skin, dimpling of hair follicles, skin changes. Type of breast problem? = - ANSWER: inflammatory carcinoma
30 yo woman with urinary retention, increase urgency/frequency. Noted detrusor muscle dysfunction. Dx? = - 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 = - ANSWER: IVC filter
Pt w/ claudication in butt, hips and impotence. Where is the arterial insufficiency most likely located? = - ANSWER: aortoiliac (SFA, Iliacs were other options)
Pt s/p resection from gastric carcinoma. Now having paresthesias and decreased vibratory sense. Dx? = - ANSWER: Pernicious anemia
Parapalegic pt who is beginning to get decubitus ulcer. What should you do? = - ANSWER: Alleviate pressure points
See the apple core lesion on the barium. Dx? = - ANSWER: Colon CA
Pt who is on meslamine and keeps getting increasing sx of moderate Crohn's. Next move? = - ANSWER: Prednisone (steroids)
Pt on warfarin and the INR was 9. What should you tx them w/ if there's no active bleeding? = - ANSWER: PO Vit K
Recognize Trousseau's sign. Also where is trousseau's sign seen? = - ANSWER: Hypocalcemia
Pt comes in w/ symptomatic hypercalcemia. What are these symptoms likey? = - ANSWER: fatigue/weakness (stones we're an option)
When would you do a parathyroidectomy on a pt = - ANSWER: Hip fx from osteopenia??
