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General Sx EoR
General Sx EoR
86
Medical
Graduate
08/13/2013

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Cards

Term
What supplies the stomach and duodeum?
Definition
Celiac trunk & SMA
Term
Cardiac preop assessment to r/u bad cardiac events should include what?
Definition
Hx, PE, EKG
Term
SMA branches include?
Definition
Right colic, middle colic and ileocolic arteries
Term
What is it called when the clinician tells the pt to breathe in while she palpates over the RUQ, eliciting pain on inspiration?
Definition
Murphy's sign
Term
Best test of single thyroid nodule before Sx is what?
Definition
FNA
Term
Perirectal abscess is associated w/ what?
Definition
Crohn's
Term
What is not a risk factor for Breast cancer?
Definition
Fibrocystic Dz/changes
Term
Epigastric pain is associated with which dz?
Definition
Pancreas, stomach, biliary tract, duodenum
Term
Pts w/ epigastric pain that radiates straight to the back, jaundice, and hepatomegaly. Next test?
Definition
U/S of pancreas and biliary tree
Term
Pt s/p cholecystectomy has sudden onset tachycardia, BP of 140/90, and dyspnea/SOB, mild bilateral atelectasis on CXR, and EKG shows ST segment changes. Dx?
Definition
PE
Term
Tx of achalasia?
Definition
Balloon dilatation/dilation of the LES
Term
Bird's Beak sign on Barium enema?
Definition
Achalasia
Term
GERD should worsen with everything except?
Definition
Wt loss
Term
TSH secretion is regulated by?
Definition
TRH
Term
PTH secretion is regulated by?
Definition
Iodinized Ca
Term
Indications for Sx in UGI bleed?
Definition
Persistent hemodynamic instability
Term
Charcot's triad is a sign of what?
Definition
Cholangitis
Term
Vit B12 deficiency occurs in what?
Definition
Gastric antrectomy
Term
Pt with (+) guiac test, MCV <76, low ferritin, and increased TIBC (basically, Fe deficient anemia). What do you do next?
Definition
Start Fe therapy and search for a cause of bleeding
Term
RAI is contraindicated in what?
Definition
Pregnancy
Term
Pt s/p cholecystectomy POD #4 has wound dehiscence and obvious infxn. You order C&S. What's next step while waiting for results?
Definition
Start empiric ABX and do I&D of abscess
Term
Mallory-Weiss tear - what's the best test?
Definition
Endoscopy
Term
Peau d'orange is a sign of?
Definition
Inflammatory breast cancer
Term
In an abdominal PE, you should include?
Definition
Inspection and palpation, rectal exam, pelvic exam
Term
Which of the following is NOT true of esophageal carcinoma?
Definition
Most are resectable
Term
At what structure does the CBD drain into the duodenum?
Definition
Ampulla of Vater
Term
Most common cause of SBO?
Definition
Adhesions
Term
Pt w/ constipation 2/2 severe pain w/ defecation, has small drops of blood on toilet paper. Nothing is abnormal upon external inspection of buttocks/perianal area but a DRE cannot be performed 2/2 extreme pain. Most likely Dx?
Definition
Anal fissure
Term
Most common presentation of Br CA?
Definition
Painless lump
Term
What is NOT produced in the stomach?
Definition
Lipase
Term
Sx Tx indications in hyperthyroidism?
Definition
Compression, C/I to RAI, failure of medical Tx
Term
Pt c/o painless mass in breast. The DDx includes which of the following?
Definition
Cyst, fibrocystic dz, fibroadenoma, Br CA
Term
Which of the following is NOT a S&S of hyperthyroidism?
Definition
Wt gain
Term
Most common thyroid carcinoma?
Definition
Papillary carcinoma
Term
Best prognosis of thyroid carcinoma is with which type?
Definition
Papillary
Term
U/S can be a helpful Dx test of ab ! in all of the following EXCEPT?
Definition
PUD
Term
Periumbilical pain is most commonly a S&S of a Dz w/ the?
Definition
Small intestine
Term
Duodenal PUD is associated w/ all of the following EXCEPT?
Definition
Decreased prostaglandin synthesis
Term
Which of the following is the most common cause of metabolic alkalosis?
Definition
GI losses
Term
Esophageal carcinoma risk factors include all of the following EXCEPT?
Definition
EtOH
Term
Pt w/ dysphagia + cough?
Definition
Zenker's diverticulum
Term
A smoker and alcoholic pt comes in w/ progressive dysphagia + wt loss. What is he increased risk for?
Definition
Esophageal carcinoma
Term
Most commonly associated initiator of acute pancreatitis?
Definition
Obstruction
Term
Which is NOT a type of shock?
Definition
Musculanic
Term
Woman with 3 day h/o tarry stools with normal PE; what is next step?
Definition
Stool sample for occult bleeding
Term
Massive melena with hypoTN that is stabilized; what is the first test?
Definition
Endoscopy
Term
Physiology behind DU is?
Definition
Hyper-acid secretion
Term
What is a sequela of chronic GERD?
Definition
Barre'ts Esophagus
Term
Most common cancer in women?
Definition
Breast CA
Term
Best screening test for Br CA?
Definition
Mammogram
Term
Which of the following is a S&S for duodenal ulcer?
Definition
Gnawing epigastric pain that is worse a couple of hours after eating
Term
All of the following are known/good/approved screening tools for Br CA EXCEPT?
Definition
U/S
Term
What is the best test to do in an initial work-up for a single thyroid nodule?
Definition
FNA
Term
Thyroid nodule before Sx; what test is used to differentiate from cancer?
Definition
FNA
Term
Cholecystectomy: fever 48hrs later, what should you work-up the pt for?
Definition
UTI
Term
Thyroid: where does the T3 come from?
Definition
Iodine detachment from T4 in periphery/deiodization of T4 in the periphery
Term
What is the most common post-op colitis?
Definition
C. diff
Term
Which of the following is the best way to find out if a pt has a coagulopathy/bleding preoperatively?
Definition
Hx
Term
Earliest S&S of esophageal cancer?
Definition
Progressive dysphagia
Term
Most common cause of massive LGI bleed?
Definition
Diverticulosis
Term
27yo salesman with burning in stomach for last month, with night time cough, had similar episode one year ago. What's the most likely dx?
Definition
GERD
Term
Tea colored urine and colorless/alcoholic stool?
Definition
Biliary obstruction
Term
Most common cause acute appendicitis?
Definition
Obstruction
Term
First step in Dx of dysphagia?
Definition
Barium swallow
Term
Most common cause of UGI bleed?
Definition
PUD
Term
Decreased haustra markings, intermittent diarrhea? Dx?
Definition
UC
Term
Diverticular work-up?
Definition
Barium enema
Term
How to treat acute hypoCa+?
Definition
IV calcium gluconate
Term
Mass in scrotum?
Definition
Indirect inguinal hernia
Term
Anticoagulant C/I include?
Definition
Intracranial bleed
Term
Number 1 cause of cancer-related death in women?
Definition
Lung CA
Term
Which of the following is the least likely to be thyroid cancer?
Definition
Symmetrical, smooth enlargement of the thyroid gland
Term
Which of the following is true regarding women and Br CA?
Definition
Every woman should be given instructions on SBE
Term
Trousseau sign (carpal spasm is induced by inflating a sphygmomanometer cuff on the upper arm) is a sign of which electrolyte disturbance?
Definition
Hypocalcemia
Term
Post-Op complications?
Definition
5Ws
Term
What is the best test for r/o a thyroid malignancy?
Definition
FNA
Term
What is the best test for differentiating a solid breast mass from a cystic breast mass?
Definition
U/S
Term
What is the tx for C. Diff?
Definition
Metronidazole
Term
Which type of duodenal ulcer causes the most problems w/ bleeding?
Definition
Distal to the pylorus on the posterior wall of the duodenum
Term
What tx is done for GERD that's refractory to medical Tx?
Definition
Nissen fundoplication
Term
What is the most common presentation of Br CA?
Definition
Painless breast mass
Term
What is needed to produce thyroid hormone?
Definition
Iodine
Term
What thyroid finding would be the least likely to be malignancy?
Definition
Hypothyroid
Term
What is the best way to determine if a pt poses a high risk for Sx?
Definition
Medical hx
Term
Which of the following is the best way to determine if a pt will have an adverse rxn to anesthesia?
Definition
Medical hx
Term
Which one of the following is a risk factor for malignant melanoma?
Definition
Inability to tan
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