Surgery COMAT Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Chronic corticosteroid use!
First get xr then get mri - correct answer what is avascular necrosis commonly caused by?
Sigmoid - correct answer where in the colon is colon ca usually located?
Suppurative cholangitis (pyogenic infxn of biliary tract) - correct answer what dx do you think
of if you see reynolds pentad?
Yes, apparently - correct answer is symptomatic aortic stenosis in pts with an ef <50%
indication for aortic valve replacement?
Legg-calve-perthes has limited abduction and ir
Scfe has limited flexion and ir (think flexion and f in scfe) - correct answer match the condition
with the rom limitation:
Legg-calve-perthes
Scfe
Limited hip flexion
Limited abduction
Limited internal rotation
Sestamibi scan - correct answer best imaging to locate a parathyroid adenoma preoperatively?
, Small cell - correct answer what type of ca is associated with lambert eaton?
Non-dihydropyridine ca blocker (diltiazem or verapamil) or beta blocker (meto, propan, esmol) -
correct answer toc for afib with rvr?
Acute: subcut sumatriptan and inhaled o2
Preventive: verapamil - correct answer acute vs preventive tx for cluster ha?
Perforated colon! - correct answer abd pain + distention after a colonoscopy = ???? Until
proven otherwise
Giant cell arteritis - correct answer another word for temporal arteritis?
Diuretics apparently
So if like hctz is an option, pick it - correct answer what meds can cause acute pancreatitis?
Acute colonic pseudo-obstruction - correct answer what is ogilvie syndrome?
Abd distension, n, v, constip
Commonly in hospitalized pts post surgical 3-5 days - correct answer how does ogilvie
syndrome present?
Ogilvies just involves colon!!
Paralytic ileus involves both colon and small bowel - correct answer difference bw acute
paralytic ileus and ogilvies syndrome?
Bw days 2-5 for pna and uti
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Chronic corticosteroid use!
First get xr then get mri - correct answer what is avascular necrosis commonly caused by?
Sigmoid - correct answer where in the colon is colon ca usually located?
Suppurative cholangitis (pyogenic infxn of biliary tract) - correct answer what dx do you think
of if you see reynolds pentad?
Yes, apparently - correct answer is symptomatic aortic stenosis in pts with an ef <50%
indication for aortic valve replacement?
Legg-calve-perthes has limited abduction and ir
Scfe has limited flexion and ir (think flexion and f in scfe) - correct answer match the condition
with the rom limitation:
Legg-calve-perthes
Scfe
Limited hip flexion
Limited abduction
Limited internal rotation
Sestamibi scan - correct answer best imaging to locate a parathyroid adenoma preoperatively?
, Small cell - correct answer what type of ca is associated with lambert eaton?
Non-dihydropyridine ca blocker (diltiazem or verapamil) or beta blocker (meto, propan, esmol) -
correct answer toc for afib with rvr?
Acute: subcut sumatriptan and inhaled o2
Preventive: verapamil - correct answer acute vs preventive tx for cluster ha?
Perforated colon! - correct answer abd pain + distention after a colonoscopy = ???? Until
proven otherwise
Giant cell arteritis - correct answer another word for temporal arteritis?
Diuretics apparently
So if like hctz is an option, pick it - correct answer what meds can cause acute pancreatitis?
Acute colonic pseudo-obstruction - correct answer what is ogilvie syndrome?
Abd distension, n, v, constip
Commonly in hospitalized pts post surgical 3-5 days - correct answer how does ogilvie
syndrome present?
Ogilvies just involves colon!!
Paralytic ileus involves both colon and small bowel - correct answer difference bw acute
paralytic ileus and ogilvies syndrome?
Bw days 2-5 for pna and uti
