Absite/Surgery Exam With Complete Solutions
100% Correct
Pain out of proportion to the physical exam?
Ischemia
Colicky abdominal Pain?
Obstruction
Peritonitis gets what treatment?
Ex Lap
Rebound Tenderness?
Peritonitis, ex lap
Involuntary guarding?
Peritonitis, ex lap
Image the RUQ with?
Ultrasound
Image the LLQ with?
CT scan
Image the RLQ with?
,CT scan
Breast Lump in a woman < 30?
Come back in a few cycles
Breast lump in a woman that persists?
Ultrasound
Doxorubicin/Daunorubicin side effects?
Irreversible and dose-dependent CHF
Her2 Neu negative, ER/PR positive, Pre-menopausal. Treatment?
SERM, Tamoxifen
Her2 Neu Positive, ER/PR negative, post-menopausal. Tx?
Trastuzumab
Tamoxifen side effects?
DVTs and uterine Cancer
Trastuzumab side effects?
Reversible and dose-independent CHF
Localized breast cancer Tx?
Radiation, surgery, sentinel lymph node dissection. Surgery=lumpectomy+Radiation OR
mastectomy
,What's the screening timing for bc?
50q2 OR 40q1
Woman < 30 with a mass on ultrasound?
Biopsy
Woman < 30 with a cyst on ultrasound: next step?
Drain, FNA
Woman <30 witha cyst that reocurrs?
Biopsy
1000s of polyps by 20?
Familial Adenomatous Polyposis
Biopsy of Ulcerative colitis shows?
Superficial inflammation with crypt abscessess
Colonoscopy of Ulcerative Colitis Shows?
Continuous inflammation from rectum through colon
, Bright red blood on toilet paper after bowel movement - most common diagnosis?
Hemorrhoids
Screening for Anal Cancer?
Anoreceptive practice, especially in HIV positive men, anal pap
Treatment for anal cancer?
Nigro protocol not surgery
What is the Nigro protocol?
Nigro protocol is pre-operative chemotherapy with 5-fluorouracil and mitomycin and
medical radiation to the squamous cell carcinomas of the anal canal of less than 5 cm,
followed by surgical excision if necessary.
Treatment for anal fissures?
Pastes or creams for pain and muscle tone relaxation (nitroglycerin, calcium channel
blocker)
Treatment for familial adenomatous polyposis?
Prophylactic colectomy
100% Correct
Pain out of proportion to the physical exam?
Ischemia
Colicky abdominal Pain?
Obstruction
Peritonitis gets what treatment?
Ex Lap
Rebound Tenderness?
Peritonitis, ex lap
Involuntary guarding?
Peritonitis, ex lap
Image the RUQ with?
Ultrasound
Image the LLQ with?
CT scan
Image the RLQ with?
,CT scan
Breast Lump in a woman < 30?
Come back in a few cycles
Breast lump in a woman that persists?
Ultrasound
Doxorubicin/Daunorubicin side effects?
Irreversible and dose-dependent CHF
Her2 Neu negative, ER/PR positive, Pre-menopausal. Treatment?
SERM, Tamoxifen
Her2 Neu Positive, ER/PR negative, post-menopausal. Tx?
Trastuzumab
Tamoxifen side effects?
DVTs and uterine Cancer
Trastuzumab side effects?
Reversible and dose-independent CHF
Localized breast cancer Tx?
Radiation, surgery, sentinel lymph node dissection. Surgery=lumpectomy+Radiation OR
mastectomy
,What's the screening timing for bc?
50q2 OR 40q1
Woman < 30 with a mass on ultrasound?
Biopsy
Woman < 30 with a cyst on ultrasound: next step?
Drain, FNA
Woman <30 witha cyst that reocurrs?
Biopsy
1000s of polyps by 20?
Familial Adenomatous Polyposis
Biopsy of Ulcerative colitis shows?
Superficial inflammation with crypt abscessess
Colonoscopy of Ulcerative Colitis Shows?
Continuous inflammation from rectum through colon
, Bright red blood on toilet paper after bowel movement - most common diagnosis?
Hemorrhoids
Screening for Anal Cancer?
Anoreceptive practice, especially in HIV positive men, anal pap
Treatment for anal cancer?
Nigro protocol not surgery
What is the Nigro protocol?
Nigro protocol is pre-operative chemotherapy with 5-fluorouracil and mitomycin and
medical radiation to the squamous cell carcinomas of the anal canal of less than 5 cm,
followed by surgical excision if necessary.
Treatment for anal fissures?
Pastes or creams for pain and muscle tone relaxation (nitroglycerin, calcium channel
blocker)
Treatment for familial adenomatous polyposis?
Prophylactic colectomy
