Step 2 Surgery/anatomy

Front 1

Common finding Post Gastrectomy 2nd to ZE syndrome?

Back 1

- Syncope and Nausea after meals due to dumping syndrome

Front 2

Post-operative or intra-operative hypotension, shock and hyperkalemia?

Back 2

- Hypoadrenalism in a pt on steroids

Front 3

What nerve controls wrist extension, and damage causes "wrist drop"?

Back 3

- Radial Nerve

Front 4

Post-op fever:
Day 1-2?
Day 3-4?
Day 5?
Day 7?

Back 4

o Day 1-2= PNA MC,
o Day 3-4= UTI MC,
o Day 5= DVT MC,
o Day 7= joint/wound infx MC, MC S. Aureus

Front 5

MCC wound infx in the first 24 PO?

Back 5

- MC Group A Strep, sometimes Clostridium

Front 6

Basilar skull fracture presentation?

Back 6

- Ecchymosis of external ear w/ blue-grey discoloration behind mastoid process

Front 7

Pt develops SOB after surgery w/ a white out on X-ray?
Cause?
Tx?
Prevention?

Back 7

- Atelectasis
o Results from shallow breathing and weak cough 2nd pain
o Prevent w/ pain control and incentive spirometry

Front 8

Orchiopexy:

Back 8

- moving an undescending teste down and making it stay there

Front 9

Surgical wound categories?

Back 9

- Clean
- Clean-contaminated
- Contaminated
- Dirty

Front 10

Clean surgical wound:

Back 10

- no entry into resp, ailimentary, genital, or urinary tract

Front 11

Clean-contaminated surgical wound:

Back 11

- entry into the above areas W/O unusual contamination

Front 12

Contaminated surgical wound:

Back 12

- open, fresh, accidental wounds or surgical wound w/ major break in sterility or gut spillage

Front 13

Dirty surgical wound:

Back 13

old traumatic wound w/ pre-existing infx

Front 14

Osteoporosis:
Common presentations?
Dx?
Tx?

Back 14

o Femoral neck fx (along with distal radius, humeral head, and vertebral compression) are fragility fractures, compression fractures
o perform DEXA (Dual-Energy X-ray Absoptiometry) scan, <-2.5=osteoporosis
o Tx with bisphosphonate (Alendronate)

Front 15

MC rotator cuff tendon injured?
Innervation?

Back 15

o Supraspinatus tendon MC tear
o Supraspinatus innervated by suprascapular nerve

Front 16

What tendon do you not inject steroids in and why?

Back 16

- Achilles tendonitis, have shown increased incidence of tendon rupture

Front 17

Evisceration procedure:

Back 17

- removal of globe of eye, leaving sclera and EOM intact

Front 18

How long before surgery should a pt w/ Hx of DVT stop OCP's?

Back 18

1 month before, dont start for 1 month after

Front 19

MC ophthalmic complication in surgery pt’s?
Dx?
Tx?

Back 19

- Corneal Abrasion
- dx w/ slit lamp
- tx w/ trimethoprim/polymyxin B as prophylactive abx

Front 20

Where does correctly placed central line tip go?

Back 20

- in the SVC
- contraindicated if peripheral access possible

Front 21

Which kidney is harvested for transplantation and why?

Back 21

• LEFT kidney is harvested due to longer vein on that side

Front 22

What structures are within the Cardinal Ligament?

Back 22

• Uterine artery and vein

Front 23

Radical vs. modified radical mastectomy:

Back 23

- modified spares the pec major and minor, radical does not

Front 24

Nerve that can be injured in Fibular Fractures?
Findings?

Back 24

• Superficial Peroneal nerve
• Decreased sensation to dorsum of foot and foot drop

Front 25

Hard to control Epistaxis is MC from where?

Back 25

- posterior bleed of the Maxillary Artery

Front 26

What exam should be performed in stable pt suspected of appendicitis?
Why?

Back 26

- rectal exam to rule out retroperitoneal appendicitis

Front 27

Reflexes of the arm?

Back 27

• Triceps reflex C7, Biceps C5, Brachioradialis C6

Front 28

Course of action for Splenic damage in a stable pt?

Back 28

- do splenic angioembolization through femoral artery
- if unsuccessful do a surgery w/ attempted spleen salvage

Front 29

Colles Fracture:
Area?
Common Cause?

Back 29

- distal radius fx,can cause ulnar styloid injury
- usually secondary to fall on outstretched hand,

Front 30

Galeazzi Fracture:
Area?

Back 30

- distal radial Shaft fx, commonly w/ fx of distal radioulnar joint (DRUJ)

Front 31

AIIS Avulsion Fx:
Common population?
Muscle involved?
Innervation?

Back 31

o occur mostly in males 14-17 in open epiphysis
o rectus femorus
o innervated by femoral nerve (L2-L4)

Front 32

Urethropexy:

Back 32

o Tx for stress incontinence (returns proximal urethra to original position)
o Stress incontinence MC from displacement of the urethrovesical junction and relaxation of pelvic floor

Front 33

Post-surgical wound w/ 30-40ml serosanguineous fluid draining w/ no indication of infection?

Back 33

fascial dehiscence
o Requires surgery to open and view fascia to fix any defects

Front 34

Bakers Cyst?
Dx?

Back 34

- popliteal cyst posterior knee, associated w/ arthritis
- w/ plain film X-ray

Front 35

Test for Subacromial Bursitis?

Back 35

• Neer’s impingement test

Front 36

How long should you wait to restart heparin after epidural needle insertion?

Back 36

- 2 hours

Front 37

Neck space area that carries the highest risk of spreading infx to the Mediastinum?

Back 37

Retropharyngeal space

Front 38

MC surgery that causes spinal cord ischemia?

Back 38

Thoracic and abdominal aortic aneurysm repair
- do to anterior vertebral artery ischemia