Trauma/Emergencies — Flashcards

Flashcard 211: Carotid endarterectomy (CEA) should be considered for asymptomatic patients with ≥ _____% stenosis

Answer: 80

Extra: https://onlinemeded.org/spa/surgery?ref=anki

Flashcard 212: What is surgical treatment for skin cancer of the face? _____

Answer: Mohs surgery

Extra:  https://onlinemeded.org/spa/surgery-subspecialty/skin-cancer/acquire?ref=anki 

Flashcard 213: What is used to manage respiratory failure secondary to flail chest? _____

Answer: Mechanical positive pressure ventilation (PPV)

Extra:  https://onlinemeded.org/spa/surgery-trauma/chest/acquire?ref=anki 

Flashcard 214: Post-trauma → contrast extravasation from duodenum into retroperitoneum is managed with _____

Answer: ex-lap

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 215: Acute arterial occlusion can result from what three major causes? _____

Answer: Embolus from a cardiac or arterial source Arterial thrombosis Iatrogenic/direct blunt trauma to the artery

Extra: Source: https://onlinemeded.org/spa/surgery?ref=anki

Flashcard 216: For those with peripheral artery disease, after getting an ABI, get a(n) _____ before doing revascularization

Answer: angiogram

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 217: A small, chronic, painless, slow-growing ulcerative penile lesion in a patient with a history of phimosis, high-risk sexual behavior, and smoking is suggestive of _____

Answer: penile squamous cell carcinoma

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 218: Adolescent hit in the side of the head with a baseball, LOC for 90 seconds, regains consciousness, but loses it again? Imaging would show? _____

Answer: Epidural hematoma → biconvex lens-shaped hematoma

Extra: Epidural hematomas (EDH) are most commonly caused by rupture of the middle meningeal artery (a branch of the maxillary artery) following trauma to the pterion. Classic presentation: 1. Initial loss of consciousness (LOC) 2. Lucid interval (patient regains consciousness and appears normal) 3. Rapid deterioration and secondary LOC as the hematoma expands. CT findings: Biconvex (lens-shaped) hyperdense collection that does not cross suture lines.

Flashcard 219: What are the "soft signs" of traumatic arterial injury? (5) _____

Answer: Diminished distal pulses Unexplained hypotension Stable hematoma Hemorrhage (at time of injury) FND

Flashcard 220: What blunt chest trauma complication is characterized by unilateral decreased breath sounds and patchy, irregular alveolar infiltrate on imaging < 24 hours after the injury? _____

Answer: Pulmonary contusion

Extra:  https://onlinemeded.org/spa/surgery-trauma/chest/acquire?ref=anki supportive care, NOT O.R.