Trauma Time
A 25-year-old male is brought in after a car accident. He's awake and talking, but has a gurgling sound with breathing. What’s the immediate next step?
What is suctioning and airway protection?
A 50-year-old patient presents for a routine check-up. No symptoms. What screening should you offer?
What is colonoscopy starting at age 45–50?
A 20-year-old female has a mobile, firm breast lump. No family history. Best initial step?
What is breast ultrasound?
A 24-year-old male presents after a car crash with LUQ pain and referred pain to his left shoulder. FAST scan is positive for free fluid. What is the likely diagnosis?
What is splenic injury?
(Or “What is splenic rupture?” — both accepted)
Surgical removal of the appendix is called...?
What is appendectomy?
A 70-year-old falls and hits his head. GCS is 13, CT shows a crescent-shaped hematoma. Diagnosis?
What is a subdural hematoma?
A patient with ulcerative colitis has worsening abdominal pain and fever. X-ray shows colonic dilation. Diagnosis?
What is toxic megacolon?
A 60-year-old woman has a painless breast mass and nipple retraction. Most likely diagnosis?
What is invasive ductal carcinoma?
A 17-year-old male with a recent diagnosis of infectious mononucleosis presents with sudden LUQ pain and hypotension after minor trauma during football practice. Which condition likely predisposed him to this complication?
What is splenomegaly?
Surgical removal of the thyroid gland is...?
What is thyroidectomy?
A trauma patient is hypotensive, tachycardic, with a distended abdomen. FAST is positive. What’s the next best step?
What is urgent exploratory laparotomy?
A 64-year-old man has rectal bleeding and iron-deficiency anemia. Colonoscopy reveals a mass in the sigmoid colon. What’s the next step?
What is biopsy and staging with CT?
Core biopsy shows ER-positive, HER2-negative breast cancer. What additional test guides recurrence risk and chemo decision?
What is Oncotype DX?
A patient with sickle cell disease has functional asplenia. What findings may appear on their blood smear?
What are Howell-Jolly bodies?
Patient with pancreatic cancer at the head of the pancreas undergoes resection of pancreas, duodenum, and bile duct. Name the procedure.
What is Whipple procedure (pancreaticoduodenectomy)?
A young patient with a stab wound to the chest becomes hypotensive and has absent breath sounds on the left. Needle decompression fails. What now?
What is emergency thoracotomy?
A patient with a history of total colectomy now has a pouch and frequent diarrhea. Likely complication?
What is pouchitis?
A patient develops redness, swelling, and peau d’orange on her left breast over a few weeks. No fever. What’s the most likely diagnosis?
What is inflammatory breast cancer?
Patient post-splenectomy develops fever and sepsis. What organisms are most likely responsible?
What are encapsulated organisms (e.g., Streptococcus pneumoniae, Neisseria meningitidis)?
Name the surgery done for GERD where the fundus is wrapped around the esophagus.
What is Nissen fundoplication?
A motorcyclist has bilateral femur fractures, petechial rash, hypoxia, and confusion. What’s the diagnosis?
What is fat embolism syndrome?
During rectal exam, a firm mass is palpated. Biopsy confirms rectal adenocarcinoma. What’s the key factor that determines need for neoadjuvant therapy?
What is depth of invasion and nodal involvement on MRI?
Post-mastectomy patient develops swelling and heaviness in her left arm. What is the complication, and what’s it caused by?
What is lymphedema due to axillary lymph node dissection?
Elective splenectomy is planned. Which vaccines should be administered and when?
What are pneumococcal, meningococcal, and Hib vaccines, given at least 2 weeks before surgery?
What is the name of the procedure where an ulcer is sutured and omental patch is placed?
What is Graham patch repair?