Safe Answers For The American Board of Surgery Certifying Exam & Recertifying Exam

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1 Safe Answers For The American Board of Surgery Certifying Exam & Recertifying Exam By Sarmad Aji, MD., FACS. A comprehensive review of the most commonly asked questions on the American Board of Surgery certifying and recertifying exam with detailed, step by step discussion of their best and safest answers Twelfth Edition 2013

2 Table of Content Section I... Head and Neck 7 1. Squamous Cell Carcinoma 8 2. Enlarged cervical lymph node Thyroid nodule Neck mass Hyperthyroidism Non-toxic thyroid goiter Hyperparathyroidism Salivary gland tumors 38 Section II... Breast breast mass Lobular Cancer Management of disseminated disease or recurrences Eczematoid lesions on the nipple (Paget s) Bloody nipple discharge Local recurrence in the chest wall Enlarged Axillary lymph node Invasive breast cancer presenting as a large (>5cm) mass Inflammatory breast CA Pregnant woman with breast CA Cancer in male breast 62

3 Section III... Esophagus Esophageal Motility disorders Gastroesophageal reflux Barrett s esophagus Esophageal perforation Caustic esophageal stricture Esophageal cancer Hiatal hernia 78 Section IV... Stomach and Duodenum Management of duodenal ulcer complications Management of gastric ulcer complications Mallory-Weiss syndrome Recurrent peptic ulcer disease Complications of gastric surgery for PUD Stress ulcer / Erosive Gastritis Gastric malignancy 97 Section V... Small Bowel and Colorectum Crohn s disease Ulcerative colitis Large bowel obstruction Small bowel obstruction 109

4 5. Carcinoid tumors Acute right lower quadrant pain Massive lower GI bleeding Colon polyps Colon carcinoma and rectal carcinoma Sigmoid and cecal volvulus Rectal prolapse Hemorrhoids SCC of the anus Fistula in ano Rectovaginal fistula Anal incontinence Intestinal angina and bowel ischemia Enterocutaneous fistulas Radiation enteritis and radiation proctitis 142 Section VI... Biliary Surgery Post-laparoscopic cholecystectomy jaundice Post-cholecystectomy ascending cholangitis Post-cholecystectomy syndrome Choledochal cyst Primary sclerosing cholangitis 151

5 6. Acalculous cholecystitis Biliary cancer management 153 Section VII... Pancreas Acute pancreatitis Pancreatic pseudocyst Pancreatic ascites Chronic pancreatitis Pancreatic divisum CA of the pancreas Endocrine tumors of the Pancreas Portal Hypertension 167 Section VIII... Liver Liver nodule Liver cysts Liver abscess 175 Section IX... Endocrine Surgery Gastrinomas Insulinomas Cushing syndrome Primary hyperaldosteronism Pheochromocytoma MEN syndromes 186

6 7. Surgical hypertension Incidental finding of an adrenal mass 189 Section X... Soft Tissue Tumors, Lymphoma, Melanoma Soft Tissue Tumors Lymphoma Melanoma 198 Section XI... Notes in GYN Surgery 203 Section XII... Notes in Pediatric Surgery 206 Section XIII... Notes in GU Surgery 213 Section XIV... Notes in Thoracic Surgery Mediastinal mass Lung nodule Tracheal stenosis Massive hemoptysis Empyema Lung abscess Spontaneous pneumothorax 307 Section XV... Notes in Vascular Surgery Management of abdominal aortic aneurysm Management of acute lower extremity ischemia Management of carotid stenosis 233

7 4. Management of iliac and SFA stenosis Management of venous insufficiency Management of A-V shunt complications 310 Section XVI... Trauma and Critical Care ABCs of Trauma management Management of Shock in the ER Surgical Priorities in Trauma Patient Neck Injuries Chest Injuries Abdominal Trauma Pelvic Fractures 268 Trauma and Critical Care Pearls Nutrition Acute Renal Failure Bleeding Disorders Drugs Commonly Used in ICU Hypotension in the Recovery Room Respiratory Failure Electrolytes Disorders Burns Miscellaneous Few More Board Questions Recertification Exam Pearls

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