03 - 07 (3) AUG 2022 (studied 29 DEC)

Question 1

where is a type II gastric ulcer located?

Answer 1

in both the gastric body and the duodenum

Question 2

injury to the central slip portion of the PIP joint (zone III) results in what type of injury?

Answer 2

boutenniere

Question 3

what is fothergill sign?

Answer 3

tender mass on the lateral abdominal wall that is unchanged with contraction of rectus muscles (test for rectus sheath hematoma)

Question 4

what is carnett sign?

Answer 4

point of maximal tenderness on the abdomen does not change when the patient moves from supine to sitting

Question 5

___________ is considered to be the single best marker of nutritional status in STABLE patients

Answer 5

serum albumin

Question 6

what is the scale for Prognostic Inflammatory Nutritional Index (PINI)?

Answer 6

• less than 1 is normal
• 1 to 20 indicates mild malnutrition
• more than 20 indicates severe malnutrition

Question 7

treatment of delayed graft function

Answer 7

maintenance of hemodynamic stability.

Question 8

most accurate method for determining local invasiveness of an ampullary neoplasm

Answer 8

endoscopic ultrasound

Question 9

which anomaly is associated with the majority of choledochal cysts and is thought to contribute to their pathogenesis?

Answer 9

anomalous pancreatobiliary junction

Question 10

up to __% of patients with a fluid collection after pancreatitis develop a pseudocyst, and about __% become symptomatic

Answer 10

• 15%
• 50%

Question 11

___________ is the gold standard for determining resting energy requirements in complex patients

Answer 11

indirect calorimetry

Question 12

axillary lymph node dissection borders

Answer 12

• superior: axillary vein
• medial: serratus
• lateral: latissimus dorsi
• anterior: clavipectoral fascia
• posterior: subscapularis

Question 13

to enter the lesser sac for distal pancreatectomy, the __________ ligament should be divided with the stomach reflected superiorly and the colon reflected inferiorly

Answer 13

gastrocolic

Question 14

the maximum amplitude (MA) of clot strength is mainly the result of __________

Answer 14

platelets

Question 15

the percent lysis at 30 minutes (LY30) measures the _______ phase of coagulation

Answer 15

lytic

Question 16

when LY30 is above __%, antifibrinolytic therapy is warranted, because the mortality rate for hyperfibrinolysis is high

Answer 16

8%

Question 17

when LY30 is above 8%, antifibrinolytic therapy is warranted, because the mortality rate for __________ is high

Answer 17

hyperfibrinolysis

Question 18

mucinous cystic neoplasms typically occur in what part of the pancreas?

Answer 18

body / tail

Question 19

mucinous cystic neoplasms have approximately a __% chance of malignancy

Answer 19

15%

Question 20

high fluid amylase, low CEA, and inflammatory changes in the cyst wall

Answer 20

pancreatic pseudocysts