04-07 JUL 2022 (studied 15 NOV)

Question 1

persistent retained hemothorax should be treated wit:

Answer 1

early VATS

Question 2

when is hepatic metastectomy indicated?

Answer 2

for isolated hepatic metastasis with established locoregional control of their primary disease

Question 3

approach for a trachea tear while performing an esophagectomy?

Answer 3

right thoracotomy

Question 4

what are the UNOS criteria for liver transplantation for HCC?

Answer 4

• single lesion 2 to 5 cm in diameter
• two to three tumors less than 3 cm
• no evidence of macrovascular invasion or extrahepatic disease

Question 5

which BRCA mutation is associated with a higher risk of male breast cancer, prostate cancer, and pancreatic cancer?

Answer 5

BRCA2

Question 6

if there is any doubt or confusion regarding the accuracy or validity of readings from an arterial line, only the _____________ should be considered reliable

Answer 6

mean arterial pressure

Question 7

a large, locally advanced tumor, irrespective of biomarker status, should be treated with __________ if the goal is breast conservation

Answer 7

neoadjuvant chemotherapy

Question 8

as long as the duct is intact, patients with benign strictures of the common bile duct or common hepatic duct are initially treated with:

Answer 8

serial dilations and stenting

Question 9

the timing of measurement of serum calcitonin after surgery is important because the serum calcitonin concentration falls slowly in some patients; the nadir is not reached for how long?

Answer 9

several months

Question 10

what segments form the right liver?

Answer 10

V, VI, VII, VIII

Question 11

most common location for a typical anal fissure?

Answer 11

posterior midline

Question 12

the unifying principle in the surgical treatment of jejunoileal atresia is:

Answer 12

preservation of bowel length to avoid short bowel syndrome

Question 13

characteristic appearance of a fibroadenoma on ultrasound

Answer 13

solid mass with lobulated margins

Question 14

criteria for endovascular aneurysm repair (EVAR)

Answer 14

• external iliac arteries must range in diameter from 7 to 16 mm
• length of the neck of the proximal aorta can be as short as 15 mm
• diameter of the aneurysm can be up to 26 mm

Question 15

for patients with advanced laryngeal cancer, appropriate treatment involves:

Answer 15

concurrent chemoradiation or surgery

Question 16

prophylactic cholecystectomy should be considered in what populations?

Answer 16

• Patients with hemolytic anemias, such as sickle cell anemia (these patients have an extremely high rate of pigment stone formation, and cholecystitis can precipitate a crisis)
• Patients with a calcified gallbladder wall (known as porcelain gallbladder)
• Those with large (> 2.5 cm) gallstones
• Those with large polyps (>1cm)
• Those with a long common channel of bile and pancreatic ducts

Question 17

cholecystectomy at the time of bariatric surgery is no longer the standard of care as stone formation can be prevented by:

Answer 17

ursodiol administration

Question 18

the decision to perform splenectomy versus splenic salvage (ie, splenorrhaphy, partial splenectomy) is made based on what criteria?

Answer 18

• grade of injury
• presence of associated injuries
• overall patient condition
• experience of the surgeon

Question 19

for a peustow procedure, long-term outcomes are improved when the anastomosis is at least __ cm or greater

Answer 19

6 cm

Question 20

what hemorrhoid characteristics constitute indications for excisional hemorrhoidectomy?

Answer 20

• persistent or recurrent
• grades 3 and 4