04 JUL - 2024

Question 1

prednisone equivalent for 20 mg hydrocortisone

Answer 1

5 mg prednisone

Question 2

first line antibiotic for vancomycin resistent MRSA infection

Answer 2

linezolid

Question 3

when does colonoscopy screening take place for Lynch syndrome patients?

Answer 3

age 20-25 or 2-5 years before earliest known case of cancer, whichever comes first

Question 4

treatment of a pyogenic liver abscess?

Answer 4

• broad spectrum abx
• source control (perc drainage)

Question 5

treatment of amebic liver abscess?

Answer 5

flagyl (aspiration only indicated without a clinical response after 5-7 days or for very large abscesses)

Question 6

treatment of echinococcal cysts?

Answer 6

open surgical drainage (vs PAIR procedure)

Question 7

the best first line test for pheochromocytoma is:

Answer 7

plasma metanephrines (followed by confirmatory 24 hr urine catecholamines / metanephrines)

Question 8

marjolin ulcers should be excised with at least a ___ mm margin

Answer 8

10 mm (1 cm)

Question 9

why is NO contraindicated as an induction agent for patients with SBO?

Answer 9

has the propensity to increase closed air spaces and distension

Question 10

cushing’s triad

Answer 10

• bradycardia
• repsiratory depression
• HTN

Question 11

borders of Killian’s triangle

Answer 11

oblique fibers of the inferior pharyngeal constrictor and cricopharyngeus muscles

Question 12

maximum allowable dose of 1% lidocaine with epinephrine

Answer 12

7 mg/kg (0.7 cc/kg for a 1% solution)

Question 13

MOA of orlistat?

Answer 13

inhibition of gastric and pancreatic lipase

Question 14

carbohydrates are exclusively absorbed as ______saccharides

Answer 14

mono

Question 15

steatorrhea, diabetes, hypochlorhydria, cholelithiasis?

Answer 15

somatostatinoma

Question 16

what is the most common cause of mortality after a blood transfusion?

Answer 16

TRALI

Question 17

caloric values of TPN constituents:

• protein
• dextrose
• lipids

Answer 17

• protein: 4 kcal/g
• dextrose: 3.4 kcal/g
• lipids: 9 kcal/g

Question 18

femoral aneurysms should be considered for repair when they reach ___ cm

Answer 18

2.5 cm

Question 19

pembrolizumab is an Ab against:

Answer 19

PD-1

Question 20

what are the PD-1 inhibitors?

Answer 20

pembrolizumab and nivolumab