08-11 JUL 2022 (studied 20 NOV) Flashcards

1
Q

what are the guidelines dictating the severity of acute cholecystitis?

A

tokyo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

drainage fluid amylase greater than ___ times serum amylase would be consistent with pancreatic injury

A

5x

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Brown-Sequard syndrome

A
  • loss of vibration and proprioception on the ipsilateral side
  • loss of pain and temperature on the contralateral side
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the advantages of a transperitoneal approach over the retroperitoneal approach for an aortic graft?

A
  • avoids reoperative planes
  • less blood loss
  • less bowel manipulation and ileus
  • less incisional pain
  • less pulmonary atelectasis and infection
  • more proximal exposure of the aorta
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

why is IV vanc not indicated for c. diff?

A

does not reach spores in the gut lumen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

patients with UC can have involvement of the small bowel, which is termed:

A

backwash ileitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

chronic wounds are arrested in the ___________ stage of wound healing

A

inflammatory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

a biparietal height of greater than 58 mm on US corresponds to a viable pregnancy of more than ___ weeks

A

24 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

the fundus usually reaches the umbilicus at ___ weeks then rises __ cm per week on average

A
  • 20 weeks
  • 1 cm/wk
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

oxygen consumption increases in pregnancy by almost ___%

A

20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

a rectal tumor less than __ cm can be treated with local excision (transanal or endoscopic excision)

A

< 1 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

malignant potential for a follicular neoplasm is __-__%

A

30-40%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

MOA of entereg (alvimopan)

A

antagonizes peripheral effects of opioids on GI motility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

in cardiac stress testing, maximal oxygen uptake (VO2 max) less than ___ mL/kg per minute is prohibitive for surgery

A

10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

persistent and frequent vomiting one week beyond the pyloromyotomy suggests ___________ and may require ___________

A
  • an incomplete myotomy
  • re-exploration
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

four major factors contribute to bowel function:

A
  • water content
  • motility
  • stool volume
  • resistance to the passage of stool
17
Q

high risk GISTs should be treated with ______ for how long?

A

imatinib for 3 years

18
Q

for pseudocysts in the head of the pancreas close to the duodenum, a ______________ is the most appropriate option

A

cystoduodenostomy

19
Q

for pseudocysts that are close to neither the stomach nor the head of the pancreas, a _____________ is the correct choice

A

R-en-Y cystojejunostomy

20
Q

MOAs of:

  • senna, bisacodyl
  • docusate
  • psyllium
A
  • senna, bisacodyl: large bowel stimulants
  • docusate: detergent laxative
  • psyllium: bulk laxative