08 JUL - 23 (3) JUL 2023 Flashcards

1
Q

antibiotic of choice for small intestinal bacterial overgrowth

A

rifaximin (14 days)

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2
Q

management of preoperative hypertension for an aldosteronoma?

A

Spironolactone, lisinopril, and amlodipine

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3
Q

At which MESS is a limb traditionally considered unsalvageable and will likely require amputation?

A

7

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4
Q

most common GI cancer related to Crohn’s disease

A

adenocarcinoma

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5
Q

Chronic wounds are arrested in the ___________________ stage of wound healing

A

inflammatory

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6
Q

early arterial enhancement followed by isoattenuation during a portal phase

A

hepatic adenoma

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7
Q

peripheral puddling of contrast on arterial phase followed by centripetal filling on subsequent phases

A

hepatic hemangioma

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8
Q

According to the National Surgical Adjuvant Breast and Bowel Project B-17 study, the standard of care for DCIS is:

A

lumpectomy and radiation (and hormonal therapy)

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9
Q

Sentinel lymph node is not recommended for DCIS unless the following apply:

A
  • lesion greater than 4 cm
  • palpable mass
  • mastectomy
  • microinvasion
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10
Q

treatment for SIADH vs DI

A

SIADH: treat underlying cause, or fluid restriction

DI: desmopressin

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11
Q

exposure for the middle third of the esophagus

A

right posterolateral thoracotomy

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12
Q

contrast enema findings for Hirschsprung:

A
  • transition zone
  • rectosigmoid ratio < 1.0
  • retained contrast at 24h

rectal biopsy still needed for dx confirmation

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13
Q

chronic PPI use can lead to what electrolyte abnormalities?

A

hypomagnesemia and subsequently hypocalcemia

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14
Q

brown sequard

A
  • loss of vibration, proprioception, and motor on ipsilateral side (dorsal columns, corticospinal)
  • loss of pain and temperature on contralateral side (spinothalamic)
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15
Q

Horner syndrome (ptosis, miosis, anhidrosis) is typically only found in patients with injuries above the level of:

A

T1

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16
Q

the intercostobrachial nerve arises from what roots?

A

T1-2 (important to make sure this is anesthetized following a brachial plexus block for tourniquet pain)

17
Q

screening recommendation for BRCA1 carriers

A
  • annual MRI age 25
  • annual mammogram age 30
  • biannual clinical breast exam age 25
  • monthly self breast exam age 18
18
Q

imaging modality of choice for pancreatic divisum

A

secretin enhanced MRCP

19
Q

Hypokalemia refractory to potassium supplementation is often attributable to ____________________ - why?

A

hypomagnesemia

magnesium helps drive the sodium-potassium ATPase pump. Hypomagnesemia causes loss of intracellular potassium via decreased functioning of this pump in the renal tubule, and this renal potassium wasting

20
Q

Treatment for all stages of anal squamous cell cancer is:

A

chemoradiation