13 (2) - 23 (2) OCT 2022 (studied 26 JAN)

Question 1

treatment for complete diaphragm avulsion

Answer 1

diaphragm should be reattached in a primary fashion using polypropylene sutures placed circumferentially around the ribs

Question 2

propylthiouracil is recommended for the _____ trimester of pregnancy

Answer 2

first

Question 3

what anti-thyroid medication is recommend for the first trimester of pregnancy?

Answer 3

PTU

Question 4

the thionamides (PTU, methimazole) are associated with what side effect?

Answer 4

agranulocytosis

Question 5

what is the marker for surveillance of MTC recurrence?

Answer 5

calcitonin

Question 6

the lumbar hernia of Grynfeltt is between the:

Answer 6

• 12th rib
• paraspinal muscles
• internal oblique muscle

Question 7

the lumbar hernia of Petit is bordered by the:

Answer 7

• latissimus dorsi
• iliac crest
• external oblique muscle

Question 8

delirium is thought to be related to a deficiency in what molecule?

Answer 8

acetylcholine / cholinergic system

(avoid anticholinergics)

Question 9

treatment for a rectractile testicle

Answer 9

observation

Question 10

orchiopexy for an undescended testicle is recommend after the age of:

Answer 10

6 months (or as soon as feasible)

Question 11

the presence of calcifications in an aggressive retroperitoneal tumor surrounding the central vessels makes this tumor almost certainly a _________________

Answer 11

neuroblastoma

Question 12

in neuroblastomas, ______ amplification greater than 10 copies is associated with advanced disease, tumor progression, and is the strongest predictor of a poor outcome

Answer 12

MYCN

Question 13

in neuroblastomas, ____ (low/high) TrkA expression is a good prognostic indicator

Answer 13

high

Question 14

what is the first step in identifying a non-obstructing solid mass in the mesentery?

Answer 14

image guided core needle biopsy

Question 15

The first-line therapy for class IIa ischemia is:

Answer 15

endovascular intervention with placement of a thrombolysis catheter for 48 hours, with or without embolectomy or thrombectomy, depending upon achievability

Question 16

the first-line antihypertensive intraoperatively for pheochromocytoma cases is:

Answer 16

nitroprusside

other options include phentolamine, nicardipine, labetalol, and esmolol

Question 17

what vitamin can be administered to aid wound healing that is impaired by steroid use?

Answer 17

vitamin A

Question 18

What is the best test to diagnose if this patient has had a recurrence of hiatal hernia?

Answer 18

upper GI series

Question 19

What is the ideal location for placement of the peritoneal dialysis catheter tip?

Answer 19

pelvis

Question 20

the most common complication following reversal of a loop ileostomy is:

Answer 20

small bowel obstruction (7%)