15-18 JUL 2022 (studied 21 NOV) Flashcards

1
Q

contraindications to MRCP:

A
  • older heart pacemakers
  • implanted metallic devices (insulin pumps, hearing aids, neurostimulators)
  • intracranial metal clips
  • metallic bodies in the eye
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2
Q

most common nonimmunologic cause of pancreas allograft loss in the immediate postoperative period?

A

vascular thrombosis

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3
Q

best inital test for zone I vascular neck injury?

A

CTA

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4
Q

recurrent intussusception occurs in approximately ___% of pediatric patients from within minutes to months, and half occur in the first ___ hours

A
  • 10%
  • 48 hours
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5
Q

what class of medications can increase hepatic metabolism of thyroid hormone, thereby requiring higher doses of thyroxine for hypothyroidism?

A

anti-epileptics

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6
Q

treatment for small anastomotic leak post-Hartmann? large leak?

A
  • small: drain + diverting ileostomy
  • large: recreate anastomosis
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7
Q

most common primary malignant peritoneal neoplasm?

A

mesothelioma

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8
Q

which type of bowel preparation is associated with the best outcomes for elective colonoscopies?

A

mechanical bowel preparation and oral antibiotics

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9
Q

what EKG finding is is directly proportional to the degree of hypocalcemia?

A

prolonged QT

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10
Q

lengthening of the ST segment on electrocardiography (ECG) is directly proportional to the degree of what electrolyte abnormality?

A

hypocalcemia

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11
Q

treatment options for gastroschisis

A
  • placement of silo
  • closure of fascia or skin
  • sutureless closure
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12
Q

what is the most effective medication in protecting the intestine from free radical damage caused by abdominal or pelvic radiation

A

amifostine

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13
Q

Peutz-Jeghers syndrome (PJS) is an autosomal dominant disorder resulting from an _____ mutation

A

STK11

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14
Q

____ gene mutations are associated with FAP disease

A

APC

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15
Q

MOA of rituximab

A

chimeric monoclonal antibody directed against CD20

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16
Q

when is a breast MRI indicated?

A

when conventional imaging (mammogram or ultrasound) inadequately images an area of concern

17
Q

how does a diagnostic mammogram differ from a screening mammogram?

A

compression and magnification views

18
Q

what are the zones of the extensor tendon?

A

Zone 1: distal interphalangeal joint
Zone 2: middle phalanx
Zone 3: proximal interphalangeal joint
Zone 4: proximal phalanx
Zone 5: metacarpophalangeal joint
Zone 6: metacarpals
Zone 7: wrist (carpus and extensor retinaculum)
Zone 8: distal third of the forearm

(all odd extensor zones in the hand lie over joints)

19
Q

what measure is included in the Berlin definition to evaluate cardiac dysfunction?

A

echo data

20
Q

management of a grade II splenic laceration with no active bleeding?

A

observation with serial abdominal examinations and hemoglobin measurements