23 (2) - 25 (1) OCT 2022 (studied 26 JAN) Flashcards

1
Q

treatment for venous thoracic outlet syndrome (TOS) / effort-induced thrombosis / Paget-Schroetter syndrome

A

Catheter-directed thrombolysis followed by right first rib resection

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2
Q

macroscopic fat of the adrenal gland on CT imaging - most likely diagnosis?

A

adrenal myelolipoma

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3
Q

if an adrenal lesion measures less than ___ Hounsfield units (HU) on computed tomography (CT), the likelihood that it is a benign adenoma is nearly 100%

A

10

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4
Q

intermediate failure (<2 years) of an autologous bypass is often due to:

A

intimal hyperplasia

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5
Q

the obliterated allantois degenerates into the _________, which obliterates in postnatal life to become the ______________

A
  • urachus
  • median umbilical ligament
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6
Q

a(n _______________ is the surgical procedure of choice for any newborn diagnosed with presumed long-gap esophageal atresia

A

open gastrostomy tube

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7
Q

what is the imaging modality of choice for the diagnosis of pancreatic divisum?

A

Secretin-enhanced MRCP

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8
Q

the first-line medication used for chylothorax is:

A

octreotide

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9
Q

what is the initial treatment for afferent limb syndrome?

A

rifaximin and flagyl

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10
Q

treatment for a bleeding duodenal ulcer that has failed non-operative management?

A

GDA ligation with 3 point stitch (superior, inferior, medial)

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11
Q

what incision provides ideal exposure to the middle third of the esophagus in the hemodynamically stable patient?

A

right posterolateral thoracotomy

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12
Q

a below-knee amputation requires a ___-___% increase in energy expenditure for ambulation

A

10-40%

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13
Q

which pancreatic endocrine neoplasm?

diabetes, dermatitis, deep vein thrombosis, and depression

A

glucagonoma

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14
Q

which pancreatic endocrine neoplasm?

neuroglycopenic symptoms, low plasma glucose concentration, relief of symptoms with administration of glucose

A

insulinoma (whipple triad)

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15
Q

MOA of bupivacaine

A

binds to voltage-gated sodium channels of nerves and inhibits impulse conduction and pain signals

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16
Q

what happens when bupivacaine is absorbed systemically?

A

acts as a class 1B antiarrhythmic drug and can cause bradycardia, hypotension, and ventricular arrhythmias

17
Q

MOA of amiodarone

A

class III antiarrhythmic that works by inactivating potassium channels

18
Q

what is the first-line operative therapy for FMD (renal / carotid / cerebrobascular)?

A

balloon angioplasty

19
Q

risk for fecal incontinence following lateral internal sphincterotomy

A

8-30%

20
Q

five elements of phenotypic frailty

A
  • unintentional weight loss
  • weak grip strength
  • self-reported exhaustion
  • slow walking speed
  • low physical activity