27 - 31 AUG 2022 (studied 05 JAN)

Question 1

in contrast to normal hepatic parenchyma, HCC is primarily supplied by ________ arterial inflow

Answer 1

hepatic

Question 2

99-Tc sulfur colloid scan with intense uptake on liver imaging?

Answer 2

FNH

Question 3

the anal margin extends laterally from the intersphincteric groove to a radius of __ cm

Answer 3

5 cm

Question 4

wide local excision with a __ cm margin is recommended for anal margin squamous cell cancers that are well differentiated and less than 2 cm in size

Answer 4

1 cm

Question 5

the ________ is the most commonly injured heart structure in penetrating trauma because of its anterior location

Answer 5

right ventricle

Question 6

rapid accumulation of at least ___ mL of fluid can result in cardiac tamponade physiology

Answer 6

50

Question 7

prealbumin less than ___ mg/dL is an indicator of poor nutritional status

Answer 7

15

Question 8

albumin greater than ___ g/dL and transferrin greater than ___ mg/dL are indicators of adequate nutritional status

Answer 8

• 3.5
• 200

Question 9

malampati classes

Answer 9

• Class I: complete visualization of the uvula and pillars, predicting complete visualization of the larynx and vocal cords during direct laryngoscopy
• Class II: 50% visualization
• Class III: visualization only of the base of the uvula, suggesting a partial view of the larynx but no direct visualization of the true vocal cords
• Class IV is inability to visualize the soft palate and describes patients who cannot be intubated with direct laryngoscopy

Question 10

what is the most common complication of a jaboulay bottleneck repair for a hydrocele (hydrocelectomy)?

Answer 10

scrotal hematoma

Question 11

which monopolar mode is the safest for use in this patient with an implanted cardiac electronic device?

Answer 11

30-watt cut mode

Question 12

in monopolar electrocautery, ___________ mode is the highest voltage mode and transfers the greatest amount of energy to a nearby cardiac device

Answer 12

coag

Question 13

what are the most common intraperitoneal chemotherapy agents?

Answer 13

Cisplatin, doxorubicin, and mitomycin-c

Question 14

when faced with a missing inferior parathyroid gland, the first step is to:

Answer 14

mobilize the thymus and resect it

Question 15

if cholecystectomy does not take place during initial admission for gallstone pancreatitis, there is a ___% risk of recurrence within 3 months

Answer 15

25%

Question 16

chemotherapy cannot penetrate peritoneal lesions >__ mm

Answer 16

> 2 mm

Question 17

the current consensus guideline for the optimal margin for DCIS indicates a __ mm margin based on a systematic review of 20 studies with over 7800 patients

Answer 17

2 mm

Question 18

______________, an intravenous direct thrombin inhibitor, is a drug that can be used safely in the setting of HIT for thromboprophylaxis

Answer 18

argatroban

Question 19

the only safe low-molecular-weight heparin for this condition is:

Answer 19

fondiparinux

Question 20

if bleeding persists after a Pringle maneuver, the most likely sources of bleeding are the ____________ or the ______________, and ____________ is required

Answer 20

• hepatic veins or retrohepatic inferior vena cava (IVC)
• total hepatic isolation