5/8/13

Question 1

What position should a patient w/ massive hemoptysis be placed in?

Answer 1

dependent position to protect non-bleeding lung

Question 2

What is a traumatic deceleration injury to the brain that will cause numerous minute punctate hemorrhages and blurring of the grey-white matter junction on CT?

Answer 2

diffuse axonal injury

Question 3

Why does diffuse axonal injury occur at the grey-white matter junction?

Answer 3

greatest density differential

Question 4

Where are lesions of MS found?

Answer 4

periventricular white matter

Question 5

What is the main cause of morbidity and mortality in pts with significant total body surface area burns?

Answer 5

hypovolemic shock

Question 6

What is the main cause of morbidity and mortality in pts with significant totall body surface area burns in the setting of adequate fluid rescuscitation?

Answer 6

bacterial infection (bronchopneumonia or burn wound infection) leading to septic shock

Question 7

What is the “hypermetabolic phase” following burn injury?

Answer 7

protein breakdown for gluconeogenesis

Question 8

What circulating factors induce gluconeogenesis in the hypermetabolic phase that occurs in the days following burn injury?

Answer 8

catecholamines and cortisol

Question 9

Acute pain and swelling of the midline sacrococcygeal skin and subcutaneous tissues are most commonly due to _______.

Answer 9

pilonidal cyst

Question 10

A _______ presents with anal pain and a tender, erythematous bulge at the anal verge.

Answer 10

perianal abscess

Question 11

A _______ due to chronic anal crypt infection or Crohn’s disease would have an external (cutaneous) opening draining purulent material. They are generally located within 3 cm of the anal margin.

Answer 11

perianal fistula

Question 12

Pts w/ _______ present with multiple painful nodules and pustules in the axillae and/or groin.

Answer 12

suppurative hydradenitis

Question 13

What is the mechanical cause of hidradenitis suppurutiva?

Answer 13

clogging of apocrine glands

Question 14

_______ is squamous cell carcinoma in situ of the skin. It typically presents as a thin, erythematous plaque with well-defined irregular borders and an overlying scale or crust.

Answer 14

Bowen’s disease

Question 15

What 4 Sx characterize the clinical presentation of radiation proctitis?

Answer 15

diarrhea, rectal bleeding, tenesmus, and incontinence

Question 16

What 2 things may form in the bowel as complications of radiation proctitis?

Answer 16

strictures and fistulae

Question 17

What does “πρωκτοσ”, as in “proctitis” mean in Greek?

Answer 17

rectum/anus

Question 18

Ischemic colitis following aortic surgery most commonly affects which part of the bowel?

Answer 18

distal left colon

Question 19

How does ischemic colitis d/t aortic manipulation appear on colonoscopy?

Answer 19

cyanosis and ulceration affecting a clearly demarcated segment of bowel

Question 20

What diagnostic modality should be used in order to determine the necessity of a laparotomy in a hemodynamically stable pt w/ penetrating trauma to the abdomen?

Answer 20

CT

Question 21

What diagnostic modality should be used in order to determine the necessity of a laparotomy in a hemodynamically UNstable pt w/ penetrating trauma to the abdomen?

Answer 21

FAST (or diagnostic peritoneal lavage)