Abdominal

Question 1

long terms complications of gastric bypass?

Answer 1

dumping syndrome, nutritional deficiency, neuropathy

Question 2

short terms complications of gastric bypass?

Answer 2

DVT, anastamotic leak

Question 3

patient s/p gastric bypass with 1-3 hr post prandial hypoglycemia that is having sweating and palpitations?

Answer 3

islet cell hyperplasia

Question 4

tx for islet cell hyperplasia?

Answer 4

low carb meal, octreotide

Question 5

patient s/p gastric bypass that has GI distress and dizziness minutes after meal?

Answer 5

dumping syndrome

Question 6

MOA of dumping syndrome?

Answer 6

intravascular depletion

Question 7

late deadly complication of TEVAR that causes LE paralysis, anuria?

Answer 7

stent graft collapse in young patienrs with pliable aortas

Question 8

carcinoid tumors originate where?

Answer 8

GI tract

Question 9

when would carcinoid syndrome become apparent?

Answer 9

when metastasis to liver occurs

Question 10

cardiac complications of carcinoid tumors?

Answer 10

development of plaques on the right sided valves, because the mediators are inactivated by the lungs

Question 11

perioperative tx of carcinoid tumor?

Answer 11

octreotide prior and limiting catecholamines during surgery

Question 12

mechanism of kidney injury in ACS?

Answer 12

decreased renal perfusion from renal vein compression and diminished CO

Question 13

mechanism of hypotension in ACS?

Answer 13

IVC compression leading to decrease in CO

Question 14

ICP in ACS?

Answer 14

decreased cerebral venous drainage causing inc ICP, from inc intra thoracic pressure

Question 15

peritoneal dialysis catheter infection requirements?

Answer 15

effluent fluid with >100 WBC with positive culture and >50% neuotrophils