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FES & FLS > ABSITE > Flashcards

ABSITE Flashcards

1
Q

TEG: R

A

Greater 10 min
FFP

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2
Q

TEG: K

A

Greater 3 min
Cryo

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3
Q

TEG: α Angle

A

Less 53
Cryo & Plt

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4
Q

TEG: MA

A

Less 50 mm
Plts

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5
Q

TEG: LY30

A

Greater 3%
TXA

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6
Q

BIRADS 0

A

Incomplete
Repeat Mammo or U/S

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7
Q

BIRADS1

A

Negative
Routine screening

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8
Q

BIRADS 2

A

Benign
Routine Screening

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9
Q

BIRADS 3

A

Probably Benign
6 Month follow up

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10
Q

BIRADS 4

A

Suspicious
Tissue Diagnosis

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11
Q

BIRADS 5

A

High likelihood of malignancy
Tissue diagnosis

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12
Q

BIRADS 6

A

Biopsy proven malignancy
Excision

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13
Q

Bethesda I

A

Nondiagnostic
Repeat FNA

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14
Q

Bethesda II

A

Benign
Clinical or U/S follow up

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15
Q

Bethesda III

A

AUS/FLUS
Repeat FNA
Lobectomy/Molecular testing

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16
Q

Bethesda IV

A

Follicular Neoplasm (FN)/SFN
Molecular testing/Lobectomy

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17
Q

Bethesda V

A

Suspicious for Malignancy
Total/Lobectomy

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18
Q

Bethesda VI

A

Biopsy proven malignancy
Total/Lobectomy

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19
Q

Male Breast Cancer

A

MRM
Aromatase inhibitor

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20
Q

Inflammatory Breast Cancer

A

Neoadjuvant CT -> MRM -> ALND -> Adjuvant XRT

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21
Q

Paget Breast

A

MRM, Nipple-Areolar Complex

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22
Q

Invasive ductal carcinoma borders

A

No ink on tumor

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23
Q

DCIS Borders

A

2 mm

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24
Q

Her2neu (+)

A

Neoadjuvant (Traszumemab) + BCT

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25
Q

DCIS Treatment (Female vs Male)

A

Female: BCT + Endocrine + Radiation
Sentinel lymph node is not recommended for DCIS unless the following apply: lesion>4 cm, palpable mass, mastectomy, and microinvasion.

Male: Mastectomy

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26
Q

Li Fraumeni

A

p53
Leukemia
Sarcoma
Adenocarcinoma
Breast

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27
Q

PCI Scoring

A

T1 is a PCI score 1-10,
T2 is a PCI score 11-20
T3 is a PCI score 21-30
T4 is a PCI score 31-39
LS0: No tumor; LS1: Tumor up to 0.5 cm; LS2: Tumor b/w 0.5 - 5.0 cm; LS3: Tumor >5 cm or confluent tumor

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28
Q

When primary Esophagus can be repaired primary in TEF

A

Gap is <2 vertebral bones

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29
Q

Compartment syndrome

A

12 mm Hg (Increase pressure)
20 mm Hg (Organ failure)

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30
Q

High risk IPMN

A
  1. jaundice
  2. enhancing solid component
  3. MD >1 cm
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31
Q

Worrisome IPMN

A
  1. Size >3 cm
  2. Thickened enhancing cyst walls
  3. MD 5 - 9 mm
  4. Nonenhancing mural nodules
  5. Abrupt caliber change
  6. Lymphadenopathy
  7. Pancreatitis
32
Q

Contraindication to total or head pancreatic resection

A

Splenic or portal vein thrombosis
(Casuses significant operative bleeding due to recanalization)

33
Q

Long term Blind loop sydrome

A

Due to B2
Medium chain Triglycerides + B12

34
Q

Muir-Torre syndrome

A
  • GI
  • GU
  • Breast
    (MLH1, MSH2)
35
Q

Cowden syndrome

A
  • Mucocutaneous
  • Endometrial
  • Thyroid
  • Breast
    (PTEN)
36
Q

Gastrectomy margins

A

Proximal 6 cm
Distal 2 cm

37
Q

Triple negative Breast CA

A

Lumpectomy + Adjuvant XT + Radiation

38
Q

Time span anal nodule needs to be present before biopsy

A

6 Months

39
Q

Papillary Thyroid Ca Stage III or IV

A

Age >55 yrs

40
Q

Size of thyroide nodule not needing FNA

A

<1 c m(10 mm)

41
Q

Desmoplastic melanoma

A

Resection + Adjuvant radiation

42
Q

Lidocaine dosing

A

w/ Epi 7 mg/Kg
w/o Epi 5 mg/Kg

43
Q

Bupivicaine Dosing

A

2.5 mg/kg

44
Q

Pancreatitis Surgery: Head

A
  1. Frey
  2. Berger
  3. Whipple
45
Q

Pancreatitis Surgery: Enlarged duct

A

Peustow

46
Q

Side Effect: Etomidate

A

Adrenal Supression

47
Q

Hoffman Elimination Nondepolarizing agents

A

Atracurium
Cisatracurium
(Hoffman elimination)

48
Q

Baitracin

A

Partial thickness burns
Nephrotoxic

49
Q

Mupirocin

A

MRSA

50
Q

Silvadene (Sulfadiazie)

A

Does not penetrate eschar
Prophylaxis
Neutropenia

51
Q

Mafenide acetate

A

Fullthickness burns
Penetrates eschar
Metaboli aidosis (carbonic anhydrase inhibotor)

52
Q

Silver nitrate

A

Hyponatremia

53
Q

Contraindication to lumpectomy

A
  1. prior irradiation
  2. pos margins
  3. inflammatory
  4. pregnancy (unless 3rd trimester)
54
Q

Breast: what are the axillary node levels (1-3, and one more category)?

A

1 - lateral to pec minor;
2 - beneath pec minor;
3 - medial to pec minor;
Rotter’s Nodes - between pec major and pec minor

55
Q

Breast: what do you do if you can’t find radiotracer dye in SNLB?

A

ALND

56
Q

Breast: what patient would get only mastectomy/BCT + tamoxifen for 5 years (4 characteristics)?

A

(-) SLN
old
ER+
tumor <2 cm

57
Q

Breast: what patient would get mastectomy/BCT + tamoxifen for 5 years plus chemo (4 characteristics)?

A

(-) SLN, young, ER+, and tumor >1cm

58
Q

Liver: in what population should giant liver hemangioma be resected, how can it present in this population (name of syndrome and its 2 problems, other possible problem)?

A

pediatric population – kasabach-merit syndrome = hepatic sequestration and thrombocytopenia, also can present with AV shunting and heart failure

59
Q

Colorectal: when is transanal excision OK (T stage, circumference, location, 2 criteria if invasive)?

A

stage - polyp or T1
circumference - <40%
location - within 8-10cm of anal verge
if invasive must be: 1) no lymphovascular invasion; 2) not poorly differentiated

60
Q

Colorectal: coloncyte fuel, and derived from where?

A

butyric acid

61
Q

GIST Treatment

A

R0 resection

62
Q

Indications for adjuvant Gleeve

A
  1. Ruptured GIST
  2. > 10 cm
  3. Mitotic rate > 10/50
  4. Tumor size >5cm & 5 mitosis/HPF
63
Q

Nejoadjuvant therapy for GIST

A

Duodenal GIST
Rectal GIST
GEJ GIST

64
Q

Colon Ca Tx

A

Stage I: Resection
Stage II (T1-3, N0): Resection
Stage II (T3, <12 nodes in specimen, poorly differentiated, lymphovascular invasion): Resection -> Adjuvant XT

65
Q

Rectal CA Tx

A

CIS, T1: TEM (up to 15 cm)
T2-3, N1-2: Neoadjuvant XRT

66
Q

Rectal Ca < 5cm from dentate line

A

LAR with total mesorectal excision

67
Q

Anal Ca Tx

A

AIN: Resection/Ablation
T1, N0 (welll differentiated): Resection, Inadequate margins- Observe vs XRT
Any T, N0, N+

68
Q

X (chi squared)

A

Categorical
>2 groups

69
Q

Cox proportional hazards regression

A

Variables affecting survival

70
Q

Paired t test

A

two groups: Before & After

71
Q

Mann Whitney (Wilcoxon)

A

Two independent groups with ranks

72
Q

EVAR Indications

A

External iliac: 7-16 mm
Length of aorta: >15 mm
Diameter of aneurysm: <26 mm

73
Q

Zenker Diverticulum

A

< 3 cm: Open myotomy with diverticulopexy

74
Q

Stitch Trial

A

5 mm from incision
5 mm vertcical distance
No muscle
2-0 PDS, 31 mm needle

75
Q

Papillary cystadenoma lymphomatosum (Warthin tumor)

A

Bilateral parotid masses
Bilateral superficial parotidectomy

76
Q
A

FES & FLS (3 decks)

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