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ABSITE ALL Flashcards

1
Q

What should be done to Vent settings prior to Bronch?

A

FiO2 to 100%

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2
Q

Normal Colonoscopy interval is ____ yrs. With:

less than or equal to ______ hyper plastic polyps

< _____ cm

A

10 yrs
< (or equal to 20)
1 cm

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3
Q

Colonoscopy screening interval for:

3-4 tubular adenomas < 1cm
&
hyperplastic polyp > (or equal to) 1 cm

A

3-5 years

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4
Q

Screening C-scope for:

5 - 10 adenomas 
             &
a Sessile polyp 1 cm or >
           &
Hight risk polyp
A

3 years

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5
Q

Screening colonoscopy interval for > 10 adenomas

A

1 year

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6
Q

Colonoscopy screening interval for an adenoma that is removed in piecemeal.

A

3 - 6 months

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7
Q

____ reflux can occur after Bilroth 1/2/or vagotomy and mimics ________.

Treatment is _________.

A

Bile reflux
Acid reflux
Lifestyle modifications, cholestyramine, and if all fails…Conversion to Roux en y gastric bypass with 40cm Roux limb

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8
Q

TAPP inguinal hernia repair has higher rate of________

TEP inguinal hernia has higher rate of ___________

A

TAPP —-> Higher rate of port site hernia

TEP ——> Higher rate of conversion to open

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9
Q

2 major risk factors for bleeding from stress ulcer in ICU

A

1.) Mechanical ventilation >48 hrs

  1. ) Coagulopathy
    • PLT < 50,000
    • INT > 1.5
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10
Q

NNT = __________

A

1/ARR

ARR = control rate - experimental rate

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11
Q

Blood supply to cervical esophagus

A

Inferior thyroid artery

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12
Q

Blood supply to thoracic esophagus

A

Branches from Aorta

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13
Q

Blood supply to abdominal esophagus

A

Left gastric arter

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14
Q

Criminal N. of grassi supply the _________ and come from the ______________

A 
Gastric fundus
Right vagus (then becomes celiac plexus)
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15
Q

Resting pressure of UES

A

60mmhg

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16
Q

UES is _______cm from incisors

A

15 cm

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17
Q

LES resting pressure is ________ and is located _______cm from incisors

A

15 mmhg

40 cm

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18
Q

Workup of achalasia should include:

  1. ____________
  2. ____________
  3. ____________
A
  1. ) manometry
  2. ) Barium esophagram
  3. ) upper endoscopy (R/O malignancy)
19
Q

Distal contractile integral (DCI) is measurement of contractile force of the distal esophagus. Normal is _________________ and > ____________ is characteristic of what?

A
  • 1,000 - 2,000
  • 8,000
    Jackhamer/Nutcracker esophagus
20
Q

First line tx for DES and jackhammer/nutcracker esophagus

A

Control of GERD and CCB

21
Q

Conservative therapy for GERD should last at least ______ weeks

A

8

22
Q

During Nissen, you need _______cm of mobilization of the esophagus

A

3cm

23
Q

Closure of hiatal hernia during Nissen should be done with _________ suture. (absorb/non absorb)

A

Non

24
Q

Bougie size used used for Nissen

A

56 - 60

25
Q

Collis gastroplasty is?

A

Creation of neo- esophagus if mobilization of esophagus is limited during Nissen. (V cut at fundus)

26
Q

Barrett’s esophagus is ___________metaplasia to __________ with _________ cells

A

Squamous to columnar with Goblet

27
Q

Type of Bx needed during Bx for Barrett’s

A

4 quadrant every 2 cm

28
Q

Surveillance endoscopy for non dysplastic finding in Barrett’s Workup?

A

3 - 5 years

29
Q

Low grade dysplasia findings in Barrett’s workup should have

A

EGD Q 6 - 12 months

30
Q

High grade dysplasia on Barrett’s workup needs ___________ and follow up EGD Q_______ mos

A

Endoscopic eradication therapy

3 months

31
Q

Respiratory quotient is calculated as

_______/_______. Normal is _____ to ______

A

VCo2/VO2
0.825 - 1.0
>1.0 is overfeeding
< 0.825 is underfeeding

32
Q

Recurrent laryngeal N. runs ______ to Inferior thyroid artery on the Right and _________ to the ITA on the Left side.

A

anterior on the R

posterior on the L

33
Q

Do asymptomatic patient’s (even > 60) with no cardiac hx need ECG pre-operatively?

A

No. (not for out pt. sx)

34
Q

Regarding ampulla of Vater:

  1. ) Ampulla is at what (o’clock) position in the Duodenum
  2. ) Orifice of the CBD is at the ____ position
  3. ) Pancreatic duct is at the _____ position
A
  1. ) 12 - 1
  2. ) 11
  3. ) 1
35
Q

Antibiotic used in cases of possible intra-abdominal spillage/contamination

A

Zosyn

36
Q

Hinchey Class 1a

A

Inflammation/phlegmon

37
Q

Hinchey class 1b

A

Confined peri-colic abscess < 5mm

38
Q

Hinchey Class 2

A

Pelvic, retroperitoneal, distant intra-abdominal abscess

39
Q

Hinchey Class 3

A

Generalized purulent peritonitis

40
Q

Hinchey Class 4

A

Generalized fecal peritonitis

41
Q

For duodenal switch, which site is most prone to leakage?

A

Gastric sleeve

42
Q

FAP is a mutation of the ________gene and is found on chromosome __q___

A

APC

5q21

43
Q

3 things needed in FAP

  1. )
  2. )
  3. )
A
  1. ) Colonoscopy Q 1-2 yrs starting around age 10-15
  2. ) EGD (duodenal/stomach polyps/cancer) starting at 20-25 or when colonic polyps first appear
  3. ) Thyroid US q 2-5 years due to increased risk of papillary thyroid CA

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