ABSITE ALL

Question 1

What should be done to Vent settings prior to Bronch?

Answer 1

FiO2 to 100%

Question 2

Normal Colonoscopy interval is ____ yrs. With:

less than or equal to ______ hyper plastic polyps

< _____ cm

Answer 2

10 yrs
< (or equal to 20)
1 cm

Question 3

Colonoscopy screening interval for:

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

Answer 3

3-5 years

Question 4

Screening C-scope for:

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

Answer 4

3 years

Question 5

Screening colonoscopy interval for > 10 adenomas

Answer 5

1 year

Question 6

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

Answer 6

3 - 6 months

Question 7

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

Treatment is _________.

Answer 7

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

Question 8

TAPP inguinal hernia repair has higher rate of________

TEP inguinal hernia has higher rate of ___________

Answer 8

TAPP —-> Higher rate of port site hernia

TEP ——> Higher rate of conversion to open

Question 9

2 major risk factors for bleeding from stress ulcer in ICU

Answer 9

1.) Mechanical ventilation >48 hrs

2. ) Coagulopathy
   
   • PLT < 50,000
   • INT > 1.5

Question 10

NNT = __________

Answer 10

1/ARR

ARR = control rate - experimental rate

Question 11

Blood supply to cervical esophagus

Answer 11

Inferior thyroid artery

Question 12

Blood supply to thoracic esophagus

Answer 12

Branches from Aorta

Question 13

Blood supply to abdominal esophagus

Answer 13

Left gastric arter

Question 14

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

Answer 14

Gastric fundus
Right vagus (then becomes celiac plexus)

Question 15

Resting pressure of UES

Answer 15

60mmhg

Question 16

UES is _______cm from incisors

Answer 16

15 cm

Question 17

LES resting pressure is ________ and is located _______cm from incisors

Answer 17

15 mmhg

40 cm

Question 18

Workup of achalasia should include:

1. ____________
2. ____________
3. ____________

Answer 18

1. ) manometry
2. ) Barium esophagram
3. ) upper endoscopy (R/O malignancy)

Question 19

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

Answer 19

• 1,000 - 2,000
• 8,000
  Jackhamer/Nutcracker esophagus

Question 20

First line tx for DES and jackhammer/nutcracker esophagus

Answer 20

Control of GERD and CCB

Question 21

Conservative therapy for GERD should last at least ______ weeks

Answer 21

8

Question 22

During Nissen, you need _______cm of mobilization of the esophagus

Answer 22

3cm

Question 23

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

Answer 23

Non

Question 24

Bougie size used used for Nissen

Answer 24

56 - 60

Question 25

Collis gastroplasty is?

Answer 25

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

Question 26

Barrett’s esophagus is ___________metaplasia to __________ with _________ cells

Answer 26

Squamous to columnar with Goblet

Question 27

Type of Bx needed during Bx for Barrett’s

Answer 27

4 quadrant every 2 cm

Question 28

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

Answer 28

3 - 5 years

Question 29

Low grade dysplasia findings in Barrett’s workup should have

Answer 29

EGD Q 6 - 12 months

Question 30

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

Answer 30

Endoscopic eradication therapy

3 months

Question 31

Respiratory quotient is calculated as

_______/_______. Normal is _____ to ______

Answer 31

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

Question 32

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

Answer 32

anterior on the R

posterior on the L

Question 33

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

Answer 33

No. (not for out pt. sx)

Question 34

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

Answer 34

1. ) 12 - 1
2. ) 11
3. ) 1

Question 35

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

Answer 35

Zosyn

Question 36

Hinchey Class 1a

Answer 36

Inflammation/phlegmon

Question 37

Hinchey class 1b

Answer 37

Confined peri-colic abscess < 5mm

Question 38

Hinchey Class 2

Answer 38

Pelvic, retroperitoneal, distant intra-abdominal abscess

Question 39

Hinchey Class 3

Answer 39

Generalized purulent peritonitis

Question 40

Hinchey Class 4

Answer 40

Generalized fecal peritonitis

Question 41

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

Answer 41

Gastric sleeve

Question 42

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

Answer 42

APC

5q21

Question 43

3 things needed in FAP

1. )
2. )
3. )

Answer 43

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