CC High-Yield Review Flashcards
1
Q
1st major branch of Internal Carotid Artery
A
Ophthalmic Artery
2
Q
Position of Cecum s/p Ladd’s procedure
A
LUQ
3
Q
Most Common ectopic tissue in Meckel’s diverticulum
A
Gastric
4
Q
BRCA2 mutation chromosome
A
Chromosome 13
5
Q
Electrolyte abnormality with Pyloric stenosis
A
Hypokalemia
6
Q
Treatment for 1cm adenocarcinoma at tip of appendix
A
Right Hemicolectomy
7
Q
Initial treatment for SVC syndrome due to SCC of lung
A
Radiation
8
Q
Nerve injury resulting in weakened internal rotation & ABDuction of ipsilateral arm
A
Thoracodorsal Nerve
9
Q
Most important amino acid in intestinal failure
A
glutamine
10
Q
Treatment for localized medullary thyroid cancer
A
Total thyroidectomy with complete LN dissection
11
Q
s/p MVC with bilateral loss of upper extremity motor/pain/temperature sensation
A
Central Cord Syndrome
12
Q
Proteolytic enzyme associated with aortic aneursym
A
MMPs
13
Q
Analgesic least likely to cause mast cell release
A
Fentanyl (least likely to cause hypotension)
14
Q
Most common anaerobic bacteria in the colon
A
Bacteroides
15
Q
Respiratory Quotient indicative of ketosis
A
0.7
16
Q
cell cycle phase most sensitive to radiation
A
M phase
17
Q
vitamin deficiency associated with encephalopathy & cardiomyopathy
A
B1 (thiamine)
18
Q
s/p head injury with Hyponatremia, normal urine output, decreased serum osmolality
A
Central SIADH
19
Q
Cell associated with wound contraction
A
Myofibroblast
20
Q
Nerve injury with submandibular incision
A
Mouth asymmetry (Marginal mandibular nerve)
21
Q
Test for echinococcal carcinomatosis
A
Casoni
22
Q
Most common gallbladder polyp
A
Cholesterol
23
Q
Soft tissue sarcoma with lymphatic spread
A
Rhabdomyosarcoma
24
Q
Indication for discontinuing antibiotic treatment in spontaneous bacterial peritonitis
A
<250 PMNs
25
Potent stimulator for pancreatic enzyme secretion
CCK
26
Pathogenesis of Gastroschisis
Intrauterine rupture of umbilical cord
27
Main arterial supply to stomach s/p conduit with Iver-Lewis procedure
Right gastroepiploic Artery
28
Most common location of colonic angiodysplasia
Cecum
29
Autosomal recessive bleeding disorder associated with absence of von Willebrand factor & low factor VIII levels
Type 3 Von-Willebrand Disease
30
Most common CD117 point mutation associated with imatinib sensitivity in GIST tumors
Exon 11
31
Type of thyroid cancer most often associated with bone metastases
Follicular thyroid cancer
32
Antibiotic prescription requiring additional coumadin to maintain therapeutic range
Rifampin
33
Contraindicated induction agent for postpartum patient presenting with agalactorrhea
Etomidate (Sheehan syndrome)
34
Name the pharmacological treatment of choice for the most frequent viral infection s/p transplant
Ganciclovir (CMV)
35
Make the diagnosis: 45 yoM with large left breast mass, smooth * leaf-like on exam. Core biopsy with stromal/epithelial elements & <5 mitoses/hpf
Cystosarcoma phyllodes
36
Vitamin deficiency most commonly associated with poor oral nutrition after total abdominal colectomy
Vitamin K (Absorbed in Colon; presents with coagulopathy)
37
Progressive muscular weakness & ataxia associated with advanced stages of this type of lung cancer
Small cell lung cancer (Lambert-Eaton paraneoplastic syndrome)
38
Substrate precursor for nitric oxide mediated increase in cGMP & vasodilation
Arginine
39
Number of new cases of a disease in a given population during a specific time period
Incidence
40
Paralytic with metabolic elimination by Hoffman degradation
Cisatracurium
41
Next step in management: 60yoM with RUQ pain & 9mm gallbladder polyp
Laparoscopic cholecystectomy
| though this polyp is <1cm, the patient is symptomatic and surgery is warranted
42
Most common cause of Barrett's esophagus
GERD (7x risk; EtOH & Tobacco use is 2x risk)
43
Virus associated with this clinical exam finding:
| https://bit.ly/3sH2ZQC
HPV (condylomata acuminata)
44
Physiologic marker for late sepsis
Hypoglycemia (organ dysfunction - liver)
45
Next step in management: 50yoM with history of hepatitis B found to have a 2 cm solid liver mass in segment 3 & AFP of 528 ng/mL
Segmental resection
46
Histological stain used to identify melanoma
S-100
47
Statistical test used to compare means between two variables before & after an intervention
Paired T-test
48
Most common organism associated with sepsis in an asplenic patient
S. pneumoniae
49
Next step in management: Breast mass excision with LCIS & positive margins
Tamoxifen & risk modification
50
Systemic physiologic effect of hyperventilation
Vasoconstriction
51
Next step in management: K+ = 6.8 mg/dL
| https://bit.ly/3oSk0VD
Calcium chloride (stabilize cardiac membrane)
52
Factor deficiency associated with bleeding complication in patient with christmas disease
Factor IX (Christmas disease is Hemophilia B)
53
Appropriate T staging for gallbladder carcinoma that invades the lamina propria
T1a
54
Abdominal wall nerves run between these two structures:
Internal oblique & transversus abdominus
55
Make the diagnosis: Dermatitis, dementia, & diarrhea
Niacin deficiency (Pellagra)
56
Most common complication of popliteal aneursyms
Thromboembolism
57
Gene mutation associated with thyroid cancer arising from parafollicular C cells
RET (medullary thyroid cancer)
58
Next step in management: 42yoF with high-grade 7 cm sarcoma abutting femoral artery
Neoadjuvant radiation (Abutting critical structures or >5 cm consider neoadjuvant)
59
First line treatment for fungal peritonitis related to peritoneal dialysis catheter
Removal of dialysis catheter
60
Lower leg compartment associated with foot drop when compromised
Anterior (Tibialis anterior - foot dorsiflexors)
61
Make the diagnosis: Seizures s/p aggressive crystalloid resuscitation & surgery for perforated peptic ulcer disease
Hypernatremia (Crystalloid resuscitation)
62
Mechanism of action for antibiotic treatment of choice in managing Entamoeba histolytica liver abscess
Inhibits DNA nucleic acid synthesis (Metronidazole/Flagyl)
63
Most common nutritional deficiency after gastric bypass surgery procedure
Iron
64
Surgical management: 1 cm carcinoid tumor located 5 cm proximal to the pylorus
Wedge resection
65
Indication for surgery in asymptomatic primary hyperparathyroidism
Bone Density T-score -2.5 or greater
66
*Surgical procedure for primary femoral hernia repair
McVay
67
Next step in management: Hypotensive patient s/p Hartmann's procedure with CO 5.5 L/min and SVV 20%
Crystalloid bolus
68
Adjunctive hemostatic therapy for uremic related bleeding
DDAVP (Factor 8 release from endothelium)
69
Ventilator strategy for treatment of ARDS
Tidal volume 6 mL/kg (Low tidal volume, High PEEP)
70
Make the diagnosis: Liver lesion of MRI with central stellate scar and uptake of sulfur colloid on technetium scan
Focal nodular hyperplasia
71
Characteristic of CT imaging concerning for adrenal malignancy
Calcification
72
Drug of choice for treatment of aspergillosis
Voriconazole
73
Structure located anteriorly within the renal hilum
Renal Vein (VAP - vein, artery, pelvis)
74
Next step in management: Hypotensive trauma patient s/p MVC. GCS 3, intubated, blown right pupil, widened mediastinum, & positive abdominal FAST for free fluid
Laparotomy
75
Statistical test to compare curriculum effect on ABSITE scores at 4 different institutions
ANOVA
76
Coronary vessel that determines dominance as it branches from right coronary or circumflex
Posterior descending artery
77
Greatest stimulus for angiogenesis during wound healing
Hypoxia
78
Number of days recommended to hold rivaroxaban prior to elective major surgery
2
79
Pulmonary function testing appropriate for penumonectomy
FEV1 > 2L
80
Make the diagnosis: Glossitis, anemia, weight loss, and left femoral vein thrombosis
Glucagonoma
81
Treatment of persistent pancreatic leak s/p recent splenectomy
ERCP & stent placement
82
First sign of blood transfusion reaction in the operating room
Bleeding
83
Next step in management: 40 yoF with fever & painful neck goiter after recent upper respiratory infection
NSAIDS (subacute thyroiditis)
84
Syndrome of polyposis & mucocutaneous pigmentation
Peutz-Jegher's Syndrome
85
Initial work-up of 4 cm adrenal mass found incidentally on patient admitted POD#1 s/p MVC with TBI & femur fracture
Follow-up in 3 months (cortisol/catecholamines are altered after major trauma/surgery, therefore delay work-up for 3 months)
86
Ventilatory management of elevated peak airway pressures
Decrease tidal volume
87
Reversal agent used for life-threatening hemorrhage related to use of medication inhibiting carboxylation of glutamic acid
Prothrombin complex concentrate (medication is coumadin/warfarin)
88
Treatment for persistent jaundice & anemia in patient with hereditary spherocytosis
Splenectomy
89
Most sensitive test for recurrent thyroid cancer s/p total thyroidectomy & I-131
Thyroglobulin
90
Make the diagnosis: Pancreatic cyst with central starburst calcification, low CEA in fluid, and no mucin
Serous cystadenoma
91
Cytokine that stimulates B-cells to become plasma cells
IL-4
92
Most common cause of late arteriovenous fistula failure
Venous neointimal hyperplasia
93
Topical burn wound treatment associated with hyponatremia
Silver nitrate
94
Virulence factor associated with Pseudomonas infections
Exotoxin A
95
Treatment of choice for ESRD patient who has DVT & developed heparin induced thrombocytopenia
Argatroban
96
Recommended margins of excision for melanoma with 2.6 mm depth
2 cm
97
Most common malignancy after renal transplantation
Squamous cell carcinoma
98
Next step in management: 52 yoM presents with hoarseness and 5 cm right neck mass, FNA + follicular cells
Indirect laryngoscopy (change in voice - check for RLN infiltration)
99
Most common complication of platinum based chemotherapy associated with colorectal cancer treatment
Neuropathy (oxoplatin)
100
Make the diagnosis: Intestinal hamartomatous polyps, skin tumors, breast carcinoma, follicular thyroid cancer, & PTEN mutation
Cowden syndrome
