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CC High-Yield Review Flashcards

1
Q

1st major branch of Internal Carotid Artery

A

Ophthalmic Artery

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2
Q

Position of Cecum s/p Ladd’s procedure

A

LUQ

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3
Q

Most Common ectopic tissue in Meckel’s diverticulum

A

Gastric

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4
Q

BRCA2 mutation chromosome

A

Chromosome 13

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5
Q

Electrolyte abnormality with Pyloric stenosis

A

Hypokalemia

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6
Q

Treatment for 1cm adenocarcinoma at tip of appendix

A

Right Hemicolectomy

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7
Q

Initial treatment for SVC syndrome due to SCC of lung

A

Radiation

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8
Q

Nerve injury resulting in weakened internal rotation & ABDuction of ipsilateral arm

A

Thoracodorsal Nerve

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9
Q

Most important amino acid in intestinal failure

A

glutamine

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10
Q

Treatment for localized medullary thyroid cancer

A

Total thyroidectomy with complete LN dissection

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11
Q

s/p MVC with bilateral loss of upper extremity motor/pain/temperature sensation

A

Central Cord Syndrome

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12
Q

Proteolytic enzyme associated with aortic aneursym

A

MMPs

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13
Q

Analgesic least likely to cause mast cell release

A

Fentanyl (least likely to cause hypotension)

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14
Q

Most common anaerobic bacteria in the colon

A

Bacteroides

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15
Q

Respiratory Quotient indicative of ketosis

A

0.7

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16
Q

cell cycle phase most sensitive to radiation

A

M phase

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17
Q

vitamin deficiency associated with encephalopathy & cardiomyopathy

A

B1 (thiamine)

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18
Q

s/p head injury with Hyponatremia, normal urine output, decreased serum osmolality

A

Central SIADH

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19
Q

Cell associated with wound contraction

A

Myofibroblast

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20
Q

Nerve injury with submandibular incision

A

Mouth asymmetry (Marginal mandibular nerve)

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21
Q

Test for echinococcal carcinomatosis

A

Casoni

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22
Q

Most common gallbladder polyp

A

Cholesterol

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23
Q

Soft tissue sarcoma with lymphatic spread

A

Rhabdomyosarcoma

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24
Q

Indication for discontinuing antibiotic treatment in spontaneous bacterial peritonitis

A

<250 PMNs

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25
Q

Potent stimulator for pancreatic enzyme secretion

A

CCK

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26
Q

Pathogenesis of Gastroschisis

A

Intrauterine rupture of umbilical cord

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27
Q

Main arterial supply to stomach s/p conduit with Iver-Lewis procedure

A

Right gastroepiploic Artery

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28
Q

Most common location of colonic angiodysplasia

A

Cecum

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29
Q

Autosomal recessive bleeding disorder associated with absence of von Willebrand factor & low factor VIII levels

A

Type 3 Von-Willebrand Disease

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30
Q

Most common CD117 point mutation associated with imatinib sensitivity in GIST tumors

A

Exon 11

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31
Q

Type of thyroid cancer most often associated with bone metastases

A

Follicular thyroid cancer

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32
Q

Antibiotic prescription requiring additional coumadin to maintain therapeutic range

A

Rifampin

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33
Q

Contraindicated induction agent for postpartum patient presenting with agalactorrhea

A

Etomidate (Sheehan syndrome)

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34
Q

Name the pharmacological treatment of choice for the most frequent viral infection s/p transplant

A

Ganciclovir (CMV)

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35
Q

Make the diagnosis: 45 yoM with large left breast mass, smooth * leaf-like on exam. Core biopsy with stromal/epithelial elements & <5 mitoses/hpf

A

Cystosarcoma phyllodes

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36
Q

Vitamin deficiency most commonly associated with poor oral nutrition after total abdominal colectomy

A

Vitamin K (Absorbed in Colon; presents with coagulopathy)

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37
Q

Progressive muscular weakness & ataxia associated with advanced stages of this type of lung cancer

A

Small cell lung cancer (Lambert-Eaton paraneoplastic syndrome)

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38
Q

Substrate precursor for nitric oxide mediated increase in cGMP & vasodilation

A

Arginine

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39
Q

Number of new cases of a disease in a given population during a specific time period

A

Incidence

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40
Q

Paralytic with metabolic elimination by Hoffman degradation

A

Cisatracurium

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41
Q

Next step in management: 60yoM with RUQ pain & 9mm gallbladder polyp

A

Laparoscopic cholecystectomy

though this polyp is <1cm, the patient is symptomatic and surgery is warranted

42
Q

Most common cause of Barrett’s esophagus

A

GERD (7x risk; EtOH & Tobacco use is 2x risk)

43
Q

Virus associated with this clinical exam finding:

https://bit.ly/3sH2ZQC

A

HPV (condylomata acuminata)

44
Q

Physiologic marker for late sepsis

A

Hypoglycemia (organ dysfunction - liver)

45
Q

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

A

Segmental resection

46
Q

Histological stain used to identify melanoma

47
Q

Statistical test used to compare means between two variables before & after an intervention

A

Paired T-test

48
Q

Most common organism associated with sepsis in an asplenic patient

A

S. pneumoniae

49
Q

Next step in management: Breast mass excision with LCIS & positive margins

A

Tamoxifen & risk modification

50
Q

Systemic physiologic effect of hyperventilation

A

Vasoconstriction

51
Q

Next step in management: K+ = 6.8 mg/dL

https://bit.ly/3oSk0VD

A

Calcium chloride (stabilize cardiac membrane)

52
Q

Factor deficiency associated with bleeding complication in patient with christmas disease

A

Factor IX (Christmas disease is Hemophilia B)

53
Q

Appropriate T staging for gallbladder carcinoma that invades the lamina propria

54
Q

Abdominal wall nerves run between these two structures:

A

Internal oblique & transversus abdominus

55
Q

Make the diagnosis: Dermatitis, dementia, & diarrhea

A

Niacin deficiency (Pellagra)

56
Q

Most common complication of popliteal aneursyms

A

Thromboembolism

57
Q

Gene mutation associated with thyroid cancer arising from parafollicular C cells

A

RET (medullary thyroid cancer)

58
Q

Next step in management: 42yoF with high-grade 7 cm sarcoma abutting femoral artery

A

Neoadjuvant radiation (Abutting critical structures or >5 cm consider neoadjuvant)

59
Q

First line treatment for fungal peritonitis related to peritoneal dialysis catheter

A

Removal of dialysis catheter

60
Q

Lower leg compartment associated with foot drop when compromised

A

Anterior (Tibialis anterior - foot dorsiflexors)

61
Q

Make the diagnosis: Seizures s/p aggressive crystalloid resuscitation & surgery for perforated peptic ulcer disease

A

Hypernatremia (Crystalloid resuscitation)

62
Q

Mechanism of action for antibiotic treatment of choice in managing Entamoeba histolytica liver abscess

A

Inhibits DNA nucleic acid synthesis (Metronidazole/Flagyl)

63
Q

Most common nutritional deficiency after gastric bypass surgery procedure

64
Q

Surgical management: 1 cm carcinoid tumor located 5 cm proximal to the pylorus

A

Wedge resection

65
Q

Indication for surgery in asymptomatic primary hyperparathyroidism

A

Bone Density T-score -2.5 or greater

66
Q

*Surgical procedure for primary femoral hernia repair

67
Q

Next step in management: Hypotensive patient s/p Hartmann’s procedure with CO 5.5 L/min and SVV 20%

A

Crystalloid bolus

68
Q

Adjunctive hemostatic therapy for uremic related bleeding

A

DDAVP (Factor 8 release from endothelium)

69
Q

Ventilator strategy for treatment of ARDS

A

Tidal volume 6 mL/kg (Low tidal volume, High PEEP)

70
Q

Make the diagnosis: Liver lesion of MRI with central stellate scar and uptake of sulfur colloid on technetium scan

A

Focal nodular hyperplasia

71
Q

Characteristic of CT imaging concerning for adrenal malignancy

A

Calcification

72
Q

Drug of choice for treatment of aspergillosis

A

Voriconazole

73
Q

Structure located anteriorly within the renal hilum

A

Renal Vein (VAP - vein, artery, pelvis)

74
Q

Next step in management: Hypotensive trauma patient s/p MVC. GCS 3, intubated, blown right pupil, widened mediastinum, & positive abdominal FAST for free fluid

A

Laparotomy

75
Q

Statistical test to compare curriculum effect on ABSITE scores at 4 different institutions

76
Q

Coronary vessel that determines dominance as it branches from right coronary or circumflex

A

Posterior descending artery

77
Q

Greatest stimulus for angiogenesis during wound healing

78
Q

Number of days recommended to hold rivaroxaban prior to elective major surgery

79
Q

Pulmonary function testing appropriate for penumonectomy

80
Q

Make the diagnosis: Glossitis, anemia, weight loss, and left femoral vein thrombosis

A

Glucagonoma

81
Q

Treatment of persistent pancreatic leak s/p recent splenectomy

A

ERCP & stent placement

82
Q

First sign of blood transfusion reaction in the operating room

83
Q

Next step in management: 40 yoF with fever & painful neck goiter after recent upper respiratory infection

A

NSAIDS (subacute thyroiditis)

84
Q

Syndrome of polyposis & mucocutaneous pigmentation

A

Peutz-Jegher’s Syndrome

85
Q

Initial work-up of 4 cm adrenal mass found incidentally on patient admitted POD#1 s/p MVC with TBI & femur fracture

A

Follow-up in 3 months (cortisol/catecholamines are altered after major trauma/surgery, therefore delay work-up for 3 months)

86
Q

Ventilatory management of elevated peak airway pressures

A

Decrease tidal volume

87
Q

Reversal agent used for life-threatening hemorrhage related to use of medication inhibiting carboxylation of glutamic acid

A

Prothrombin complex concentrate (medication is coumadin/warfarin)

88
Q

Treatment for persistent jaundice & anemia in patient with hereditary spherocytosis

A

Splenectomy

89
Q

Most sensitive test for recurrent thyroid cancer s/p total thyroidectomy & I-131

A

Thyroglobulin

90
Q

Make the diagnosis: Pancreatic cyst with central starburst calcification, low CEA in fluid, and no mucin

A

Serous cystadenoma

91
Q

Cytokine that stimulates B-cells to become plasma cells

92
Q

Most common cause of late arteriovenous fistula failure

A

Venous neointimal hyperplasia

93
Q

Topical burn wound treatment associated with hyponatremia

A

Silver nitrate

94
Q

Virulence factor associated with Pseudomonas infections

A

Exotoxin A

95
Q

Treatment of choice for ESRD patient who has DVT & developed heparin induced thrombocytopenia

A

Argatroban

96
Q

Recommended margins of excision for melanoma with 2.6 mm depth

97
Q

Most common malignancy after renal transplantation

A

Squamous cell carcinoma

98
Q

Next step in management: 52 yoM presents with hoarseness and 5 cm right neck mass, FNA + follicular cells

A

Indirect laryngoscopy (change in voice - check for RLN infiltration)

99
Q

Most common complication of platinum based chemotherapy associated with colorectal cancer treatment

A

Neuropathy (oxoplatin)

100
Q

Make the diagnosis: Intestinal hamartomatous polyps, skin tumors, breast carcinoma, follicular thyroid cancer, & PTEN mutation

A

Cowden syndrome

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