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From Pearls Flashcards

0
Q

Adjunct tx for DIC and Primary fibrinolysis

A

FFP/cryoprecipitate; EACA

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1
Q

Test for DIC

A

Protamine test

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2
Q

Antidote for chemical burns caused by hydrofluoric acid

A

Calcium

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3
Q

1st cells to enter the wound

A

Neutrophils

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4
Q

Non absorbable sutures

A

Nylon, prolene, stainless steel, silk

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5
Q

Average time frame for suture removal

A

7-10 days

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6
Q

Microsatellite instability is the hallmark of?

A

Lynch syndrome

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7
Q

Early onset colon CA with excess synchronous and metachronous lesions

A

Lynch syndrome type I

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8
Q

Criteria for lynch syndrome

A

Amsterdam criteria (3-2-1-0)

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9
Q

Most commonly implicated human bite wound

A

Eikenella corrodens

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10
Q

Most commonly impicated animal bite wound

A

Pasturella multicoda

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11
Q

CEA (+)

A

Pagets disease

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12
Q

S 100

A

Melanoma

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13
Q

Intracytoplasmic mucin

A

Lobular CA

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14
Q

Hypertrophied papilla, ulcer, sentinel pile: managment

A

Laternal intestinal sphincteretomy (Golligher’s triad)

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15
Q

Arrow head sign

A

AP

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16
Q

Most common site of GI carcinoid

A

Appendix

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17
Q

Most common adenocarcinoma of the appendix

A

Mucous

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18
Q

A rare d/o caused by post sinusoidal cirrhosis due to vein thrombosis is diagnosed by?

A

Budd chiari; trascutaenous doppler US

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19
Q

Halo sign

A

Acutr calculous cholecystitis

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20
Q

Fotherhill sign - most defintive dx

A

Rectus sheath hematoma (CT scan)

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21
Q

Abdiminal mass lesion that is mobile from the patient’s right to left or left to right, Tillaux sign

A

Mesenteric cyst

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22
Q

Idiopathic retroperitoneal fibrosis is diagnostic

A

Ormond’s disease- CT scan with contrast

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23
Q

(+) hurthle/ askanazy cells ; management?

A

Hashimoto- thyroid hormone replacement

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24
Hardy wood thyroid glands; what is the management?
Riedel's thryoiditis- isthmusectomy
25
In a child with recurrent acute thyroiditis, what is the Dx of choice?
Persistent pyiform sinus fistula- ba swalow
26
Localization study for the most common cause of primary hyperparathyroidism
Tc labeled sestamibi(for solitary parathyroid adenoma)
27
Prominent S1, fixed S2, right ventricular heave
Ostium secundun
28
Rib notching on CXR, decreased femoral pulses: tx?
Coarctation of the aorta- bicuspid aortic valve: resection and EEA
29
Equalization of O2 sat in all chambers: mgmt?
TAPVC- connect PV to LA(emergency)
30
Hypoplastic RV, dependent pulmonary flow on PDA: mgmt
Blalock Taussig shunt(blalock para sa block)- tricuspid atresia
31
Horner syndrome+wasting of intrinsic muscles+ arm shoulder pain
Pancoast tumor: adenoCA of lungs
32
Microcolon, eggshell pattern
Meconium ileus
33
When performing a procedure to prevent midgut malrotation ; what other procedure should also be inculded
Appendectomy(Ladd's procedure- annular pancreas)
34
Pt with a triad of abdominal pain, jaundice and mass, what is the disgnostic of choice
MRCP(choledochal cyst)
35
Major inducer of catabolism and cahexia during stress
TNF a
36
Induces fever
IL 1
37
Responsible for Ig production
IL 2
38
Mediator of acute phase response
IL 6
39
Activates macrophages
IFN y
40
Basic caloric requirement of a normal healthy adult
25 kcal/kg/day
41
Caloric requiremennt of a burn patient
35-40
42
Normal anion gap
<12
43
Tx of choice for patients with Von williebrand's
DDAVP
44
Inherited platelet disorder of ADHESION
Bernard soulier
45
Estimated blood volume
7-8% of BW
46
Management for 20% blood loss
Crystalloids
47
Mgmt for up to 50% blood loss
Crystalloids + PRBC
48
>50% blood loss management
Crystalloids+ PRBC+ plasma/albumin
49
Where is needle thoracostomy done
2nd ICS, MCL
50
Definitive mgmt for tension pneumothorax
CTT
51
Where is thoracostomy done
4th or 5th MAL
52
Flail chest compromises breathing due to
Underlying lung contusion
53
Trauma patients have lost approximately how much blood
30-40%
54
Saphenous vein cutdown is done where
1 cm superior and anterior to medial malleolus
55
Intraosseus infusion is done where
Proximal tibia or distal femur
56
Positive DPL
WBC- >500, amylase- >19, alk phosp- >2, bilirubin >0.01 RBC: Anterior abdominal- >100,000 Thoracoabdominal- >10,000 1,000-10,000- do laparoscopy/thoracoscopy
57
Duodenal hematoma
Coiled spring sign
58
Right sided medial visceral rotation
Catell maneuver
59
Left sided medial visceral rotation
Mattox maneuver
60
Most sensitive xray finding suggesting tear of the aorta
Widened mediastinum
61
Best screening test for tear of aorta
Dynamic spiral CT
62
Defintive test for tear of aorta
Aortography
63
Normal ICP? When do you initiate ventriculostomy
4-14; initiate at 20
64
Burns that extend to the reticular layers of the dermis
2nd degree(deep partial thickness burn)
65
Earliest indicator of smoke inhalation injury
Decreaed P:F ratio
66
Cause of melting wound syndrome
Staphylococcus aureus
67
Antidote for wounds caused by hydrofluoric acid
Calcium
68
Malignancy from marjolin's ulcer
Squamous
69
Average time frame for sutures
7-10 days
70
Pressure ulcer stage when there is partial thickness skin loss
II
71
Pressure ulcer stage when there is nonblanchable erythema of intact skin
i
72
Pressure ulcer stage when there is full thickness skin loss, not thru fadcia
III
73
Pressure ulcer stage when there is FT skin loss+muscle and bone involvement
IV
74
Microsatellite instability is the hallmarknof what
Lynch syndrome
75
Early onset colon Ca with excess synchronous and metachronous lesions
Lynch syndrome type I
76
Early onset colon Ca with excess synchronous and metachronous lesions and extra colonic malignancies
Type 2
77
Diagnostic criteria for lynch syndrome
Amaterdam criteria
78
EBV is associated with
Nasopharyngeal Ca, hodgkin's lymphma and butkitts lymphoma
79
Virus implicated with adult T cell leukemia/lymphoma
HTLV
80
Tumor marker for germ cell tumors
AFP
81
Most important troubling side effect of cyclosporine
Nephrotoxicity
82
Most dreaded complication of placing a swan ganz catheter
Pulmonary artery rupture
83
Melanoma with best prognosis
Lentigo maligna
84
Most common type of melanoma
Superficial spreading
85
Pigmentation on the proximal or lateral nailfold
Subungal melanoma- hutchinson sign
86
Rare but aggressive cutaneous malignancy arising from neuroendocrine cells? Mgmt?
Merkel cell ca- excision to 3cm margin + prophylactic node dissection+ adjuvant radiation
87
Tumor arising from areas of previous radiation/lymphedema
Angiosarcoma (stewart treves syndrome)
88
Hidrandenitis supparativa mimics?
Paget's or invasive breast CA
89
Most frequent site of metastasis for breast CA
Bone
90
True anatomic precursor for invasive ductal carcinoma
DCIS
91
Marker of increased risk for invasive breast CA
LCIS
92
Differentiate superficial spreading from Padget
S 100 (+) -melanoma; CEA (+)- Paget's
93
Breast cancer with intracytoplasmic mucin and with indian file configuration
Lobular CA
94
BIRADS when u should do a Biopsy
4-5

Surgery (12 decks)

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