may 6

Question 1

which type of lung cancer most commonly produces PTHrP?

Answer 1

squamous cell carcinoma

Question 2

what paraneoplastic syndrome is small cell lung carcinoma assocaited with?

Answer 2

SIADH, or ACTH production

Question 3

managment of venous air embolism?

Answer 3

• lateral left decubitis position

- high-flow or hyperbaric oxygen

Question 4

does increased or decreased enterohepatic cycling of bile acids lead to gallstones in patients with ileal crohns/resection?

Answer 4

decreased

Question 5

why does total parenteral nutrition increase the risk of gallstones?

Answer 5

The absence of stimuli in the intestines results in gallbladder stasis

Question 6

Up to what level is hyperglycemia in the setting of acute stress acceptable?

Answer 6

Less than 180-200 mg/dl

Question 7

if a patients glucose levels exceed 200 mg/dl how should you treat them?

Answer 7

short acting insulin

Question 8

sternal dehiscence following CABG surgery is a…

Answer 8

surgical emergency

Question 9

what is a complication of dehiscence following CABG surgery?

Answer 9

mediastinitis

Question 10

Any patient with significant sternal wound drainage following CABG should have what investigations?

Answer 10

chest and sternal imaging to evaluate for mediastinal fluid collections or pneumomediastinum

Question 11

Managemetn of a patient confirmed to have mediastinitus following CABG?

Answer 11

emergency surgical debridement, IV antibiotics, tissue cultures

Question 12

what is the endoscopic appearance of eosinophilic esophagitis?

Answer 12

forrowing, small whitish exudates, multiple stacked ring like indentiations

Question 13

diagnosis of eosinophilic esophagitis?

Answer 13

biopsy showing >15 eosinophils per high power feild

Question 14

how can you tell apart TRALI and TACO?

Answer 14

Taco presents with hypertension whereas TRALI does not

Question 15

treatment of TRALI?

Answer 15

respiraotry support

Question 16

treatment of TACO?

Answer 16

diuretics