Missed combank concepts

Question 1

temporal presentation due to cause of splanchnic aneurysms

Answer 1

younger patients - fibromuscular dysplasia
elderly females - portal hypertension
most common - splenic arteries

Question 2

treatment for hiatal hernias

Answer 2

type I: symptomatic - omeprazole

type II, III, IV - surgical correction d/t risk of volvulus

Question 3

treatment for achalasia

Answer 3

dor fundoplication
180 degree anterior wrap

tuopet fundoplication - 270 degree posteiror wrap of the fundus around the esophagus

nissen fundoplication - circumferential wrap

Question 4

gold standard therapy for GERD

Answer 4

nessen fundoplication

Question 5

burn is red in apperance
blanches with pressure
sensation intact

Answer 5

first degree burn

involves only the epidermis

Question 6

burn that causes skin to be red with blisters, moist, elastic and blanch with pressure

Answer 6

superficial second degree burn 
epidermis and superficial dermis 
most of skin appendages will be intact 
sensation intact 
1-3 week healing

Question 7

burn that causes skin to appera white with few erythematous areas
dry, waxy, loses elasticity and limited blanching

Answer 7

deep second degree burn
most of dermis and most skin appendages have been destroyed
sensation will be decreased but not anesthetic
3 week healing

Question 8

white or charred with thrombosed vessels
dry and leathery skin
no blanching
sensation is limited

Answer 8

third degree
all of dermis and all skin appendages
wounds do not heal well and scar with contracture

Question 9

deep, potentially lfie threatening burn that extends into underlying tissues suhc as fascia, muscle and/or bone

Answer 9

fourth degree burns

Question 10

treatment for MRSA

Answer 10

vanco 
or 
linezolid 
linezolid binds 23s ribosomal RNA of 50s SU 
prevents 70 formation 
prevents translation

bacteriostatic against enterococci and stpahylococci

bacteriostatic against streptococci

Question 11

treatment of skin infections with s. aureus or s pyogenes

Answer 11

cefepime

Question 12

liver mass- hypervascular nodule that contains arteriovenous connections
poorly encaspulated nodule with central depressed stellate scar that contains blood vessels

Answer 12

focal nodular hyperplasia

observe - remove if symptomatic

Question 13

LE paraplegia and loss of pain and temperature sensation

intact proprioception

Answer 13

anterior spinal cord syndrome

can occur during thoraco-abdominal aneurysm repair

Question 14

sterile environments with no source of infection present other than potential skin contaminants

Answer 14

clean wounds

Question 15

accidental wounds that involve violation of sterile feidls or gross spillage of infectious contents into a previously sterile field

Answer 15

contaminated wounds

Question 16

traumatic wounds that have significant delay in attaining treatment, oftentimes including areas of necrosis or frank purulence

Answer 16

gross contaminated

Question 17

wounds with sterile field and associated controlled opening of hollow viscus organ without gross spillage of contents

Answer 17

clean contaminated

Question 18

treatment for esophageal ring

Answer 18

esophageal dilation

Question 19

treatment for gastric adenocarcinoma is dependent on location of the tumor
dif between atnrum and middle/upper stomach

Answer 19

antrum - subtotal gastrectomy

middle or upper stomach - total gastrectomy

Question 20

retracted foreskin develops a fixed constriction proximal to the glans
distal penis engorges with blood and can lead to compromise

Answer 20

paraphimosis

Question 21

inflammation of hte penis secondary to infection

Answer 21

balanoposthitis

Question 22

chronic inflammation of hte tunica albuginea

Answer 22

peryonie’s disease

Question 23

inability to retract the foreskin proximally to the glans penis

Answer 23

phimosis

Question 24

treatment for intestinal malrotation

Answer 24

ladd’s procedure to remove ladd’s bands
fibrous extension of the peritoneum that anchor the cecum to the abdominal wall
reduces malrotation