PEA2 Flashcards

(52 cards)

1
Q

A 40-year-old female with a 3-cm palpable right-sided
thyroid nodule has a fine-needle aspirate (FNA)
performed, which is reported as atypia of undetermined
significance. What is the best next step?

A

Repeat FNAB

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2
Q

What is the most common complication of mastectomy
and axillary lymph node dissection?

A

Seroma

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3
Q

Single most important test in the evaluation of thyroid
masses

A

FNAB

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4
Q

What is the most common form of TEF?

A

Atresia with distal tracheoesophageal fistula

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5
Q

What is the diagnostic gold standard for the diagnosis
of gastric adenocarcinoma?

A

Upper endoscopy

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6
Q

This type of lesion is regarded as a marker for increased risk of having invasive breast cancer rather than a precursor for cancer

A

Classical LCIS

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7
Q

Acceptable margin for breast cancer according to the
NCCN guidelines

A

No ink on tumor

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8
Q

Pringle maneuver can help delineate the source of
hemorrhage. If massive venous hemorrhage is
seen from behind the liver despite use of the
Pringle maneuver, patient likely has injury to the

A

Hepatic veins and retrohepatic vena cava

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9
Q

Appendectomy was done to a 20- year old college
student for which histopathology showed a 0.5 cm focus
of carcinoid tumor located in the base of the appendix
with clear margins. As the attending surgeon, what is
your next course of action?

A

Reassure patient

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10
Q

Normal weight of the thyroid gland

A

20 grams

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11
Q

Refers to a distal radius fracture with dorsal angulation

A

Colle’s fracture

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12
Q

Primary indication for tissue-based repairs, as
compared to mesh repairs

A

Infected fields

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13
Q

Abdominal compartment syndrome is defined as intraabdominal hypertension sufficient to produce
physiologic deterioration and frequently manifests via
end-organ sequelae such as

A

Increased pulmonary inspiratory pressure

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14
Q

What lens is used to correct hypermetropia?

A

Convex

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15
Q

Sign associated with a retrocecal appendix

A

Iliopsoas sign

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16
Q

Strawberry gallbladder or cholesterolosis is a gross description given to

A

Adenomyomatosis

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17
Q

What is the most common organism associated with
pyogenic liver abscess?

A

Escherichia

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18
Q

The criminal nerve of Grassi is directly derived from

A

Posterior vagus

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19
Q

Type of closed head injury associated with a lucid
interval

A

Epidural hematoma

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20
Q

Which nerve, when accidentally ligated during
mastectomy, may lead to loss of sensation in the
sensation to the lateral chest, medial aspect of the upper arm, and the axilla?

A

Intercostobrachial nerve

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21
Q

What is the most common complication of peptic ulcer
disease?

22
Q

Types of hiatal hernias is
characterized by an upward dislocation of the cardia in
the posterior mediastinum

A

Sliding hernia

23
Q

Which refers to the sign in intussusception wherein an
elongated mass is seen in the right upper quadrant or
epigastrium with an absence of bowel in the right lower
quadrant?

24
Q

What amino acid is the major fuel source for
enterocytes?

25
Which blood vessels will be ligated in performing an extended right hemicolectomy for carcinoma in the hepatic flexure?
Ileocolic artery Right colic artery Middle colic artery
26
Following an abdominal operation, the stomach usually resumes motility within how many hours?
24 – 48 hours
27
A 1-month-old infant has persistent jaundice. Ultrasonography fails to demonstrate a gallbladder. Nuclear scanning reveals uptake in the liver but not in the intestine. The most appropriate surgical management would be
Kasai operation
28
What is the most common malignancy that metastasizes to the thyroid
Renal cancer
29
Most common cause of hypercalcemia in an in-patient setting
Malignancy
30
What is the narrowest point of the adult airway
Glottis
31
A 40-year-old male presents to the ED with vague abdominal pain for the past month that has suddenly worsened. CT demonstrates mesenteric fat stranding between the rectus abdominis muscle and semilunar line. What type of hernia is this?
Spigelian hernia
32
Interleukin which serves as the most potent stimulus of hepatic acute phase reactants
IL-6
33
Tumor marker most useful in following the course of treatment in women diagnosed with advanced breast cancer
CA15-3
34
Indirect inguinal hernias are due to a
Patent processus vaginalis
35
Acid-base abnormality which may result from excessive administration of PNSS during fluid resuscitation
Metabolic acidosis
36
Most common primary malignant tumor of the brain
Astrocytoma
37
What is the percentage of total body weight contributed by water
50-60%
38
The most important criterion in bypass conduit selection in CABG surgery is graft patency. Which of the following is the conduit with the highest patency rate?
Internal thoracic artery
39
Initial treatment for a low-grade early mucosaassociated (MALT lymhoma)
Eradication of H. pylori
40
What is the most common cancer in females worldwide?
Breast
41
A 50-year-old perimenopausal woman presents with three episodes of dark bloody discharge from her right nipple that stained her bra. This is most likely to be due to which of the following
Intraductal papilloma
42
A second primary tumor detected within 6 months of the diagnosis of the initial primary lesion is defined as
Synchronous tumor
43
How many kcal of energy can 1 gram of protein yield
4 kcal
44
Chvostek sign and Trousseau signs are clinical features that are regularly assessed posteropatively after which type of surgery?
Thyroidectomy
45
Which types of gastric ulcers which are associated with increased gastric acid secretion?
II and III
46
What type of tissue-based repair makes use of a meshfree repair utilizing a strip of the external oblique aponeurosis?
Desarda repair
47
Best treatment option for achalasia
Laparoscopic Heller myotomy
48
Most common salivary gland tumor
Mucoepidermoid carcinoma
49
The earliest lesion characteristic of Crohn disease is
Aphthous ulcer
50
A 50-year old man, chronic smoker, presents with dyspnea, weight loss, and facial + neck swelling. Chest xray demonstrates a large right upper lobe mass. What is the next step of management?
Endovascular stenting
51
In a patient undergoing sentinel lymph node biopsy, what should be the next step if sentinel lymph nodes are not identified?
Proceed with axillary level I/II dissection
52
What is the most common type of thyroid cancer in children?
Papillary