PEA2 Flashcards
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?
Repeat FNAB
What is the most common complication of mastectomy
and axillary lymph node dissection?
Seroma
Single most important test in the evaluation of thyroid
masses
FNAB
What is the most common form of TEF?
Atresia with distal tracheoesophageal fistula
What is the diagnostic gold standard for the diagnosis
of gastric adenocarcinoma?
Upper endoscopy
This type of lesion is regarded as a marker for increased risk of having invasive breast cancer rather than a precursor for cancer
Classical LCIS
Acceptable margin for breast cancer according to the
NCCN guidelines
No ink on tumor
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
Hepatic veins and retrohepatic vena cava
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?
Reassure patient
Normal weight of the thyroid gland
20 grams
Refers to a distal radius fracture with dorsal angulation
Colle’s fracture
Primary indication for tissue-based repairs, as
compared to mesh repairs
Infected fields
Abdominal compartment syndrome is defined as intraabdominal hypertension sufficient to produce
physiologic deterioration and frequently manifests via
end-organ sequelae such as
Increased pulmonary inspiratory pressure
What lens is used to correct hypermetropia?
Convex
Sign associated with a retrocecal appendix
Iliopsoas sign
Strawberry gallbladder or cholesterolosis is a gross description given to
Adenomyomatosis
What is the most common organism associated with
pyogenic liver abscess?
Escherichia
The criminal nerve of Grassi is directly derived from
Posterior vagus
Type of closed head injury associated with a lucid
interval
Epidural hematoma
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?
Intercostobrachial nerve
What is the most common complication of peptic ulcer
disease?
Bleeding
Types of hiatal hernias is
characterized by an upward dislocation of the cardia in
the posterior mediastinum
Sliding hernia
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?
Dance sign
What amino acid is the major fuel source for
enterocytes?
Glutamine
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
Following an abdominal operation, the stomach usually resumes motility within how many hours?
24 – 48 hours
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
What is the most common malignancy that metastasizes to the thyroid
Renal cancer
Most common cause of hypercalcemia in an in-patient setting
Malignancy
What is the narrowest point of the adult airway
Glottis
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
Interleukin which serves as the most potent stimulus of hepatic acute phase reactants
IL-6
Tumor marker most useful in following the course of
treatment in women diagnosed with advanced breast
cancer
CA15-3
Indirect inguinal hernias are due to a
Patent processus vaginalis
Acid-base abnormality which may result from excessive administration of PNSS during fluid resuscitation
Metabolic acidosis
Most common primary malignant tumor of the brain
Astrocytoma
What is the percentage of total body weight contributed by water
50-60%
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
Initial treatment for a low-grade early mucosaassociated (MALT lymhoma)
Eradication of H. pylori
What is the most common cancer in females worldwide?
Breast
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
A second primary tumor detected within 6 months of
the diagnosis of the initial primary lesion is defined as
Synchronous tumor
How many kcal of energy can 1 gram of protein yield
4 kcal
Chvostek sign and Trousseau signs are clinical features that are regularly assessed posteropatively after which type of surgery?
Thyroidectomy
Which types of gastric ulcers which are associated with increased gastric acid secretion?
II and III
What type of tissue-based repair makes use of a meshfree repair utilizing a strip of the external oblique
aponeurosis?
Desarda repair
Best treatment option for achalasia
Laparoscopic Heller myotomy
Most common salivary gland tumor
Mucoepidermoid carcinoma
The earliest lesion characteristic of Crohn disease is
Aphthous ulcer
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
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
What is the most common type of thyroid cancer in
children?
Papillary
