Samplex

Question 1

Fluid resusc in infant should achieve u.o of

Answer 1

2 ml per kg per hr

Question 2

Optimal exposure of posterior thorax e.g. Descending aorta etc. approach?

Answer 2

Left posterolateral thoracotomy

Question 3

Invasive ductal ca. Conservation sx done. Ln negative. ER PR negative. Next step

Answer 3

Adjuvant chemo. In early invasive brca, considered for all node positive ca, all ca larger than 1 cm. In NODE NEG, IF LARGER THAN 0.5 cm + adverse prognostic features

Question 4

Early invasive brca. Stages? Tx

Answer 4

1 2a 2b. Lumpectomy, BCS w or wo RT

Question 5

CI to bcs

Answer 5

Prior rt to br or chest wall. Involved surgical margins. Unknown margin status post re excision. Multicentric dse. Scleroderma. SLE

Question 6

Indic for adjuvant chemo in early inv brca

Answer 6

Node pos more than 1 cm

Node neg more than o.5 + adverse prog features

Question 7

Adverse prog feat in early inv brca

Answer 7

B vessel or ln inv
High nuc grade
High histo grade
Her 2 neu overexpression
Neg hr status

Question 8

Sistrunk is for

Answer 8

Thyroglossal duct cysts. En bloc cystectomy, excision of central hyoid. To minimize recurrence

Question 9

For young pt with Ao Stenosis requiring aortic valve replacement. Native pulmonary valve replaces stenotic ao. Homograph replaces p valve. To avoid need for anti coag.

Answer 9

Ross procedure

Question 10

Bassini repair for? Triple layers

Answer 10

Inguinal hernia. Aims to reconstruct posterior wall. IO, transv abd, transversalis fascia

Question 11

Colon segments. Most, least likely to perforate

Answer 11

Most cecum, thinner wall. Least sigmoid

Question 12

Mcc volvulus segment

Answer 12

Sigmoid

Question 13

Most impt criterion to dx ca in adrenal mass

Answer 13

Size 8 cm

Question 14

Age grp HPS

Answer 14

Hypertrophic pyloric stenosis 3-6 wks of age

Question 15

Caustic injury. Mcc portion esoph. Approach

Answer 15

Mid esoph. Right thoracotomy

Question 16

Abd pain OOP to degree of tenderness on p.e

Answer 16

Acute mesenteric ischemia

Question 17

Sx wound infxns manifest x days post op?

Answer 17

7-10 days

Question 18

LCIS mgt

Answer 18

Observe. W or w.o tamoxifen. Considered a marker for increased risk. Not an inevitable precursor to invasive dse

Question 19

Thyroidec. Nerve was severed close. Mcc? Lies close to what artery

Answer 19

Recurrent laryng n. Inf thy a

Question 20

In adults, meckel divert present as

Answer 20

Obstruction

Question 21

In kids. Mcc pres of meckel

Answer 21

Bleeding

Question 22

Colon mass. Highest risk of malig. Lowest

Answer 22

Highest villous adenoma 40%. Lowest tubular adenoma 5

Question 23

58/m has 5 cm ca anus c extension into distal rectum. Tx

Answer 23

Miles proc or APR abdperineal resection. Entire rectum, anal canal, anus removed. Colostomy from desc or sigm colon made

Question 24

Highest cross reactivity with penicillins

Answer 24

Carbapenems imip, cilastatin