SCORE Flashcards

1
Q

where is the recurrent laryngeal nerve most likely injured?

A

near the ligament of berry

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2
Q

Relative Contraindications to do a lap transcystic common bile duct exploration

A

gallstones in the CHD, small (<3 mm) or friable cystic duct, gallstones greater than 6-8 mm, more than 8 stones in the CBD, other contraindications to laparoscopy

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3
Q

How long to wait after grade III splenic lac to return to contact sports?

A

5 weeks (grade of injury plus two weeks)

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4
Q

what is the first step to interrogating a new PD Cath that isn’t working

A

KUB

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5
Q

Best exposure for left proximal mainstream bronchus injury/carina

A

right posterolateral thoracotomy

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6
Q

What should be done at time of procurement of a pancreas that is the most reliable metric to assess graft quality?

A

visual examination

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7
Q

how much liver is needed in a healthy person?

A

20-30%

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8
Q

how much liver is needed in a person with steatosis or had chemo?

A

30-40%

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9
Q

how much liver is needed in a person with cirrhosis?

A

40%

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10
Q

how is functional liver remnant calculated?

A

FLR%= FLR / (total liver volume - tumor volume)

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11
Q

which anti thyroid medication is recommended in the first trimester

A

PTU

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12
Q

when should pre-op antibiotics be given?

A

within 60 minutes prior to incision

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13
Q

How to treat duodenal mucosa injury during pyloromyotomy?

A

close the mucosal defect primarily and buttress the repair with piece of omentum

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14
Q

monoclonal antibodies that target PD-1

A

Nivolumab (non small cell lung cancer), pembrolizumab, atezolizumab

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15
Q

treatment for superficial vein thrombosis in leg?

A

fonaparinux 2.5 mg daily

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16
Q

Patient with hep C, IVDU with post prandial periumbilical pain, hypotensive, and anemic

A

SMA aneurysm rupture (MC 2/2 infective etiology)

17
Q

Kid with non accidental trauma to arm, cannot extend wrist

A

spiral fx of humerus

18
Q

recommendations for doing a appendectomy on a pregnant patient

A

use OGT/NGT for decompression, open Hasson or careful Veress, left lateral recumbent position, after 24 weeks (viable) intra op assessment of FHR should be considered

19
Q

T/F: the MAP is reliable regardless of pulse pressure on the arterial line

20
Q

monoclonal antibody used for stage IV melanoma

A

Pembrolizumab

21
Q

First treatment for traumatic, stable, no neurological deficits with C2 fx and internal carotid artery PSA?

A

anticoagulation with heparin and repeat imaging in 7 days

22
Q

what do you do to relieve the ischemia related to malrotation?

A

rotate the bowel in counterclockwise fashion

23
Q

signs of difficulty with bag masking

A

high mallampati score, unstable cervical/limited neck mobility, obesity, OSA, lack of dentation

24
Q

what is the most precise way to establish GFR

A

MAG-3 renal scan

25
Grade I liver laceration
<1 cm in depth
26
Grade II liver laceration
1-3 cm
27
Grade III liver laceration
>3 cm
28
in a critical patient with refractory hypotension, what should you be thinking of?
adrenal insufficiency, give steroids
29
most pancreatic fistulas will close spontaneously in how long?
4-6 weeks
30
For a patient with stable pancreatic fistula with minimal drainage, what can you do to help it close?
ERCP with stent
31
Blue toe syndrome
thromboembolism from popliteal artery aneurysm when aneurysm is >2 cm
32
chemo for gallbladder carcinoma
gemcitabine and cisplatin
33
chemo for pancreas cancer
FOLFIRINOX
34
chemo for breast and sarcoma
Doxorubicin and paclitaxel
35
abdominal compartment syndrome is a kid, first step before OR
percutaneously insert 18G angiocath into the peritoneum superior to the umbilicus
36
what is the key component of pressure ulcer prevention
frequent turning (q2h) and good nutrition