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Rosalynn's ABSITE > SCORE > Flashcards

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

A

true

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
Q

Grade I liver laceration

A

<1 cm in depth

26
Q

Grade II liver laceration

A

1-3 cm

27
Q

Grade III liver laceration

A

> 3 cm

28
Q

in a critical patient with refractory hypotension, what should you be thinking of?

A

adrenal insufficiency, give steroids

29
Q

most pancreatic fistulas will close spontaneously in how long?

A

4-6 weeks

30
Q

For a patient with stable pancreatic fistula with minimal drainage, what can you do to help it close?

A

ERCP with stent

31
Q

Blue toe syndrome

A

thromboembolism from popliteal artery aneurysm when aneurysm is >2 cm

32
Q

chemo for gallbladder carcinoma

A

gemcitabine and cisplatin

33
Q

chemo for pancreas cancer

A

FOLFIRINOX

34
Q

chemo for breast and sarcoma

A

Doxorubicin and paclitaxel

35
Q

abdominal compartment syndrome is a kid, first step before OR

A

percutaneously insert 18G angiocath into the peritoneum superior to the umbilicus

36
Q

what is the key component of pressure ulcer prevention

A

frequent turning (q2h) and good nutrition

Rosalynn's ABSITE (33 decks)

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