SCORE Flashcards
where is the recurrent laryngeal nerve most likely injured?
near the ligament of berry
Relative Contraindications to do a lap transcystic common bile duct exploration
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
How long to wait after grade III splenic lac to return to contact sports?
5 weeks (grade of injury plus two weeks)
what is the first step to interrogating a new PD Cath that isn’t working
KUB
Best exposure for left proximal mainstream bronchus injury/carina
right posterolateral thoracotomy
What should be done at time of procurement of a pancreas that is the most reliable metric to assess graft quality?
visual examination
how much liver is needed in a healthy person?
20-30%
how much liver is needed in a person with steatosis or had chemo?
30-40%
how much liver is needed in a person with cirrhosis?
40%
how is functional liver remnant calculated?
FLR%= FLR / (total liver volume - tumor volume)
which anti thyroid medication is recommended in the first trimester
PTU
when should pre-op antibiotics be given?
within 60 minutes prior to incision
How to treat duodenal mucosa injury during pyloromyotomy?
close the mucosal defect primarily and buttress the repair with piece of omentum
monoclonal antibodies that target PD-1
Nivolumab (non small cell lung cancer), pembrolizumab, atezolizumab
treatment for superficial vein thrombosis in leg?
fonaparinux 2.5 mg daily
Patient with hep C, IVDU with post prandial periumbilical pain, hypotensive, and anemic
SMA aneurysm rupture (MC 2/2 infective etiology)
Kid with non accidental trauma to arm, cannot extend wrist
spiral fx of humerus
recommendations for doing a appendectomy on a pregnant patient
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
T/F: the MAP is reliable regardless of pulse pressure on the arterial line
true
monoclonal antibody used for stage IV melanoma
Pembrolizumab
First treatment for traumatic, stable, no neurological deficits with C2 fx and internal carotid artery PSA?
anticoagulation with heparin and repeat imaging in 7 days
what do you do to relieve the ischemia related to malrotation?
rotate the bowel in counterclockwise fashion
signs of difficulty with bag masking
high mallampati score, unstable cervical/limited neck mobility, obesity, OSA, lack of dentation
what is the most precise way to establish GFR
MAG-3 renal scan
Grade I liver laceration
<1 cm in depth
Grade II liver laceration
1-3 cm
Grade III liver laceration
> 3 cm
in a critical patient with refractory hypotension, what should you be thinking of?
adrenal insufficiency, give steroids
most pancreatic fistulas will close spontaneously in how long?
4-6 weeks
For a patient with stable pancreatic fistula with minimal drainage, what can you do to help it close?
ERCP with stent
Blue toe syndrome
thromboembolism from popliteal artery aneurysm when aneurysm is >2 cm
chemo for gallbladder carcinoma
gemcitabine and cisplatin
chemo for pancreas cancer
FOLFIRINOX
chemo for breast and sarcoma
Doxorubicin and paclitaxel
abdominal compartment syndrome is a kid, first step before OR
percutaneously insert 18G angiocath into the peritoneum superior to the umbilicus
what is the key component of pressure ulcer prevention
frequent turning (q2h) and good nutrition
