SURGERY REFRESHER AND QM 2 Flashcards

1
Q

MOST COMMON SERIOUS COMPLICATION OF TPN USE

A

INFECTION OR SEPSIS

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2
Q

SIRS CRITERIA

A

TEMP >38 / <36
HR >/=90
RR >/= 20
WBC >/=12000/UL

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3
Q

QSOFA

A

RR > 22/MIN
ALTERED SENSORIUM = GCS 14
SBP =100

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4
Q

FIRST line vasopressor in sepsis

A

Norepinephrine

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5
Q

Initial resuscitation rates in adult w hypotension

A

Crystalloids 30cc/kg

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6
Q

Initial resuscitation rates in pediatrics w hypotension

A

Crystalloids 20cc/kg

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7
Q

Presence of organisms on the surface of a wound?

A

Contamination

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8
Q

Most common cause of fever d1 post op

A

Atelectasis

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9
Q

Phase of wound where there is establishment of tisue continuity, pdgf is the strongest chemotactic factor and deposition of type iii collagen

A

Proliferation

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10
Q

Most common indication for intubation

A

Altered sensorium

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11
Q

Components of secondary surver

A

Allergies
Medications
PMH
Last meal
Event/environment

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12
Q

Traumatic bleeding beneath the inner dural layer

A

Subdural hematoma

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13
Q

Shape of subdural hematoma on ct scan

A

Crescent

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14
Q

Tube thoracostomy location?

A

4th-5th MAL ICS

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15
Q

Flail chest

A

3 or more ribs in 2 or more locations

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16
Q

Indication for thoracotomy in hemothorax

A

> 1000mL in penetrating injury
1500mL in blunt injury
Ongoing drainage of >200cc/hr for 3 consecutive hours

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17
Q

Ml of blood that may cause tamponade

A

100mL

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18
Q

Approximate mL of blood lost in femoral fractures

A

800-1000mL

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19
Q

Carotid pulse is palpable

A

60

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20
Q

Organ most susceptible to blunt trauma

A

Liver

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21
Q

Initial evaluation for patient with blunt abdominal trauma

A

FAST

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22
Q

Bladder pressure of abdominal compartment syndrome

A

35 mmHg

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23
Q

Most common salivary gland tumor

A

Pleomorphic adenoma

24
Q

2nd most common salivary gland tumor

A

Warthin’s tumor

25
Q

Most common malignant salivary gland tumor

A

Mucoepidermoid CA

26
Q

Rule of 80% of salivary gland tumors

A

8)% parotid gland
80% benign
80% pleomorphic adenoma

27
Q

Aberrant reinnervation of postganglionic parasympathetic neurons to nearby denervated sweat glands and cutaneous blood vessels

A

Frey syndrome

28
Q

Nerve involved in Frey syndrome

A

Auriculotemporal nerve of V3 of trigeminal nerve

29
Q

Most common type of thyroid malignancy

A

Papillary carcinoma

30
Q

Seen in papillary carcinoma

A

Psammoma
Orphan annie

31
Q

Most important prognostic factor of papillary carcinoma

A

Age (55)

32
Q

Most common cause of hypercalcemia in OUTPATIENT

A

Primary hyperparathyroidism

33
Q

Most common cause of hypercalcemia in inpatient

A

Malignancy

34
Q

Birad 4

A

Biopsy

35
Q

SERM first shown to reduce incidence of breast cancer

A

Tamoxifen

36
Q

Side effects of tamoxifen

A

Endometrial cancer
Thromboembolic events
Cataract
Vasomotor disturbances

37
Q

Susceptible in trastuzumab

A

Her2+

38
Q

More effective in reducing incidence of contralateral breast CA in postmenopausal age

A

Aromatase inhibitor

39
Q

Most common subtype of melanoma

A

Superficial spreading

40
Q

30/f developed tender deep nodules at the axilla and inflammatory fold. Most likely dx?

A

Hidradenatis suppurative

41
Q

Abdominal wall hernia found in the junction of the semilunaris and arcuate line

A

Spigelian hernia

42
Q

Type of hernia with strangulation but without obstruction

A

Richter hernia

43
Q

Most common prognostic factor in melanoma

A

Depth

44
Q

Most common subtype of melanoma

A

Superficial spreading

45
Q

Worst prognosis of melanoma

A

Nodular

46
Q

Melanoma with propensity towards perineural invasion

A

Desmoplastic

47
Q

A hernia containing meckel’s diverticulum

A

Little hernia

48
Q

Posteriolateral congenital hernia of the diaphragm

A

Bockdalek

49
Q

Retrosternal diaphragmatic hernia, anterior aspect of the diaphragm

A

Morgagni

50
Q

Hernia in the line seminularis

A

Spigelian

51
Q

Antimesenteric border of bowel

A

Richter hernia

52
Q

Ipsilateral concurrent direct and indirect inguinal herniation

A

Pantaloon hernia

53
Q

Two loops of bowel hernia

A

Maydi hernia

54
Q

Veriform appendix

A

Amyand hernia

55
Q

Hernia through the superior lumbar triangle

A

Grynfeltt-lesshaft hernia

56
Q

Hernia through the inferior lumbar triangle

A

Petit hernia

57
Q

Paraneoplastic syndrome associated with renal cell carcinoma

A

PTHrp
EPO
ACTH
Renin