Test Review Flashcards
hyperglycemia in critically ill is driven by ____
insulin resistance
blunt trauma ex lap when entering the abdomen there is edema noted in the lesser sac as well as retroperitneal bils staining. Tx?
injury to HOP
- achieve hemostasis
- drainage with drains and
- post op ecru
Swimming every day, painful swollen left arm, no fx, acute deep vein thrombosis to ax vein
Pagett Schroeder
Venous TOS
Tx: IV heparin and thrombolysis
Which of the following is the most accurate concerning the surgical treatment dor sigmoid diverticulitis?
Distal resection ,argin is at grossly normal rectum – surgical resection mandates that the extire sigmoid is removed to rectum even if not diseased
POD 7 after B II, febrile and tachycardia. CT intact anastomosis with right subhepatic space to peripancreatic space
duodenal stump leak –
parathyroid glands wrt to recurrent laryngeal nerve
Interior are anterior to RLN
Superior are posterior
Pt w UC. what is the indication for TAP IPAA
low grade dysplasia is an elective indication for elective proctocolectomy for UC -
FAP with associated lump on the abdominal wall with nusculoaponeurotic structure with dense fibrosis
desmoid tumor
cervical cancer - MC site of nodal mets
internal ilac nodes
boundaries of the submandibular triangle
posterior belly of digastric and stylohyoid muscles posteriorly, anterior belly of the digastric anteriorly, and the inferior border of mandible superiorly
52 F swollen right breast, nipple reyraction, BIRADS4, bx w dermal lymphatic invasion. dx?
Inflammatory breast cancer
genetic mutation associated chronic pancreatitis
PRSS1 - cationic trypsinogen gene
POrtal HTN = inc pressure gradient btw portal vein and IVC. In, cirrhosis, what is the surrogate?
Hepatic vein pressure gradient
t test is the statistical analysis used to determine difference btw __
two groups`
non cyanotic heart defects (4)
ASD, VSD, coarctation, double outlet left/right ventricle
the recycling of lactate from the skeletal muscles and RBCs to glucose in the liver is known as the ___
cori cycle
MCC ESRD leading tot renal transplant
diabetes mellitus
Bradycardia w third degree heart block
temporary tranvenous pacing
___ amount of fluid on FAST in pregnant patient is pathological
ANY!
12 M recurrent bouts pancreatitis and hyperamylasemia. Imaging for dx?
MRCP - pancrease divisum
dog bite s/p splenectomy; what organism?
Capnocytophagia canimorsus that is a long , thin, gram negative, facultatively anaerboic bacillus
GB polyp surveillance
US
where to do an ilioinguinal nerve blcok
btw transversus abdominal musc and internal oblique muscles and 2 cm medial and inferior to the ASIS
high ileostomy output results in loss of bicarb leading to
metabolic acidosis
surgery post op delerium in pts over 65
CT surgery
the most important predictor of survival in adrenal carcinoma is ___
adequacy or resection; incl removal of all involved de 44
