Test Review

Question 1

hyperglycemia in critically ill is driven by ____

Answer 1

insulin resistance

Question 2

blunt trauma ex lap when entering the abdomen there is edema noted in the lesser sac as well as retroperitneal bils staining. Tx?

Answer 2

injury to HOP

1. achieve hemostasis
2. drainage with drains and
3. post op ecru

Question 3

Swimming every day, painful swollen left arm, no fx, acute deep vein thrombosis to ax vein

Answer 3

Pagett Schroeder
Venous TOS
Tx: IV heparin and thrombolysis

Question 4

Which of the following is the most accurate concerning the surgical treatment dor sigmoid diverticulitis?

Answer 4

Distal resection ,argin is at grossly normal rectum – surgical resection mandates that the extire sigmoid is removed to rectum even if not diseased

Question 5

POD 7 after B II, febrile and tachycardia. CT intact anastomosis with right subhepatic space to peripancreatic space

Answer 5

duodenal stump leak –

Question 6

parathyroid glands wrt to recurrent laryngeal nerve

Answer 6

Interior are anterior to RLN

Superior are posterior

Question 7

Pt w UC. what is the indication for TAP IPAA

Answer 7

low grade dysplasia is an elective indication for elective proctocolectomy for UC -

Question 8

FAP with associated lump on the abdominal wall with nusculoaponeurotic structure with dense fibrosis

Answer 8

desmoid tumor

Question 9

cervical cancer - MC site of nodal mets

Answer 9

internal ilac nodes

Question 10

boundaries of the submandibular triangle

Answer 10

posterior belly of digastric and stylohyoid muscles posteriorly, anterior belly of the digastric anteriorly, and the inferior border of mandible superiorly

Question 11

52 F swollen right breast, nipple reyraction, BIRADS4, bx w dermal lymphatic invasion. dx?

Answer 11

Inflammatory breast cancer

Question 12

genetic mutation associated chronic pancreatitis

Answer 12

PRSS1 - cationic trypsinogen gene

Question 13

POrtal HTN = inc pressure gradient btw portal vein and IVC. In, cirrhosis, what is the surrogate?

Answer 13

Hepatic vein pressure gradient

Question 14

t test is the statistical analysis used to determine difference btw __

Answer 14

two groups`

Question 15

non cyanotic heart defects (4)

Answer 15

ASD, VSD, coarctation, double outlet left/right ventricle

Question 16

the recycling of lactate from the skeletal muscles and RBCs to glucose in the liver is known as the ___

Answer 16

cori cycle

Question 17

MCC ESRD leading tot renal transplant

Answer 17

diabetes mellitus

Question 18

Bradycardia w third degree heart block

Answer 18

temporary tranvenous pacing

Question 19

___ amount of fluid on FAST in pregnant patient is pathological

Answer 19

ANY!

Question 20

12 M recurrent bouts pancreatitis and hyperamylasemia. Imaging for dx?

Answer 20

MRCP - pancrease divisum

Question 21

dog bite s/p splenectomy; what organism?

Answer 21

Capnocytophagia canimorsus that is a long , thin, gram negative, facultatively anaerboic bacillus

Question 22

GB polyp surveillance

Answer 22

US

Question 23

where to do an ilioinguinal nerve blcok

Answer 23

btw transversus abdominal musc and internal oblique muscles and 2 cm medial and inferior to the ASIS

Question 24

high ileostomy output results in loss of bicarb leading to

Answer 24

metabolic acidosis

Question 25

surgery post op delerium in pts over 65

Answer 25

CT surgery

Question 26

the most important predictor of survival in adrenal carcinoma is ___

Answer 26

adequacy or resection; incl removal of all involved de 44