TrueLearn Flashcards
What 3 bugs need coverage for VAP
Strep, staph, pseudo
ulcerated exophytic mass in mouth with tobacco history
SCC
Squamous epithelial hyperplasia mouth lesion
leukoplakia
burn caloric equation
25kcal x kg +40kcal x %TBSA
2 desmoid syndromes
description of desmoid cells
gardner and FAP
fibrous stroma and spindle cells
B catenin, actin and vimentin are markers found in …..
desmoids
Step 1 and 2 for hemobilia diagnosis
EGD
Angiography
SBP bug and what kind of bacteria is it
e coli
aerobic GNR
% of rectal ca patients with complete pathologic response
Within what time frame do patients typically fail and what %
10-25%
2 years, 30%
4 subcentimeter adenoma follow up
Villous
Hyperplastic
> 10 SC adenomas
what single adenoma size buys you a 3 y follow up
when is the wound at max tensile strength
wound strength is dependent on this collagen
6 week strength percent
8 wks
1
60%
poor CRCa markers
Good marker
kras, braf, cg methylatot
MLH1 — MSI instability
APC + FAP CRC occurrence rate
100% by 40y
Match the burn medication with its side effect
- Neutropenia
- met acidosis
3.Hypocloremia - Hyponatremia
Silver sulfidiazine
Maf acetate
Silver nitrate
Silver nitrate
bariatric DVT guidelines
peop lovenox then 28 day ppx
3 initial medications for stage 1 hidrad
medication after failure(mechanism)
PO tetra, metformin, topical clindam
mabs TNF infibitors
esoph staging
who can get mucosal resection
who gets esoph alone
when does preadj start
T1a
T1b
T2
most common benign liver lesion
hemangioma
Associations with liver adenoma formation (4)
Budd chiari, steroids in men, OCPs, glycogen disordare
hypervascular liver mets are most often from…
NETS
compare early and late enhancement in arterial and venous phases for FNH, HCC, and mets
describe late arterial phase
Describe delayed phase
Describe early enhancement of HCC
Describe fnh on scan
mcc of primary adrenal insufficiency
autoimmune
fluid admin amount rule for kids
what type of fluid for pyloric stenosis
4:2:1
D5 normal +K
what 5 cancers account for 80% of bone mets
breast, prostate lung, thyroid, kidney
SAAG algorithm
As of 2021, these 2 are first line for initial and recurrent c diff
fdaxomicin and vanc
confirmatory test for HIT
serotonin releas assay
what is the size cutoff for perioneal implant debulking
2mm
Rectal NET size cutoff for LAR
2 cm
mechanism of aspiring action
COX inhib
how long should a splenecomty for hereditary spherocytosis be delayed in kids
what other organ may have to go
inheritance pattern
5y
chole
AD
treatment for septic thrombophlebitis
ceftr, vanc, excision
Name the primary cells and effects of interleukins 1,2,4,6,10
Durable power of attorney vs informal advance directive
surrogate decision maker vs verbal wishes told prior to incident
Living will is a type of _____ directive
formal
Match to tumor
PDC
PanIN
IPMN
MCN
Drug absorption changes after gastric bypass
Paracentesis landmark
mc presentation of DCIS
cluster of microcalcs
Gastric ulcer types
Location for ilioinguinal block
First line tx for breast abscesses refractory ot abx tx alone
aspiration
post transplant thrombocytopenia, fever, elevated lfts and retinitis think …
Tx?
CMV
ganciclovir
what 2 diseases can be the first signs of pancreatic cancer
diabetes and acute panc
FCUS on FNA of thyroid nodule, next step?
lobectomy
first investigational tool for fecal incontinence
anal us
kcals per gram for protein, carbs and fats
4
4
9
Stress dosing for mild, moderate and high stress surgeries
reasons to resect adenoma
This patient has a hepatic adenoma and the indications for resection are size > 5cm and symptomatic, growth of the tumor, inability to diagnose lesion with imaging alone, rupture of the tumor, or desire of patient for definitive therapy.
action of V1 v V2
vasoconstriction
vs
resorption of water in kidneys
New answer to uncontrolled diabetes for inpatients
start long-acting basal insulin with rapid-acting prandial insulin.
lines of division for truncal vs selective vagotomy
which vagus n sends off latarjet vs degrassi
hepatic branch?
Anterior
Posterior
Anterior
unique feature of fetal wound healing
no scar formation
Relative aggressive nature of cervical cancer staging, when is CRT the answer
Stage IIB
GS for gynecomastia tx after puberty?
Resection of glandular tissue
Tx for omental and mesenteric cysts
ementectomy
resection
pneumonectomy/lobe/wedge prerequisites testing cutoffs
FEV1 >2L/ >1.5/ >.8L
DLCO>60%
VO2max>15ml/kg/min
non small cell lung cancers account for __% of all lung cancer
80
small cell lung neoplasticcs
acth and adh
pthrp for squam
If emergent pt comes in with continuous insulin pump…
continue infusion
describe path of thoracic duct
right of aorta then posterior across
MC extracolonic sites for lynch
breast ca risk?
endometrial
2 fold
timing of cell type arrivals and durations during wound healing
What must be done if there is a refluxing superficial varicose vein
radio ablation
major virulence factor for this most common central line bacteria
biofilm by S epidermis
sens and spec equations
Day of surgery recs for:
ACE/arbs
BB
ASA
CCB
Diuretics
Insulin
CX for :
NO
Prop
Etomidate
Isoflurane
Halothane
Rule for choosing APR
Sphincter abuttment or involvement
when does neoadjuvant CRT start for rectal cancer
Stage 2(T3)
fibroadenoma apparently can have ….
calcifications
how and what type of tissue should be biopsied to confirm SB lymphoma
endoscopy
SM
Name compartments of lower limb and relative positions of neurovascular bundles
Key words for dirty case
What is NOT dirty but may seem like it
purulence with gangrenous tissue
necrosis
existing spillage
existing purulence
fecal contamination
Perf appr without gangrene
perfed chole without gangrene
SB or gastric spillage
normal windows for CI, SVR, PWP, PVR
Cardiac index 2.5-4 L/min/m2
Pulmonary capillary wedge pressure 4-12 mm Hg
Systemic vascular resistance 700-1600 dynes/sec/cm-5
Pulmonary vascular resistance 20-130 dynes/sec/cm-5
what is the indication for mesenteric cyst removal
risk for volvulus
preferred mesh placement for ventral hernia repair
sublay - RM
NOT underlay or intraperitoneal
describe most benign bone tumor in adolescents
Osteochondroma is the most common benign tumor of the bone. It most commonly is found incidentally on imaging in children/adolescents. Most are asymptomatic, but those that are symptomatic require surgical resection.
MC post op complication from stricturoplasty
bleeding
next step after dg and excising padgets disease of the anus
colonoscopy
Warthin tumor treatment
also known as
Wide local excision with neq margins
papillary cystadenoma lymphomatosum
Antibiotic known for renal issues
aminoglycosides
high risk GB polyp size
1cm
cisplatin mech action
alkylating agent with direct DNA damage
Preferred maint fluid for kids
D5 NS w/ K
How to get tissue for suspected testicular cancer
Orchiectomy(bx sucks)
