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1
Q

What 3 bugs need coverage for VAP

A

Strep, staph, pseudo

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2
Q

ulcerated exophytic mass in mouth with tobacco history

A

SCC

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3
Q

Squamous epithelial hyperplasia mouth lesion

A

leukoplakia

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4
Q

burn caloric equation

A

25kcal x kg +40kcal x %TBSA

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5
Q

2 desmoid syndromes

description of desmoid cells

A

gardner and FAP

fibrous stroma and spindle cells

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6
Q

B catenin, actin and vimentin are markers found in …..

A

desmoids

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7
Q

Step 1 and 2 for hemobilia diagnosis

A

EGD

Angiography

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8
Q

SBP bug and what kind of bacteria is it

A

e coli

aerobic GNR

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9
Q

% of rectal ca patients with complete pathologic response

Within what time frame do patients typically fail and what %

A

10-25%

2 years, 30%

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10
Q

4 subcentimeter adenoma follow up

Villous

Hyperplastic

> 10 SC adenomas

what single adenoma size buys you a 3 y follow up

A
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11
Q

when is the wound at max tensile strength

wound strength is dependent on this collagen

6 week strength percent

A

8 wks

1

60%

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12
Q

poor CRCa markers

Good marker

A

kras, braf, cg methylatot

MLH1 — MSI instability

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13
Q

APC + FAP CRC occurrence rate

A

100% by 40y

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14
Q

Match the burn medication with its side effect

  1. Neutropenia
  2. met acidosis
    3.Hypocloremia
  3. Hyponatremia
A

Silver sulfidiazine
Maf acetate
Silver nitrate
Silver nitrate

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15
Q

bariatric DVT guidelines

A

peop lovenox then 28 day ppx

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16
Q

3 initial medications for stage 1 hidrad

medication after failure(mechanism)

A

PO tetra, metformin, topical clindam

mabs TNF infibitors

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17
Q

esoph staging

who can get mucosal resection

who gets esoph alone

when does preadj start

A

T1a

T1b

T2

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18
Q

most common benign liver lesion

A

hemangioma

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19
Q

Associations with liver adenoma formation (4)

A

Budd chiari, steroids in men, OCPs, glycogen disordare

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20
Q

hypervascular liver mets are most often from…

A

NETS

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21
Q

compare early and late enhancement in arterial and venous phases for FNH, HCC, and mets

A
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22
Q

describe late arterial phase

A
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23
Q

Describe delayed phase

A
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24
Q

Describe early enhancement of HCC

A
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25
Describe fnh on scan
26
mcc of primary adrenal insufficiency
autoimmune
27
fluid admin amount rule for kids what type of fluid for pyloric stenosis
4:2:1 D5 normal +K
28
what 5 cancers account for 80% of bone mets
breast, prostate lung, thyroid, kidney
29
SAAG algorithm
30
As of 2021, these 2 are first line for initial and recurrent c diff
fdaxomicin and vanc
31
confirmatory test for HIT
serotonin releas assay
32
what is the size cutoff for perioneal implant debulking
2mm
33
Rectal NET size cutoff for LAR
2 cm
34
mechanism of aspiring action
COX inhib
35
how long should a splenecomty for hereditary spherocytosis be delayed in kids what other organ may have to go inheritance pattern
5y chole AD
36
treatment for septic thrombophlebitis
ceftr, vanc, excision
37
Name the primary cells and effects of interleukins 1,2,4,6,10
38
Durable power of attorney vs informal advance directive
surrogate decision maker vs verbal wishes told prior to incident
39
Living will is a type of _____ directive
formal
40
Match to tumor
PDC PanIN IPMN MCN
41
Drug absorption changes after gastric bypass
42
Paracentesis landmark
43
mc presentation of DCIS
cluster of microcalcs
44
Gastric ulcer types
45
Location for ilioinguinal block
46
First line tx for breast abscesses refractory ot abx tx alone
aspiration
47
post transplant thrombocytopenia, fever, elevated lfts and retinitis think ... Tx?
CMV ganciclovir
48
what 2 diseases can be the first signs of pancreatic cancer
diabetes and acute panc
49
FCUS on FNA of thyroid nodule, next step?
lobectomy
50
first investigational tool for fecal incontinence
anal us
51
kcals per gram for protein, carbs and fats
4 4 9
52
Stress dosing for mild, moderate and high stress surgeries
53
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.
54
action of V1 v V2
vasoconstriction vs resorption of water in kidneys
55
New answer to uncontrolled diabetes for inpatients
start long-acting basal insulin with rapid-acting prandial insulin.
56
lines of division for truncal vs selective vagotomy which vagus n sends off latarjet vs degrassi hepatic branch?
Anterior Posterior Anterior
57
unique feature of fetal wound healing
no scar formation
58
Relative aggressive nature of cervical cancer staging, when is CRT the answer
Stage IIB
59
GS for gynecomastia tx after puberty?
Resection of glandular tissue
60
Tx for omental and mesenteric cysts
ementectomy resection
61
pneumonectomy/lobe/wedge prerequisites testing cutoffs
FEV1 >2L/ >1.5/ >.8L DLCO>60% VO2max>15ml/kg/min
62
non small cell lung cancers account for __% of all lung cancer
80
63
small cell lung neoplasticcs
acth and adh pthrp for squam
64
If emergent pt comes in with continuous insulin pump...
continue infusion
65
describe path of thoracic duct
right of aorta then posterior across
66
MC extracolonic sites for lynch breast ca risk?
endometrial 2 fold
67
timing of cell type arrivals and durations during wound healing
68
What must be done if there is a refluxing superficial varicose vein
radio ablation
69
major virulence factor for this most common central line bacteria
biofilm by S epidermis
70
sens and spec equations
71
Day of surgery recs for: ACE/arbs BB ASA CCB Diuretics Insulin
72
CX for : NO Prop Etomidate Isoflurane Halothane
73
Rule for choosing APR
Sphincter abuttment or involvement
74
when does neoadjuvant CRT start for rectal cancer
Stage 2(T3)
75
fibroadenoma apparently can have ....
calcifications
76
how and what type of tissue should be biopsied to confirm SB lymphoma
endoscopy SM
77
Name compartments of lower limb and relative positions of neurovascular bundles
78
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
79
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
80
what is the indication for mesenteric cyst removal
risk for volvulus
81
preferred mesh placement for ventral hernia repair
sublay - RM NOT underlay or intraperitoneal
82
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.
83
MC post op complication from stricturoplasty
bleeding
84
next step after dg and excising padgets disease of the anus
colonoscopy
85
Warthin tumor treatment also known as
Wide local excision with neq margins papillary cystadenoma lymphomatosum
86
Antibiotic known for renal issues
aminoglycosides
87
high risk GB polyp size
1cm
88
cisplatin mech action
alkylating agent with direct DNA damage
89
Preferred maint fluid for kids
D5 NS w/ K
90
How to get tissue for suspected testicular cancer
Orchiectomy(bx sucks)
91

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