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TrueLearn Flashcards

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
Q

Describe fnh on scan

A
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26
Q

mcc of primary adrenal insufficiency

A

autoimmune

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27
Q

fluid admin amount rule for kids

what type of fluid for pyloric stenosis

A

4:2:1

D5 normal +K

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28
Q

what 5 cancers account for 80% of bone mets

A

breast, prostate lung, thyroid, kidney

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29
Q

SAAG algorithm

A
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30
Q

As of 2021, these 2 are first line for initial and recurrent c diff

A

fdaxomicin and vanc

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31
Q

confirmatory test for HIT

A

serotonin releas assay

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32
Q

what is the size cutoff for perioneal implant debulking

A

2mm

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33
Q

Rectal NET size cutoff for LAR

A

2 cm

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34
Q

mechanism of aspiring action

A

COX inhib

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35
Q

how long should a splenecomty for hereditary spherocytosis be delayed in kids

what other organ may have to go

inheritance pattern

A

5y

chole

AD

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36
Q

treatment for septic thrombophlebitis

A

ceftr, vanc, excision

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37
Q

Name the primary cells and effects of interleukins 1,2,4,6,10

A
38
Q

Durable power of attorney vs informal advance directive

A

surrogate decision maker vs verbal wishes told prior to incident

39
Q

Living will is a type of _____ directive

A

formal

40
Q

Match to tumor

A

PDC
PanIN
IPMN
MCN

41
Q

Drug absorption changes after gastric bypass

A
42
Q

Paracentesis landmark

A
43
Q

mc presentation of DCIS

A

cluster of microcalcs

44
Q

Gastric ulcer types

A
45
Q

Location for ilioinguinal block

A
46
Q

First line tx for breast abscesses refractory ot abx tx alone

A

aspiration

47
Q

post transplant thrombocytopenia, fever, elevated lfts and retinitis think …

Tx?

A

CMV

ganciclovir

48
Q

what 2 diseases can be the first signs of pancreatic cancer

A

diabetes and acute panc

49
Q

FCUS on FNA of thyroid nodule, next step?

A

lobectomy

50
Q

first investigational tool for fecal incontinence

A

anal us

51
Q

kcals per gram for protein, carbs and fats

A

4
4
9

52
Q

Stress dosing for mild, moderate and high stress surgeries

A
53
Q

reasons to resect adenoma

A

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
Q

action of V1 v V2

A

vasoconstriction

vs

resorption of water in kidneys

55
Q

New answer to uncontrolled diabetes for inpatients

A

start long-acting basal insulin with rapid-acting prandial insulin.

56
Q

lines of division for truncal vs selective vagotomy

which vagus n sends off latarjet vs degrassi

hepatic branch?

A

Anterior

Posterior

Anterior

57
Q

unique feature of fetal wound healing

A

no scar formation

58
Q

Relative aggressive nature of cervical cancer staging, when is CRT the answer

A

Stage IIB

59
Q

GS for gynecomastia tx after puberty?

A

Resection of glandular tissue

60
Q

Tx for omental and mesenteric cysts

A

ementectomy

resection

61
Q

pneumonectomy/lobe/wedge prerequisites testing cutoffs

A

FEV1 >2L/ >1.5/ >.8L

DLCO>60%

VO2max>15ml/kg/min

62
Q

non small cell lung cancers account for __% of all lung cancer

A

80

63
Q

small cell lung neoplasticcs

A

acth and adh

pthrp for squam

64
Q

If emergent pt comes in with continuous insulin pump…

A

continue infusion

65
Q

describe path of thoracic duct

A

right of aorta then posterior across

66
Q

MC extracolonic sites for lynch

breast ca risk?

A

endometrial

2 fold

67
Q

timing of cell type arrivals and durations during wound healing

A
68
Q

What must be done if there is a refluxing superficial varicose vein

A

radio ablation

69
Q

major virulence factor for this most common central line bacteria

A

biofilm by S epidermis

70
Q

sens and spec equations

A
71
Q

Day of surgery recs for:

ACE/arbs

BB
ASA
CCB
Diuretics
Insulin

A
72
Q

CX for :

NO
Prop
Etomidate
Isoflurane
Halothane

A
73
Q

Rule for choosing APR

A

Sphincter abuttment or involvement

74
Q

when does neoadjuvant CRT start for rectal cancer

A

Stage 2(T3)

75
Q

fibroadenoma apparently can have ….

A

calcifications

76
Q

how and what type of tissue should be biopsied to confirm SB lymphoma

A

endoscopy
SM

77
Q

Name compartments of lower limb and relative positions of neurovascular bundles

A
78
Q

Key words for dirty case

What is NOT dirty but may seem like it

A

purulence with gangrenous tissue
necrosis
existing spillage
existing purulence
fecal contamination

Perf appr without gangrene
perfed chole without gangrene
SB or gastric spillage

79
Q

normal windows for CI, SVR, PWP, PVR

A

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
Q

what is the indication for mesenteric cyst removal

A

risk for volvulus

81
Q

preferred mesh placement for ventral hernia repair

A

sublay - RM

NOT underlay or intraperitoneal

82
Q

describe most benign bone tumor in adolescents

A

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
Q

MC post op complication from stricturoplasty

A

bleeding

84
Q

next step after dg and excising padgets disease of the anus

A

colonoscopy

85
Q

Warthin tumor treatment

also known as

A

Wide local excision with neq margins

papillary cystadenoma lymphomatosum

86
Q

Antibiotic known for renal issues

A

aminoglycosides

87
Q

high risk GB polyp size

A

1cm

88
Q

cisplatin mech action

A

alkylating agent with direct DNA damage

89
Q

Preferred maint fluid for kids

A

D5 NS w/ K

90
Q

How to get tissue for suspected testicular cancer

A

Orchiectomy(bx sucks)

91
Q
A

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