Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ABSITE TRULEARN 2019 > TRUELEARN 21 JAN 2019 > Flashcards

TRUELEARN 21 JAN 2019 Flashcards

1
Q

pancreatic pseudocysts smaller than ___ cm and present for fewer than ___ weeks should be managed conservatively

A

6, 6

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the workup for suspected Cushing syndrome?

A
  1. 24 hr urinary cortisol (x2)
  2. if equivocal, late evening salivary cortisol (x2)
  3. ACTH (if low, adrenocortical adenoma)
  4. ACTH (if high, pituitary vs ectopic)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

gastroschisis is associated with what other anomoly?

A

intestinal atresias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

VSDs can initially be treated with:

A

digoxin and diuretics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the formula for free water deficit?

A

FWD = total body water x (current serum Na - ideal serum Na) / ideal serum sodium

  • TBW is estimated to be 60% of body weight in men and 50% in women
  • *ideal serum Na is 140
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the Ranson criteria?

A

first 24 hr:

  • WBC > 16
  • age > 55
  • glucose > 200

48 hr after admission:

  • HCT decrease > 10%
  • BUN increase > 5 mg/dL
  • calcium < 8 mg/dL
  • PaO2 <60 mm Hg
  • base deficit > 4 mEq/L
  • fluid requirement > 6 L
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

gardner syndrome is associated with:

A
  • multiplke epidermal cysts
  • GI polyposis
  • osteomas
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the most common site of metastasis for malignant phyllodes?

A

lungs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the most common cause of benign biliary strictures?

A

previous surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is required for diagnosis of inflammatory breast cancer?

A

erythema and edema of the breast with peau d’orance and pathologic confirmation of invasive breast cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

“soap bubble” or “paint brush” sign is pathognomonic for:

A

villous adenoma (small bowel adenoma)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

a solution rich in which amino acid has been associated with immune enhancement by stimulation of T lymphocytes?

A

arginine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

cholecystokinin is produced by what cell type?

A

I cells of the duodenum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

where is the swallowing center located?

A

medulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is used to replenish factor XI in factor XI deficiency?

A

FFP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the haggitt classification?

A

describes level of invasion of malignant polyps:

  • level 1: invade head
  • level 2: invade neck
  • level 3: invade stalk
  • level 4: invade the base or are involved in a sessile polyp

*level 4 polyps require a formal segmentectomy

17
Q

what test is used to diagnose proximal small bowel adenocarcinoma?

A

upper endoscopy

18
Q

LATE prosthetic graft infections are most commonly due to what organism?

A

staph epidermidis

19
Q

EARLY graft infections are most commonly due to what organism?

A

staph aureus

20
Q

what are the four main steps of a sleeve gastrectomy?

A
  1. devascularization of the greater curvature of the stomach
  2. insertion of a bougie (34-40 F) or endoscope to size the gastric sleeve
  3. transection of the stomach starting at a location 2 cm to 6 cm proximal to the pylorus
  4. specimen extraction
21
Q

what is the best test to determine vitamin D status?

A

25-OH vitamin D

22
Q

what is the most abundant form of bacteria in the normal flora of the colon?

A

bacteroides

23
Q

what blood product is safe when considering the risk of transmitting hepatitis?

A

albumin (hear treated)

24
Q

what is the cause of LATE dumping syndrome?

A

large insulin release due to the large bolus of food hitting the duodenum, resulting in hypoglycemia manifested by diaphoresis, weakness, lightheadedness, and tachycardia

25
Q

what can be given for antithrombin III deficiency?

A

FFP

26
Q

what is the most common cause of chylous ascites in the Western world?

A

malignancy (lymphoma)

27
Q

______ receptors bind fibrinogen to form the platelet plug

A

gpIIb/IIIa

28
Q

malnourished patients can achieve nitrogen equilibrium when approximately ___% of their total caloric needs are provided as protein

A

15%

29
Q

a ratio for quick calculation of nitrogen requirement is to estimate __ g of nitrogen for every ___ kcal required

A

1 gram of nitrogen for every 150 kcal reqiured

30
Q

what is the most important determinant of arterial oxygen content?

A

Hb

31
Q

what is the abbreviated formula for arterial oxygen content?

A

1.34 x Hb x SaO2

32
Q

esophageal strictures may indicate esophageal shortening, which would require:

A

collis gastroplasty

33
Q

patients with celiac disease are more likely to develop what GI malignancy?

A

T cell lymphoma of the small bowel

ABSITE TRULEARN 2019 (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions