Brainscape's Knowledge GenomeTM

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


See full index

ABSITE > TrueLearn Pretest > Flashcards

TrueLearn Pretest Flashcards

1
Q

Treatment for DVT in pregnancy?

A

Lovenox > heparin gtt, or SQH.

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

Flail chest EAST guidelines for pain mgmt?

A

Epidural analgesia. Improve pain and PFTs compared to narcotics. Less mech vent days, shorter ICU, decrease VAP.

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

Management of cecal volvulus?

A

Surgical resection with ileocolonic anastomosis if bowel not gangrenous. Do not decompress endoscopically.

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

TeamSTEPPS. Team Strategies and Tools to Enhance Performance and Patient Safety?

A

Systematic approach to integrate teamwork into practice. Introduce strategies for the TEAM.

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

Failure mode and effects analysis tool?

A

Forward looking approach - inductive reasoning to figure out what will fail.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Human factors design?

A

recognize deficient designs that hinder workflow or allow people to bypass safety features. (like making people do a checklist)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

PDSA Plan Do Study Act cycle?

A

Test a change that is implemented.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where is stress induced gastritis seen?

A

Linear ulcerations noted in the gastric body and fundus.

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

Modified JOHNSON peptic ulcer classification?

A

I. Lower lesser curve
II. Lower lesser and duodenal (acid)
III. Prepyloric (acid)
IV: Higher lesser curve
V. NSAIDs.

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

Whipple triad?

A

Insulinoma. Neuroglycopenic sx (dizzy, sz, anx, confusion, personality change), low BG (<45), relief of sx with glucose.

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

Frey syndrome after parotidectomy?

A

Gustatory sweating unilaterally when eating.
paras reinnervating sweat glands (starch iodine test). Tx: deodorant.

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

Reported excess body weight loss with lap band, sleeve, RNY? at 2, 1.5, and 1.5 years respectively

A

Band: 35-60%
Sleeve 45-60%
RYGB 60-75%

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

Recurrent Anal SCC?

A

APR.

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

Anterior component separation?

A

External oblique

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

Posterior component separation?

A

transversus abdominis

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

Baseline energy requirement.

A

25 Cal/day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Hodgkin lymphoma staging. I-IV

A

I. single site
II. 2+ sites above or below diaphragm
III. above & below
IV. involves nonlymphatic organs
Add a B (IIIB) if constitutional symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Portal perfusion pressure estimated by what hepatic vein measurement?

A

Hepatic venous pressure gradient (portal = wedged HV pressure) and hepatic vein (transjugular I.e.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Hepatic venous pressure gradient and clinical correlation?

A

<5 mm Hg normal
6-9 mm portal HTN clinically asx
10-12 varices
12+ variceal bleeding and ascites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

pediatric inguinal hernia mgmt?

A

reduce, admit for 24-48 hours to decrease edema, operate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

CCK

A

I cells (small intestine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Gastrin

A

G cells (antrum, duo)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Ghrelin

A

P/D1 cells, fundus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Glucagon

A

alpha cells, pancreas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Glucagon like peptide GLP

A

L cells, small and large intestine

26
Q

Glucose dependent insulinotropic peptide GIP

A

Kcells, small intestine

27
Q

Histamine

A

ECL and mast cells, stomach

28
Q

Motilin

A

Mo cells, small intestine

29
Q

Peptide YY

A

L cells, small and large intestine

30
Q

Pancreatic polypeptide

A

PP, pancreas

31
Q

Secretin

A

S cells, small intestine

32
Q

Somatostatin

A

Delta cells, pancreas, stomach, intestine

33
Q

Where is the cricopharyngeal/Killians triangle

A

between oblique fibers of thyropharyngeus and horitzontal fibers of the cricopharyngeus mm

34
Q

Pulsion vs traction diverticulum in esophagus

A

Pulsion: FALSE - Zenker/epiphrenic
Traction: TRUE - mid esophagus (Histoplasmosis)

35
Q

LIfespan of platelet? Albumin?

A

9 days, 21 days

36
Q

Warfarin reversal

A

PCC (II, VII, IX, X); and give Vit K (12 hours to work, longer lasting)
FFP (has all factors fibrinogen, albmin, lytes, C/S/antithrombin, tissue factor) but larger volume

37
Q

beztoluzumab

A

recurrent C diff with fidaxomicin

38
Q

Urethral injuries graded by AAST I-V

A

I. contusion (Foley)
II. urethral stretch injury (Foley)
III. partial disruption (surgical alignment)
IV. complete disruption without separation (cystostomy)
V: extensive separation (cystostomy endoscopic realignment)

39
Q

UES (15 cm cricopharyngeus)
LES (40 cm)
resting pressure?

A

UES: 50-70mm, 15 when swallowing
LES: 10-20mm, 0 when swallowing

40
Q

Gastrin and motilin effect on LES

A

Increases

41
Q

Kenalog in scars? MOA

A

Increase FGF (fibroblast growth), decrease transforming growth factor B1 production/VEGF, insulin like growth factor-1 (AKA decrease colagen)

42
Q

preferred repair fo femoral hernia

A

McVay (mesh free) - conjoint (transv and internal) tendon suture to Coopers; with transition suture to incorporate sheving edge of inguinal ligament

43
Q

carotid triangle superior border (separates from submandibular triangle)

A

digastric posterior belly

44
Q

submandibular triangle vs submental triangle

A

digastric anterior belly

45
Q

submental vs muscular triangle

A

hyoid bone

46
Q

What do you monitor for dosing of heparin during vascular surgery

A

Activated clotting time
50-100 IU/kg cross clamping with ACT > 200.

47
Q

bowen disease

A

actininc keratosis > bowel CIS (4-6 mm margin resectino) > SCC

48
Q

GIST origin

A

interstitial cells of cajal; 90% have cKIT CD 117 mutation

49
Q

anterior vagus

A

arises from plexus of R/L vagus; 2 DIVISIONS
hepatic division to liver and biliary
anterior gastric: (ant nerve of Latarjet) to ant stomach

50
Q

posterior vagus

A

arises from plexus R/L vagus; 2 DIVISIONS
celiac division to plexus (parasympathetic inflow)
posterior gastric: (criminal nerve of grassi) to post stomach

51
Q

mycophenalate mofetil SE

A

leukopenia

52
Q

cyclosporine

A

renal, brain toxicity, gingival hyperplasia

53
Q

azathioprine

A

myelotoxicity

54
Q

sirolimus/everolimus SE

A

hypercholesterol, hyperTg, oral ulcer, proteinuria, thrombocytopenia

55
Q

mafenide acetate / sulfamylon

A

metabolic acidosis

56
Q

sulfadiazene ; silvadene

A

leukopenia

57
Q

silver nitrate

A

methemaglobinemia

58
Q

division during hepatectomy after chole & IOC; order of division

A

hepatic aa, portal vein, then bile duct

59
Q

how to repair positive leak test during pyloromyotomy?

A

single layer, absorbable, transversely with omental patch

60
Q

common gestation/development milestones

A

4th: esophagus/trach separation
6th: vagal innervation to esophagus, mucosal coating
7th: aortic blood to esophagus
9th muscular coating to esophagus

61
Q

rectal prolapse surgical options

A

modified ripstein: mobilize intraabdominally secure mesh to presacral fascia and lateral rectum

altemeier: exteriorize through anus, full thickness incision and coloanal staple/handsewn

delorme: circumferential mucosal incision 1 cm above dentate, remove mucosa longitudinal plication of muscularis propria, anastomose mucosal edges

ABSITE (37 decks)

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