EXAM COMPLETE 550 QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS) |A+
STUDY MATERIAL
What do you do in esophagomyotomy for achalasia? - CORRECT ANSWER ✔✔-
incise 6.5 cm of longitudinal then circular muscle fibers in distal esophagus as well
as 2.5 cm of gastric muscle
What imaging modality do you use to diagnose acalculous cholecystitis? -
CORRECT ANSWER ✔✔- ultrasound, HIDA will not work
What is the cardiovascular effect of isoproterenol - CORRECT ANSWER ✔✔-
arrhythmogenesis. It is a beta adrenergic agonist that increases cardiac
contractility and peripheral vasodilation
First line treatment for PID? - CORRECT ANSWER ✔✔- ceftriaxone and doxycycline
Best first treatment of LGIB with angiography? - CORRECT ANSWER ✔✔-
embolization. Vasopressin is associated with more bleeds and complications
Extrinsic clotting pathway - CORRECT ANSWER ✔✔- Factor I, II, V, VII, X
Intrinsic clotting pathway - CORRECT ANSWER ✔✔- Factor I, II, V, VIII, IX, X, XI, XII
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,Malignant potential of a hepatic adenoma - CORRECT ANSWER ✔✔- 5%
Accepted ACCT level during CABG - CORRECT ANSWER ✔✔- 400-500
Can SSRIs decrease the efficacy of Tamoxifen? - CORRECT ANSWER ✔✔- yes
What is a type I error? - CORRECT ANSWER ✔✔- detecting an effect that is not
present
What is a type II error? - CORRECT ANSWER ✔✔- failing to detect an effect that is
present
How quickly do different parts of the intestine regain function after surgery? -
CORRECT ANSWER ✔✔- small intestine 1 day
stomach 3-4 days
large intestine 3-4 days
Side effect of mafenide acetate? - CORRECT ANSWER ✔✔- carbonic anhydrase
inhibition causing secondary metabolic acidosis
Side effect of Silver Nitrate - CORRECT ANSWER ✔✔- hyponatremia and
methemoglobinemia
Side effect of silver sulfadiazine - CORRECT ANSWER ✔✔- transient neutropenia
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,What is the Cori cycle? - CORRECT ANSWER ✔✔- lactate created from glycolysis in
skeletal muscle is transformed to glucose in the Cori cycle
What percentage of cytoreductive surgery is successful in malignant peritoneal
mesothelioma? - CORRECT ANSWER ✔✔- 87%
What is severe hypothermia? - CORRECT ANSWER ✔✔- temp of 70-85F, EKG
changes such as prolonged QRS, Osborne waves, patient may become flaccid and
comatose. can develop v fib
Where should an ostomy be located? - CORRECT ANSWER ✔✔- through the
rectus muscle on the summit of hte intraumbilical fan fold
When does wounded skin reach it's maximum tensile strength (80%)? - CORRECT
ANSWER ✔✔- 12 weeks (84 days)
What compartment is the deep peroneal nerve found in? - CORRECT ANSWER
✔✔- anterior
Vit E deficiency - CORRECT ANSWER ✔✔- poor wound healing, peripheral
neuropathy, spinocerebellar ataxia, thrombocytosis, hemolytic anemia
What is the double rupture phenomenon of splenic artery aneurysms? - CORRECT
ANSWER ✔✔- Rupture that goes through Foramen of Winslow
CT description of FNH - CORRECT ANSWER ✔✔- Central scar, intense homogenous
enhancement in arterial phase and isodense in venous phase
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, What is early dumping syndrome after a gastrectomy? - CORRECT ANSWER ✔✔-
diaphoretic, weak, lightheaded, tachycardic 30 min after meals
How to treat ectopic pregnancy if patient is stable? - CORRECT ANSWER ✔✔-
methotrexate
What is WAGR syndrome? - CORRECT ANSWER ✔✔- deletion of short arm of
chromosome 11
W: Wilms Tumor
A: Aniridia
G: Genitourinary anomalies
R: retardation
Systemic medical therapy for hepatocellular carcinoma? - CORRECT ANSWER ✔✔-
Sorafenib
Contraindication to thryoidectomy in Grave's disease? - CORRECT ANSWER ✔✔-
Thyroid storm
What are good indications for laparoscopic liver resections? - CORRECT ANSWER
✔✔- tumors < 5 cm, in segments 2,3,4,5,6
Selenium deficiency symptoms - CORRECT ANSWER ✔✔- cardiomyopathy,
hypothyroidism, and neurologic changes
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