VERIFIED ANSWERS REAL QUIZ
Nerve implicated in Frey syndrome — parasympathetic
postganglionic fibers to parotid -
<<<Answers>>>>Auriculotemporal nerve
Management recommendations for BRCA and don't want
children or any more -<<<Answers>>>>BSO, bilateral
mastectomy, HRT until 50
Recommended margins of excision for cutaneous squamous
cell carcinoma -<<<Answers>>>>4mm for low risk lesions
and 6-10 mm for high risk (lesions > 2 cm, invasive to fat, or
high risk locations (hands, genitals, central face, feet, scalp)
Greatest risk factor for AAA -<<<Answers>>>>smoking
For pseudomyxoma peritonei, what it the recommended size
that tumor should be debulked to -<<<Answers>>>>2 mm
Most common procedure related complications of EVAR -
<<<Answers>>>>Access related complications secondary to
iliac stenoses or tortuousity
,Most common cause of rectovaginal fistula -
<<<Answers>>>>Obstetric trauma
Muir-Torre syndrome: associated gene and findings of
syndrome -<<<Answers>>>>hMLH1, hMSH2; sebaceous
adenomas and colon cancer (can also have GU malignancies
and BCC)
Genes associated with juvenile polyposis -
<<<Answers>>>>SMAD4 and BMPR1A
Compartments of the forearm -<<<Answers>>>>Superficial
and deep flexor on the ventral aspect and extensor on the
dorsal aspect
Fluid resuscitation for electrical injuries -
<<<Answers>>>>Keep UOP 2 ml/kg/hr
Obligate glucose users -<<<Answers>>>>RBCs, WBCs,
adrenal medulla, peripheral nerves
von Willebrand Disease types and treatment -<<< How
should femoral hernias Answers>>>>I: mild deficiency; II:
qualitative defect; III: near complete absence. I & II can be
treated with vWF as first line; III should get factor VIII/vWF
concentrate. Only type II is AD.
,be repaired? -<<<Answers>>>>Most should be repaired with
a tissue repair of the femoral canal, most common being
McVay: suturing conjoint tendon to Cooper's ligament.
Bismuth-Strasburg classification of bile duct injuries -
<<<Answers>>>>A: cystic duct leak or leak from small ducts
of liver bed; B: occlusion of aberrant right hepatic duct; C:
transection of aberrant right duct; D: partial (<50%)
transection of major bile duct; E1: CBD transection >50% >2
cm from hilum; E2: <2 cm from hilum; E3: at confluence; E4:
disconnects left and right ducts; E5: type C + injury at hilum
Treatment for Merkel cell carcinoma -<<<Answers>>>>WLE
with margins same as melanoma, SLN biopsy for clinically
negative nodes, and radiation
Treatment for ethylene glycol toxicity -
<<<Answers>>>>Fomepizole to inhibit metabolism. Can also
give etoh to competitively inhibit metabolism and dialysis
What is the vascular supply and configuration of the CBD? -
<<<Answers>>>>Blood supply is segmental coming from
branches of the cystic, hepatic, and gastroduodenal arteries,
which meet to form collaterals that run in the 3 and 9 o'clock
positions
, When do you increase the frequency of a medication? The
amount? -<<<Answers>>>>When the trough is low, and
when the peak is low respectively
What are the first muscles to become paralyzed with
paralytics? What is the first to recover? -
<<<Answers>>>>Facial muscles and diaphragm respectively
Positive DPL criteria -<<<Answers>>>>1) aspirate 10 ml
frank blood 2) 100,000 RBCs/ml in infusate, 3) 500 WBCs/ml
in infusate 3) Bacteria on lab exam of infusate 4) elevated
amylase 5) enteric contents
Management of hyperparathyroidism 2/2 hyperplasia -
<<<Answers>>>>Subtotal parathyroidectomy, removing 3
glands and leaving normal sized remnant in fourth (inferior
one b/c more anterior and farther from RLN insertion site).
Only do autotransplantation if parathyroids appear
devascularized.
Standard medical therapy for advanced, unresectable HCC -
<<<Answers>>>>Sorafenib, a tyrosine kinase inhibitor
Inhibitor of gastrin -<<<Answers>>>>adenosine
Actions of gastrin -<<<Answers>>>>stimulates secretion of
histamine from enterochromaffin-like cells and secretion of
HCl by parietal cells via the cholecystokinin B receptor