10 AUG - 23 AUG 2023

Question 1

The interscalene block spares the ____ trunk and thus misses ___________ nerve distribution

Answer 1

• C8
• ulnar

Question 2

ostomy triangle

Answer 2

• anterior superior iliac spine
• pubic tubercle
• umbilicus

Question 3

MELD components

Answer 3

• Cr
• bilirubin
• INR
• sodium

Question 4

period of rest for nonoperative splenic injuries

Answer 4

grade of injury plus + 2 weeks

Question 5

what is the name of this physical examination finding?

tender mass on the lateral abdominal wall that is unchanged with contraction of rectus muscles

Answer 5

Fothergill sign

Question 5

what is the name of this physical examination finding?

point of maximal tenderness on the abdomen does not change when the patient moves from supine to sitting

Answer 5

Carnett sign

Question 6

which drug can be used to decrease vascularity of the thyroid, making it firmer and easier to resect?

Answer 6

Lugol

Question 6

“watermelon stomach” diagnosis

Answer 6

GAVE - Gastric antral vascular ectasia

Question 7

treatment for gastric antral vascular ectasia (GAVE, “watermelon stomach”)

Answer 7

ablation of the affected areas with argon plasma coagulation (APC)

Question 8

A focus of chief cells surrounded by compressed normal tissue

Answer 8

primary hyperparathyroidism

Question 9

current guidelines do not recommend fine needle aspiration of sonographically benign-appearing thyroid nodules less than ____ cm

Answer 9

1.5

Question 10

“ovarian-type” stroma in a pancreatic mass?

Answer 10

Mucinous cystic neoplasm

Question 11

missing inferior parathyroid glands are frequently located within the:

Answer 11

thymus

Question 12

H type tracheoesophageal fistulas are typically repaired through what incision?

Answer 12

right cervicotomy

Question 13

Colon polyps removed in piecemeal fashion should undergo short interval colonoscopy in:

Answer 13

6 months

Question 14

JOB syndrome or hyper-IgE syndrome is caused by a mutation to ___________ resultuing in ___________________

Answer 14

• STAT3
• impaired migration of neutrophils to sites of inflammation

Question 15

_________________________ is the test of choice when evaluating the degree of functional liver remnant (FLR)

Answer 15

Computed tomography or magnetic resonance imaging with three-dimensional reconstruction

Question 16

FLR% =

Answer 16

FLR ÷ (total liver volume – tumor volume)

Question 17

mechanism of resistance of MRSA

Answer 17

• horizontal transfer of the mecA gene, which encodes penicillin-binding protein 2a, which has low affinity for beta-lactams
• The low binding affinity of beta-lactams renders the antibiotic ineffective in its action at that target site