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SURGX > PEA2 > Flashcards

PEA2 Flashcards

1
Q

A 40-year-old female with a 3-cm palpable right-sided
thyroid nodule has a fine-needle aspirate (FNA)
performed, which is reported as atypia of undetermined
significance. What is the best next step?

A

Repeat FNAB

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2
Q

What is the most common complication of mastectomy
and axillary lymph node dissection?

A

Seroma

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3
Q

Single most important test in the evaluation of thyroid
masses

A

FNAB

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4
Q

What is the most common form of TEF?

A

Atresia with distal tracheoesophageal fistula

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5
Q

What is the diagnostic gold standard for the diagnosis
of gastric adenocarcinoma?

A

Upper endoscopy

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6
Q

This type of lesion is regarded as a marker for increased risk of having invasive breast cancer rather than a precursor for cancer

A

Classical LCIS

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7
Q

Acceptable margin for breast cancer according to the
NCCN guidelines

A

No ink on tumor

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8
Q

Pringle maneuver can help delineate the source of
hemorrhage. If massive venous hemorrhage is
seen from behind the liver despite use of the
Pringle maneuver, patient likely has injury to the

A

Hepatic veins and retrohepatic vena cava

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9
Q

Appendectomy was done to a 20- year old college
student for which histopathology showed a 0.5 cm focus
of carcinoid tumor located in the base of the appendix
with clear margins. As the attending surgeon, what is
your next course of action?

A

Reassure patient

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10
Q

Normal weight of the thyroid gland

A

20 grams

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11
Q

Refers to a distal radius fracture with dorsal angulation

A

Colle’s fracture

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12
Q

Primary indication for tissue-based repairs, as
compared to mesh repairs

A

Infected fields

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13
Q

Abdominal compartment syndrome is defined as intraabdominal hypertension sufficient to produce
physiologic deterioration and frequently manifests via
end-organ sequelae such as

A

Increased pulmonary inspiratory pressure

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14
Q

What lens is used to correct hypermetropia?

A

Convex

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15
Q

Sign associated with a retrocecal appendix

A

Iliopsoas sign

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16
Q

Strawberry gallbladder or cholesterolosis is a gross description given to

A

Adenomyomatosis

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17
Q

What is the most common organism associated with
pyogenic liver abscess?

A

Escherichia

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18
Q

The criminal nerve of Grassi is directly derived from

A

Posterior vagus

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19
Q

Type of closed head injury associated with a lucid
interval

A

Epidural hematoma

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20
Q

Which nerve, when accidentally ligated during
mastectomy, may lead to loss of sensation in the
sensation to the lateral chest, medial aspect of the upper arm, and the axilla?

A

Intercostobrachial nerve

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21
Q

What is the most common complication of peptic ulcer
disease?

A

Bleeding

22
Q

Types of hiatal hernias is
characterized by an upward dislocation of the cardia in
the posterior mediastinum

A

Sliding hernia

23
Q

Which refers to the sign in intussusception wherein an
elongated mass is seen in the right upper quadrant or
epigastrium with an absence of bowel in the right lower
quadrant?

A

Dance sign

24
Q

What amino acid is the major fuel source for
enterocytes?

A

Glutamine

25
Q

Which blood vessels will be ligated in
performing an extended right hemicolectomy for
carcinoma in the hepatic flexure?

A

Ileocolic artery
Right colic artery
Middle colic artery

26
Q

Following an abdominal operation, the stomach usually resumes motility within how many hours?

A

24 – 48 hours

27
Q

A 1-month-old infant has persistent jaundice.
Ultrasonography fails to demonstrate a gallbladder.
Nuclear scanning reveals uptake in the liver but not in
the intestine. The most appropriate surgical
management would be

A

Kasai operation

28
Q

What is the most common malignancy that metastasizes to the thyroid

A

Renal cancer

29
Q

Most common cause of hypercalcemia in an in-patient setting

A

Malignancy

30
Q

What is the narrowest point of the adult airway

A

Glottis

31
Q

A 40-year-old male presents to the ED with vague
abdominal pain for the past month that has suddenly
worsened. CT demonstrates mesenteric fat stranding
between the rectus abdominis muscle and semilunar
line. What type of hernia is this?

A

Spigelian hernia

32
Q

Interleukin which serves as the most potent stimulus of hepatic acute phase reactants

A

IL-6

33
Q

Tumor marker most useful in following the course of
treatment in women diagnosed with advanced breast
cancer

A

CA15-3

34
Q

Indirect inguinal hernias are due to a

A

Patent processus vaginalis

35
Q

Acid-base abnormality which may result from excessive administration of PNSS during fluid resuscitation

A

Metabolic acidosis

36
Q

Most common primary malignant tumor of the brain

A

Astrocytoma

37
Q

What is the percentage of total body weight contributed by water

A

50-60%

38
Q

The most important criterion in bypass conduit
selection in CABG surgery is graft patency. Which of the following is the conduit with the highest patency rate?

A

Internal thoracic artery

39
Q

Initial treatment for a low-grade early mucosaassociated (MALT lymhoma)

A

Eradication of H. pylori

40
Q

What is the most common cancer in females worldwide?

A

Breast

41
Q

A 50-year-old perimenopausal woman presents with
three episodes of dark bloody discharge from her right nipple that stained her bra. This is most likely to be due to which of the following

A

Intraductal papilloma

42
Q

A second primary tumor detected within 6 months of
the diagnosis of the initial primary lesion is defined as

A

Synchronous tumor

43
Q

How many kcal of energy can 1 gram of protein yield

A

4 kcal

44
Q

Chvostek sign and Trousseau signs are clinical features that are regularly assessed posteropatively after which type of surgery?

A

Thyroidectomy

45
Q

Which types of gastric ulcers which are associated with increased gastric acid secretion?

A

II and III

46
Q

What type of tissue-based repair makes use of a meshfree repair utilizing a strip of the external oblique
aponeurosis?

A

Desarda repair

47
Q

Best treatment option for achalasia

A

Laparoscopic Heller myotomy

48
Q

Most common salivary gland tumor

A

Mucoepidermoid carcinoma

49
Q

The earliest lesion characteristic of Crohn disease is

A

Aphthous ulcer

50
Q

A 50-year old man, chronic smoker, presents with
dyspnea, weight loss, and facial + neck swelling. Chest xray demonstrates a large right upper lobe mass. What is the next step of management?

A

Endovascular stenting

51
Q

In a patient undergoing sentinel lymph node biopsy,
what should be the next step if sentinel lymph nodes are not identified?

A

Proceed with axillary level I/II dissection

52
Q

What is the most common type of thyroid cancer in
children?

A

Papillary

SURGX (7 decks)

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