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SURGERY > SURGERY REFRESHER AND QM 2 > Flashcards

SURGERY REFRESHER AND QM 2 Flashcards

(57 cards)

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1
Q

MOST COMMON SERIOUS COMPLICATION OF TPN USE

A

INFECTION OR SEPSIS

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2
Q

SIRS CRITERIA

A

TEMP >38 / <36
HR >/=90
RR >/= 20
WBC >/=12000/UL

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3
Q

QSOFA

A

RR > 22/MIN
ALTERED SENSORIUM = GCS 14
SBP =100

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4
Q

FIRST line vasopressor in sepsis

A

Norepinephrine

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5
Q

Initial resuscitation rates in adult w hypotension

A

Crystalloids 30cc/kg

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6
Q

Initial resuscitation rates in pediatrics w hypotension

A

Crystalloids 20cc/kg

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7
Q

Presence of organisms on the surface of a wound?

A

Contamination

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8
Q

Most common cause of fever d1 post op

A

Atelectasis

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9
Q

Phase of wound where there is establishment of tisue continuity, pdgf is the strongest chemotactic factor and deposition of type iii collagen

A

Proliferation

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10
Q

Most common indication for intubation

A

Altered sensorium

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11
Q

Components of secondary surver

A

Allergies
Medications
PMH
Last meal
Event/environment

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12
Q

Traumatic bleeding beneath the inner dural layer

A

Subdural hematoma

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13
Q

Shape of subdural hematoma on ct scan

A

Crescent

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14
Q

Tube thoracostomy location?

A

4th-5th MAL ICS

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15
Q

Flail chest

A

3 or more ribs in 2 or more locations

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16
Q

Indication for thoracotomy in hemothorax

A

> 1000mL in penetrating injury
1500mL in blunt injury
Ongoing drainage of >200cc/hr for 3 consecutive hours

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17
Q

Ml of blood that may cause tamponade

A

100mL

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18
Q

Approximate mL of blood lost in femoral fractures

A

800-1000mL

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19
Q

Carotid pulse is palpable

A

60

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20
Q

Organ most susceptible to blunt trauma

A

Liver

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21
Q

Initial evaluation for patient with blunt abdominal trauma

A

FAST

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22
Q

Bladder pressure of abdominal compartment syndrome

A

35 mmHg

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23
Q

Most common salivary gland tumor

Study These Flashcards
A

Pleomorphic adenoma

24
Q

2nd most common salivary gland tumor

Study These Flashcards
A

Warthin’s tumor

25
Most common malignant salivary gland tumor
Mucoepidermoid CA
26
Rule of 80% of salivary gland tumors
8)% parotid gland 80% benign 80% pleomorphic adenoma
27
Aberrant reinnervation of postganglionic parasympathetic neurons to nearby denervated sweat glands and cutaneous blood vessels
Frey syndrome
28
Nerve involved in Frey syndrome
Auriculotemporal nerve of V3 of trigeminal nerve
29
Most common type of thyroid malignancy
Papillary carcinoma
30
Seen in papillary carcinoma
Psammoma Orphan annie
31
Most important prognostic factor of papillary carcinoma
Age (55)
32
Most common cause of hypercalcemia in OUTPATIENT
Primary hyperparathyroidism
33
Most common cause of hypercalcemia in inpatient
Malignancy
34
Birad 4
Biopsy
35
SERM first shown to reduce incidence of breast cancer
Tamoxifen
36
Side effects of tamoxifen
Endometrial cancer Thromboembolic events Cataract Vasomotor disturbances
37
Susceptible in trastuzumab
Her2+
38
More effective in reducing incidence of contralateral breast CA in postmenopausal age
Aromatase inhibitor
39
Most common subtype of melanoma
Superficial spreading
40
30/f developed tender deep nodules at the axilla and inflammatory fold. Most likely dx?
Hidradenatis suppurative
41
Abdominal wall hernia found in the junction of the semilunaris and arcuate line
Spigelian hernia
42
Type of hernia with strangulation but without obstruction
Richter hernia
43
Most common prognostic factor in melanoma
Depth
44
Most common subtype of melanoma
Superficial spreading
45
Worst prognosis of melanoma
Nodular
46
Melanoma with propensity towards perineural invasion
Desmoplastic
47
A hernia containing meckel's diverticulum
Little hernia
48
Posteriolateral congenital hernia of the diaphragm
Bockdalek
49
Retrosternal diaphragmatic hernia, anterior aspect of the diaphragm
Morgagni
50
Hernia in the line seminularis
Spigelian
51
Antimesenteric border of bowel
Richter hernia
52
Ipsilateral concurrent direct and indirect inguinal herniation
Pantaloon hernia
53
Two loops of bowel hernia
Maydi hernia
54
Veriform appendix
Amyand hernia
55
Hernia through the superior lumbar triangle
Grynfeltt-lesshaft hernia
56
Hernia through the inferior lumbar triangle
Petit hernia
57
Paraneoplastic syndrome associated with renal cell carcinoma
PTHrp EPO ACTH Renin

SURGERY (6 decks)

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