ABSITE Truelearn Questions And Answers Graded A+.
Aortic Injury
- MC Location in Blunt Trauma
- MC Location in Penetrating Trauma
- Which is worse? - correct answer. - MC Location in Blunt Trauma = Isthmus
- MC Location in Penetrating Trauma = Infra-renal aorta (+IVC)
- Which ...
Aortic Injury
- MC Location in Blunt Trauma
- MC Location in Penetrating Trauma
- Which is worse? - correct answer. - MC Location in Blunt Trauma = Isthmus
- MC Location in Penetrating Trauma = Infra-renal aorta (+IVC)
- Which is worse?: suprarenal injuries, so generally blunt
MCCOD in Blunt Trauma - correct answer. Brain Injury
- Presentation Triad: pain, cold insensitivity, tenderness on palpation
,- Two Key Signs
1. Love's = point tenderness
2. Hildreth's = relief with insufflation
- Treatment: surgery
Inguinal Hernia
- Recurrence with/without mesh
- Risk of incarceration each year - correct answer. - Recurrence with/without mesh =
5 vs. 20%
- Risk of incarceration each year = 0.18%/year
Procidentia
- Etiology (2)
- Recognizing full vs. mucosal prolapse
- Definitive Test
- 3 Treatments + Description - correct answer. - Etiology (2)
1. Pudendal nerve injury
2. Laxity of anal sphincter
- Recognizing full vs. mucosal prolapse
1. Full = circular folds
2. Mucosal = linear folds
- Definitive Test = defecating proctogram
- 3 Treatments + Description
1. Transanal Excision = Altemier (incision 2cm above dentate line to open peritoneum,
then tack peritoneum at level to puborectalis)
Biliary Dyskinesia
- When to suspect?
- Describe method
- Treatment - correct answer. - When to suspect?
Signs/symptoms of biliary colic with negative USG, CT, ERCP
- Describe method
Gallbladder gets filled with Tc99, infuse CCK. If EF <35% at 20min = diagnosis
- Treatment = lap chole
Injecting dye before WLE melanoma/breast:
,- When to inject?
- Where to inject (layer of skin)?
- Why not inject after WLE? - correct answer. - When to inject? hours before
procedure
- Where to inject (layer of skin)? dermis, where lymphatics are
- Why not inject after WLE? b/c WLE disrupts the lymphatic pathways
Post-Hemorrhoidectomy Bleeding Etiologies/Mgmt
- Early (<24hrs)
- Late (>POD5) - correct answer. - Early (<24hrs): likely to be surgical error, needs
evaluation
- Late (>POD5): likely to be eschar from surgery falling off, no intervention
Esophageal CA Review
- Why so malignant (aka how do they spread?)
- Test to Diagnose?
- Test to determine resection?
- CI to Resection (3)
- SCC vs. Adeno: prevalence, etiology, location/mets
- Tx
1. Chemo/XRT Options (2)
2. Surgeries (4) all of which require _____
3. Endoscopic Option for ____
4. Complications (2) + Treatment - correct answer. - Why so malignant (aka how do
they spread?)
Through submucosal lymphatic channels
- Test to Diagnose? Esophagram
- Test to determine resection? CT Chest/Abd
- CI to Resection (3)
1. Invasion of nerves (hoarse RLN, Horners Brachial Plexus, or Phrenic Nerve)
2. Visceral Invasion (airway, vertebra, malignant effusion)
3. +Nodal Base (widely mets)
- SCC vs. Adeno: prevalence, etiology, location/mets
1. Adeno: MCC, lower esophagus associated with GERD/Achalasia, mets to liver
2. SCC: evenly divided, a/w smoking, ETOH, mets to lung
- Tx
1. Chemo/XRT Options (2): 5FU + Cisplatin
2. Surgeries (4) all of which require pyloromyotomy
- Transhiatal: cervical anastamosis, gastric complications
- Ivor Lewis: thoraco anastomosis, thoracic complications
What hormone is NOT released during stress? - correct answer. TSH
Pros/Cons of Burn Care
1. Silvadene
2. Silver Nitrate
3. Sulfamylon - correct answer. 1. Silvadene: good for cartilagenous areas
(face/ears), causes leukopenia
2. Silver Nitrate: good for large burns, but very concentrated and quenches cells leading
to hypoNa and hypoCl; also can cause methemoglobinemia
3. Sulfamylon: good for penetrating wounds, but painful and CA inhibitor so causes
metabolic acidosis
Lumbar Hernia
- Boundaries
- Primary vs. Secondary
- Causes
- When to repair? - correct answer. - Boundaries: 12th rib, EOM, iliac crest
- When to repair?: repair PRIMARY if large and symptomatic
Esophageal Leiomyoma
- MC ____ of the esophagus
- Location within esophageal wall (review layers)
- Location along esophagus
- Dx (2)
- Biopsy?
- When/how to treat? - correct answer. - MC benign tumor of the esophagus
- Location within esophageal wall (review layers)
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