Flashcards in ABS 2014 Deck (155)
Loading flashcards...
1
CRF on plavix - after removal of dilator for R IJ portacath during preporation for placement of tunnled cath pt become hypotensive then asystolic - managment includes
left lat decube
right throacotomy
perc aspiration left vent
2
6 cm MALTOMA tx
"abx"
chemo
chemo xrt
resection
3
adeno esoph confined to muscularis mucosa EUS neg managment should include distal esoph
MRI for to eval medial stinal nodes
5 cm margins
4
32 cm shorten esoph wiht 4 cm distal stricture that has required mult dilations and failed ppis
collis nissen
esophogectomy colon conduit
5
most likely for post splenectomy sepsis
blood cancer lymphoma / leukemia
sickle cell
incidental or en block for Colon CA
6
contrainidcaiton for hepatic met resection in colon cancer
also pulm met
periaortic lymph nodes pos
bilateral hepatic lobes
7
elderly pt most likely to contribute to ileus
PPI
haldol
8
mostly likely to cause enceph
flumazinil
benzos
9
sig diffuse bleeding in elderly pt with sigmoidectomy for tic dz on asa what is tx
platelets
FFP (becasue diffuse realy is factor v lieden def prob)
10
tx for second time spontanous ptx
thoroscopic blebectomy
chest tube and pleurodesis
11
sudden onset lower abdominal pain and right shoulder pain
ruptured ovarian cyst
ovarian torsion
non-ruptured ectopic
12
next test in 24 wk preg with RLQ pain and N/v
us
13
P3 G3; abdoinal pain 28 wk preg MVC neg ct scan O neg blood type and possitve "H-B" test
Ig
plasmophresis
emergency c section
14
temp vasc access in while mature right / left
right IJ / contralat
15
brachio basilic ptfe graft with good thrill at end of case throbosis that night
thrombectomy
look for new site
16
AV graft goes down radio cephalic - next site
brachiocephalic
brachobasilic
ptfe graft
start using other arm
17
most appropriate test for 18 yo tpn for chrons that drops pressure to 70/40 p 130 with pulsus paradoxes
eccho
ekg
18
sudden hypotension / incr CVP
PE
tamponade
19
28 yo chronic renal failure falied medical managment with incr calcium - what is operative treatment
"total parathyroidectomy with autioimplantation"
3-gland parathyroidectomy
20
6 cm right pheo with mibig scan postivive BILAERAL in 18 fem with MEN IIa
left adrenalectomy
bilateral cortical sparing adrenalectom
21
hepatic metastectomy with right suclavian and aline; just before liver parynchimal incision sudden hypotention and
air embo
tenssion ptx
22
most common cuase of long narrowing at desending colon partial obstruction with decompression distal - 3 mo s/p sigmoid ecotmy and liver metastectomy
anstomatic recurrence
diffuse peritoneal spread
23
important work up for mass at angle of mandible on xray consistnet with osteoma and mass also seen on scull in 18 f
colonoscopy
bx the jaw
nasopharyngeal scope
24
most likely retroperitoneal mass in FAP
lipocarcoma
fibrosarcoma
desmoid
25
most common etioloty of 3 cm throid nodue with follicuar cells in 30 yr femal
follicular adenoma
follicular cell carcinoma
papillary carcinoma
26
most important reason to do completion throiectomy in 60 m with follicular variant papillary ca
for effective I131
"cross lobar metastasis"
27
most comon etiology of 3 cm neck mass dx as squam
oropharyng
breast
lung
28
18 yo with ocult gi bleed work up possitve tech 99 what is intial tx
ppi
segmental ileal resection
29
crohs fhx pt take to or for negative appy
appy and cecum normal
inflammed distal ileum and dense inflammation of the mesentary
what is next step
bx ileum
appendectomy
30
