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Flashcards in ABS 2014 Deck (155)
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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

32 yo euthroid female
4 weeks of swollen and tender thryoid with pain radiating to the left ear

thyroid lymphoma
subacute thryoiditis
hashiomotos