ABSITE 2021 Questions And Answers Real Quiz

Nerve implicated in Frey syndrome — parasympathetic postganglionic fibers to parotid Correct Answer: Auriculotemporal nerve Management recommendations for BRCA and don't want children or any more Correct Answer: BSO, bilateral mastectomy, HRT until 50 Next step for spontaneous skin ulceration in arm in post modified radical mastectomy patient Correct Answer: Incisional biopsy because likely lymphangiosarcoma/Stewart-Treves syndrome and therapy will be WLE +/- isolated limb perfusion First line treatment for acute limb ischemia of the lower extremity Correct Answer: Percutaneous transluminal angioplasty unless long segment or multiple segments, then open approach Technique for SMA embolectomy Correct Answer: Transverse incision of proximal SMA, just distal to middle colic, 2-3 fog arty proximal and distal, close with interrupted prolene Is BRCA1 or 2 higher risk for breast cancer? For ovarian cancer Correct Answer: BRCA 1 for both Organism associated with human bites Correct Answer: Eike Nella corrodes Organism associated with lymphangitis Correct Answer: Strep pyrogens Management for rhabdomyolysis Correct Answer: IV fluids and alkalization of the urine How is vitamin K synthesized in the body? Correct Answer: Colonic bacteria Anticoagulation recommendations for mechanical and bioprosthetic valves Correct Answer: Mechanical must be on vit K anticoagulant w/target INR for aortic and high risk mitral 3 and 2.5 for others, and add low dose asa if low bleeding risk. Surgical aortic: asa for 3 mo, and surgical mitral or tricuspid vit K anticoagulant x3 mo, and low dose asa indefinitely for these if low bleeding risk. Transcatheter aortic: dual anti-plt therapy 3-6 mo and low dose asa indefinitely Pathophysiology of gynecomastia Correct Answer: Decreased androgen production and either increased estrogen production or estrogen precursors are the main cause. Also can have decreased androgen to receptor binding and increased androgen binding to sex hormone binding globulin Octreotide mechanism of action for varices treatment Correct Answer: Splanchnic vasoconstriction and decreases portal htn Liver abscess treated with flagyl Correct Answer: Amoebic liver abscesses from entamoeba histolytica Liver abscess treated with albendazole Correct Answer: Hydratid liver cysts CONTINUES...