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___________ is the treatment of choice for nonmetastatic, resectable pancreatic head
carcinoma and should be followed by adjuvant chemotherapy. -
✔✔Pancreaticoduodenectomy (Whipple procedure)
Colovesical fistulas most commonly develop in patients with transmural intestinal
inflammatory disorders (e.g., diverticulitis, Crohn disease) and typically manifest with
recurrent urinary tract infections (caused by typical enteric bacteria), pneumaturia, and
fecaluria, all of which are seen here. The initial diagnosis is made with urinalysis and
urine culture and confirmed on abdominal_________________ - ✔✔CT enterography or
MR enterography.
________________with or without chemotherapy is the standard of care for early-stage
lung cancers and confers the best chance for cure. - ✔✔Surgical resection
It is recommended that patients undergoing lobectomy have a FEV1 over 1.5 liters and
DLCO _______ of predicted without evidence of undue dyspnea on exertion. - ✔✔>
60%
Parents of a neonate who has a clavicle fracture should be reassured and advised to
handle the affected arm gently (e.g., while dressing). To reduce discomfort, the
__________________________ with the arm flexed at 90 degrees. - ✔✔patient's sleeve
can be pinned to the front of their shirt
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,Patients with penetrating abdominal injury who are hemodynamically unstable require
an_________________ - ✔✔exploratory laparotomy.
_______________ are a subtype of stress gastritis seen in patients with extensive burns
and occur due to hypovolemia and subsequent _____________ of the stomach. -
✔✔Curling ulcers , hypoperfusion
This condition typically manifests with chronic, watery, nonbloody diarrhea and
abdominal pain (mainly in the right lower quadrant). - ✔✔Crohn's Disease
What disease? noncaseating granulomas and neutrophilic inflammation of the crypts. -
✔✔Crohn's Disease
________________ polyps (tubular adenoma, tubulovillous adenoma, villous adenoma)
carry the highest risk of malignant transformation of all types of colonic polyps. -
✔✔Adenomatous,
A __________ adenomatous polyp has the highest risk (∼ 50%) of malignant
transformation of the three types of adenomatous polyps. - ✔✔villous
A broad-based gait is a clumsy, irregular pattern of walk in which small steps are taken
and the legs are spread wide. Gait dysfunction, dementia, and urinary incontinence
make up the pathognomonic triad ("wet", "wacky", "wobbly") of
___________________________ - ✔✔normal pressure hydrocephalus (NPH).
Alteplase is for - ✔✔ischemic stroke
____________ therapy with____________ is recommended for all patients with a TIA as
secondary stroke prevention. - ✔✔Antiplatelet,; Aspirin or clopidogrel
Treatment with _____________ agents (either antiplatelet drugs or anticoagulants such
as ________) is indicated for extracranial carotid artery dissection if a thrombus has
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, been identified and CT scan has ruled out intracranial hemorrhage. - ✔✔antithrombotic;
heparin
_______________ (anti-viral drug) has a low urine solubility and can precipitate within
the renal tubules, causing tubular toxicity and obstruction. - ✔✔Acyclovir
________________ is controlled by the biceps brachii and brachialis muscles, which are
innervated by the _________________ nerve. This nerve injury can result from lifting
heavy weights as seen in this case. This injury also impairs forearm __________ and the
biceps tendon reflex. - ✔✔Elbow flexion, musculocutaneous, supination
Local swelling, warmth, tenderness, and erythema with poorly defined margins in
combination with systemic findings (e.g., fever) suggest ______________. - ✔✔cellulitis
This child presents with acute onset cough and shortness of breath and has unilateral
wheezing and reduced air entry along with hyperlucency of the lung fields, which
indicate a _____________. - ✔✔foreign body aspiration (FBA) with ball-valve foreign
body obstruction.
When foreign body aspiration FBA is suspected, _______________ to remove the foreign
body is the most appropriate next step. - ✔✔bronchoscopy
This patient has characteristic features of a left cerebellopontine tumor, including
unilateral sensorineural hearing loss and tinnitus. The most common brain tumors in
this location are _________________________ which usually arise from Schwann cells in
the internal auditory meatus and may expand into the cerebellopontine angle. -
✔✔acoustic neuromas (vestibular schwannomas),
Because the esophagogastroduodenoscopy did not find a hemorrhage in the upper GI
tract, the next step in the management of this patient is a______________ -
✔✔colonoscopy to evaluate the lower GI tract.
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