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A 68-year-old man with D. Intraarterial site-directed thrombolysis
atrial fibrillation presents to
the emergency department
with a cool, pulseless right
foot Sensation Is Intact
Duplex ultrasonography of
the right leg reveals
multiple femoral stenoses
and tibioperoneal
thrombosis with poor tibial
flow, What Is the most
appropriate management?
A. Amputation
B. Systemic anticoagulation
only
C. Percutaneous
embolectomy under Local
anesthesia
D. Intraarterial site-directed
thrombolysis
A 55-year-old woman C. Renal transplantation
presents to your clinic with
the new diagnosis of
tertiary
hyperparathyroidism. Which
of the following operations
has she most likely
previ¬ously undergone?
A. Colectomy with
resection of terminal
ileum
B. Parathyroidectomy
C. Renal transplantation
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D. Right middle lobectomy
A 76 yo HD dependant D. Administer desmopressin (DDAVP)
woan with a h/o mult abd
surgeries presents to the ED
with worsening abd pain.
W/U raises your suspicion
for ischemic bowel. She last
underwent HD three days
prior and is currently
uremic. How will you best
prepare the patient for
emergent celiotomy? A.
Arrange for HD B. Transfuse
the patient with PRBCs C.
Administer cryoprecipitate
D. Administer desmopressin
(DDAVP) E. Administer
conjugated estrogens
A 76 yo man with aortoiliac C. 60% at 5 yrs
occlusive dz undergoes
percutaneious transluminal
angioplasty of his left
common iliac artery. What is
the patency rate for patients
who undergo angioplasty
for Iliac occlusive disease?
A. 20% at 5 yrs B. 30% at 5
yrs C.
60% at 5 yrs D. 80% at 5 yrs
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A 39 yo woman presents to A. 5-fluorouracil and interferon alpha
the ED after experiencing
watery diarrhea and upper
abd pain for 2 wks. On w/u
and CT can, she is found to
have a small mass in the
body of the pancreas. Lab
abnormalitites include a
hemoglobin of 8.7, WBC of
10, hypokalemia, and
metabolic acidosis. She is
subsequently scheduled to
have an exploratory
laparotomy. Intraoperatively,
the mass is removed from
her pancreas and multiple
small nodules are found in
her liver. Considering the
most likely diagnosis what
are her best treatment
options? A. 5- fluorouracil
and interferon alpha B.
Octreodtide and
glucocorticoids C.
Intravenous steroids alone D.
No further treatment is
indicated E. Repetitive
embolization of the hepatic
artery
A 46-year-old woman D. Thickened mesenteric lymph nodes on radiographic imaging
comes to the emergency
department describing
acute right lower quadrant
pain. How could
appendicitis be
differentiated from acute
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ileitis? A. Elevated WBC
count B. Presence of
diarrhea C. Development of
acute or subacute pain in
the right lower quadrant
D. Thickened mesenteric
lymph nodes on
radiographic imaging E.
Colonoscopic biopsy
A 27-year-old man with D. Unilateral duplicated collecting system
idiopathic renal failure on
hemodialysis is awaiting a
kidney transplant. Multiple
family members and friends
have been evaluated for
possible live donor
transplantation. A sibling to
the recipient is found to
have a favorable human
leukocyte antigen match.
Which of the following
conditions is acceptable for
live-donor nephrectomy?
A. Uncontrollable
hypertension
B. Human immunodeficiency
virus (HIV) infection
C. Type II diabetes mellitus
D. Unilateral duplicated
collecting system
E. Current cocaine usage
A 39-year-old man is B. hMSH2
referred to your clinic for
treatment of a cecal mass
diagnosed by surveillance
colonoscopy. His father,
paternal grandmother, and
paternal uncle all
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