ABSITE True Learn Questions 2 And Answers Graded A

Management of knee dislocation from a vascular perspective Correct Answer: Fizer says all patient should get CTA TrueLearn says if normal ABI, can observe 12-24hrs Pathophysiology of infra-inguinal pseudoaneurysms after LE bypass surgery Correct Answer: Usually due to progressive degeneration of recipient artery but must rule out graft infection as cause (culture the excised graft) MCC of upper vs lower extremity amputations Correct Answer: Upper: trauma Lower: PVD As anesthesiology, management of sudden increase in end tidal Correct Answer: Sign of atelectasis and hypoventilation, increase TV or RR **First step: make sure circuit isn't disconnected** How should ICD/PPM's be managed before surgery? Correct Answer: ICD turned off PPM in demand mode at a fixed rate Inheritance pattern of malignant hyperthermia Correct Answer: AD What should insulin dependent patient's do the AM of surgery? Correct Answer: Take 1/2 dose of short acting insulin Do not take daily dose of long acting insulin Most common anesthesia complication leading to unplanned admission? Correct Answer: Nausea and vomiting (PONV) Anesthesia agent that can cause seizures Correct Answer: Meperidine Anesthesia agent that can cause methemoglobinemia Correct Answer: Any local anesthesia (lidocaine, cetacaine), especially when injected during endoscopic procedures When is EKG indicated as part of regular pre-op workup? Correct Answer: Hx CAD or arrhythmia NOT just based on age Biggest RF for cardiac complications after any surgery Correct Answer: CHF Feared complication of ileoinguinal nerve block Correct Answer: Femoral nerve palsy (usually because too much local is injected) Where are ilioinguinal nerve blocks performed? Correct Answer: Where the nerve pierces the transversus abdominus 2cm medial to the ASIS Tx for malignant hyperthermia Correct Answer: Dantrolene Ideal placement of ET tube Correct Answer: 2cm above carina How does WHO classification categorize colorectal tumors? Correct Answer: Epithelial Non-epithelial Polyps Secondary Biggest RF's for Ogilvies syndrome Correct Answer: #1 metabolic imbalances #2 trauma According to TrueLearn, MCC of anastomotic leak in colorectal surgery Correct Answer: Staple line failure Ideal ostomy location Correct Answer: Through the summit of an infra-umbilical fan fold and through the rectus muscle Colonoscopic findings in UC Correct Answer: Distorted vasculature Continuous lesions Pseudopolyps Crypt Abscesses Superficial fissures Blood supply remaining after extended right hemicolectomy Correct Answer: Marginal Artery Ligaments taken down during L hemicolectomy Correct Answer: Splenocolic Renocolic Gastrocolic Pacreaticolic Which extra-intestinal manifestations of Crohns improve with successful treatment? Correct Answer: Erythema nodosum Apthous ulcers Peripheral arthritis Pre-op workup for new colon CA Correct Answer: CT chest/abd/pelvis Basic labs CEA Colonoscopy Local recurrence after pelvic exenteration for rectal CA (removing rectum, bladder, prostate)? Correct Answer: 5% Medical management of colonic pseudo-obstruction after fixing metabolic disturbances? Correct Answer: Neostigmine - acetylcholinesterase inhibitor 10 synchronous colonic polyps in 19year old Correct Answer: Mut Y Homolog Associated Polyposis - autosomal recessive CONTINUES...