Absite : the nitty , gritty stuff part 3. The pre-transplant crossmatch involves A) recipient lymphocytes & donor plasma B) recipient plasma & donor lympocytes C) recipient macrophages & donor globulins D) recipient globulins & donor macrophages.
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The changes associated with a mucous producing villous adenoma of the sigmoid
A 30yo female attempts suicide with the ingestion of lye. Examination of the mouth & pharynx demonstrates erythema. Appropriate management is
A 68yo presents with signs of sepsis, substernal chest pain & air crepitus in the left neck. These symptoms & signs developed 16hr ago after forceful vomiting of a heavy meal. Treatment should include
12hr following esophagoscopy & biopsy of an obstructing esophageal cancer, the patient presents with fever & substernal chest pain. Esophagogram reveals perforation of the distal esophagus. Appropriate treatment is
A patient is placed on IVF & NPO following an uneventful laparotomy. 12hr later the patient develops palor, sweating, hypotension & abdominal pain. On exam the upper abdomen is distended & tympanic with a succussion splash. Appropriate action is
A pulmonary function that would prohibit a successful pneumonectomy is
Which of the following group of drugs will provide effective treatment for hypertrophic subaortic stenosis
A 30yo female with a history of dysmenorrhea & dyspareunia is found to have a tender 3cm smooth submucosal rectal mass. Appropriate treatment is
Proper treatment for a 3cm papillary thyroid cancer with tumor involving 4 lymph nodes is
Appropriate treatment for family members (without tumor) having a heterozygous RET proto-oncogene is
Failure to identify gamma radiation or blue dye in a sentinel node biopsy procedure is due to
Which of the following is the mediator that leads to relaxation of the sphincter of Oddi, is partially mediated by cholinergic stimuli, & has a diminished effect following vagotomy
After undergoing complete axillary node dissection for sentinel node positive breast cancer, your patient has difficulty with forced should adduction. She is having difficulty pulling herself out of her chair. There is concern about injury to which nerve?
The most common cause of intrahepatic presinusoidal portal hypertension is
Ranson’s criteria on admission for prediction of severity of acute non-biliary pancreatitis include all of the following except
Enterocutaneous fistula management in a stable patient should include all of the following except
A 47yo paraplegic patient is brought to the ER with abdominal distention. He has not had a bowel movement in several days. The abdomen is distended & minimally tender without evidence of peritoneal signs. A KUB massive distention of the colon. The next step in management should include
A 7 yo child undergoes general anesthesia for repair of an inguinal hernia. 10min into the operation, the patient is noted to have a temp of 104, tachycardia, & diffuse skeletal muscle rigidity. The most appropriate treatment for this situation is
A 67yo smoker undergoes a chest CT to evaluate a 1cm lung nodule on chest x-ray. The CT scan demonstrates mediastinal adenopathy. The next step in the workup should be
A 65 yo man presents with moderate epigastric pain of 2 wks duration radiating to his back. Evaluation reveals a 3cm tumor in the head of the pancreas. All the following conditions would preclude tumor resectability, except
An established indication for coronary artery bypass grafting remains
Guidelines for minimizing morbidity during lap ccy in patients with hepatic cirrhosis include all of the following except
A 27yo umpire wearing no protective gear is inadvertently struck in the chest by a player’s bat. He lost consciousness for 30sec after impact. During EMS transport, vital signs are 102/76, 114, 22, 97% on 2L NC. On arrival to the ER, the patient is awake & alert, c/o chest pain. He has ecchymosis & tenderness over his sternum. Lungs are clear, heart sounds tachycardic with no murmurs. His physical exam is otherwise normal.
Which of the following is the best screening tool for assessing blunt cardiac injury?
A 65 yo woman presents to the ER with a swollen right calf. She has a hx of lung ca & is receiving chemotherapy. DVT is suspected, & a D-dimer test is ordered, the result of which is highly positive. Records of previous blood tests show that this patient’s D-dimer levels were always higher than normal.
The patient is found to have DVT of the calf with extension to the right proximal vein. Anticoagulation therapy should be initiated. Which of the following is a relative contraindication to anticoagulation?
The patient is prescribed unfractionated heparin. All the following are adverse effects associated with unfractionated heparin except
Most likely reason for inguinal hernia recurrence after laparoscopic repair
4 malignancies that are decided on clinical basis (can’t depend on histology)