24yo F who is 10 weeks pregnant is hospitalized with acute gallstone pancreatitis and recovers after non-operative management. The most appropriate recommendation regarding surgery is....
Lap chole in 4 weeks.
100
This supplies 70-80% of blood flow to liver.
What is portal vein?
100
Injury to this nerve results in winged scapula after mastectomy
What is Long thoracic nerve?
100
The primary regulator of aldosterone secretion
What is Angiotensin II?
100
Gastrin, acetylcholine and this compound stimulate acid secretion from parietal cells.
What is histamine.
200
This is the most appropriate initial test for obstructive jaundice.
Ultrasound.
200
this is the most common origin of right hepatic artery.
What is SMA?
200
The gene associated with male breast cancer
What is BRCA-2?
200
The circulating cytokine that is used as a prognostic marker in sepsis
What is IL-6?
200
The most common complication of giant gastric ulcer
What is Perforation?
300
conjugated bile is secreted by the liver and concentrated in the gallbladder. Resection of this part of the bowel can cause fat malabsorption, deficiencies of fat-soluble vitamins (A,D,E,K) and stone formation.
What is terminal ileum?
300
In the United States, the most common cause of liver disease leading to liver transplant is.
Hep C
300
The most common cause of nipple discharge
What is Intraductal papilloma?
300
Refeeding syndrome is most commonly related to a shortage of this electrolyte
What is Phosphate?
300
During EGD for upper GI bleed, this is a biggest risk factor for rebleeding.
During an elective lap chole Dr. Aguilar was salsa dancing and accidentally transected the CBD. He must now call Dr. Zaki to repair the bile duct injury with this surgery...
Roux-en-y hepatojejunostomy
400
Diabetes, skin rash, and glossitis are features of this endocrine tumor
What is Glucagonoma?
400
The initial management of T4 invasive lobular breast CA
What is Neoadjuvant chemotherapy?
400
Preferred neuromuscular blocking agent in a liver failure patient
What is Atracurium?
400
The surgical treatment for pseudomembranous colitis with decline in clinical condition
What is Total Abdominal Colectomy?
500
Not realizing that he had transected the CBD, Dr. Aguilar discharged the patient home. On POD#2 patient returned to the ED with RUQ pain, jaundice and fever. This test should be ordered first to evaluate bile duct injury.
What is HIDA scan?
500
This is the landmark that divides the left and right liver lobes.
line drawn from middle of gallbladder to IVC.
500
Gynecomastia is a common side effct of using this antifungal
What is Ketoconazole?
500
fuel for small bowel enterocyte
glutamine.
500
Most common anatomic location for a Mallory-Weiss tear