Katy Perioperative Medicine
Yellow Labs
GIBlet Gravy
Can I Get A Amenorrhea
Beer POTUS-mania!
100
Which risk calculator best predicts the cardiac risk of a 62-year-old with CAD, CHF undergoing outpatient laparoscopic hernia repair?
A. Vascular Cardiac Risk Index (VQI)
B. Revised cardiac risk index
C. MICA-Gupta
D. Geriatric sensitive cardiac risk index
C. MICA-Gupta
100
What is the most common cause of abnormal liver tests results in the United States?
A. Gilbert syndrome
B. NAFLD
C. Hepatitis C
D. Alcoholic liver disease
B. NAFLD
100
When selecting appropriate IV access in a patient with a GI bleed, increasing which of the following is the most important consideration?
A. Central access
B. Lumen diameter
C. Lumen length
D. Number of lumens per line
B. Lumen diameter
100
50F female has number of complaints: fatigue, arthralgias, weight gain and dyspareunia. Which ONE of her following symptoms is most likely associated with menopause?
A. Dyspareunia
B. Weight gain
C. Fatigue
D. Arthralgias
A. Dyspareunia
100
Which US President was head cheerleader at his high school?
A. Bill Clinton
B. George W. Bush
C. John F. Kennedy
D. Barack Obama
B. George W. Bush
200
A 62-year-old with HTN, CHF presents for surgery. Vitals and physical exam including volume status are normal. What should be done with the following 3 meds on day of surgery?
A. Continue ACEi, BB, furosemide
B. Continue BB; hold furosemide and ACEi
C. Continue BB and ACEi; hold furosemide
D. Hold all 3 meds
B. Continue BB; hold furosemide and ACEi
200
In patients diagnosed with acute pancreatitis, elevation of which of the following is most associated with a severe course?
A. BUN
B. Lipase
C. Bilirubin
D. WBC
A. BUN
200
25F is admitted for epigastric pain, melena and light headedness. After appropriate resuscitation, upper endoscopy reveals a 1.5 cm duodenal bulb ulcer with a central nonbleeding visible vessel. Which of the following is the most appropriate management?
A. Endoscopic therapy
B. Immediate surgical intervention
C. Octreotide infusion
D. Observation on PPI
A. Endoscopic therapy
200
Which of the following concerning HRT with estrogen and progesterone is true?
A. Decreased risk of VTE
B. Increased risk of breast cancer
C. Increased risk of uterine cancer
D. Increased risk of ovarian cancer
B. Increased risk of breast cancer
200
Toy manufacturers in the early 1990s tried to capitalize on a new stuffed animal to replace the teddy bear after Theodore Roosevelt left office. What animal did they (unsuccessfully) to popularize with Taft’s image?
A. Possum
B. Hippo
C. Pig
D. Lion
A. Possum
300
A 52yo with 30-year smoking history is set to undergo open total abdominal hysterectomy. She is asymptomatic and runs 2 miles per day. Vital signs and physical exam are normal. What diagnostic tests should be performed prior to surgery?
A. CXR
B. CXR, spirometry
C. CXR, spirometry, ABG
D. No further diagnostic tests
D. No further diagnostic tests
300
Marked elevation of AST/ALT into the 1000’s is LEAST consistent with which of the following:
A. Acetaminophen overdose
B. Ischemic hepatitis
C. Acute viral hepatitis
D. Alcoholic hepatitis
D. Alcoholic hepatitis
300
Which of the following is NOT an indication for inpatient treatment of a lower GI bleed?
A. Age greater than 60
B. Exposure to anti platelet or anticoagulation drugs
C. Gross rectal bleeding
D. Hemodynamically instability
E. Hemoglobin less than 12
E. Hemoglobin less than 12
300
65F with a history of breast cancer has recently been experiencing mild discomfort with intercourse. She has an intact uterus. Which of the following would be the best option for her initial treatment?
A. High dose topical estrogen cream alone.
B. Oral estrogen plus progesterone.
C. Oral estrogen alone.
D. Topical lubricant alone.
D. Topical lubricant alone
300
James K. Polk’s presidential campaign ran on what awkwardly numerical slogan?
A. 9-9-9, the Goose Drank Wine
B. 54-40 or Fight!
C. Better a 3rd Termer than a 3rd Rater
D. Tippecanoe and Tyler 2.0
B. 54-40 or Fight!
400
A patient who received a DES 4 months ago (now on aspirin/clopidogrel) is found to have colon cancer requiring resection. What is the best recommendation regarding his medications and surgery?
A. Continue ASA and clopidogrel and operate
B. Delay surgery for 2 months, then hold DAPT for 1 week and operate
C. Stop clopidogrel for 1 week, continue ASA, and operate
D. Stop ASA and clopidogrel for 1 week and operate
C. Stop clopidogrel for 1 week, continue ASA, and operate
400
Which of the following is most likely to present with LOW or low normal Alkaline Phosphatase?
A. Cholangiocarcinoma
B. Pregnancy
C. Wilson’s disease
D. Acalculous cholecystitis
C. Wilson's disease
400
48M presents to the ED with hematemesis. He is intoxicated and can barely be roused. HR 115 and BP 80/49. The patient has spider angiomas and a firm liver edge. He begins vomiting a profuse amount of bright red blood. Which is the best initial management?
A. Endotracheal Intubation
B. Intravenous B-blocker therapy
C. Red blood cell transfusion
D. Transjugular intrahepatic portosystemic shunt (TIPS)
E. Upper Endoscopy
A. Endotracheal Intubation
400
A 39 year-old female with a history of endometriosis has just had a total hysterectomy and bilateral salpingo-oophorectomy. Which ONE of the following statements is correct?
A. Surgical menopause does not cause hot flashes
B. FSH, LH and estradiol should be checked
C. This is premature menopause
D. This is not menopause until 6 months
C. This is premature menopause
400
Who was the first US president to be born an American citizen?
A. Andrew Jackson
B. John Quincy Adams
C. Martin Van Buren
D. William Henry Harrison
C. Martin Van Buren