Strikes a Nerve
Mitral Kombat
It's Scan-tastic
Things You Shouldn't Cut
The Grafts and the Furious
100
This is the most common posterior mediastinal neurogenic tumor
What is schwannoma?
100
This degenerative mitral valve disease is characterized by thinning of leaflet tissue from insufficient collagen, elastin and proteoglycan
What is fibroelastic deficiency?
100
This malignant tumor originating from cartilaginous tissue at the costochondral joint is often resistant to chemotherapy
What is chondrosarcoma?
100
Papillary muscle most prone to rupture from inferior myocardial infarction
What is the posteromedial papillary muscle?
100
This coronary artery must be significantly diseased for minimally invasive direct coronary artery bypass to be considered as a standalone operation
What is the left anterior descending (LAD) artery?
200
The posterior insertion of the first rib is between these 2 nerve roots
What are C8 and T1?
200
Dynamic condition shown at the blue arrow
What is systolic anterior motion (SAM)?
200
This coronary angiogram view from a left heart catheterization clearly shows the entire circumflex artery and OM branches
What is RAO caudal?
200
The vascular structure most at risk of injury during posterior fissure dissection in a right upper lobectomy
What is the posterior ascending artery?
200
CABG is recommended to improve survival in ischemic cardiomyopathy when LVEF is at or below this percentage
What is ≤35%?
300
In neurogenic thoracic outlet syndrome, conduction velocity > 60 m/s in this nerve predicts good response to conservative management
What is the ulnar nerve?
300
An LV end-systolic diameter above this measurement is a Class I indication for surgery in asymptomatic severe primary MR
What is LVESD ≥40 mm?
300
In a 5-chamber view of the heart, this is the structure marked “A”
What is the right atrium?
300
This structure stretches from the Eustachian ridge to the central fibrous body and forms a boundary of the triangle of Koch
What is the tendon of Todaro?
300
According to the SYNTAX trial, patients with scores above this threshold have greater survival benefit from CABG than from PCI
What is > 22?
400
Interruption of this sympathetic chain level is most associated with severe compensatory hyperhidrosis
What is T2?
400
In asymptomatic severe MR with preserved LV function, a resting pulmonary artery systolic pressure (PASP) above this value is a Class IIa indication for surgery
What is >50 mmHg?
400
A radiographic sign of a mobile intracavitary fungus ball surrounded by air, classically seen in aspergillosis
What is Monod sign?
400
During cervical mediastinoscopy, this structure is at risk of injury when dissecting too anteriorly over the right main bronchus
What is the truncus arteriosus? (will also accept right PA)
400
The coronary bypass conduit whose patency is most affected by competitive native coronary flow
What is the radial artery?
500
When performing sympathectomy, these are the two target levels most likely to effectively treat palmar hyperhidrosis
What is T3-T4?
500
The structure most likely injured during a mitral valve repair when sutures are placed at the 2:00-3:00 region of the mitral annulus
What is the AV node/bundle of His (or conduction bundle)?
500
This paraneoplastic syndrome most commonly associated with lung adenocarcinoma is characterized by painful swollen joints and digital clubbing
What is hypertrophic (pulmonary) osteoarthropathy?
Digital clubbing, increased periosteal activity of the tubular bones, arthralgias, and joint effusion. Lung adenocarcinoma accounts for 90% cases.
500
The thoracic duct is located between these two vascular structures in the chest
What is the aorta and the azygous vein
500
The most common cause of mortality in lung transplant recipients after the 1st year of transplantation
What is chronic lung allograft dysfunction?