Grab bag! Perioperative Medicine or Abdominal Pain
Skin Cancer
Obesity
Sinusitis
100
The term "perioperative risk assessment" is preferred over the commonly used misnomer "perioperative X."
Perioperative clearance.
You can never "clear" someone for surgery and say there is no risk.
100
basal cell carcinoma
100
Over what BMI is classified as obesity.
BMI 30 or greater
100
Consider bacterial sinusitis after this timeframe.
7-10 days.
200
What lab(s) should be ordered before every surgery.
None! There are no standard "preop" labs.
200
squamous cell carcinoma
200
This class of drug used in the treatment of diabetes is also FDA approved for weight loss.
GLP1 receptor agonist (liraglutide, Saxenda)
200
For a diagnosis of chronic sinusitis, patients must have symptoms for how long?
At least 3 months
300
What food provoked cause of abdominal pain is common after GI infections?
lactose intolerance
300
What dermatologic complication of immunotherapy has been associated with improved oncologic outcomes?
vitiligo
300
This weight loss drug works on pleasure centers around eating.
Naltrexone/bupropion
300
First-line treatment for bacterial sinusitis?
amoxicillin
400
In what area of the world is right-sided diverticulitis most common?
Asian countries
400
The abrupt appearance of multiple seborrheic keratoses that is associated with underlying cancer.
Sign of Leser-Trelat
400
What diet has evidence for weight loss?
Intermittent fasting
400
Name a reason to get a CT scan to evaluate sinusitis
Concern for orbital or intracranial spread. Unclear diagnosis of chronic sinusitis.
500
Name 4 of the 6 components of the RCRI for Preoperative risk.
1. elevated risk surgery (intraperitoneal, intrathoracic, suprainguinal)
2. History of ischemic heart disease
3. History of CHF
4. History of CVA
5. DM with insulin use (or need for insulin)
6. Cr >2
500
This type of transplant is associated with the highest risk of squamous cell carcinoma of the skin.
Heart transplant.
500
At what BMI is consideration of bariatric surgery indicated?
BMI greater than/equal to 35 if at least one serious comorbidity
500
Name for rebound symptoms associated with chronic Afrin (oxymetazoline) use?
rhinitis medicamatosa