Upper Endoscopy
Colonoscopy
Breast
Trauma
Genetic Associations
100

This is the name of the classification system to describe endoscopic appearance of Gastroduodenal ulcers

Forrest Classification:

IA--spurting vessel--therapy required

IB--oozing vessel--therapy required

IIA--nonbleeding visible vessel--therapy required

IIB--adherent clot--consider therapy

IIC--flat pigmented ulcer base--no therapy required

III--clean-based ulcer--no therapy required

100
The age at which an average risk person should start getting colonoscopies

45 years old

100

Margins needed for invasive cancer; DCIS

no ink on tumor; 2mm

100

When you do place an ICP monitor

GCS 8 or less + (+) CT head

OR

2/3 of the following:

age >40

lateralizing signs

SBP <90

100

BRCA 1 ,2 

breast cancer, ovarian cancer

breast, Ovarian, pancreatic, melanoma

200

How to test for eradication of H pylori

Stool antigen, EGD, breath urease

off antibiotics x 4 weeks, off PPI x 2 weeks

200
The family members you should be concerned about when screening for colorectal cancer.  What age are you concerned about.  

1st degree relatives

age 60 years or younger

200

diagnosis and treatment of Paget's disease

Nipple biopsy

central lumpectomy + XRT

OR 

simple mastectomy with SLNBx

200

Reasons to transfer to a burn center

  • Second and third degree burns greater than 10 percent TBSA (Total Body Surface Area); inpatients younger than 10 or older than 50 years of age
  • Second and third degree burns to greater than 20 percent TBSA in all other ages
  • Third degree burns greater than five percent TBSA in patients of any age
  • All second and third degree burns with the threat of functional or cosmetic impairment to the face, hands, feet, genitalia, perineum, or major joints
  • All electrical burns, including lightning injuries
  • Chemical burns
  • Burns involving inhalation injury
  • Circumferential burns of the extremities and/or chest
  • Burns involving concomitant trauma among which the burn injury poses the greatest risk of morbidity or mortality.
  • Burns in patients with pre-existing medical conditions that may complicate management and/or prolong recovery, such as coronary artery disease, lung disease, or diabetes
200

ATM

pancreatic cancer, breast cancer

colorectal, gastric

300

How to describe Barrett's disease in your operative note--which classification is used.  

Prague classification

CM--Circumferential and maximal extent

300

Time interval of follow-up for a patient with an adenoma with dysplasia

3 years

300

diagnosis and treatment of inflammatory breast cancer

skin biopsy

neoadjuvant chemotherapy then MRM then XRT

300

Best test to prove delayed small bowel injury

Feed the patient

300

PALB2

breast cancer, pancreatic

400

Alarm features of patients needing EGD.

Age >=50y

Family history of upper GI malignancy in a first-degree relative 

Unintended weight loss 

GI bleeding or iron deficiency anemia 

Dysphagia 

Odynophagia 

Persistent vomiting 

Abnormal imaging suggesting organic disease

400

time interval of follow-up for a patient with more than 10 adenomas removed

1 year

400

When do we use Oncotype DX

ER + tumors who have not received chemotherapy

ER+ node negative

ER+ node positive, but <4 lymph nodes

400

treatment of intraperitoneal bladder injury

treatment of extraperitoneal bladder injury

Surgery, catheter x 10-14days

catheter x 10-14 days

400

CDH1

gastric 

500

Classification for esophagitis

LA grade

A--Mucosal break(s) ≤5 mm, without continuity across mucosal folds

B--Mucosal break(s) >5 mm, without continuity across mucosal folds

C--Mucosal break(s) continuous between ≥2 mucosal folds, involving <75% of the esophageal circumference

D--Mucosal break(s) involving ≥75% of the esophageal circumference


500

Time interval for follow-up after removal of a hyperplastic polyp

10y if <10mm

500

Which family member do you look at when considering genetic testing

out to 3rd generation

500

A 25y/o M sustained an MCC 1 weeks ago.  He sustained a Grade IV liver laceration.  He comes to the ED with hematemesis.  Workup, diagnosis, treatment. 

EGD, hemobilia, IR embolization

500

PTEN

thyroid, melanoma, kidney, endometrial, colon, breast

M
e
n
u