Breast is Best
Lumps and Bumps
Reduce This
It’s all General
Silly Goose
Students Only
100
What is the most common receptor subtype for BRCA1 carriers?
Triple negative high grade, most often invasive ductal
100
What is the most common type of skin cancer?
Basal cell carcinoma
100
What dose a CC (Completeness of cytoreduction score) of 1 mean?
Size of residual disease is <2.5 mm
100
Name the inguinal hernia that is located lateral to the inferior epigastric vessels.
Indirect inguinal hernia
100
What is the name of the three incision Esophagectomy which includes a cervical incision, a thoracotomy and an abdominal incision?
McKeown
A right thoractomy and laparotomy (Ivor-Lewis)
Abdominal incision And neck incision only (transhiatal)
100
This point, located one third of the distance from The ASIS to the umbilicus is the classic site of maximal tenderness in acute appendicitis
McBurney’s point
200
Name this breast pathology characterized by invasion of cancer cells into the dermal lymphatics?
Inflammatory Breast Cancer
200
What is the stain to use to differentiate between lipoma and liposarcoma?
MDM2
200
How many regions are used in the peritoneal cancer index?
13
200
Another name for colonic pseudoobstruction
Ogilvie’s Syndrome
200
A gastric conduit derives its blood supply from this vessel
Right gastroepiploic
200
Cullen’s sign which is characterized by periumbilical ecchymoses is characterized by
acute hemorrhagic pancreatitis
300
This trial, evaluated omitting the sentinel lymph node biopsy for both T1 and T2 HR positive HER2 neu negative breast cancers.
INSEMA trial
300
What is the preferred management of Merkel cell carcinoma in N+ disease?
1.) Wide local excision of primary
2.) Regional node dissection
3.) Radiotherapy to nodal basin
300
Per the NCCN guidelines, what is the limit of PCI for consideration of cytoreduction in gastric cancer?
PCI =/<10
300
Name the surgery described, during a difficult gallbladder you transect the gallbladder leaving a posterior wall/infundibulum and you do not suture close the orifice while leaving a surgical drain
Subtotal fenestrated cholecystectomy
300
What is the argued drawback/limitation of a transhiatal esophagectomy?
Limited lymph node harvest in the chest
300
What is the most common cause of small bowel obstruction?
Adhesions
400
This medication is given in the adjuvant setting for those BRCA 1/2 patients with breast cancer
Olaparib
400
What are the margins required for small, low risk squamous cell cancers of the skin?
4-6 mm margins
400
This is the term for a type of intraperitoneal chemotherapy used under laparoscopy with pressurized CO2.
PIPAC
Pressurized intraperitoneal chemotherapy
400
Surgical management of toxic megacolon from C diff colitis
Total abdominal colectomy with end ileostomy
400
Name the study that was a landmark trial that compared neoadjuvant carboplatin and paclitaxel with radiation therapy versus surgery alone in esophageal and EGJ cancers.
CROSS trial
400
Named after a German surgeon, this triad of jaundice, fever/chills, and right upper quadrant pain is. The classic presentation of acute ascending cholangitis
Charcot’s triad
500
What is the the relative risk reduction (aka benefit) to radiotherapy after breast conserving surgery for DCIS?
50% risk of recurrence with RT compared to those who dont undergo RT
The Early Breast Cancer Trialists Collaborative Group performed an individual patient-level meta-analysis of these four randomized trials, which included 3,729 women. The addition of RT after BCS reduced the recurrence risk by about 50% (HR 0.49; 95% CI 0.41 to 0.58; p
500
What is the chromosomal translocation seen in 90% of DFSP patients?
PDGFB/COLIA1 fusion protein
500
What is the name of the flawed study that is often quoted to say there is no benefit of HIPEC in colorectal cancer patients?
PRODIGE 7
Flaws: Used 30 min oxaliplatin bath time for colorectal cancer, now most centers use Mitomycin C
500
This type of hernia often is seen after incisions and is defined by a hernia sliding between the layers of the abdominal wall often seen with intact fascia
Intraparietal hernia
500
What is the preferred perioperative therapy regimen for Esophagogastric junction cancers that have a CPS >1? (name each drug not just abbreviation)
Fluorouracil
Leucovorin
Oxaliplatin
Docetaxel
Durvalumab
500
In trauma surgery, this bedside ultrasound exam evaluates for free fluid in the pericardial, perihepatic, perisplenic, and pelvic spaces
FAST exam
Focused Assessment with Sonography for Trauma