Podcast
Questions and Answers
What is the rationale for positioning the patient as far away from the radiation source as possible during an angiogram?
What is the rationale for positioning the patient as far away from the radiation source as possible during an angiogram?
Which procedure is preferred for recurrent or pervasive pilonidal disease?
Which procedure is preferred for recurrent or pervasive pilonidal disease?
Why is creating off-midline incisions for pilonidal cysts considered beneficial?
Why is creating off-midline incisions for pilonidal cysts considered beneficial?
Which serum tumor marker is elevated in the majority of nonseminomatous germ cell tumors?
Which serum tumor marker is elevated in the majority of nonseminomatous germ cell tumors?
Signup and view all the answers
When is β-hCG elevated in seminomas?
When is β-hCG elevated in seminomas?
Signup and view all the answers
Why should the image intensifier be positioned as close to the patient as possible during an angiogram?
Why should the image intensifier be positioned as close to the patient as possible during an angiogram?
Signup and view all the answers
Which procedure involves en bloc resection of the parathyroid gland and ipsilateral thyroid lobe?
Which procedure involves en bloc resection of the parathyroid gland and ipsilateral thyroid lobe?
Signup and view all the answers
What is the best initial surgical management for a rare type of hernia that is present inferior to the inguinal ligament?
What is the best initial surgical management for a rare type of hernia that is present inferior to the inguinal ligament?
Signup and view all the answers
Which testing should be recommended as a first-line test in patients with suspected Cushing syndrome, according to The Endocrine Society's clinical guidelines?
Which testing should be recommended as a first-line test in patients with suspected Cushing syndrome, according to The Endocrine Society's clinical guidelines?
Signup and view all the answers
Which type of ryanodine receptor is expressed in the myocardium?
Which type of ryanodine receptor is expressed in the myocardium?
Signup and view all the answers
What is the treatment for Helicobacter pylori if a penicillin allergy is present?
What is the treatment for Helicobacter pylori if a penicillin allergy is present?
Signup and view all the answers
What is the most feared complication after total or partial gastrectomy, especially with Billroth II reconstruction?
What is the most feared complication after total or partial gastrectomy, especially with Billroth II reconstruction?
Signup and view all the answers
What causes duodenal atresia?
What causes duodenal atresia?
Signup and view all the answers
"The finding of a 'double-bubble' sign on abdominal radiography is usually pathognomonic for" which condition?
"The finding of a 'double-bubble' sign on abdominal radiography is usually pathognomonic for" which condition?
Signup and view all the answers
Which of the following factors should prompt consideration of conversion to an open approach during laparoscopic intervention?
Which of the following factors should prompt consideration of conversion to an open approach during laparoscopic intervention?
Signup and view all the answers
What is the most effective initial treatment for patients with type I hiatal hernias who are asymptomatic?
What is the most effective initial treatment for patients with type I hiatal hernias who are asymptomatic?
Signup and view all the answers
What condition is characterized by a deficiency in phosphate and worsened by insulin surge with the administration of food/nutrition?
What condition is characterized by a deficiency in phosphate and worsened by insulin surge with the administration of food/nutrition?
Signup and view all the answers
What gene mutation is associated with Von Hippel-Lindau syndrome?
What gene mutation is associated with Von Hippel-Lindau syndrome?
Signup and view all the answers
What type of hiatal hernia presents with dysphagia, early satiety, and postprandial pain?
What type of hiatal hernia presents with dysphagia, early satiety, and postprandial pain?
Signup and view all the answers
Which gene mutation is associated with retinoblastoma?
Which gene mutation is associated with retinoblastoma?
Signup and view all the answers
What type of cholesteatoma arises from either retraction pockets within the tympanic membrane or secondarily from a tympanic membrane perforation?
What type of cholesteatoma arises from either retraction pockets within the tympanic membrane or secondarily from a tympanic membrane perforation?
Signup and view all the answers
What is the best treatment for refeeding syndrome?
What is the best treatment for refeeding syndrome?
Signup and view all the answers
What is the main treatment modality for signs of refeeding syndrome when nutritional support is started?
What is the main treatment modality for signs of refeeding syndrome when nutritional support is started?
Signup and view all the answers
Which gene mutation is associated with breast and ovarian cancer?
Which gene mutation is associated with breast and ovarian cancer?
Signup and view all the answers
What type of atrial septal defect causes a left-to-right shunt with potential development of congestive heart failure?
What type of atrial septal defect causes a left-to-right shunt with potential development of congestive heart failure?
Signup and view all the answers
What is the mechanism of action in refeeding syndrome?
What is the mechanism of action in refeeding syndrome?
Signup and view all the answers
What is the most appropriate surgical resection for a tumor in the proximal transverse colon?
What is the most appropriate surgical resection for a tumor in the proximal transverse colon?
Signup and view all the answers
What is the terminal branch of the superior mesenteric artery that supplies blood flow to the terminal ileum and the proximal ascending colon?
What is the terminal branch of the superior mesenteric artery that supplies blood flow to the terminal ileum and the proximal ascending colon?
Signup and view all the answers
Which treatment involves division of both branches of the middle colic artery and the origin of the inferior mesenteric artery?
Which treatment involves division of both branches of the middle colic artery and the origin of the inferior mesenteric artery?
Signup and view all the answers
What is the definitive treatment for mediastinitis?
What is the definitive treatment for mediastinitis?
Signup and view all the answers
What are the risk factors for developing mediastinitis?
What are the risk factors for developing mediastinitis?
Signup and view all the answers
What are the most common locations for an accessory spleen?
What are the most common locations for an accessory spleen?
Signup and view all the answers
What is Pancoast syndrome associated with?
What is Pancoast syndrome associated with?
Signup and view all the answers
What is the most common acute transfusion reaction?
What is the most common acute transfusion reaction?
Signup and view all the answers
What is the drug of choice for closure of persistent ductus arteriosus?
What is the drug of choice for closure of persistent ductus arteriosus?
Signup and view all the answers
What should be done to obtain infectious source control in anorectal Crohn abscess/fistula?
What should be done to obtain infectious source control in anorectal Crohn abscess/fistula?
Signup and view all the answers
What should be avoided in all but the most simple and superficial fistulas in patients with no evidence of proctitis?
What should be avoided in all but the most simple and superficial fistulas in patients with no evidence of proctitis?
Signup and view all the answers
Which medications have been shown to improve fistulizing Crohn disease?
Which medications have been shown to improve fistulizing Crohn disease?
Signup and view all the answers
What is the antidote for acetaminophen toxicity?
What is the antidote for acetaminophen toxicity?
Signup and view all the answers
Which factors may lead to increased 30-day mortality following emergency laparotomy?
Which factors may lead to increased 30-day mortality following emergency laparotomy?
Signup and view all the answers
What is the preferred agent for managing esophageal variceal bleeding in the United States?
What is the preferred agent for managing esophageal variceal bleeding in the United States?
Signup and view all the answers
What is the reversal agent for the neuromuscular blockers rocuronium and vecuronium?
What is the reversal agent for the neuromuscular blockers rocuronium and vecuronium?
Signup and view all the answers
What can cause a clinically significant decrease in oral fluoroquinolone bioavailability and an overall increase in fluoroquinolone-resistant bacteria?
What can cause a clinically significant decrease in oral fluoroquinolone bioavailability and an overall increase in fluoroquinolone-resistant bacteria?
Signup and view all the answers
What is used as an antidote for sodium nitroprusside toxicity and cyanide toxicity?
What is used as an antidote for sodium nitroprusside toxicity and cyanide toxicity?
Signup and view all the answers
In which patients is intracranial pressure monitoring indicated?
In which patients is intracranial pressure monitoring indicated?
Signup and view all the answers
Which agent antagonizes cardiac depression in beta-blocker toxicity?
Which agent antagonizes cardiac depression in beta-blocker toxicity?
Signup and view all the answers
What imaging is used to rule out motility disorders such as diffuse esophageal spasm or esophageal web/strictures?
What imaging is used to rule out motility disorders such as diffuse esophageal spasm or esophageal web/strictures?
Signup and view all the answers
What is the most common age range for pancreatic cancer cases?
What is the most common age range for pancreatic cancer cases?
Signup and view all the answers
What is the initial management focus for patients with esophageal variceal bleeding?
What is the initial management focus for patients with esophageal variceal bleeding?
Signup and view all the answers
What is the primary treatment for melanoma?
What is the primary treatment for melanoma?
Signup and view all the answers
What is the most common type of thyroid cancer?
What is the most common type of thyroid cancer?
Signup and view all the answers
What is the mnemonic recommended by ATLS for the history component in the secondary survey?
What is the mnemonic recommended by ATLS for the history component in the secondary survey?
Signup and view all the answers
Which cells are considered obligate glucose users?
Which cells are considered obligate glucose users?
Signup and view all the answers
What is the primary fuel source for neoplastic cells?
What is the primary fuel source for neoplastic cells?
Signup and view all the answers
What is the etiology of chylous ascites in a patient with end-stage pancreatic cancer?
What is the etiology of chylous ascites in a patient with end-stage pancreatic cancer?
Signup and view all the answers
What is the recommended treatment for non-disseminated cancer or long stricture associated with esophageal perforation?
What is the recommended treatment for non-disseminated cancer or long stricture associated with esophageal perforation?
Signup and view all the answers
What is the most common cause of Wernicke encephalopathy?
What is the most common cause of Wernicke encephalopathy?
Signup and view all the answers
What are the manifestations of thiamine deficiency?
What are the manifestations of thiamine deficiency?
Signup and view all the answers