Nerve implicated in Frey syndrome — parasympathetic postganglionic fibers to parotid Correct
Answer: Auriculotemporal nerve
Management
... [Show More] recommendations for BRCA and don't want children or any more Correct Answer: BSO,
bilateral mastectomy, HRT until 50
Next step for spontaneous skin ulceration in arm in post modified radical mastectomy patient Correct
Answer: Incisional biopsy because likely lymphangiosarcoma/Stewart-Treves syndrome and therapy
will be WLE +/- isolated limb perfusion
First line treatment for acute limb ischemia of the lower extremity Correct Answer: Percutaneous
transluminal angioplasty unless long segment or multiple segments, then open approach
Technique for SMA embolectomy Correct Answer: Transverse incision of proximal SMA, just distal to
middle colic, 2-3 fog arty proximal and distal, close with interrupted prolene
Is BRCA1 or 2 higher risk for breast cancer? For ovarian cancer Correct Answer: BRCA 1 for both
Organism associated with human bites Correct Answer: Eike Nella corrodes
Organism associated with lymphangitis Correct Answer: Strep pyrogens
Management for rhabdomyolysis Correct Answer: IV fluids and alkalization of the urine
How is vitamin K synthesized in the body? Correct Answer: Colonic bacteria
Anticoagulation recommendations for mechanical and bioprosthetic valves Correct Answer:
Mechanical must be on vit K anticoagulant w/target INR for aortic and high risk mitral 3 and 2.5 for
others, and add low dose asa if low bleeding risk. Surgical aortic: asa for 3 mo, and surgical mitral or
tricuspid vit K anticoagulant x3 mo, and low dose asa indefinitely for these if low bleeding risk.
Transcatheter aortic: dual anti-plt therapy 3-6 mo and low dose asa indefinitely
Pathophysiology of gynecomastia Correct Answer: Decreased androgen production and either
increased estrogen production or estrogen precursors are the main cause. Also can have decreased
androgen to receptor binding and increased androgen binding to sex hormone binding globulin
Octreotide mechanism of action for varices treatment Correct Answer: Splanchnic vasoconstriction
and decreases portal htn
Liver abscess treated with flagyl Correct Answer: Amoebic liver abscesses from entamoeba
histolytica
Liver abscess treated with albendazole Correct Answer: Hydratid liver cysts
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