Neck pain thyroiditis diagnosis treatment

30 year old female develops neck pain following a recent URI. She has an enlarged and tender thyroid. She is diagnosed with acute thyroiditis What is the treatment? ,[object Object],[object Object],[object Object],[object Object]

Acute thyroiditis ,[object Object],[object Object],[object Object],[object Object],[object Object]

55 year old woman presents with a palpable neck mass and a calcium level of 15. What is the diagnosis? ,[object Object],[object Object],[object Object],[object Object]

Parathyroids ,[object Object],[object Object],[object Object],[object Object],[object Object]

What tests will determine if a 14 year old with a family history of medullary thyroid cancer has MENIIb? ,[object Object],[object Object],[object Object],[object Object]

Stuff to memorize ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Level III axillary lymph nodes are? ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object]

Treatment of a woman with previous irradiation to chest for Hodgkin’s lymphoma who now presents with invasive ductal carcinoma of the left breast ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object]

Tamoxifen ,[object Object],[object Object],[object Object],[object Object]

A 22 year old woman presents with a red, painful breast. She is post partum and breast feeding. What should be her treatment plan? ,[object Object],[object Object],[object Object],[object Object]

Histologic characteristics associated with an increased risk of breast cancer ,[object Object],[object Object],[object Object],[object Object]

Other histologic characteristics associated with an increased risk of breast cancer ,[object Object],[object Object],[object Object],[object Object],[object Object]

The most abundant amino acid is? a. Alanine b. Glutamine c. Valine d. Tryptophan e. Leucine

A patient has received 250 ml of 20% fat and a solution consisting of 2,000 ml of 20% dextrose and 5% amino acid. The total number of calories the patient has received is: ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object]

Respiratory Quotient ,[object Object],[object Object],[object Object],[object Object],[object Object]

A 75 year old woman underwent a Whipple procedure for pancreatic cancer. Her post op course was complicated by an anastomotic leak. She is still on mechanical ventilation post op day #26, with two failed attempts at extubation. On reason that could explain this is a respiratory quotient of: ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

40 yo female with non-tender swelling on right side of face, slightly inferior and anterior to ear. Biopsy reveals pleomorphic adenoma. Best treatment is? ,[object Object],[object Object],[object Object],[object Object]

2. Superficial parotid lobectomy ,[object Object],[object Object],[object Object],[object Object]

45 yo female with non-tender neck mass anterior to SCM. FNA of mass is non-diagnostic. Open biopsy returns the diagnosis of thyroid tissue. Your next step is: ,[object Object],[object Object],[object Object],[object Object],[object Object]

4. Radical neck dissection ,[object Object],[object Object]

19 yo male who fell while snowboarding on to an outstretched hand. What is the most commonly broken bone in the hand? ,[object Object],[object Object],[object Object],[object Object],[object Object]

2. Scaphoid ,[object Object],[object Object],[object Object]

24 yo male who gets a metal splinter in his right third finger. Tip of finger becomes tender and erythematous. What is the best treatment option? ,[object Object],[object Object],[object Object],[object Object],[object Object]

2. Surgical drainage ,[object Object],[object Object],[object Object]

30 yo male who was hit on the back of his head by a baseball bat during a bar fight. Presents to the ER with bilateral “black eyes” and echymosis behind right ear. The most commonly injured nerve is? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Patient is diagnosed with basal skull fracture. Initial treatment is? ,[object Object],[object Object],[object Object],[object Object]

1. Wait 7 days to see if CSF leak stops on own ,[object Object],[object Object],[object Object]

27 yo female with a history of recurrent abdominal pain. Laparoscopy reveals “chocolate cysts” on ovaries. At this point, your treatment plan is: ,[object Object],[object Object],[object Object],[object Object]

4. Remove implants with scope and then treat medically ,[object Object],[object Object],[object Object]

55 yo male with complaint of pneumoturia. The best study to show the etiology is? ,[object Object],[object Object],[object Object],[object Object],[object Object]

3. CT scan ,[object Object],[object Object],[object Object],[object Object]

25 yo male at winter X-games who suffers a femoral shaft fracture while competing in Moto-X “Best Trick” event. Treatment includes: ,[object Object],[object Object],[object Object],[object Object]

2. Intramedullary rod ,[object Object]

10 years after MRM, a woman develops a purplish mass on arm. Next step in management is? ,[object Object],[object Object],[object Object],[object Object],[object Object]

3. Forequarter Amputation ,[object Object],[object Object]

Organism most commonly causing osteomyolitis in a patient with sickle cell disease? ,[object Object],[object Object],[object Object],[object Object]

2. Salmonella ,[object Object],[object Object]

How many NCAA titles has University of Texas won? ,[object Object],[object Object],[object Object],[object Object],[object Object]

5. All of the above ,[object Object],[object Object],[object Object],[object Object]

Drug most commonly associated with TEN (toxic epidermal necrolysis)? ,[object Object],[object Object],[object Object],[object Object],[object Object]

3. Trimethoprim/Sulfamethoxazole ,[object Object],[object Object],[object Object]

18 yo male in high speed MVA. Pt with right tib/fib fracture. Presentation of most common nerve injury associated with this fracture is? ,[object Object],[object Object],[object Object],[object Object]

32 yo male who develops erythema and a painful ulceration on his arm 2 days after cleaning the garage. Treatment for the patient? ,[object Object],[object Object],[object Object],[object Object],[object Object]

4. Dapsone ,[object Object],[object Object],[object Object]

32 yo female with acute onset of RLQ abdominal pain. HR = 120 and BP=85/60. After successful fluid resuscitation, your next step is: ,[object Object],[object Object],[object Object],[object Object]

3. Transvaginal ultrasound ,[object Object],[object Object],[object Object]

75 yo female who has fallen and is found to have a mid-shaft humeral fracture. The nerve most commonly injured? ,[object Object],[object Object],[object Object],[object Object]

1. Radial nerve ,[object Object],[object Object]

8 yo male with femoral shaft fracture. Treatment includes: ,[object Object],[object Object],[object Object]

3. Distal femoral traction and casting ,[object Object]

35 yo male s/p MVA with hematuria. Pt is hemodynamically stable. CT scan of abdomen shows a grade 2 renal injury. The best management is? ,[object Object],[object Object],[object Object],[object Object]

3. Non-operative management ,[object Object],[object Object],[object Object],[object Object]

The correct order that cells arrive for wound healing? ,[object Object],[object Object],[object Object],[object Object],[object Object]

4. Platelets, PMN, macrophages, fibroblasts ,[object Object],[object Object],[object Object]

Source of free oxygen radicals in reperfusion injury? ,[object Object],[object Object],[object Object],[object Object],[object Object]

5. Xanthine oxidase ,[object Object]

67 yo male, smoker, with 1.5 cm lesion on left lateral aspect of the tongue, no palpable LAD. Biopsy shows Squamous cell carcinoma. Best treatment is? ,[object Object],[object Object],[object Object],[object Object],[object Object]

1. Wide local excision ,[object Object],[object Object]

34 yo female, 1 week postpartum, with acute onset of RLQ abdominal pain. Physical exam reveals a tender ropy mass on palpation. Best treatment of this patient is? ,[object Object],[object Object],[object Object],[object Object],[object Object]

4. Admit and start on heparin drip ,[object Object],[object Object]

25 yo male with a lesion on glans of his penis and palpable nodes in right groin. He is uncircumsized. Biopsy is squamous cell carcinoma. Appropriate treatment is? ,[object Object],[object Object],[object Object],[object Object],[object Object]

5. Total penectomy with lymphadenectomy ,[object Object],[object Object]

Lance Armstrong, 7-time Tour de France winner, had non-seminomatous testicular cancer. What tumor marker was elevated? ,[object Object],[object Object],[object Object],[object Object],[object Object]

3. AFP ,[object Object],[object Object],[object Object]

A 30 yo female is brought to HUP, at 2 am, after being hit by a car a the corner of 13 th and Walnut. Primary survey is unremarkable. On secondary survey blood is noticed coming from her vagina. Rectal exam reveals a high-riding prostate. What study is mandatory in this patient? ,[object Object],[object Object],[object Object],[object Object],[object Object]

2. Retrograde urethrogram ,[object Object]

1 year after suffering 2 nd and 3 rd degree burns to his legs, a 19 yo male has a non-healing ulcer on his thigh. Initial treatment is? ,[object Object],[object Object],[object Object],[object Object]

1. Resection of ulcer with negative margins ,[object Object]

Which of the following cancers has the lowest incidence of bone metastases? ,[object Object],[object Object],[object Object],[object Object]

All of the following are metablized by either the liver or the kidneys except? ,[object Object],[object Object],[object Object],[object Object],[object Object]

3. Atricurium ,[object Object]

A 36 yo female on steroids for treatment of sarcoidosis presents with acute appendicitis. After uncomplicated appendectomy, the patient should be given? ,[object Object],[object Object],[object Object],[object Object],[object Object]

One gram of nitrogen contains how many grams of protein? ,[object Object],[object Object],[object Object],[object Object],[object Object]

2. 6.25 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Match drug with side effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Most common collagen in the body? ,[object Object],[object Object],[object Object],[object Object],[object Object]

1. Type 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Most sensitive test to find a gastrinoma? ,[object Object],[object Object],[object Object],[object Object],[object Object]

5. Somatostatin scintigraphy ,[object Object],[object Object]

All of the following are involved in change of a colon adenoma to carcinoma except? ,[object Object],[object Object],[object Object],[object Object],[object Object]

5. c-MYC ,[object Object],[object Object]

All the following are associated with a VIPoma except? ,[object Object],[object Object],[object Object],[object Object],[object Object]

5. Hypocalcemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

34 yo female with long standing odynophagia and presents with the following UGI. The first step is treatment is? ,[object Object],[object Object],[object Object],[object Object],[object Object]

3. Balloon dilation ,[object Object],[object Object],[object Object]

Blood supply to the neo-esophagus s/p transhiatal esophagectomy? ,[object Object],[object Object],[object Object],[object Object],[object Object]

3. Right gastroepiploic ,[object Object],[object Object]

30 yo male presents with the following growth on the roof of his mouth. Treatment includes? ,[object Object],[object Object],[object Object],[object Object],[object Object]

3. Reassurance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Match the following: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Describe chronology of activation of pancreatic exocrine enzymes. ,[object Object],[object Object]

What are causes of early and late dumping syndrome? ,[object Object],[object Object]

Which vagal nerve gives off the celiac branch? ,[object Object]

Name three actions of CCK. ,[object Object],[object Object],[object Object]

What is the most common post-vagotomy symptom? ,[object Object],[object Object]

Through what mediators do gastrin and Ach induce parietal cell H+ release? ,[object Object],[object Object],[object Object]

How does omeprazole work? ,[object Object]

What are the different effects on emptying of liquids and solids by proximal vs. truncal vagotomy? ,[object Object],[object Object]

How is dumping syndrome treated? ,[object Object]

Which vagal nerve gives off the hepatic branch? ,[object Object]

Which vagal nerve gives off the criminal nerve of Grassi? What if this is not divided during vagotomy? ,[object Object],[object Object]

Main action of secretin ,[object Object],[object Object]

After small bowel resection, what compound causes small bowel mucosal hypertrophy? ,[object Object]

What is the composition of bile? ,[object Object],[object Object],[object Object]

Name 2 primary and 2 secondary bile acids ,[object Object],[object Object]

What 2 Ig’s are opsonins? ,[object Object]

What interleuken converts NK cells to LAK (activated)? ,[object Object]

What interleukin stimulates B cells to become plasma cells? ,[object Object]

What is endotoxin? ,[object Object]

4 sites of intraabdominal abscesses ,[object Object],[object Object],[object Object],[object Object]

Why do gallstones form? ,[object Object],[object Object],[object Object]

Organisms most responsible for immediate post-op necrotizing wound infection? ,[object Object],[object Object]

Is staph aureus coag pos or neg? ,[object Object],[object Object]

Where are MHC I and II found and what type of cell do they activate? ,[object Object],[object Object]

How do aminoglycosides work? What leads to resistence? Are they bacteriostatic or bacteriocidal? ,[object Object],[object Object],[object Object]

What cells secrete both TNF and IL-1 during intial injury response? ,[object Object],[object Object]

How do clinda, tetra and erythromycin work? Are they bacteriostatic or bacteriocidal? ,[object Object],[object Object]

What compound is the “ileal brake”? ,[object Object],[object Object],[object Object]

How does vanco work? ,[object Object]

MMC How often? Runs from where to where? Name the 4 phases. What is the key stimulating hormone for the MMC? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What does TGF-B do for a wound? ,[object Object],[object Object]

What causes MRSA resistance? ,[object Object]

How do sulbactam and clavulanate work? ,[object Object]

How does amphotericin work? What organ is most adversely effected by ampho? ,[object Object],[object Object]

When does collagen production begin and max out? ,[object Object],[object Object]

What can you give to counter the effects of steroids on wound healing? ,[object Object]

What does TxA2 do? ,[object Object],[object Object],[object Object]

What cancers is c-myc associated with? ,[object Object],[object Object],[object Object],[object Object]

Growth factors act at the most variable period of the cell cycle. What period is that? ,[object Object]

What syndrome involving a p53 mutation includes sarcomas, breast ca, brain tumors and leukemia? ,[object Object]

How big is the bile pool? How often does it recirculate? How much bile is lost daily? ,[object Object],[object Object],[object Object]

What 4 mutations are involved in colon cancer? ,[object Object],[object Object],[object Object],[object Object]

K ras associated with what 3 cancers? ,[object Object],[object Object],[object Object]

Ret protooncogene associated with what cancer? ,[object Object],[object Object]

Mondor’s disease ,[object Object],[object Object],[object Object]

How does gallbladder concentrate bile? ,[object Object],[object Object]

What does prostacyclin do? ,[object Object],[object Object],[object Object]

Name 2 risks of taking tamoxifen ,[object Object],[object Object]

How do quinolones work? ,[object Object]

Side effect of vincristine and cisplatin ,[object Object]

Result of injury to thoracodorsal nerve ,[object Object],[object Object]

What does PDGF do for a wound? ,[object Object],[object Object]

What vascular conduit allows direct mets from breast cancer to vertebrae? ,[object Object],[object Object]

Amastia, no pectoralis muscles, hypoplastic shoulder ,[object Object]

Where does breast ca met to? ,[object Object],[object Object],[object Object]

Initial cytokine response to injury mainly involves what 2 factors? ,[object Object]

Treatment for DCIS ,[object Object],[object Object],[object Object],[object Object]

Treatment for phyllodes tumor (cystosarcome phyllodes) ,[object Object],[object Object],[object Object],[object Object]

BRCA I and II associated with what? ,[object Object],[object Object]

Indications for XRT after mastectomy ,[object Object],[object Object],[object Object]

Treatment of intraductal papilloma ,[object Object],[object Object],[object Object]

How do sarcomas usually spread? ,[object Object],[object Object]

What is the approach to a extremity sarcoma biopsy? ,[object Object],[object Object],[object Object]

What cells mediate GVHD? ,[object Object]

What is the clo test? ,[object Object]

How does mycophenolate work? ,[object Object]

Result of injury to long thoracic nerve ,[object Object],[object Object]

Risk factors for gastric cancer ,[object Object],[object Object],[object Object],[object Object],[object Object]

Surgical margin for gastric cancer ,[object Object],[object Object]

Why does ileal resection lead to diarrhea? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

List the 4 combinations of ER and PR status from best to worst ,[object Object],[object Object],[object Object],[object Object]

What medication helps symptoms of carcinoid syndrome? ,[object Object]

What cell cycle phase is most sensitive to radiation? ,[object Object]

Ligation of what nerve leads to numbness of inner aspect of upper arm? ,[object Object]

3 most common sites of carcinoid (in order) ,[object Object],[object Object],[object Object],[object Object]

How does prednisone work to treat rejection? ,[object Object]

What is the difference in how papillary vs. follicuar thyroid cancer spread? ,[object Object],[object Object]

After excision of thyroid mass, surgical pathology shows amyloid ,[object Object]

How does digoxin work? ,[object Object]

Treatment of medullary thyroid cancer? ,[object Object],[object Object]

What is the first step in working up a thyroid nodule? ,[object Object],[object Object]

Bone finding associated with hyperparathyroidism ,[object Object]

What if urine calcium is not high in suspected hyperparathyroidism? ,[object Object],[object Object]

What is MEN 2B? ,[object Object],[object Object],[object Object]

What causes hyperacute rejection? ,[object Object]

Treatment for LCIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What causes acute rejection? ,[object Object]

Treatment of acute rejection ,[object Object]

How does azathioprine work? ,[object Object],[object Object]

How does cyclosporin work? ,[object Object],[object Object],[object Object]

How does FK 506 work? ,[object Object],[object Object]

How does OKT3 work? ,[object Object]

What is the most common cause of oliguria after kidney transplant? ,[object Object],[object Object]

How does succinylcholine work? ,[object Object]

How does reglan work? ,[object Object]

Metyrapone and aminogluththimide produce what? ,[object Object]

Leuprolide produces what? ,[object Object]

What medicine closes a PDA? ,[object Object]

What 2 types of thyroid cancer cannot be differentiated by FNA? ,[object Object],[object Object]

What medicine can help people on NSAIDS avoid PUD? ,[object Object]

What blood types are gastric ulcers associate with? ,[object Object],[object Object]

What are the kcal/g breakdowns for carbs / protein / fat? ,[object Object],[object Object],[object Object]

What is the respiratory quotient? How does it work out for fat vs. carbs? ,[object Object],[object Object],[object Object]

What is the preferred fuel of the colon? ,[object Object],[object Object]

What is the preferred fuel of the small bowel? ,[object Object]

The number one amino acid in the blood ,[object Object]

When fat is absorbed, what goes to the liver vs. lymphatics? ,[object Object],[object Object]

Linoleic acid deficiency ,[object Object],[object Object],[object Object]

Vitamin A deficiency ,[object Object]

Na make up of NSS vs. LR ,[object Object],[object Object]

Treatment of hyperkalemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Function of Type I and Type II alveoli ,[object Object],[object Object],[object Object]

Preop FEV1 and Predicted Postop FEV1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Most common lung cancer ,[object Object]

Which type of lung cancer secretes PTH-like substance? ,[object Object]

Which type of lung cancer secretes ACTH and ADH? ,[object Object]

What is a Pancoast tumor? ,[object Object]

Is thymectomy indicated in all cases of myethenia gravis? ,[object Object],[object Object]

What percent of patients with myasthenia gravis have a thymoma? ,[object Object]

Does thoracic outlet syndrome usually involve the artery, vein or nerve? ,[object Object],[object Object]

8 days after MI, patient develops pan-systolic murmur and is decompensating. Most likely diagnosis? ,[object Object]

Treatment for SVC syndrome ,[object Object]

Who gets Takayasu arteritis and what is it? ,[object Object],[object Object]

What kind of heart valve should a young girl get? ,[object Object],[object Object]

How do you treat a thoracic duct injury? ,[object Object],[object Object],[object Object],[object Object],[object Object]

What is size cut-off for operating on a thoracic aortic aneurysm? ,[object Object],[object Object],[object Object],[object Object]

Describe aortic dissections ,[object Object],[object Object]

Most common congenital cardiac defect ,[object Object]

Treatment for VSD ,[object Object],[object Object],[object Object]

When do you surgically close a PDA? ,[object Object]

How does an IABP work? ,[object Object],[object Object],[object Object]

Skin cell involved in contact hypersensitivity (i.e. latex) ,[object Object]

What do Merkel cells do? ,[object Object],[object Object],[object Object]

Benign, painful subungal tumor (underneath fingernail) ,[object Object],[object Object]

Apocrine sweat gland inflammation ,[object Object],[object Object]

How are STSGs vascularized? ,[object Object],[object Object]

Necessary resection margins for melanoma ,[object Object],[object Object],[object Object]

3 most common melanoma organ sites ,[object Object],[object Object],[object Object],[object Object],[object Object]

90% cure rate is associated with what Breslow classification for malignant melanoma? ,[object Object]

4 types of malignant melanoma (starting with worst) ,[object Object],[object Object],[object Object],[object Object]

What is the difference between a hypertrophic scar and a keloid? ,[object Object],[object Object],[object Object]

Indications for a thoracotomy after trauma requiring a tube thoracostomy? ,[object Object],[object Object],[object Object],[object Object]

Treatment for traumatic diaphragmatic rupture ,[object Object],[object Object],[object Object]

What immunologic components are lost after splenectomy? ,[object Object],[object Object],[object Object],[object Object],[object Object]

What about spherocytosis gets better after splenectomy? ,[object Object],[object Object],[object Object]

How does PEEP work? ,[object Object],[object Object],[object Object]

Name 4 things that cause a “right shift” of the Hgb:O2 dissociation curve ,[object Object],[object Object],[object Object],[object Object]

What lab value should always be checked before giving a burn patient silvadene? ,[object Object],[object Object]

What lab abnormalities can be caused by silver nitrate? ,[object Object],[object Object]

What do you call squamous cell carcinoma that develops in a chronic wound? ,[object Object]

What should you know about patients with popliteal artery aneurysms? ,[object Object],[object Object],[object Object],[object Object]

Splenic artery aneurysm ,[object Object],[object Object],[object Object]

AAA 5-year rupture risk ,[object Object],[object Object],[object Object]

Treatment approach to claudication ,[object Object],[object Object],[object Object],[object Object]

CEA 5-year stroke rates ,[object Object],[object Object],[object Object],[object Object]

Most commonly injured cranial nerve during CEA? ,[object Object],[object Object],[object Object]

Young woman with high blood pressure ,[object Object],[object Object],[object Object]

4 stages of atherosclerosis ,[object Object],[object Object],[object Object],[object Object]

Treatment of squamous cell ca of the anus ,[object Object],[object Object],[object Object]

Amsterdam criteria for Lynch ,[object Object],[object Object]

Cerebral Perfusion Pressure ,[object Object],[object Object]

Cushing’s triad with high ICP ,[object Object],[object Object],[object Object]

Glasgow Coma Scale ,[object Object],[object Object],[object Object],[object Object]

Brown Sequard ,[object Object],[object Object],[object Object]

Central Cord Syndrome ,[object Object],[object Object],[object Object]

Bilateral parotid tumors ,[object Object]

Intrinsic coagulation pathway ,[object Object]

Vitamin K inhibits… ,[object Object],[object Object]

Protein C and S do what? ,[object Object],[object Object]

Treatment of vW disease? ,[object Object],[object Object],[object Object]

Hemophilia: 2 types ,[object Object],[object Object],[object Object],[object Object]

How does heparin work? ,[object Object]

Old male with acute abdomen, thickened sigmoid colon on CT, and pneumaturia. What is diagnosis? ,[object Object],[object Object]

What is management of hepatic flexure T2N1M0 carcinoma after R colectomy? ,[object Object],[object Object],[object Object]

2.5 cm hemangioma of eyelid in newborn. What is management? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Young woman with sudden onset of lower abdominal pain, hypotension and tachycardia. Abd is tender and sl. protuberant. What is dx? ,[object Object],[object Object],[object Object],[object Object]

17 year old boy with sudden onset of tender, high riding testicle. Low grade fever. Very tender scrotum. What is therapy? ,[object Object],[object Object],[object Object]

How many calories are in 1000cc of 10% dextrose and 5% amino acids, 1000cc of 10% lipids ,[object Object],[object Object],[object Object],[object Object]

What is the lesion in Peutz-Jahger syndrome? ,[object Object],[object Object],[object Object],[object Object]

where is second most common location of pheo outside of adrenal? ,[object Object],[object Object],[object Object],[object Object]

Where does ovarian ca spread to first? ,[object Object],[object Object],[object Object],[object Object],[object Object]

What organ does not have lymphatic drainage? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Flushing and diarrhea, small bowel LAD, liver mets. What are sx from? ,[object Object],[object Object],[object Object]

Which cell is most abundant in a 10 day old wound? ,[object Object],[object Object],[object Object],[object Object]

Wound Healing ,[object Object],[object Object],[object Object],[object Object]

Tensile strength of a 4 week old wound is due to? ,[object Object]

Answer: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

S/P emergency AAA, now has 20cc of clear yellow urine in foley, what is the management?

Answer: ,[object Object],[object Object],[object Object],[object Object],[object Object]

s/p thyroidectomy 4 hours ago, wound was dry upon closing and all 4 PTH were seen as well as both laryngeal nerves, now pt has stridor, what is the management? ,[object Object],[object Object],[object Object],[object Object]

S/P CEA 2 weeks ago, now with a pulsatile neck mass, with some leakage via the wound, what is the initial management? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Answer ,[object Object],[object Object]

Patient with secondary hyperparathyroidism found 3 of 4 PTH glands on a thorough neck exploration, cannot find the 4th, what do you do? ,[object Object],[object Object],[object Object]

Recurrent cancer in the anastamosis after a LAR, 4 cm proximal to the dentate line, what is the management? ,[object Object],[object Object],[object Object],[object Object]

Pt with hypokalemia, watery diarrhea has a pancreatic lesion seen on CT, what is the most likely diagnosis? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Answer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

How do you treat pain S/P whipple/ chronic pancreatitis? ,[object Object],[object Object],[object Object]

Answer ,[object Object],[object Object],[object Object]

GI Hormones ,[object Object],[object Object],[object Object],[object Object]

GI Hormones Final… ,[object Object],[object Object],[object Object],[object Object]

2 liver mets with a pancreatic lesion VIPoma, what is the mgmt? ,[object Object],[object Object],[object Object],[object Object]

6cm right liver cyst c capsule and several 1cm nearby cysts, fever. What is management? ,[object Object],[object Object],[object Object],[object Object]

Answer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Woman with recently diagnosed MEN II (?I) presents with confusion, bradycardia, widened T, short QT. What is management? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

pt with head injury. Na=118. More frequent convulsions. What is management? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Discussion ,[object Object],[object Object],[object Object]

Woman s/p RT for cervical cancer has recto vaginal fistula. What is first line management ,[object Object],[object Object],[object Object]

Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object]

In bacteremia, TNF ,[object Object],[object Object],[object Object]

Post liver txp, pneumonia c incusion bodies: rx? ,[object Object],[object Object],[object Object],[object Object]

A woman is 3 months post-partum, she presents with ascites & jaundice. Dx by? ,[object Object],[object Object],[object Object],[object Object]

Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

After Whipple, what deficiency would you see? ,[object Object],[object Object],[object Object],[object Object]

A woman is found to have a 4cm small cell lymphoma of the stomach underneath a chronic nonhealing ulcer bed. Proper management is ? ,[object Object],[object Object],[object Object]

80 yo woman with pain in medial thigh and a palpable pelvic mass that’s tender. What is dx? ,[object Object],[object Object],[object Object],[object Object]

A pregnant woman with thyrotoxicosis is refractory to medical therapy. The best management would be: ,[object Object],[object Object],[object Object]

An elderly man has a 1cm penis SCC, what is the management? ,[object Object],[object Object],[object Object],[object Object]

A woman has pain in the C8-T1 distribution exacerbated by abducting her arm. Which is the most likely cause?

An elderly woman has aerobilia and a small bowel obstruction. What is the best management?. ,[object Object],[object Object],[object Object],[object Object]

What is first identified in a lap Nissen to identify the GE junction? ,[object Object],[object Object],[object Object],[object Object]

Answer ,[object Object],[object Object],[object Object],[object Object]

The ureter is hit in a low impact GSW to the belly and there is urinary extravasation. What is best procedure? ,[object Object],[object Object],[object Object]

After a lap chole you do a gram and can see distal CBD but no proximal filling. After dye + changing patients position you still don’t see any. What is next step? ,[object Object],[object Object],[object Object],[object Object]

While changing a central line a tremendous amount of air gets into the proximal port. What is your first move? ,[object Object],[object Object],[object Object],[object Object]

Cells that die in embryogenesis, thymocytes that die from corticosteroids, and cells that die from RT all die from? ,[object Object],[object Object],[object Object],[object Object]

Which hepatic lesion needs to be resected? ,[object Object],[object Object],[object Object],[object Object]

Characterize LES: ,[object Object],[object Object]

Full thickness burns to chest,back, and upper extremities. Now with rising CO2. ,[object Object],[object Object],[object Object],[object Object]

Discussion ,[object Object],[object Object]

Succinylcholine question. Young man in OR for third debridement in for days for severe burns. Has arrest. Next step? ,[object Object],[object Object],[object Object],[object Object]

Trx of Hyperkalemia: ,[object Object]

Increasing end tidal CO2 over 2 minutes in a lap chole pt, what is the management? ,[object Object],[object Object]

Question #1 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Question # 7 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Question # 18 ,[object Object],[object Object],[object Object],[object Object],[object Object]

42 y/o Women w/breast mass and biopsy finds “dermal lymphatic invasion” What is the next step? A. Chemo B. Lumpectomy/XRT C. Mastectomy D. Observation 42 y/o Women w/breast mass and biopsy finds “dermal lymphatic invasion” What is the next step? A. Chemo B. Lumpectomy/XRT C. Mastectomy D. Observation

42 y/o Women w/breast mass and biopsy finds “dermal lymphatic invasion” What is the next step? ,[object Object]

Neck pain thyroiditis diagnosis treatment

Neck pain thyroiditis diagnosis treatment

Recommended

Recommended

More Related Content

What's hot

What's hot (20)

Viewers also liked

Viewers also liked (20)

Similar to Neck pain thyroiditis diagnosis treatment

Similar to Neck pain thyroiditis diagnosis treatment (20)

More from Nir Hus MD, PhD, FACS

More from Nir Hus MD, PhD, FACS (20)

Recently uploaded

Recently uploaded (20)

Neck pain thyroiditis diagnosis treatment

Editor's Notes