Which statement is FALSE regarding Familial Mediterranean Fever?

1.   ?    Occurs in teenagers of Turkish descent
2.   ?    Autosomal dominant
3.   ?    Associated with intermittent abdominal pain
4.   ?    All of the above

Which is TRUE regarding Budd-Chiari syndrome?

1.   ?    May be associated with factor V Leiden mutation
2.   ?    May be associated with Polycythemia
3.   ?    20% have PV or IVC thrombosis
4.   ?    Liver abscess may be associated
5.   ?    All of the above

T or F: Somatostatin is effective for lymphatic fistulas.

1.   ?    True
2.   ?    False

What is the treatment of urinary ascites in a newborn?

1.   ?    Peritoneal catheter drainage of the abdomen
2.   ?    Observation and foley decompression of the bladder initially
3.   ?    Bilateral percutaneous nephrostomies
4.   ?    Celiotomy and repair of the leak site

What vessel can be injured during crural dissection for a lap fundo?

1.   ?    Right gastric artery
2.   ?    Left gastric artery
3.   ?    Aberrant left hapatic artery
4.   ?    Superior mesenteric artery

Which is FALSE regarding abdominal compartment syndrome?

1.   ?    Peak airway pressure is elevated
2.   ?    Bladder pressure above 10 cm H20 is diagnostic
3.   ?    Treatment is emergent operative decompression
4.   ?    Oligure is frequent

What is the usual treatment for focal nodular hyperplasia of the liver?

1.   ?    Wedge resection
2.   ?    Lobectomy
3.   ?    Embolization
4.   ?    Observation

Which is TRUE regarding intusussception in adults versus children?

1.   ?    Both can be treated with enema reduction
2.   ?    Male: Female ratio is 3-4 to 1 in both groups
3.   ?    Malignant lead point is highest in pateints older than 60 yrs
4.   ?    All of the above

Which statement is FALSE regarding tumor necrosis factor (infliximab) in Crohns?

1.   ?    Promotes healing in fistulae
2.   ?    Decreases need for surgical intervention
3.   ?    Better results with perianal than proximal disease
4.   ?    TNF is more efficacious than Mesalamine for anal fisulae

Which of the following is NOT associated with persistence of enterocutaneous fistula?

1.   ?    Foreign body
2.   ?    Location of the fistula
3.   ?    Distal obstruction
4.   ?    Malignancy

Which statement is FALSE regarding stricturoplasty for Crohns disease?

1.   ?    Resection and anastomosis have a lower complication rate
2.   ?    Best for longer segments with more than one stricture
3.   ?    Higher recurrence rate than for resection and anastomosis
4.   ?    Smoking may increase risk of recurrence

Which of the following is an appropriate treatment for a 17 year old male with 2 years of stable claudication?

1.   ?    Incision / release of the medial head of the gastrocnemius
2.   ?    Femoral - tibial bypass
3.   ?    Gastrocnemius release and interposition popliteal graft
4.   ?    Observation and excercise