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Total questions: 10
Worksheet time: 7mins
Which of the following could be performed to mitigate bleeding during splenectomy for a patient with severe splenomegaly?
Preoperative angioembolization
Preoperative platelet transfusion
Intraoperative tranexamic acid infusion
Insertion of a Sengstaken-Blakemore tube
Splenectomy results in the loss of what immunologic protein?
Tuftsin
Immunoglobulin A
Membrane attack complex
C3 convertase
A 48-year-old female presents to your office to discuss splenectomy for idiopathic thrombocytopenic purpura. Which of the following is true?
Nonrandomized comparative trials have demonstrated better outcomes from laparoscopic splenectomy compared to open splenectomy.
Laparoscopic splenectomy is associated with an increased incidence of blood transfusion.
The incidence of platelet transfusion is lower in open splenectomy compared to laparoscopic splenectomy.
Randomized controlled trials have demonstrated improved outcomes from laparoscopic splenectomy compared to open splenectomy for ITP.
What is the optimal timing of platelet transfusion in a patient with ITP?
Preoperatively
After ligation of the splenic vein
After ligation of the splenic artery
Postoperatively
What ligament contains the vascular supply to the spleen?
Splenocolic ligament
Gastrosplenic ligament
Phrenosplenic ligament
Splenorenal ligament
When should a patient be vaccinated prior to elective splenectomy?
The day of surgery
7 days
14 days
21 days
What is the embryologic origin of the spleen?
Endoderm
Mesoderm
Ectoderm
Neural crest cells
What is the most common cause of splenic artery/vein thrombosis?
Portal hypertension
Pancreatitis
Pancreatic cancer
Factor V Leiden
Antiphospholipid syndrome
What type of bacteria does the spleen opsonize better than the liver?
Encapsulated organisms
Yeast
Parasites
Gram positives
Which of the following conditions is an indication for splenectomy?
Sickle cell anemia
Myelofibrosis
TTP
Asymptomatic 1.5-cm mid-splenic artery aneurysm
