Abdomen

Question 1

Describe a richters hernia

Answer 1

part of the wall of the small bowel is strangulated in a hernia, luminal patency is-reserved. Vomit can occur from paralytic ileum.

Question 2

Describe Meckels diverticulum

Answer 2

Congenital abnormality 2% of the population and 2 ft from the IC valve.

Question 3

Where is a femoral hernia?

Answer 3

Below and lateral to the pubic tubercle

Question 4

Where is a meckels embryologically from?

Answer 4

Vitello intestinal duct

Question 5

How is an ileal-ileal intuscusseption managed in a child?

Answer 5

laparotomy

Question 6

Management of ileo colic intersuseption?

Answer 6

pneumatic reduction as long as no risk of impending perforation

Question 7

What is boas sign?

Answer 7

Cholecystitis - hyperparasthaesia in the lower right scapula or RUQ

Question 8

Management of a splenic vein thrombosis?

Answer 8

Splenectomy

Question 9

What are the risks in abdominal surgery in obese patient?

Answer 9

consider abdominal compartment syndrome

Question 10

Borders of the femoral canal?

Answer 10

lateral - femoral vein, medial - lacunar ligament, anterior - inguinal ligament, posterior - pectineal ligament

Question 11

Where is the haemorrhage in Cullens sign?

Answer 11

Intraperitoneal

Question 12

Where is the haemorrhage in grey turners sign?

Answer 12

Retroperitoneal

Question 13

What is the lining of a Meckels diverticulum?

Answer 13

asymptomatic - ideal mucosa, symptomatic - gastric mucosa

Question 14

Which lymph do the ovaries drain to?

Answer 14

para-aortic

Question 15

Which lymph does the fungus of the uterus drain to?

Answer 15

the inguinal

Question 16

which lymph does the body of the uterus drain to ?

Answer 16

the iliac

Question 17

Which lymph does the cervix drain to

Answer 17

external iliac, uterosacral, internal iliac

Question 18

which lymph does the prostate drain to

Answer 18

internal iliac

Question 19

Which lymph doe the spongy / glans penis drain to?

Answer 19

deep inguinal

Question 20

which lymph does the prostatic and membranous urethra drain to?

Answer 20

the internal iliac

Question 21

what level is transpyloric plane?

Answer 21

l1

Question 22

The appendicular artery is a branch of what?

Answer 22

the ileocolic artery

Question 23

what level is the IMA?

Answer 23

l3

Question 24

What level is SMA?

Answer 24

l1

Question 25

what level is ceoliac trunk?

Answer 25

t12

Question 26

what level does the aorta bifuricate into the iliac arteries?

Answer 26

l4