Appendix Flashcards

0
Q

Used as landmark to identify the location of appendix

A

Anterior taenia

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1
Q

Most common location of appendix

A

Retrocecal

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2
Q

Spinal nerves involved in cutaneous hyperesthesia

A

T10-12

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3
Q

Most common extrauterine surgical emergency during prensncy

A

Appendicitis

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4
Q

Most important AP related infection

A

Bacteroides fragilis

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5
Q

Most common site of GI carcinoid

A

Appendix

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6
Q

Most common adenocarcinoma in appendix

A

Mucous

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7
Q

Cystic dilatatio of the appendix containing mucoid material

A

Mucocoele

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8
Q

Diffurs collection of gelatinous fluid and mucinous implants on peritoneal surfaces and omentum

A

Pseudomyxoma peritonei

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9
Q

Mgmt for pseudomyxina peritonei

A

Surgical debulking; appendectomy, omentectomy, TAHBSO

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10
Q

Laplace’s law

A

Tension is directly proportional to the radius of sphere

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11
Q

90% of all volvolus

A

Sigmoid

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12
Q

Staging for diverticulitis

A

Hinchey staging

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13
Q

Hinchey stage: localized pericolic abscess

A

I

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14
Q

Large mesenteric abscess

A

II

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15
Q

Hinchey stage: free perforation

A

III

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16
Q

Hinchey stage: free perforation causing fecal peritonitis

A

IV

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17
Q

Most common location of diverticulitis

A

Sigmoid

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18
Q

Management for right sided diverticulitis

A

Segmental ileocecal resection

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19
Q

Most common polyp of colon

A

Hyperplastic

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20
Q

Haggit’s classification of sessile polyps

A

4

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21
Q

Mgmt for polyp

A

Haggits 1-3: polypectomy; 4- segmental colectomy

22
Q

Syndromes with adenomatous polyps

A

Garnder, turcot, FAP

23
Q

Total anoproctocolectomy is done for

24
Use of wire to tighten spinchter
Thiersch procedure
25
Waldeyer's fascia
Retrosacral fascia
26
Denonvillier's fascia
Anterior fascis
27
3 structures consisting the anorectal ring
Puborectalis, internal sphincter, deep portion of external sphincter
28
Cutting of pudendal nerve leads to
Impotence
29
Cutting of hypogastric nerve leads to
Failure in ejaculation(retrograde)
30
Part of rectum that is extraperitoneal
Distal 3rd
31
Grade of hemorrhoids: bleeding, no protrusion
1st
32
Grade of hemorrhoids: bleeding with prolapse but reduces spotaneosly
2nd
33
Grade of hemorrhoids: bleeding with prolapse, reduces manually
3rd
34
Bleeding, prolapse cannot be reduced (Grade of hemorrhoids)
4th
35
Hemorrhoids that require surgery
3rd and 4th
36
Rubber band ligation for what degree of hemorrhoids
2nd
37
Tear in anoderm distal to dentate line
Anal fissure
38
Lateral internal sphincterotomy is for
Chronic anal fissure
39
Keyhole deformity is in?
Anal fissure, cutting at 6 o clock position
40
Anorectal abscess is the infection of anal glands where
Intersphincteric space
41
Chronic form of anorectal abscess
Fistula in ano
42
Rule followed by fistula in ano
Goodsall's rule
43
Management for squamous cell CA of anus
Wide local excision with 2cm margin; if sphincter cannot be spared- APR
44
Mgmt for basal cell Ca , bowens disease of anus
Wide excision with adequate margins
45
Intraepidermal squamous cell ca
Bowen's disease
46
Mgmt for paget's disease in anus
Wide local excision , apr for advanced lesions
47
Location of anal canal
Above dentate line
48
Managment for epidermoid CA of anus
Negroid protocol!
49
Most important muscle for continence
Puborectalis
50
Etiology for diaphrargmatic hernia
Deterioration of phrenoesophageal membrane
51
Mgmt for low grade dysplasia(esophageal adenoCA)-
follow up EGD, biopsy early
52
Mgmtnt for high grade dysplasia (esophagus)
Esophagectomy