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Topnotch Surgery Pearls > Appendix > Flashcards

Appendix Flashcards

1
Q

Used as landmark to identify the location of appendix

A

Anterior taenia

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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

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22
Q

Syndromes with adenomatous polyps

A

Garnder, turcot, FAP

23
Q

Total anoproctocolectomy is done for

A

FAP

24
Q

Use of wire to tighten spinchter

A

Thiersch procedure

25
Q

Waldeyer’s fascia

A

Retrosacral fascia

26
Q

Denonvillier’s fascia

A

Anterior fascis

27
Q

3 structures consisting the anorectal ring

A

Puborectalis, internal sphincter, deep portion of external sphincter

28
Q

Cutting of pudendal nerve leads to

A

Impotence

29
Q

Cutting of hypogastric nerve leads to

A

Failure in ejaculation(retrograde)

30
Q

Part of rectum that is extraperitoneal

A

Distal 3rd

31
Q

Grade of hemorrhoids: bleeding, no protrusion

A

1st

32
Q

Grade of hemorrhoids: bleeding with prolapse but reduces spotaneosly

A

2nd

33
Q

Grade of hemorrhoids: bleeding with prolapse, reduces manually

A

3rd

34
Q

Bleeding, prolapse cannot be reduced (Grade of hemorrhoids)

A

4th

35
Q

Hemorrhoids that require surgery

A

3rd and 4th

36
Q

Rubber band ligation for what degree of hemorrhoids

A

2nd

37
Q

Tear in anoderm distal to dentate line

A

Anal fissure

38
Q

Lateral internal sphincterotomy is for

A

Chronic anal fissure

39
Q

Keyhole deformity is in?

A

Anal fissure, cutting at 6 o clock position

40
Q

Anorectal abscess is the infection of anal glands where

A

Intersphincteric space

41
Q

Chronic form of anorectal abscess

A

Fistula in ano

42
Q

Rule followed by fistula in ano

A

Goodsall’s rule

43
Q

Management for squamous cell CA of anus

A

Wide local excision with 2cm margin; if sphincter cannot be spared- APR

44
Q

Mgmt for basal cell Ca , bowens disease of anus

A

Wide excision with adequate margins

45
Q

Intraepidermal squamous cell ca

A

Bowen’s disease

46
Q

Mgmt for paget’s disease in anus

A

Wide local excision , apr for advanced lesions

47
Q

Location of anal canal

A

Above dentate line

48
Q

Managment for epidermoid CA of anus

A

Negroid protocol!

49
Q

Most important muscle for continence

A

Puborectalis

50
Q

Etiology for diaphrargmatic hernia

A

Deterioration of phrenoesophageal membrane

51
Q

Mgmt for low grade dysplasia(esophageal adenoCA)-

A

follow up EGD, biopsy early

52
Q

Mgmtnt for high grade dysplasia (esophagus)

A

Esophagectomy

53
Q

Most common location of appendix

A

Retrocecal

Topnotch Surgery Pearls (12 decks)

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