Assessment 3 Flashcards
An exploratory laparotomy for possible perforated bowel, less than 4 hrs will be classified as
Contaminated
Patient had a total gastrectomy, surgeon performed a jejunojejunostomy to
Prevent regurgitation esophagitis
Hip compression screw, the position of the lag screw
1 cm of femoral articular surface
Identify the technique in the diagram to reduce a radius fracture
Traction-countertraction
Using the diagram as a guide, identify A and B. These structures are important landmarks for an open appendectomy
A = Ileocecal value
B = Cecum
Identify A in the diagram. During a AAA, this structure maybe detached and reanastomosed to the graft
Renal Artery
Using the diagram as a guide, as shown in A, this structured was repositioned to the anterior aspect of the medial epicondyle
Ulnar Nerve
Surgery - Ulnar Transposition
Differentiate between an indirect and direct inguinal hernia
Indirect: occurs at any age (usually young), congenital, lateral to inf epigastric a, often descend to scrotum, narrow neck ➔ more likely to strangulate Direct: uncommon in children and young adults, acquired, medial to inf epigastric a, rarely descend to scrotum, wide neck ➔ rarely strangulate
Hernia lateral to rectus muscle
Spigelian
Direct + indirect hernia
Pantaloon
Most dreaded complication of lap cholecystectomy
CBD injury
Early: repair over a stent
Late: biliary reconstruction (hepaticojejunostomy)
Colorectal carcinomas commonly metastasize to the
Liver
McMurray and Lachmann positive
ACL and meniscal tear
Smiths fx: is
Volar displacement
Nerves of Laterjet: Branches to the
Body of stomach
Largest artery to the stomach
Left gastric
Diaphragmatic hernia: Structure that herniates into thorax in sliding hernia
Cardia
Surgical treatment of choice for thyroglossal duct cyst is
Excision of cyst tract and portion of hyoid bone
The Le Fort II fracture is also known as
Pyramidal fracture
Massive bleeding from the lower GI tract (beyond the ligament of Treitz) is most often due to:
Diverticulosis
A massively bleeding posterior duodenal ulcer, which of the following is most likely involved:
Gastroduodenal artery
“Bird’s beak” deformity is a radiologic sign of
Sigmoid volvulus
An imaginary line that divides the liver into right and left lobe that runs from the inferior vena cava to the tip of the gallbladder fossa:
Cantlie’s line
A 3-year-old girl presents with cyanotic spells that have increased in severity and frequency since birth. X-ray shows a boot-shaped heart; ECG reveals right ventricular hypertrophy. The most probable diagnosis is:
tetralogy of Fallot
A patient under anticoagulation therapy using warfarin, who is set to undergo surgery for acute cholecystitis, has decreased prothrombin concentration. Warfarin can be reversed by parenteral dose of:
vitamin K
