CC Unit Three

Question 1

Cremasteric reflex

Answer 1

In: ilioinguinal
Out: genital of genitofemoral

None when testis twisted

Question 2

Varicocele

Answer 2

Pampaniform plexus becomes dilated and tortuous. Usually on left

Question 3

Hydrocele of spermatic cord

Answer 3

Too much fluid in scrotum/ cord, injury to epididymus

Question 4

Cancer in testis

Answer 4

Testis to lumbar lymph nodes and para aortic, scrotum to superficial inguinal

Question 5

Indirect hernia

Answer 5

Through the deep and superficial inguinal rings, into scrotum/labia. Patent process vaginalis

Question 6

Direct hernia

Answer 6

Through only superficial ring, rarely enters scrotum

Question 7

Cystic artery severance

Answer 7

Compress common hepatic artery

Question 8

Abdominal paracentisis

Answer 8

Inserted superior to bladder

Question 9

Ascites

Answer 9

Excess fluid in peritoneal cavity

Question 10

Esophageal varices

Answer 10

Caused by portal hypertension or cirrhosis.

Blood backs up

Question 11

Sliding hernia

Answer 11

Esophagus, cardia, fundus. Slide up to thorax, regurgitation of food

Question 12

Paraesophageal hernia

Answer 12

Pouch into thorax, no regurgitation

Question 13

Stomach cancer

Answer 13

Usually in pyloric region

Question 14

Gastric ulcers

Answer 14

Lesions of stomach mucosa, usually caused by h pylori infection.

Question 15

Vagotomy

Answer 15

Vagus controls acid in stomach, resected to control that

Question 16

Congenital hypertrophic pyloric stenosis

Answer 16

Hard pylorus, forceful vomiting

Question 17

Meckels diverticulum

Answer 17

Remnant of embryonic yolk stalk. Can mimic appendicitis

Question 18

Appendectomy

Answer 18

Incision at McBurney point. Sometimes appendix on left due to malrotation or cecum fails to descend

Question 19

Portal hypertension

Answer 19

Obstruction of venous system. Bleeding, varicose veins. Treated with shunts

Question 20

Cirrhosis

Answer 20

Hepatomegaly, firms up liver. Caused by alcohol or industrial solvents

Question 21

Spleen rupture

Answer 21

Rib fracture, blunt trauma. Bleeding and shock. Treated by splenectomy

Question 22

Splenomegaly

Answer 22

Leukemia, hypertension, anemias

Question 23

Gallstones

Answer 23

Made of cholesterol, pain in epigastric region.

Question 24

Cholecystitis

Answer 24

Inflammation of gallbladder. Pain in right shoulder/posterior thorax, jaundice

Question 25

Pancreatitis

Answer 25

Bile enters because of block at hepatopancreatic ampulla

Question 26

Pancreatic cancer

Answer 26

Retention of bile and jaundice, severe pain

Question 27

Gallstones in duodenum

Answer 27

Gallbladder forms fistula to GI tract. Bowel obstruction

Question 28

Diaphragmatic rupture

Answer 28

Most on left. When congenital, mortality rate high due to lung not developing

Question 29

Psoas access

Answer 29

Caused by TB. Ends up over brim and under ligament to leg

Question 30

Nutcracker syndrome

Answer 30

Compression of renal vein via superior mesenteric artery

Question 31

Kidney stones

Answer 31

Pain due to hyperperistalsis, migratory pain

Question 32

Injury to superior gluteal nerve

Answer 32

Lose gluteus medius, and minimus. Positive trendelenburg test. Opposite leg drop, or gait modification.

Question 33

Piriformis syndrome.

Answer 33

Compression of sciatic nerve by piriform muscle. Butt pain

Question 34

Safe injection site on butt

Answer 34

Upper outer quadrant

Question 35

Spondylolysis

Answer 35

Vertebral arch separated from body. Prominent L5

Question 36

Hip type variations

Answer 36

Android- m and white w Gynecoid-w and black w Anthropoid- m and black w Platypelloid- uncommon

Question 37

Pelvic floor injuries

Answer 37

Levator ani muscles damaged most commonly

Question 38

Bladder rupture

Answer 38

Superior form intraperitoneal | Inferior is extraperitoneal

Question 39

Hysterectomy

Answer 39

Damage to ureter is possible, near uterine artery

Question 40

Prolapsed uterus

Answer 40

Can descend into vagina when uterus is retroverted

Question 41

Ectopic pregnancy

Answer 41

Usually in ampulla

Question 42

Hemorrhoids

Answer 42

Internal rectal venous plexus for internal, external for external. External are painful

Question 43

Ischial bursitis

Answer 43

Hamstrings and ischial tuberosity

Question 44

Trochanteric bursitis

Answer 44

Gluteus Maximus and greater trochanter

Question 45

Hip pointer

Answer 45

Confusion of iliac crest

Question 46

Cox vara

Answer 46

Less angle between femur and hip

Question 47

Cox valga

Answer 47

More angle between femur and hip

Question 48

Genu varum

Answer 48

Bow legged

Question 49

Genu valgum

Answer 49

Knock knee

Question 50

Dislocated epiphysis of femoral head

Answer 50

Slow dislocation, referred pain to knee

Question 51

Runners knee

Answer 51

Inflamed chondral cartilage, pain deep to patella

Question 52

Tibial fracture

Answer 52

Middle and inferior thirds junction

Question 53

Potts fracture

Answer 53

Foot eversion, torn medial malleolus and broken fibula

Question 54

Femoral hernia

Answer 54

Through femoral ring, abdominal viscera

Question 55

Knee jerk

Answer 55

L2-4

Question 56

Hallux valgus

Answer 56

Large deviation of big toe

Question 57

Tennis leg

Answer 57

Partial tearing of medial gastrocnemius

Question 58

Drop foot

Answer 58

Loss of peroneal nerve

Question 59

Tibial nerve entrapment

Answer 59

Heel pain, entrapped by flexor retinaculum

Question 60

Popliteal abcess

Answer 60

Spreads superiorly and inferiorly

Question 61

Ankle jerk

Answer 61

S1,2

Question 62

Club foot

Answer 62

Inverted and plantarflexed

Question 63

Deep vein thrombosis

Answer 63

Femoral vein

Question 64

Unhappy triad

Answer 64

ACL, MCL, medial meniscus

Question 65

Plantar reflex

Answer 65

L4-S2