Exam 3 GI Surgeries

Question 1

Bariatric Surgery: Qualifying pts?

Answer 1

BMI > 40

BMI > 35 w/ co-morb

Question 2

Bariatric Surgery: Roux-En-Y Bypass? (3)

Answer 2

Most C
Leaves 30mL pouch
Restrictive and malabsorptive

Question 3

Bariatric Surgery: Banding?

Answer 3

Restrictive

Question 4

Bariatric Surgery: Sleeve?

Answer 4

Greater curvature removed

Restrictive

Question 5

Total Gastrectomy nutritional effects? (3)

Answer 5

B12/Folate/Intrinsic factor deficiency = Macro anemia

Fe deficiency = Micro anemia

Ca2+/Vit D deficiency

Question 6

Meckel’s Diverticulum is?

Found?

Answer 6

True diverticulum

Antimesenteric border of ileum

Question 7

Meckel’s Diverticulum Rule of 2s?

Answer 7

2% of pop
2:1 M:F
2 yo
2 ft from ileocecal valve
2" long
2 types of mucosa (gastric or sm intest)

Question 8

Meckel’s Diverticulum presentation? (4)

Answer 8

Asympt
Abd pain
Bleed
Obstruction

Question 9

Meckel’s Diverticulum studies? (3)

Tx?

Answer 9

Meckel’s Scan (Tech-99 nuclear)
Mesenteric Arteriography
Abd Exploration

Resection

Question 10

Common Dzs of Colon/Rectum? (8)

Answer 10

Diverticulosis
Polyps
AdenoCA
Ulceritive colitis
Hemorr
Fissures
Volvulus
Crohn's

Question 11

Colon Resection types:

Proctocolectomy

Abdominoperineal Resection

Low Anterior Resection

Answer 11

Removal of entire colon/rectum

Removal of low sigmoid colon/rectum/anus

Removal of distal sigmoid colon and 1/2 of rectum. Proximal sig/distal rectum anastamosis

Question 12

Hemorrhoid classification/treatment: Grade I?

Answer 12

Palp, nonprolapsing, enlarged venous cushions

Fiber, stool soft

Question 13

Hemorrhoid classification/treatment: Grade II?

Answer 13

Prolapse w/ strain, spontaneously reduce

Elastic ligation

Question 14

Hemorrhoid classification/treatment: Grade III?

Answer 14

Spontaneously prolapse, manual reduction

Hemorrhoidectomy

Question 15

Hemorrhoid classification/treatment: Grade IV?

Answer 15

Chronic prolapse, can’t reduce

Hemorrhoidectomy

Question 16

Indirect Inguinal Hernia? (4)

Answer 16

Most C
Thru deep inguinal ring
Lateral to epigastric vessels
P into scrotum/labia

Question 17

Direct Inguinal Hernia? (2)

Answer 17

Thru Hasselbach’s

Area of weakness in floor of canal

Question 18

Hernia repair post-op complications? (4)

Answer 18

Scrotal hematoma/swelling
Hemorrhage
Void difficulty
Neuroma from nn damage

Question 19

Pilonidal Cysts are?

Answer 19

Skin lesions in sacrococcygeal area
U boys post puperty
U midline
U hair follicle obstruction

Question 20

Pilonidal Cyst tx?

Answer 20

I&D
ABX

If chronic:
open sinus
excision
cystectomy