F - Boards In A Flash - Surgery

Question 1

BP approximation

Answer 1

Carotid pulse - at least 60mmHg
Femoral pulse.- atleast 70mmHg
Radial pulse - at least 80mmHg

Question 2

Blood loss in fracutres

Answer 2

Each rib: 100-200 mL
Tibia: 300-500 mL
Femur: 800-1000 mL
Pelvis: >1000mL

Question 3

Radical neck dissection

Answer 3

Cervical ln (I-V)
\+ SCM + IJV + CN XI

Question 4

CUTANEOUS hyperesthesia over right t10, T11, T12

Answer 4

Sherren’s triangle

Question 5

Refeeding syndrome

Answer 5

Decreased:

PO4, Mg, K, Ca

Question 6

Inhibitors of GP IIbIIIa

Answer 6

Eptifibatide
Abciximab
Tirofiban

Question 7

5 W’s of post-op fever

Answer 7

Wind (pneumonia)
Water (UTI)
Wound (SSI)
Walking (PE)
Wounder drugs (meds)

Question 8

Most common injured nerve in parotid surgery

Answer 8

Greater auricular nerve

Question 9

Nerves at risk furing submandibular gland removal

Answer 9

Lingual nerve and hypoglossal nerve

Question 10

Lid lag

Answer 10

Von graefe’s sign

Question 11

Visible sclera above corneoscelral limbus

Answer 11

Dalrymple’s sign

Question 12

Weakened esophageal area at level of cricopharyngeus

Answer 12

Killian’s area

Question 13

Blood type assoc’d with duodenal ulcers

Answer 13

Type O

duOdenal ulcers

Question 14

Blood type assoc’d with gastric ulcers

Answer 14

Type A

gAstric ulcers

Question 15

Residual small bowel length in short bowel syndrome

Answer 15

< 200cm

Question 16

M/c complicatiotn of hemorrhoidectomy

Answer 16

Urinary retention

Question 17

Milan criteria

Answer 17

For liver transplant
One nodule <5cm, or
2-3 nodules all < 3cm
No gross vascula invasion / extrahepatic spread

Question 18

Pectoralis minor removed

Answer 18

Patey MRM

Question 19

Pectoralis minor preserved

Answer 19

Madden & auchincloss

Question 20

Pectoralis minor transected and repaired

Answer 20

Scanlon MRM

Question 21

Bloody viscious cycle

Answer 21

Coagulopathy
Acidosis (metabolic)
Temperature, decreased (hypothermia)

Question 22

Time for heart and lungs transplant

Answer 22

6-8 hours

Question 23

Time for liver transplant

Answer 23

16 hours

Question 24

Time for pancreas transplant

Answer 24

24 hours

Question 25

Time for kidneys transplant

Answer 25

36-40 hours

Question 26

Summarize time for transplant

Answer 26

6-8 hours - H,L 16 hours - Li 24 hours - P 36-40 hours - K

Question 27

Modified Johnson’s classificatiotn for Gastric ulcers

Answer 27

``` I - antral II - antral + duodenal III - prepyloric IV - GE junction V - NSAID-induced (anywhere) ```

Question 28

Superior mesenteric artery syndrome

Answer 28

Compression of 3rd part of duodenum by SMA

Question 29

Return of GI MOTILITY

Answer 29

Small intestines - 1st 24 hours Stomach - 48 hours Large intestine - 3-5 days

Question 30

Intestinal fistulas

Answer 30

Low-output: < 200mL fluid/day | High-output: >500mL fluid/day

Question 31

Diagnostic peritoneal lavage

Answer 31

``` RBC: >100,000 (OR 10K for thoracoabdmonial) WBC: >500/mL Amylase; >19 IU/L ALP: >2 IU/L Bilirubin: > 0.01 mg/dL ```

Question 32

Pantaloon hernia

Answer 32

Direct + indirect hernia

Question 33

Amyand hernia

Answer 33

Appendix

Question 34

Petit hernia

Answer 34

Inferior lumbar triangle

Question 35

Morgagni hernia

Answer 35

Anterior diaphragm

Question 36

Bochdaleck hernia

Answer 36

Posterior diaphragm | Usually on left

Question 37

Colles fx

Answer 37

Distal radius fx with fragment displaced dorsally

Question 38

Smith’s fx

Answer 38

Distal radius fx with fragment displaced volarly

Question 39

Hutchinon’s fx

Answer 39

“Chauffeur’s fx” | Radial styloid fx

Question 40

Monteggia’s fx

Answer 40

Fx of ulna + radial head dislocation

Question 41

Galeazzi’s fx

Answer 41

Fx of distal radius + dislocation of DRUJ

Question 42

Choledochal cyst type I

Answer 42

Fusiform, extrahepatic bile duct dilatation Tx: excision (cholecystecomy +cbd excision) + roux-en-y hepaticojejunostomy “First for Fusiform”

Question 43

Choledochal cyst type II

Answer 43

Saccular diverticulum in CBD Tx: excision + roux-en-y hepticojejunostomy (Same as type I treatment) “Second for Saccular”

Question 44

Choledochal type III

Answer 44

Choledochocoele Tx: sphincterotomy (If large: transduodenal excision) “Three for Through the duodenum”

Question 45

Type IVa

Answer 45

Intra + extrahepatic duct cysts Tx: segmental liver resection + type I tx “4a for For All”

Question 46

Choledochal cyst type IVb

Answer 46

Extrahepatic duct cysts only Tx: same as type 1 “Be Out”

Question 47

Type V

Answer 47

``` “Caroli’s disease” Intrahepatic duct cysts only Tx: liver transplant [if bilobar / complex / portal HTN] *if confined: hepatic resection “Carol-i for i-ntrahepatic ducts” ```

Question 48

Hernia involving the appendix

Answer 48

Amyand hernia

Question 49

Describe Killian’s area

Answer 49

Weakened esophageal area at level of cricopharyngeus

Question 50

Differentiate monteggia’s fx vs galeazzi fx

Answer 50

Galeazzi’s fx: Fx of distal radius + dislocatiotn of DRUJ Monteggia’s fx: Fx of ulna + radial head dislocation