F - Boards In A Flash - Surgery Flashcards

1
Q

BP approximation

A

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

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2
Q

Blood loss in fracutres

A

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

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3
Q

Radical neck dissection

A
Cervical ln (I-V)
\+ SCM + IJV + CN XI
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4
Q

CUTANEOUS hyperesthesia over right t10, T11, T12

A

Sherren’s triangle

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5
Q

Refeeding syndrome

A

Decreased:

PO4, Mg, K, Ca

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6
Q

Inhibitors of GP IIbIIIa

A

Eptifibatide
Abciximab
Tirofiban

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7
Q

5 W’s of post-op fever

A
Wind (pneumonia)
Water (UTI)
Wound (SSI)
Walking (PE)
Wounder drugs (meds)
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8
Q

Most common injured nerve in parotid surgery

A

Greater auricular nerve

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9
Q

Nerves at risk furing submandibular gland removal

A

Lingual nerve and hypoglossal nerve

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10
Q

Lid lag

A

Von graefe’s sign

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11
Q

Visible sclera above corneoscelral limbus

A

Dalrymple’s sign

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12
Q

Weakened esophageal area at level of cricopharyngeus

A

Killian’s area

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13
Q

Blood type assoc’d with duodenal ulcers

A

Type O

duOdenal ulcers

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14
Q

Blood type assoc’d with gastric ulcers

A

Type A

gAstric ulcers

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15
Q

Residual small bowel length in short bowel syndrome

A

< 200cm

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16
Q

M/c complicatiotn of hemorrhoidectomy

A

Urinary retention

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17
Q

Milan criteria

A

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

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18
Q

Pectoralis minor removed

A

Patey MRM

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19
Q

Pectoralis minor preserved

A

Madden & auchincloss

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20
Q

Pectoralis minor transected and repaired

A

Scanlon MRM

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21
Q

Bloody viscious cycle

A

Coagulopathy
Acidosis (metabolic)
Temperature, decreased (hypothermia)

22
Q

Time for heart and lungs transplant

A

6-8 hours

23
Q

Time for liver transplant

A

16 hours

24
Q

Time for pancreas transplant

A

24 hours

25
Q

Time for kidneys transplant

A

36-40 hours

26
Q

Summarize time for transplant

A

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

27
Q

Modified Johnson’s classificatiotn for Gastric ulcers

A
I - antral
II - antral + duodenal
III - prepyloric
IV - GE junction
V - NSAID-induced (anywhere)
28
Q

Superior mesenteric artery syndrome

A

Compression of 3rd part of duodenum by SMA

29
Q

Return of GI MOTILITY

A

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

30
Q

Intestinal fistulas

A

Low-output: < 200mL fluid/day

High-output: >500mL fluid/day

31
Q

Diagnostic peritoneal lavage

A
RBC: >100,000 (OR 10K for thoracoabdmonial)
WBC: >500/mL
Amylase; >19 IU/L
ALP: >2 IU/L
Bilirubin: > 0.01 mg/dL
32
Q

Pantaloon hernia

A

Direct + indirect hernia

33
Q

Amyand hernia

A

Appendix

34
Q

Petit hernia

A

Inferior lumbar triangle

35
Q

Morgagni hernia

A

Anterior diaphragm

36
Q

Bochdaleck hernia

A

Posterior diaphragm

Usually on left

37
Q

Colles fx

A

Distal radius fx with fragment displaced dorsally

38
Q

Smith’s fx

A

Distal radius fx with fragment displaced volarly

39
Q

Hutchinon’s fx

A

“Chauffeur’s fx”

Radial styloid fx

40
Q

Monteggia’s fx

A

Fx of ulna + radial head dislocation

41
Q

Galeazzi’s fx

A

Fx of distal radius + dislocation of DRUJ

42
Q

Choledochal cyst type I

A

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

43
Q

Choledochal cyst type II

A

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

44
Q

Choledochal type III

A

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

45
Q

Type IVa

A

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

46
Q

Choledochal cyst type IVb

A

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

47
Q

Type V

A
“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”
48
Q

Hernia involving the appendix

A

Amyand hernia

49
Q

Describe Killian’s area

A

Weakened esophageal area at level of cricopharyngeus

50
Q

Differentiate monteggia’s fx vs galeazzi fx

A

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