General Surgery Flashcards by Terry Herring

During a Whipple procedure, what surgical maneuver is performed to dissect the lateral peritoneal attachments of the duodenum

Kocher

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What site is used for autotransplanting one or more of the parathyroid glands

Forearm

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Major concern in draining a gangrenous gallbladder is

Contamination

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What nerve is at the greatest risk for injury during a thyroidectomy

Recurrent laryngeal

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When wound a hepaticojejeunostomy be performed

Whipple (pancreaticoduodenectomy)

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A hernia through which bowel or omentum extends and cannot be returned to it normal positoin

Incarcerated hernia

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What type of hernias occur in Hesselbach’s triangle

Direct

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What is the most common type of hernia that occurs in females

Femoral hernia

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Type of anastomosis of choice when performing a total abdominal colectomy for ulcerative colitis

Ileoanal

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The flexure at the junction of the duodenum and jejunum

Ligament of Treitz

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Intercostal nerves and vessels are located

Inferior to the rib

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The section of the GI tract that is least affected by Crohn’s disease

Rectum

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Hernia

Rupture

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What nerve must be identified and protected from injury during a thyroidectomy

Recurrent Laryngeal

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Incision used for laparoscopy

Infraumbilical

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both direct and indirect hernias are the result of tears in the

Transversalis fascia

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What nerves must be identified during an inguinal hernia repair

Iliohypogastric and ilioinguinal

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What hernia involves the peritoneum and the abdominal viscera forms part of the hernia sac

Sliding

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During a laparoscopic hernia repair, stapling is avoided in this triangular area inferior to the internal inguinal ring

Triangle of doom

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During a laparoscopic hernia repair, staples should not be placed below the lateral iliopubic tract in order to avoid injury to

Genitofemoral and lateral femoral cutaneous nerves

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What nerves is dissected from the lesser curvature of the stomach when performing a highly selective vagotomy (parietal cell vagotomy)

Nerves of Latarject

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The invagination of the proximal intestine into the lumen of the distal intestine

Intussusception

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Failure of the intestine to encapsulate within the peritoneal cavity of a newborn

Omphalocele

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Newborn vomiting, free of bile and projectile in nature

Pyloric stenosis

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Hirschsprung's disease is synonymous with

Congenital aganglionosis

The most common intrabdominal childhood tumor

Nephroblastoma

Pathologic enlargement of the male breast

Gynecomastia

Surgical enlargement of the passage between the prepylorus of the stomach and the duodenum

Pyloromyotomy

Left subcostal incision indicates surgery on the

Spleen

What breast procedure removes the entire breast and axillary contents but preserves the pectoral muscles

Modified radical mastectomy

A sigmoid colostomy is brought through the

Rectus muscle

What surgical maneuvers refers to the dissection of the lateral peritoneal attachments of the duodenum to allow inspection of the duodenum, pancreas and other retroperitoneal structures

Kocher

What surgical maneuvers mobilizes the descending colon to the midline to expose the abdominal aorta

Mattox

Most common liver cancer

Metastatic disease

Removal of all liver tissue to the right of the falciform ligament

Trisegmentectomy

What artery is susceptible to injury during a cholecystectomy

Right hepatic

Increased WBC, bilirubin, alkaline phosphatase and positive blood culture would be associated with

Cholangitis

A tumor that involves the junction of the right and left hepatic ducts

Klatskin

What paired nerves must be carefully identified during a thyroidectomy

Recurrent laryngeal

The usual location of a Meckel's diverticulum is

Approximately two feet from the ileocecal valve

Postoperative complications of an appendectomy include

Intestinal obstruction Stump rupture Sepsis

Complications that can result from a total thyroidectomy

Hypothyroidism Tetany Hoarseness

The incision for the tracheostomy is approximately 1/4 inches above the

Suprasternal notch

What nerves innervates the trapezius and sternocleidomastoid muscle, and should be identified and preserved when performing a radical neck dissection

Accessory

When closing the peritoneum or intestine, which type of needle is used

Taper

To establish a tracheostomy, a transverse or midline incision is made in the neck between the

Cricoid cartilage and suprasternal notch

What two arteries must be preserved during a pancreas retrieval

Splenic, superior mesenteric

In order to preserve the hepatic artery during liver and pancreas procurement, what branch artery must be identified and ligated

Gastroduodenal

Zenker's diverticulum is an outpouching of the

Esophagus

An elderly patient who is one week post-abdominal surgery complains of a "popping" sensation associated with coughing or straining. The most likely cause is

Dehiscence

What structure must be anastomosed during a liver transplant

Hepatic artery

What hernias is typically the result of postoperative wound dehiscence

Incisional

During CBD explorations what structure is more likely to be accidentally inquired

Hepatic artery

Dumping syndrome is a complication of

Gastric bypass

A cholesteatoma is a benign tumor that develops in the

Mastoid bone

Adenocarcinoma of the head of the pancreas can result in jaundice, because of compression of the

Bile duct

What is an intraoperative hazard of laparoscopic surgery

Perforation

Postoperative hernias are common after what incision

Paramedian

When performing an inguinal hernia repair and incising the external oblique muscle, the sensory nerve that innervates the scrotum and must be preserved

Ilioinguinal

What section of the stomach is wrapped behind the esophagus during a Nissen procedure

Fundus

What retractors is typically used to retract the strap muscles during a thyroidectomy

Green

What is the most common physically identifiable pathology of portal hypotension

Splenomegaly

A left subcostal incision

Splenectomy

What arteries is identified, ligated and divided during the perineal dissection portion of an abdominoperineal resection

Inferior rectal artery

Position of total abdominal hysterectomy

Trendelenburg position

Incision for Hiatal hernia repair

Thoracoabdominal incision

A vagotomy is typically performed in conjunction with

Pyloroplasty

Position used in thyroid and gallbladder surgery

Reverse Trendelenburg

To perform cholangiography, which duct is identified and incised for placement of the catheter

Cystic

What two tests are the most cost-efficient in preoperative determination of calculi in the bile tract

Percutaneous ultrasound, liver function test

Condition of imperforate anus includes

Stenosis Agensis Membrane atresia

Positing most optimal for a pilonidal cystectomy

Kraske

When removing anal warts with a laser, the rectum is paced with a wet sponge to

Prevent escape of methane gas

Landmarks; medial rectus abdominas, lateral inferior epigastric vessels, and Inferior inguinal ligaments-Direct hernias occur here

Hesselbecks Triangle

When a direct & indirect hernia are present

Pantaloon Hernia

Used to repair femoral hernias(transverse fascia &conjoined tendon to cooper's ligament (pectenial ligament)

McVays Repair

Twisting of the bowel can cut off blood supply and lead to gangrene; can be corrected by peristalsis

Volvulus

During a lap choley it is important to identify; this is a thicker region of the lesser omentum extending between the liver and the duodenum the right edge is free and contains the portal triad: common bile duct, proper hepatic artery and the portal vein

hepatoduodenal