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CSFA Examination Study Prep > General Surgery > Flashcards

General Surgery Flashcards

1
Q

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

A

Kocher

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2
Q

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

A

Forearm

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3
Q

Major concern in draining a gangrenous gallbladder is

A

Contamination

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4
Q

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

A

Recurrent laryngeal

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5
Q

When wound a hepaticojejeunostomy be performed

A

Whipple (pancreaticoduodenectomy)

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6
Q

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

A

Incarcerated hernia

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7
Q

What type of hernias occur in Hesselbach’s triangle

A

Direct

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8
Q

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

A

Femoral hernia

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9
Q

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

A

Ileoanal

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10
Q

The flexure at the junction of the duodenum and jejunum

A

Ligament of Treitz

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11
Q

Intercostal nerves and vessels are located

A

Inferior to the rib

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12
Q

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

A

Rectum

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13
Q

Hernia

A

Rupture

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14
Q

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

A

Recurrent Laryngeal

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15
Q

Incision used for laparoscopy

A

Infraumbilical

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16
Q

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

A

Transversalis fascia

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17
Q

What nerves must be identified during an inguinal hernia repair

A

Iliohypogastric and ilioinguinal

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18
Q

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

A

Sliding

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19
Q

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

A

Triangle of doom

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20
Q

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

A

Genitofemoral and lateral femoral cutaneous nerves

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21
Q

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

A

Nerves of Latarject

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22
Q

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

A

Intussusception

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23
Q

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

A

Omphalocele

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24
Q

Newborn vomiting, free of bile and projectile in nature

A

Pyloric stenosis

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25
Q

Hirschsprung’s disease is synonymous with

A

Congenital aganglionosis

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26
Q

The most common intrabdominal childhood tumor

A

Nephroblastoma

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27
Q

Pathologic enlargement of the male breast

A

Gynecomastia

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28
Q

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

A

Pyloromyotomy

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29
Q

Left subcostal incision indicates surgery on the

A

Spleen

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30
Q

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

A

Modified radical mastectomy

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31
Q

A sigmoid colostomy is brought through the

A

Rectus muscle

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32
Q

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

A

Kocher

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33
Q

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

A

Mattox

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34
Q

Most common liver cancer

A

Metastatic disease

35
Q

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

A

Trisegmentectomy

36
Q

What artery is susceptible to injury during a cholecystectomy

A

Right hepatic

37
Q

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

A

Cholangitis

38
Q

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

A

Klatskin

39
Q

What paired nerves must be carefully identified during a thyroidectomy

A

Recurrent laryngeal

40
Q

The usual location of a Meckel’s diverticulum is

A

Approximately two feet from the ileocecal valve

41
Q

Postoperative complications of an appendectomy include

A

Intestinal obstruction
Stump rupture
Sepsis

42
Q

Complications that can result from a total thyroidectomy

A

Hypothyroidism
Tetany
Hoarseness

43
Q

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

A

Suprasternal notch

43
Q

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

A

Accessory

44
Q

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

A

Taper

45
Q

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

A

Cricoid cartilage and suprasternal notch

46
Q

What two arteries must be preserved during a pancreas retrieval

A

Splenic, superior mesenteric

47
Q

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

A

Gastroduodenal

48
Q

Zenker’s diverticulum is an outpouching of the

A

Esophagus

49
Q

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

A

Dehiscence

50
Q

What structure must be anastomosed during a liver transplant

A

Hepatic artery

51
Q

What hernias is typically the result of postoperative wound dehiscence

A

Incisional

52
Q

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

A

Hepatic artery

53
Q

Dumping syndrome is a complication of

A

Gastric bypass

54
Q

A cholesteatoma is a benign tumor that develops in the

A

Mastoid bone

55
Q

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

A

Bile duct

56
Q

What is an intraoperative hazard of laparoscopic surgery

A

Perforation

57
Q

Postoperative hernias are common after what incision

A

Paramedian

58
Q

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

A

Ilioinguinal

59
Q

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

A

Fundus

60
Q

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

A

Green

61
Q

What is the most common physically identifiable pathology of portal hypotension

A

Splenomegaly

62
Q

A left subcostal incision

A

Splenectomy

63
Q

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

A

Inferior rectal artery

64
Q

Position of total abdominal hysterectomy

A

Trendelenburg position

65
Q

Incision for Hiatal hernia repair

A

Thoracoabdominal incision

66
Q

A vagotomy is typically performed in conjunction with

A

Pyloroplasty

67
Q

Position used in thyroid and gallbladder surgery

A

Reverse Trendelenburg

68
Q

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

A

Cystic

69
Q

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

A

Percutaneous ultrasound, liver function test

70
Q

Condition of imperforate anus includes

A

Stenosis
Agensis
Membrane atresia

71
Q

Positing most optimal for a pilonidal cystectomy

A

Kraske

72
Q

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

A

Prevent escape of methane gas

73
Q

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

A

Hesselbecks Triangle

74
Q

When a direct & indirect hernia are present

A

Pantaloon Hernia

75
Q

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

A

McVays Repair

76
Q

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

A

Volvulus

77
Q

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

A

hepatoduodenal

78
Q

Gallbladder folds back on itself at neck, forms a pouch
Typical location for stones

A

Hartmans pouch

79
Q

What is the hepatopancreatic ampulla also known as?;
distal common bile duct

A

Ampulla of Vater

80
Q

Pocketlike sacs in the large intestines

A

Haustra

81
Q

Fundus of the stomach is connected to the duodenum, body and pyloric region of the stomach is removed;
gastroduodenostomy

A

Biliroth 1

82
Q

What are the three main sources of arterial and venous supply to the breast

A

Axillary
Intercostal
Internal Thoracic

83
Q

Pledgeted suture is used for hemostasis in liver injury to:

A

To reduce cut-through

CSFA Examination Study Prep (16 decks)

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