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
Hirschsprung's disease is synonymous with
Congenital aganglionosis
26
The most common intrabdominal childhood tumor
Nephroblastoma
27
Pathologic enlargement of the male breast
Gynecomastia
28
Surgical enlargement of the passage between the prepylorus of the stomach and the duodenum
Pyloromyotomy
29
Left subcostal incision indicates surgery on the
Spleen
30
What breast procedure removes the entire breast and axillary contents but preserves the pectoral muscles
Modified radical mastectomy
31
A sigmoid colostomy is brought through the
Rectus muscle
32
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
33
What surgical maneuvers mobilizes the descending colon to the midline to expose the abdominal aorta
Mattox
34
Most common liver cancer
Metastatic disease
35
Removal of all liver tissue to the right of the falciform ligament
Trisegmentectomy
36
What artery is susceptible to injury during a cholecystectomy
Right hepatic
37
Increased WBC, bilirubin, alkaline phosphatase and positive blood culture would be associated with
Cholangitis
38
A tumor that involves the junction of the right and left hepatic ducts
Klatskin
39
What paired nerves must be carefully identified during a thyroidectomy
Recurrent laryngeal
40
The usual location of a Meckel's diverticulum is
Approximately two feet from the ileocecal valve
41
Postoperative complications of an appendectomy include
Intestinal obstruction Stump rupture Sepsis
42
Complications that can result from a total thyroidectomy
Hypothyroidism Tetany Hoarseness
43
The incision for the tracheostomy is approximately 1/4 inches above the
Suprasternal notch
43
What nerves innervates the trapezius and sternocleidomastoid muscle, and should be identified and preserved when performing a radical neck dissection
Accessory
44
When closing the peritoneum or intestine, which type of needle is used
Taper
45
To establish a tracheostomy, a transverse or midline incision is made in the neck between the
Cricoid cartilage and suprasternal notch
46
What two arteries must be preserved during a pancreas retrieval
Splenic, superior mesenteric
47
In order to preserve the hepatic artery during liver and pancreas procurement, what branch artery must be identified and ligated
Gastroduodenal
48
Zenker's diverticulum is an outpouching of the
Esophagus
49
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
50
What structure must be anastomosed during a liver transplant
Hepatic artery
51
What hernias is typically the result of postoperative wound dehiscence
Incisional
52
During CBD explorations what structure is more likely to be accidentally inquired
Hepatic artery
53
Dumping syndrome is a complication of
Gastric bypass
54
A cholesteatoma is a benign tumor that develops in the
Mastoid bone
55
Adenocarcinoma of the head of the pancreas can result in jaundice, because of compression of the
Bile duct
56
What is an intraoperative hazard of laparoscopic surgery
Perforation
57
Postoperative hernias are common after what incision
Paramedian
58
When performing an inguinal hernia repair and incising the external oblique muscle, the sensory nerve that innervates the scrotum and must be preserved
Ilioinguinal
59
What section of the stomach is wrapped behind the esophagus during a Nissen procedure
Fundus
60
What retractors is typically used to retract the strap muscles during a thyroidectomy
Green
61
What is the most common physically identifiable pathology of portal hypotension
Splenomegaly
62
A left subcostal incision
Splenectomy
63
What arteries is identified, ligated and divided during the perineal dissection portion of an abdominoperineal resection
Inferior rectal artery
64
Position of total abdominal hysterectomy
Trendelenburg position
65
Incision for Hiatal hernia repair
Thoracoabdominal incision
66
A vagotomy is typically performed in conjunction with
Pyloroplasty
67
Position used in thyroid and gallbladder surgery
Reverse Trendelenburg
68
To perform cholangiography, which duct is identified and incised for placement of the catheter
Cystic
69
What two tests are the most cost-efficient in preoperative determination of calculi in the bile tract
Percutaneous ultrasound, liver function test
70
Condition of imperforate anus includes
Stenosis Agensis Membrane atresia
71
Positing most optimal for a pilonidal cystectomy
Kraske
72
When removing anal warts with a laser, the rectum is paced with a wet sponge to
Prevent escape of methane gas
73
Landmarks; medial rectus abdominas, lateral inferior epigastric vessels, and Inferior inguinal ligaments-Direct hernias occur here
Hesselbecks Triangle
74
When a direct & indirect hernia are present
Pantaloon Hernia
75
Used to repair femoral hernias(transverse fascia &conjoined tendon to cooper's ligament (pectenial ligament)
McVays Repair
76
Twisting of the bowel can cut off blood supply and lead to gangrene; can be corrected by peristalsis
Volvulus
77
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
78
Gallbladder folds back on itself at neck, forms a pouch Typical location for stones
Hartmans pouch
79
What is the hepatopancreatic ampulla also known as?; distal common bile duct
Ampulla of Vater
80
Pocketlike sacs in the large intestines
Haustra
81
Fundus of the stomach is connected to the duodenum, body and pyloric region of the stomach is removed; gastroduodenostomy
Biliroth 1
82
What are the three main sources of arterial and venous supply to the breast
Axillary Intercostal Internal Thoracic
83
Pledgeted suture is used for hemostasis in liver injury to:
To reduce cut-through