Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Surgical Procedures 1 > General Surgery Packet > Flashcards

General Surgery Packet Flashcards

1
Q

esophagus

A
  • 10 inches in adult*
  • extends pharynx to cardia of stomach
  • transport ingested material by peristalsis from pharynx to stomach
  • musculomembranous
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

function of large intestine (4)

A
  • reabsorb water/electrolytes
  • form solid waste
  • synthesize vitamin K and B-complex vitamins
  • elimination by defecation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

large intestine: define haustra

A

sacculations that are outpouchings of the bowel wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

large intestine: blood supply

A

superior and inferior MESENTERIC arteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

large intestine:

  • ileocecal valve
  • veriform appendix
A
  • junction of the ileum and the cecum (small bowel meets large)
  • extends from lower portion of cecum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

appendectomy is done for?

A

uncomplicated acute appendicitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

appendicitis often mimics (3)

A
  • ectopic pregnancy
  • ovarian cyst
  • ureteral stone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

methods of transecting the appendix

A
  • endoscopic linear stapler
  • ligating loop instrument (endoloop)
  • suture instrument
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

colon resection: mocker’s diverticulum are located?

A

in the Ileum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

colon resection: what can neoplasms form as a result of?

A

Polyps: pedunculated tumors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

colon resection: endoscopic anesthesia options (3)

A
  • local anesthesia
  • IV conscious sedation
  • general anesthesia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is given to patient prior to colonoscopy to cleanse bowel?

A

-citrate of magnesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

position of patient for colonoscopy

A

PT placed on left side to allow for visualization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is PT observed for following colonoscopy? (3)

A
  • post procedural bleeding
  • pain
  • signs of perforations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

sigmoidoscopy is performed for?

A

visualization of the sigmoid up to splenic flexure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

intestinal clamps

A
  • allen clamp
  • dennis clamp
  • doyen clamp
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

when is bowel technique used? (2)

A
  • when GI tract is clamped and resected

- used to isolate any instruments that come in contact with the mucosa or bowel contents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

suture method: serosal layer of posterior wall

A
  • interrupted mattress stitch

- non absorbable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

how is colostomy secured to skin?

A
  • closed bowel loop

- bridge is used/plastic rode

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

when is second stage colostomy formed?

A

performed in PTs room or treatment room 24hr after surgery

21
Q

laparoscopic nissen fundoplication

A
  • upper curves of stomach (fundus) wrapped around esophagus and sewn in place to strengthen valve between esophagus/stomach
  • stops acid from backing up so easily
22
Q

diagnostic interventions: fundoplication (5)

A
  • history/physical
  • barium swallow
  • endoscopy (esophagus, stomach, duodenum identified)
  • manometry
  • CT scan
23
Q

laparoscopic nissen fundoplication: which dilators are used/why?

A
  • hurst / maloney*

- esophageal dilators prevents stricture/maintains patency during wrap procedure

24
Q

difference between Billroth 1 / Billroth 2

A

Bilroth 1: re-anastomosis stomach to duodenum
Bilroth 2: re-anastomosis stomach to jejunum
used to treat neoplasms/ulcerative disease

25
Q

what is bile manufactured by?

what collects and transports bile to ducts?

A
  • hepatocytes

- bile canuliculi

26
Q

what stores and concentrates rates of bile?

A

gallbladder

27
Q

what is common bile duct?

where does it transport bile?

A
  • joining of common hepatic/cystic duct

- brings bile to duodenum

28
Q

what does ERCP stand for?

A

endoscopic retrograde cholangiopancreatography

29
Q

anesthesia for cholecystectomy

A
  • prophylaxis used to prevent post op infection

- nasogastric tube placed for medicine delivery or attached to suction to keep stomach empty

30
Q

what incision is made for open approach cholecystectomy?

A
  • right subcostal aka Kocher (preferred method)
  • right paramedian
  • midline
31
Q

what is used to harvest core structure for liver biopsy?

A

Vim-Silverman core biopsy needle

32
Q

suture considerations for liver resection?

A
  • absorbable suture

- blunt needles (tapered)

33
Q

incision for splenectomy?

A
  • left subcostal*

- upper midline

34
Q

pancreaticoduodenectomy (whipple procedure)

A

used to treat pancreatic cancer

head of pancreas, duodenum, portion of stomach are removed, adjacent tissues are removed

35
Q

incision for whipple procedure

A
  • upper transverse
  • paramedian
  • bilateral subcostal (chevron)
36
Q

suspensory ligaments of the breast?

A

coopers ligaments

37
Q

tail of spence

A

extension of breast tissue that extends into the axilla

38
Q

what is a fibroadenoma?

A

benign lesion of the breast

39
Q

early menarche is?

A
  • increased risk factor for breast cancer*

- early menstruation

40
Q

diagnostic intervention of breast cancer? (4)

A
  • breast examination
  • mammography
  • core biopsy (vim silverman needle)
  • stereotactic biopsy (computer guided system used to digitally locate/pinpoint non palpable lesions)
41
Q

sentinel node biopsy:

A
  • first lymph node along lymphatic channel from primary tumor site
  • surgeon injects ISOSULFAN to locate position of sentinel nerve
42
Q

skin prep considerations for breast biopsy

A

-vigorous scrubbing is avoided to prevent spread of cancerous cells

43
Q

modified radical mastectomy

A

removal of:

  • entire breast
  • pectoralis major fascia
  • axillary nodes (axillary, pectoral, superior apical)
44
Q

breast mastectomy incision

A

elliptical transverse

allow 4cm margin from lesion

45
Q

considerations when handling specimen during mastectomy?

A
  • always ask surgeon before passing off

- be ready with marking stitch

46
Q

mastectomy tagging stitches (3)

A
  • long lateral
  • short superior
  • 3-0 silk on SH needle
47
Q

incarcerated hernias

A
  • trapped by defect

- not reducible

48
Q

strangulated hernias

A
  • incarcerated hernia that has vascular compromise

- emergency situation

49
Q

inguinal herniorrhaphy

A

direct:

  • results from heavy lifting or straining
  • protrudes through hesselbachs triangle

Surgical Procedures 1 (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions