Hepatobiliary + Other Organs Flashcards

0
Q

What is the gold standard in the diagnosis of CBD stones?

A

ERCP

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1
Q

What is the margin of resection in hepatocellular carcinoma?

A

1cm

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2
Q

What is the pathophysiology in annular pancreas?

A

Malrotation of ventral pancreas leading to pancreatic tissue around the 2nd part of the duodenum

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3
Q

What are the anastomoses in Whipple’s procedure?

A

Pancreaticojejunostomy
Gastrojejunostomy
Choledochojejunostomy

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4
Q

Which structure is included in performing a radical nephrectomy?

A

Gerota’s fascia

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5
Q

What is the most common arrhythmia during laparoscopic procedures?

A

Bradycardia

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6
Q

What is the most common complication of splenectomy?

A

Atelectasis of the left lower lobe of the lung

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7
Q

In liver problems, which veins are responsible for esophageal varices?

A

Left gastric vein

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8
Q

In liver problems, which veins are responsible for hemorrhoids?

A

Superior and middle/inferior rectal veins

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9
Q

In liver problems, which veins are responsible for caput medusae?

A

Inferior epigastric veins

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10
Q

What is the surgical procedure for hypertrophic pyloric stenosis?

A

Ramstedt pyloromyotomy

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11
Q

Most common benign tumor of the liver

A

Simple hepatic cyst

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12
Q

Benign solid tumor associated with a central scar

A

Focal nodular hyperplasia (FNH)

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13
Q

HCC cancer variant with the best prognosis?

A

Fibrolamellar variant

Treatment: resection

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14
Q

Type of gallstone associated with cirrhosis and hemolytic disorder?

A

Black pigment stones

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15
Q

Most specific serum marker for acute pancreatitis?

A

Serum lipase

16
Q

Gold standard test for the assessment of severity of acute pancreatitis?

A

CT scan with contrast

17
Q

Most common cause of death in acute pancreatitis

A

Infection

18
Q

Most common cause of chronic pancreatitis

A

Alcohol consumption

19
Q

Most common complication of chronic pancreatitis

A

Pseudocyst

Treatment: expectant
Surgical indication: >6xm NS INDWXRWS

20
Q

Most commonly mutated gene in pancreatic adenoCA

A

K-ras

Also seen in colon CA

21
Q

Most common pancreatic endocrine neoplasm?

A

Insulinoma

22
Q

What is Courvoisier’s gallbladder?

A

Palpable non-tender gallbladder

Seen in peri-ampullary tumor

23
Q

Most common symptom of gallbladder CA?

A

Pain

24
Q

Usual location of VIPoma?

A

Tail of the pancreas

25
Q

What endocrine tumor of the pancreas is associated with necrolytic migratory erythema?

A

Glucagonoma

26
Q

Most common indication for splenectomy?

A

Trauma

27
Q

Most common indication of elective splenectomy?

A

ITP

28
Q

Infectious morbidity is highest when splenectomy is performed in patients with what condition?

A

Thlassemia (due to coexisting immune deficiency and iron overload

Treatment: RBC transfusion + Deferoxamine

29
Q

Mechanism of action of ITP?

A

Presence of antiplatelet IgG

30
Q

Most common etiology for splenic cyst?

A

Parasitic (Echinococcal)