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mic cabatu last ditch > Scrub in > Flashcards

Scrub in Flashcards

1
Q
  • Associated with portal hypertension

- ( > 12 mmHg)

A

Esophageal Varices

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2
Q

Tributaries:

-Tributary of the portal vein

A

1.Left Gastric Vein

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3
Q

Tributaries:

-Caput Medussae

A

2.Periumbical Vein

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4
Q

Tributaries:

-Hemorrhoidal veins

A

3.Rectal Vein

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5
Q

Esophageal Varices: Vignettes

A
  • Liver cirrhosis

- Schistosomiasis

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6
Q

2 types of Obstruction:

-Schistosimiasis

A

1.Pre-sinusoidaal Obstruction

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7
Q

2 types of Obstruction:

  • Budd-Chiari Syndrome
  • Hepatic vein thrombosis
A

2.Post Sinusoidal Obstruction

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8
Q
  • Best treat for ruptured esophageal varices
  • Better prognosis / outcome
  • Better than sclerotherapy
A

Endoscopic Band Ligation

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9
Q

Cyanoacetate

A

Sclerotherapy

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10
Q

What layer is injected during sclerotherapy?

A

Submucosa

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11
Q

What is the most common sclerosing agent?

A

Tetradecyl Sulfate

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12
Q

Cheapest sclerosing agent?

A

Alcohol

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13
Q

Least Painful agent for Pleurodesis

A

TALC

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14
Q

What is the most critical treatment of Acute Variceal bleeding?

A

-Prompt Endoscopic Intervention Banding - - 85% successful

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15
Q
  • TIPS

- Transjugular intrahepatic portosystemic Shunt

A

Refractory Bleeding

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16
Q

Type with least risk for Encephalopathy

A

Distal Splenorenal Shunt/ Warren Shunt

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17
Q
  • Head
  • Second part
  • Whipples Procedure
A

Pancreatic CA

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18
Q

Foramen cecum

A

Thyroglossal Duct Remnant

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19
Q

Most common site of ectopic thyroid tissue

A

Sublingual / Base of the tongue

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20
Q

Esophagus epithelium

A

Squamous epithelium

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21
Q
  • Adenocarcinoma

- Lower 3rd of the esophagus

A

Barrett’s Esophagus

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22
Q

Near gastroesophageal junction of the esophagus where linear tear is most common located

A

Mallory Weis Tear

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23
Q

Most common site of SCC of Esophagus

A

Middle 3rd of esophagus

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24
Q

What is the vessel clamped or occluded in Pringles Maneuver

A

portal vein

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25
Q

70%

A

Portal Vein

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26
Q

30%

A

Hepatic Artery

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27
Q

What now blood vessel supply after Pringle’s Maneuver?

A

Hepatic Vein

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28
Q

Alternate clumping Portal Vein & Hepatic Artery in total ischemic time for the liver

A

120 minutes

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29
Q

Strongest layer of the esophagus

A

Submucosa

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30
Q

Most common site of Squamous Cell Carcinoma of the Esophagus

A

Middle 3rd

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31
Q

Most common obstruction in MI

A

LAD / Left anterior descending

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32
Q

Most common benign esophageal tumor

A

Leiomyomas

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33
Q

Most Squamous Carcinoma

A

Leiomyomas

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34
Q

Pre-malignant lesions in Esophagus

A
  • Barrett’s Esophagus

- Plummer Vinson Syndrome

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35
Q
  • Aka Patterson-Brown-Kelly Syndrome
  • Predisposed to squamous
  • SCC
  • Esophageal webs
  • Atrophic glossitis
  • Iron Deficiency Anemia
A

Plummer Vinson Syndrome

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36
Q

Most common Esophageal Hernia?

A

Sliding Esophageal Hernia

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37
Q

Most common site of Mallory Weiss Tear

A
  • Distal lower 3rd of GEJ
  • Due to forceful retching & vomiting
  • alcoholic
38
Q

pressure rupture of esophagus

A

Boerhaave’s Syndrome

39
Q
  • aka Upper 3rd of Esophagus
  • weakest part of the esophagus
  • weak spot between inferior constrictor & cricopharyngeus muscle
  • most common site of esophageal perforation
  • most common site of Zenker’s Diverticulum
  • Rupture
A

Killians Triangle

40
Q

Chaga’s disease

A

Mega Esophagus

41
Q

Most Common Site of Perforation of Esophagus

A

Killian’s Triangle

42
Q

How to diagnose Hirsprung Disease?

A

Deep Rectal Biopsy

43
Q

Stage of Decubitus Ulcer that extends into muscle, tendon & bone?

A

Stage IV

44
Q

Bedridden, 61 Y.O, previous stroke. She has an infected deep pressure ulcer in her sacrum. AFTER debridement & supportive treatment, the pressure ulcer can be manage with?

A

Gluteus Maximus Flap

45
Q

Also known as Full Thickness Burns

A
  • 3rd degree burn

- All layers of skin + entire Dermis

46
Q

Left Posterior diaphragm

A

Bochdalek’s Hernia

47
Q

Anterior

A

Morgagni

48
Q
  • Diaphragm
  • Embrologic of diaphragm
  • From cervical C2, C3, C4
A

Pleuroperitoneal / Septum Transversarium

49
Q

Gold Standard for Glaucoma

A

Tonometry

50
Q

Pre-op Bowel Prep Antibiotic

A

Netilmicin

51
Q

Dilute sodium hypochlorite (bleach) used in contaminated wounds

A

Dakin Solution

52
Q

Bleach + acute / vinegar

A

Third Solution

53
Q

When you do lumbar tap

A
  • L4 – L5
  • L3 – L4
  • Dura & Subarachnoid space
54
Q

In between Dura Mater & Ligamentum Flavum

A

Epidural tap

55
Q

Dermatomal level of Anus

A

S5

56
Q

What is the most common site of obstruction in gallstone ileus?

A

Terminal Ileum

57
Q

Which is the most frequent gastrointestinal site of Crohn’s disease
Skip lesion / Coble Stone Appearance

A

Ileocecal Region

58
Q

What is the most appropriate donor site for grafting the skin of the hand?

A

Inner aspect of the arm

59
Q

What is the recommended excisional margin for a 3 mm depth melanoma?

A

2 cm

60
Q

What is the most appropriate donor site for grafting the skin of the face?

A

Post auricular

61
Q

what is the most frequently utilized flap for head & neck reconstruction?

A

Deltopectoral flap

62
Q

What is a Marjolin’s Ulcer

A
  • Squamous cell carcinoma that develops in a chronic wound or ulceration
  • Non-healing wound
63
Q

What is the most frequent site of rupture of the appendix?

A

Anti-mesenteric border

64
Q

Why is the left kidney preferred for donor nephrectomy?

A

Longer left renal vein

65
Q

What is the most common surgical technique for tubal ligation in the Philippines?

A

Pomeroy Technique

66
Q

What is ligated in Pomeroy Technique?

A

Isthmus

67
Q

Where is the donor kidney placed?

A

Iliac Fossa

68
Q

What is Amyand’s Hernia?

A

The Hernia sac contains a ruptured appendicitis

69
Q

henia in Mickel’s diverticula

A

Littre’s hernia

70
Q

Accepted sclerosant for pleural effusion?

A

TALC

71
Q

A small thick antecubital scar from 2nd degree flame burn is constricting movement. To relieve the constriction, the appropriate procedure to refresen the scar is?

A

Z plasty

72
Q
  • most common source of extra-adrenal pheochromocytoma

- near the abdominal aorta

A

Organ of Zuckerkandl

73
Q

metastatic disease to rectouterine pouch of Douglas

A

Blumer’s Shelf

74
Q

mets at the ovaries

A

Krukenberg Tumor

75
Q

Conduit of choice of CABG?

A

Internal Mammary Artery

76
Q

What is used for cross facial Nerve Graft / Spinal Nerve Injury?

A

Sural Nerve

77
Q

Parathyroid Ca should be resected

A

3.5 / 3 ½

78
Q

Parathyroid Ca should be resected

A
  1. 5 / 3 ½

- Leave half – still compatible with life

79
Q

Parathyroid glands Normal:

A

4 parathyroid glands

80
Q

What ligament clamp in Pringle’s Maneuver that is less harmful?

A
  • Hepatoduodenal ligament
  • Clamping of the hepatoduodenal ligament alone is less harmful because the liver is nourished partially by backflow from the hepatic vein during clamping of the HDL
81
Q

on top of the mountain, how many (much) % of the PO2 of blood?

A

47%

82
Q

Polycythemia Vera

- at sea level, the alveolar PO2 is

A

104 mmHg

83
Q

Polycythemia Vera

- at 20,000 feet altitutde, it falls about in anacclimatized person

A

40 mmHg

84
Q

initial chest tube drainage

A

1,500 ml

85
Q

chest tube drainage in succceeding hours

A

200 ml/hour x 4 hours

86
Q

level of needle thoracostomy

A

5th ICS MCL / AAL

87
Q

causetive agent for Red tide

A

Pfiesteria algal

88
Q

what particle suspended in the alveoli

A

0.5 mm

89
Q

settle in the smaller bronchioles as a result of gravitational precipitations

A

1.5 mm

90
Q

in laryngoscopy of a patient, what is the position of vocal cord

A

the cords are wide open (abducted)

***the vocal cords as they are seen when looking into the glottis with a laryngoscope. during normal breathing the vocals are wide open to allow passage of air

mic cabatu last ditch (23 decks)

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