Surgery Flashcards
Which ca history predisposes to breast ca in female?
Ovarian ca
Endometrial ca
Mc histological type of breast ca
AdenoCA
Mc histological subtype of breast ca
Invasive ductal ca
Least common subtype of breast ca
Papillary ca of breast
Most malignant and worst prognosis of breast ca
Inflammatory breast ca
Least malignant and best prognosis of breast ca
Tubular ca of breast
Simple/total mastectomy
En block removal of all tissue
Extended mastectomy
Simple mastectomy + removal of level 1 LN
Modified radical mastectomy
Total mastectomy + Level 1 + 2 LN removal
Extended radical mastectomy
Radical mastectomy + Internal mammary LN removal
Super radical mastectomy
Radical mastectomy + Removal of supraclavicular LN+ Internal mammary lN+ Mediastinal ln removal
Eczamatous eruption of nipple + Cea +ve
Paget’s disease of nipple
Eczamatous eruption of nipple + s100 +ve
Melanoma
Vessel involved in Mondor’s disease
Lateral thoracic vein
Thyroglossal cyst and hashimoto thyroiditis increases risk of which thyroid ca?
Papillary thyroid ca
3 limitations of fnac in thyroid surgery case?
Can’t differentiate between follicular adenoma and ca
Reidels thyroiditis
Thyroid lymphoma
Mcc of hypothyroidism
Hashimoto’s thyroiditis
Mcc of hyperthyroidism
Grave’s disease
Anti thyroid doc for grave’s disease
Methimazol
Anti thyroid doc for grave’s disease in pregnancy
Carbimazol
Anti thyroid doc for grave’s disease during thyrotoxic crisis
PTU
Mc thyroid malignancy
Papillary thyroid ca
Mc thyroid ca in iodine deficient area
Follicular thyroid ca
Mc thyroid ca in long standing history of goitre
Follicular thyroid ca
Accidental removal of PT gland is re implanted in which muscle?
SCM
In Parathyroidectomy in PT hyperplasia, 1/2 gland is re implanted in which muscle?
Brachioradialis of non dominant arm
Mc nerve damaged in thyroidectomy
Ext branch of superior laryngeal nerve aka external laryngeal nerve
Venous drainage of caudate lobe of liver
Directly into IVC
On endoscopy, the narrowing which is found at 15cm from upper incisor is?
Cricopharynx
On endoscopy, the narrowing which is found at 25cm from upper incisor is?
Arch of aorta
Left bronchus
On endoscopy, the narrowing which is found at 40cm from upper incisor is?
Diaphragm
Left sided Posterolateral esophageal hernia
Bochdalek hernia
Tight sided/ retrosternal hernia
Morgagni hernia
3 muscle fibres which makes the upper esophageal sphincter?
Oblique fibres of thyropharyngeal
Transverse fibres of cricopharyngeus
Longitudinal muscles of esophagus
Dehiscence between the fibres of thyropharyngeal and cricopharyngeal muscles
Killian’s dehiscene
Dehiscence below and lateral to cricopharyngeaus
Killian jamieson area
Dehiscene below cricopharyngeaus
Laimers dehiscene
Esophageal diverticula/herniation in killian area causes
Zenker’s diverticulum
Esophageal diverticula/herniation in killian jamieson area causes
Killian jamieson diverticulum
Only one True diverticulum
Traction/ mid esophageal diverticulum
False diverticulum
Zenker’s diverticulum
Epiphrenic diverticulum
Barret’s esophagus metaplasia description
Stratified squamous epithelium is replaced by intestinal columnar cells with goblet cells
Which serology marker is specific for ulcerative colitis?
P-ANCA
Which serology marker is specific for Crohn’s disease?
ASCA
If the defect is in deep ring in hernia, then it a pathology of?
Fascia transversalis
Sac of indirect inguinal hernia enters via which ring?
Deep ring
Boundaries of hesselbach triangle?
Lateral medial inferior
Lateral- Inferior epigastric artery
Medial- Lateral border of rectus abdominus
Inferiorly- Inguinal ligament
Relation of sac with the spermatic cord in direct inguinal hernia?
Sac is posterior to spermatic cord
Relation of sac with the spermatic cord in indirect inguinal hernia?
Sac is Anterolateral to spermatic cord
Relation of neck of sac In inguinal hernia?
Sac is above and medial to pubic tubercle
Relation of neck of sac In femoral hernia?
Sac is below and lateral to pubic tubercle
Antibody involved in primary biliary cirrhosis?
Anti mitochondrial antibody
Antibody involved in hashimoto thyroiditis?
Anti tpo
Antibody involved in graves disease?
Thyroid stimulating ab- anti TSH receptor
Which pancreatic enzyme is more specific for diagnosis of acute pancreatitis?
Lipase