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FMGE > Surgery > Flashcards

Surgery Flashcards

1
Q

Which ca history predisposes to breast ca in female?

A

Ovarian ca

Endometrial ca

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2
Q

Mc histological type of breast ca

A

AdenoCA

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3
Q

Mc histological subtype of breast ca

A

Invasive ductal ca

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4
Q

Least common subtype of breast ca

A

Papillary ca of breast

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5
Q

Most malignant and worst prognosis of breast ca

A

Inflammatory breast ca

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6
Q

Least malignant and best prognosis of breast ca

A

Tubular ca of breast

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7
Q

Simple/total mastectomy

A

En block removal of all tissue

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8
Q

Extended mastectomy

A

Simple mastectomy + removal of level 1 LN

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9
Q

Modified radical mastectomy

A

Total mastectomy + Level 1 + 2 LN removal

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10
Q

Extended radical mastectomy

A

Radical mastectomy + Internal mammary LN removal

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11
Q

Super radical mastectomy

A

Radical mastectomy + Removal of supraclavicular LN+ Internal mammary lN+ Mediastinal ln removal

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12
Q

Eczamatous eruption of nipple + Cea +ve

A

Paget’s disease of nipple

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13
Q

Eczamatous eruption of nipple + s100 +ve

A

Melanoma

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14
Q

Vessel involved in Mondor’s disease

A

Lateral thoracic vein

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15
Q

Thyroglossal cyst and hashimoto thyroiditis increases risk of which thyroid ca?

A

Papillary thyroid ca

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16
Q

3 limitations of fnac in thyroid surgery case?

A

Can’t differentiate between follicular adenoma and ca
Reidels thyroiditis
Thyroid lymphoma

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17
Q

Mcc of hypothyroidism

A

Hashimoto’s thyroiditis

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18
Q

Mcc of hyperthyroidism

A

Grave’s disease

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19
Q

Anti thyroid doc for grave’s disease

A

Methimazol

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20
Q

Anti thyroid doc for grave’s disease in pregnancy

A

Carbimazol

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21
Q

Anti thyroid doc for grave’s disease during thyrotoxic crisis

A

PTU

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22
Q

Mc thyroid malignancy

A

Papillary thyroid ca

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23
Q

Mc thyroid ca in iodine deficient area

A

Follicular thyroid ca

24
Q

Mc thyroid ca in long standing history of goitre

A

Follicular thyroid ca

25
Q

Accidental removal of PT gland is re implanted in which muscle?

A

SCM

26
Q

In Parathyroidectomy in PT hyperplasia, 1/2 gland is re implanted in which muscle?

A

Brachioradialis of non dominant arm

27
Q

Mc nerve damaged in thyroidectomy

A

Ext branch of superior laryngeal nerve aka external laryngeal nerve

28
Q

Venous drainage of caudate lobe of liver

A

Directly into IVC

29
Q

On endoscopy, the narrowing which is found at 15cm from upper incisor is?

A

Cricopharynx

30
Q

On endoscopy, the narrowing which is found at 25cm from upper incisor is?

A

Arch of aorta

Left bronchus

31
Q

On endoscopy, the narrowing which is found at 40cm from upper incisor is?

A

Diaphragm

32
Q

Left sided Posterolateral esophageal hernia

A

Bochdalek hernia

33
Q

Tight sided/ retrosternal hernia

A

Morgagni hernia

34
Q

3 muscle fibres which makes the upper esophageal sphincter?

A

Oblique fibres of thyropharyngeal
Transverse fibres of cricopharyngeus
Longitudinal muscles of esophagus

35
Q

Dehiscence between the fibres of thyropharyngeal and cricopharyngeal muscles

A

Killian’s dehiscene

36
Q

Dehiscence below and lateral to cricopharyngeaus

A

Killian jamieson area

37
Q

Dehiscene below cricopharyngeaus

A

Laimers dehiscene

38
Q

Esophageal diverticula/herniation in killian area causes

A

Zenker’s diverticulum

39
Q

Esophageal diverticula/herniation in killian jamieson area causes

A

Killian jamieson diverticulum

40
Q

Only one True diverticulum

A

Traction/ mid esophageal diverticulum

41
Q

False diverticulum

A

Zenker’s diverticulum

Epiphrenic diverticulum

42
Q

Barret’s esophagus metaplasia description

A

Stratified squamous epithelium is replaced by intestinal columnar cells with goblet cells

43
Q

Which serology marker is specific for ulcerative colitis?

A

P-ANCA

44
Q

Which serology marker is specific for Crohn’s disease?

A

ASCA

45
Q

If the defect is in deep ring in hernia, then it a pathology of?

A

Fascia transversalis

46
Q

Sac of indirect inguinal hernia enters via which ring?

A

Deep ring

47
Q

Boundaries of hesselbach triangle?

Lateral medial inferior

A

Lateral- Inferior epigastric artery
Medial- Lateral border of rectus abdominus
Inferiorly- Inguinal ligament

48
Q

Relation of sac with the spermatic cord in direct inguinal hernia?

A

Sac is posterior to spermatic cord

49
Q

Relation of sac with the spermatic cord in indirect inguinal hernia?

A

Sac is Anterolateral to spermatic cord

50
Q

Relation of neck of sac In inguinal hernia?

A

Sac is above and medial to pubic tubercle

51
Q

Relation of neck of sac In femoral hernia?

A

Sac is below and lateral to pubic tubercle

52
Q

Antibody involved in primary biliary cirrhosis?

A

Anti mitochondrial antibody

53
Q

Antibody involved in hashimoto thyroiditis?

A

Anti tpo

54
Q

Antibody involved in graves disease?

A

Thyroid stimulating ab- anti TSH receptor

55
Q

Which pancreatic enzyme is more specific for diagnosis of acute pancreatitis?

A

Lipase

FMGE (10 decks)

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