Surgery Flashcards
1
Q
Absorbable synthetic suture
A
M P V D m201
2
Q
White coloured suture?
made up of?
A
Monocryl
polyGYCAPARONE
3
Q
White coloured suture used for
A
Subcuticular cosmetic Suture
4
Q
White coloured suture absorbed in How many days
A
120
5
Q
Suture made of polyDiaxonone
A
P D S
6
Q
P D S Suture used for
A
whipple’s
PJ
7
Q
P D S Suture absorbed in how many days
A
180
8
Q
Violet coloured suture
absorbed in how many days
A
Vicryl
90
9
Q
Suture made up of polyGALACtin
Color
A
vicryl
Violet/purple
10
Q
Suture used for CBD ureter Bowel
A
Vicryl
11
Q
Suture made up of polyGLYCOlic
A
dexon
12
Q
polyglycolic acid absorbed in how many days
A
90
13
Q
Absorbable natural suture
A
catgut
Chromic catgut
14
Q
Catgut suture how many days
A
60
15
Q
Chromic catgut suture absorbed in how many days
A
90
16
Q
Suthers absorbed in 90 days
A
Dexon
Vicryl
Chromic catgut
17
Q
Maximum risk of infection in which suture
A
dexon
18
Q
suture used for tubectomy
A
Chromic catgut
19
Q
Preservative for cat gut suture
A
Isopropyl alcohol
20
Q
non absorbable natural suture
color
for?
A
silk
black
skin/secure drains
21
Q
non absorbable suture m/o polyamide
A
nylon
22
Q
non absorbable suture m/o ethilon
A
nylon
22
Q
non absorbable suture m/o polypropylene
A
prolene
23
Q
what type of surgery is hernia repair
A
clean
24
what type of surg is small bowel resection
clean contaminated
25
what type of surgery is cabg
clean
26
what type of surg is laryngectomy
clean contaminated
27
what type of surgery is thyroidectomy
clean
28
what type os surgery is lobectomy
clean contaminated
29
what type of surgery is cholecystectomy with bile spillage
contaminated
30
what type of surgery is abscess management
dirty/infected
31
what type of surgery is an unplanned surgery
contaminated
32
what type of surg is mastectomy
clean
33
risk of ssi in dirty/infected surgery
>20%
34
risk of ssi In Contaminated surgery
10 to 20%
35
Risk of SSI in clean contaminated surgery
2 to 10%
36
Risk of SSI in clean surgery
Less than two percent
37
What type of surgery is Penetrating injury surgery
Dirty infected
38
Open cardiac massage is what kind of surgery
Unplanned contaminated
39
Lscs is what type of surgery
Planned clean contaminated
40
Hysterectomy is what kind of surgery
Plant clean contaminated
41
T U R P is what kind of surgery
Clean contaminated
42
Emergent Lscs is what kind of surgery
Clean contaminated
43
Knee or hip replacement is what kind of surgery
Clean
44
white T H R is part of what
SIRS Systemic inflammation response syndrome
45
what score in s i r s is bad
Two or more
46
Heart rate in S I R S
More than 90
47
Respiratory rate in S I R S
More than 20
48
PCO 2 in SIRS
Less than 32 mmhg
49
What percent of bands in s i r s
10%
50
Components of SIRS
WBC's more than 12,000 or less than 4000
Temperature core less than 36 degree or more than 38 degree
Heart rate more than 90
Respiratory rate 20 PCo 2 less than 32
51
Respiratory rate in Q Sofa
More than 22
52
Q Sofa Components are same as
Revised trauma score
53
What score of Q Sofa is bad
Two or more
54
Components of Q Sofa
GCS Less than 15
Respiratory rate more than 22
SBP less than 100
55
Q Sofa is used for
Organ dysfunction assessment
56
Three features of early sepsis
1 Shock
2 Warm extremitie
3 Mixed Venus O2 more than 70%
57
Early Sepsis is also known as
Hyperdynamic phase of septic shock
58
Best clinical indicator for adequacy of resuscitation
Urine output
59
Best indicator to estimate fluid required for resuscitation
Jvp central venous pressure
60
Best lab parameter to monitor tissue perfusion
Base deficit
lactate value
61
Normal urine output in adults
More than 0.5ML per kg per hour
62
Normal urine output in child
More than 1ML per kg per hour
63
Normal urine output in infant
More than 2ML per kg per hour
64
Shock index
Heart rate /SBP
65
modified shock Index
Heart rate / MAP
66
MAP
(2dbp+sbp) / 3
67
Low CO low svr Low JVP seen in
Neurogenic shock
Blood pooling due to ablation of total sympathetic flow and tone
68
Low co high svr high jvp Seen in which shock
Cardiogenic and obstructive
69
low Co high svr low jvp seen in which shock
hypovolemic
70
High Co low svr low jvp
distributive
71
tension pneumothorax and cardiac tamponade Are which type of shock
obstructive
72
Which scar can be rejected or left
Hypertrophic scar
73
Which scar is managed by Intralesional triamcenolone
keloid scar
74
Most common site for keloid scar
sternum
75
Disorganised colleges seen in which scar
keloid scar
76
Wbc more than 12,000 or less than 4000 are seen in
S I R S
77
Needle used in creating pneumoperitonium in surgery
Verees needle
78
Angle of veeres needle
45 degree
79
Amount of Co2 Insufflated for pneumoperitonium in surgeries
Less than 2litres
80
Perotonial stretching in pneumoperitonium known as
j reflex
81
on serosal stretching J reflex leads to what
Bradycardia
82
Which surgical scar Obeys the original incision
hypertrophic scar
83
Which surgical scar grows around the original incision
keloid scar
84
High chance of recurrence in which surgical scar
keloid
85
Is there a Risk of malignancy in Surgical scar
no
86
Unstable vitals in pneumothorax
Tension Pneumothorax
87
Life threatening chest trauma in airway
Airway obstruction
tracheo bronchial tree injury
88
Life threatening chest trauma in breathing
Tension pneumothorax
open Pneumothorax
massive hemothorax
89
Life threatening circulatory trauma
Cardiac temponade
Traumatic circulatory arrest
90
Raised jvp
Contralateral tracheal shift
Breath sounds decreased
heart sounds normal
hyper resonant on percussion
Tension pneumothorax
Obstructive shock
91
Decrease jvp
Contralateral tracheal shift
decreased breath sounds
normal heart sounds
dull on percussion
massive hemothorax
Hypervolumenic shock
92
Raised JVP No tracheal Shift Normal breath sounds Muffled heart sounds Normal on percussion
cardiac temponade Obstructive shock
93
Management of cardiac temponade
USG guided pericardioscentesis
94
Management of massive hemothorax
I C D
95
Management of tension pneumothorax
Needle Thoracostomy In unstable
ICD in stable
96
which is done first needle thoracostomy or icd
needle Thoracostomy
97
which triangle is used for I C D
Triangle of safety
98
Borders of triangles of safety In adults
Pactorial major
latisimus dorsi
Mid axiliary line
99
Needle used for thoracostomy
14 G
100
Insertion of needle Or ICD In adults
Mid axiliary line 5th intercostal space
101
Insertion of needle or ICD in child
Mid clavicular line in second intercostal space
102
Indication of the Thoracotomy
1st hour= >1.5 L
Next 4-5 hours = >200 cc /hour
103
Ellie's S curve Seen in
hemothorax
104
Seashore sign seen in
Normal lung U S G
105
Bar code or stratosphere sign seen in
usg of pneumothorax
106
USG mode to see pneumothorax Or Lungs
M mode
107
how to manage chest Traumalike tension pneumothorax
A B C D E
108
ICD is put where in intercostal space
Add upper border of lower rib
109
Intercostal bundle runs at which border of ribs
Lower border
110
where to look for pneumoperitoneum in Erect x ray
Right side diaphragm
111
Most common cause of Perforationperitonitis Or pneumoPeritoneum
Anterior dudenal ulcer perforation
112
Posterior dudenel ulcer leads to Complication
Bleeding Of gastrodeudenal artery
113
Management of perforation peritonitis
Iv fluids then exploratory laparotomy
114
Contrast in C E C T that can be given in perforation peritonitis
Iohexol gastrograffin urograffin
115
Surgery in perforation peritonitis
Graham's omental repair
116
Initial investigation versus investigation of choice In pneumoperitonium
Chest x ray erect pa
CECT with contrast( iohexol)
117
Which out of iohexol and gastrografin is better
Iohexol
118
Valvulae conniventis Seen in
short bowel obstruction jejunam
119
Central loop dilated in which bowel obstruction
Small bowel
120
stepladder appearance seen in which bowel obstruction
small bowel obstructions
121
Most common cause of small vowel obstruction
due to
adhesions
due to prior surgery
122
How many centimeters of loop dilated in small bowel obstruction
3 centimeter
123
Short bowel obstruction operated when not resolved after
24 hour's
124
haustrations seen in which bowel obstruction
Large bowel obstruction
125
peripheral loop dilutation seen in which bowel obstruction
Large bowel
126
how many centimeters of lobes dilated in large bowel obstruction
6 centimeters
127
Most common cause of large bowel obstruction
Malignancy
128
Haustrations not seen in which vaulvulus
sigmoid
129
which among hustrations and volvulae conneventis are complete mucosal fold
volvulae conneventis
130
hustrations seen in which volunteers
Ceacal
131
Haustrations are complete or incomplete mucosal folds
incomplete mucosal folds
132
Management of Small bowelobstruction and large bowelobstruction
Small bowel conservative
surgery after 24 hours not resolved
large bowel surgery
133
investigation of choice For bowel obstruction
C E C T
134
Initial investigations for bowel obstruction When presented with colicky abdominal pain distinction vomiting obstipation
Abdominal x-ray supine and erect( now only supine enough )
Chest x-ray erect PA view(To rule out perforation)
135
Management when presented with emergency colickypain abdominal, obstipation,abdominal distinction and vomiting
Resuscitation
Ivy fluids + npo + ng tube for decompression
136
how many loops Dilated in sigmoid volvulus
2
137
How many loops dilated in caecal volvulas
1
138
Coffee Bean sign seen in
sigmoid volvulus
139
caecal volvulus Loop diluted is small bowel or large bowel
small bowel
140
Hernia mesh is made up of most commonly
Prolene
141
prolene used for
mesh
rectus sheeth
vessles
142
max tensile strength suture
prolene
143
suture used for blood vessles
prolene
144
blue colored suture
prolene
145
suture used for rectus sheath
prolene
146
suture used for plastic surgery
novafil
147
suture m/o poly butester
novafil
148
suture m/o ethibond
polyester
149
suture pattern used for skin /eversion (to Remain everted)
horizontal and verticle mattress
150
suther used for nerves
Nylon polyamide ethylon
151
Suture used for Tendons
Nylon polyamide ethylon
151
Sutures used for cataract micro surgeries
Nylon polyamide ethylon
152
Monofilament sutures
Monocryl
PDS
Catgut
Nylon
prolene
Novafil
153
Complication with polyfilament suture
Increased risk of infection
154
Chronic catgut is used in which tubectomy
Modifies erwing's technique
155
Suture for securing drains
silk Non absorbable natural
156
Suture black in colour
Silk non absorbable natural
157
knot after suturing is known
everdeen's Knot
158
Knot after every suture known as
Simple interrupted suture
159
suture where knot is not seen
Subcuticular suture
160
Mattress Suture parallel to wound/ Incision
Horizontal mattress
161
Mattress Sutureperpendicular to wound/incision
Vertical mattress
162
Margins remain everted in which sutures
Mattress sutures
163
Disadvantage of mattress suture
Gives Railroad type appearance
164
Suture material used for subcuticular suture
Monocryl 3 0 White in colour
165
Purse string suture for
Cervical incompetence
herniotomy
Rectal prolapse
166
Treatment of choice for congenital Hydrocele
hernioTomy
167
Patent processes vaginalis in what
congenital hydrocele
168
Patent Processes vaginalis is closed for treatment of what
congenital hydrocele
169
Pushing back of rectal prolapse and closing it is which technique
perineal technique
170
Perineal approaches for rectal prolapse
TAD
thiersche cerclage
Altmier's procedure
Delorme procedure
171
Abdominal approaches for rectal prolapse
Ripstein RECTOPEXY
Well's
172
Jenkins rule used for
Measuring length of suture material
173
Length of suture material should be what
4 times the length of incision or wound
174
Angle of entry of suture
90 degree
175
Which injection is 90 degree
IM
176
Which needle is inserted at 45 degrees
verees needle
177
Which injection is injected at 45 degree
SC
Subcutaneous
178
verees Needle injected at which angle
45 degree
179
Which injection is inserted at 10-15 degree
ID
intradermal
180
Enjoy thermal injections at which degree
10-15
181
Subcutaneous injection injected at which degree
45 degrees
182
Intramuscular injection is injected at which degree
90 degrees
183
Which needle is used To create pneumoperitonium In Laproscopic Surgery
verees neddle
184
why bevelled margins in verees needle
To avoid injury in bowel
less traumatic
185
Most common gas Used in pneumoperitonium
Carbon dioxide CO2
186
Why CO2 most commonly used in pneumoperitonium
1 Incombustible( can be used with cautry )
2 soluble in blood(Less chance of air embolism)
187
Side effect of using CO2 in pneumoperitonium?
Avoided in which patient's?
Can cause hypercarbia due to solubility in blood
Avoided in COPD patients
188
gasses that can be used to create pneumoperitoneum
CO2
room air
helium N2O
189
Pressure to be created in pneumoperitoneum
15 -20 mm hg
190
Volume of gas to be given
Less than 2 L
191
Reflects seen in pneumoperitonium?
Due to?
J reflex
Due to Stretching off peritoneum
192
j reflex
stretching of peritoneum causes Bradycardia
193
Handle for blades known as
bard Parker Handle
194
Incision in surgery made in which direction
Distant to near
195
Blade number for skin incision
10
196
Blade number for muscle incision
10
197
Blade number for skin and muscle incision
10
198
Blade Number for incision and drainage
11
199
Triangle shaped blade number
11
200
Blade number for suture removal
12
201
curved blade number
12
202
sharp small margin for precision in blade number
15
203
For minor ot
Sebaceous cyst
plastic surgeries.
sharp small margin for precision in blade number
15
204
kNot - where four notes in one line Known as
Surgeons knot
205
206
Best suture knot
Surgeons knot
207
Sutures on same side up or down in which knot
Square knot or Reef knot
208
Sutures on opposite side up or down in which knot
Granny's knot
209
Suture not preferred
As it slips
Granny's knot
210
211
