Surgery Flashcards

1
Q

Basal cell CA

A

Moh’s surgery

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2
Q

SSC in situ

A

Bowen’s disease

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3
Q

In situ SCC specific to the penis

A

Erythroplasia of Queyrat

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4
Q

Lesions arising from burn areas, may lead to early metastasis

A

Marjolin’s ulcer

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5
Q

Variant of thrombophlebitia that involves the supeficial veins of the anterior chest wall and breast

A

Mondor’s disase

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6
Q

Large, pale, vacuolated cells in the rete pegs of epithelium

A

Paget’s disease

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7
Q

Most common type of invasive breast CA

A

Invasive ductal CA

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8
Q

Central stellate configuration with chalky white or yellow streaks

A

Invasive ductal CA

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9
Q

Dense lymphoreticular infiltrate of lymphocytes and plasma cells

A

Medullary Ca

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10
Q

Glistening and gelatinous

A

Mucinous ca

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11
Q

Papillae with fibrovascular stalks

A

Papillary ca

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12
Q

Haphazard aray of small tubular elements

A

Tubular ca

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13
Q

Small cells arranged in single file orientation

A

Indian file configuration- invasive lobular carcinoma

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14
Q

intracytoplasmic mucin that may displace the nucleus

A

Signet ring configuration- invasive lobular CA

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15
Q

Abrikossof tumor

A

Granular cell myoblastoma

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16
Q

Associated with an impacted tooth

A

Ameloblastoma/ adamantinoma

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17
Q

Chest pain, retching with inability to vomit, inability to pass ngt

A

Borchardt’s triad- diaphragmatic hernia

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18
Q

Management for achalasia

A

Heller’s myotony+ partial fundoplication

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19
Q

Meckel’s may present in what hernia

A

Littre’s

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20
Q

Syndromes/disease related with adenomatous polyps

A

Gardner’s syndrome, Turcot’s syndrome, FAP

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21
Q

Congenital hypetrophy of pigmented retinal epithelium, desmoid tumors, epidermoid cysts, mandibular osteomas, adenomatous polyps

A

Gardner’s syndrome

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22
Q

Glioblastomas, adenomatous polyps

A

Turcot’s syndrome

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23
Q

Syndromes associated with hamartomatous polyps

A

Cronkite-canada, cowden’s, peutz-jegher

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24
Q

Alopecia, cutaneous pigmentations, atrophy of fingernail/toenails

A

Cronkite-canada syndrome

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25
Hamartromas of all 3 embryonal cell layers, facial trichelemmomas, breast CA, thyroid disease
Cowden's syndrome
26
Polyposis of small intestines, colon, and rectum; melanin spots on the buccal mucosa, lips, and anus
Peutz-jegher
27
Also called Eck's fistula
Portacaval shunt
28
Also called Warren's shunt
Distal splenorenal shunt
29
Congestive hepatopathy characterized by obstruction to hepatic venous outflow
Budd Chiari Syndrome
30
Most common symptom and indication for resection in hemanangioma
Pain
31
Most common benign solid mass in the liver
Hemangioma
32
Most common malignant tumor
Metastatisis
33
Extrahepatic cholangiocarcinoma, carcinoma of the hepatic duct bifurcation
Klatskin tumor
34
Procedure in biliary atresia, portoenterostomy, roux en y hepaticojejunostomy
Kasai procedure
35
Most common cause of biloma
Leaking cystic duct stump
36
Grahams Cole test most specific test for cholecystits
Oral cholecystography
37
Type 5 choledochal cyst- cyst in intrahepatic duct only
Caroli's disease
38
Managment for chronic pancreatitis
Puestow-gillesby procedure/ rou en y pancreaticojejunostomy
39
Pancreaticoduodenostomy
Whipple's procedure
40
Rashkind procedure
Balloon atrial septostomy
41
Atrial septostomy
Blalock hanlon
42
What is the rule of 2s
2% of population, within 2 feet of ileocecal valve, 2 inches in length, 2 types of heterotrophic mucosa, before 2 yrs old- Meckel's
43
Preferred surgical procedure for ascending aortic dissextion
Stanford Type A- DeBakey type I and II
44
Hartey dunhill procedure
Subtotal thyroidectomy
45
Mgmt for toxic adenoma (plummer's disease)
Unilateral lobectomy+ isthmusectony
46
Mgmt for toxic multinodular goiter
Subtotal/ near total thyroidectomy
47
Recurrent acute thyroiditis, we suspect
Pyriform sinus fistula
48
Thyroid is being replaced by fibrous tissue
Reidel's thyroiditis
49
Mgnt for reidel thryoiditis
Wedge excision of the thyroid isthmus, steroids and thyroxine
50
Single most important test in evaluation of thyroid nodules
FNAB
51
Most common inflammatory disorder of the thyroid gland
Hashimoto's lymphocytic thyroiditd
52
FNAN cannot diagnose what
Follicular and hurthle cell CA
53
1st test requested in evaluation of thyroid nodules
Thyroid function test; eu/hypo- FNAB; hyper- RAI
54
Mgmt for thyroid cysts
Aspiration up to 3x
55
Mgmgt for colloid adenoma
<3: observe with/without l thyroxine; 3 or more: lobectomy with isthmusextony
56
Papillary thyroid meta involves
Lungs
57
Most important prognostic factor for papillary thyroid CA
Age (45- maximum of stage II)
58
Mgmt for papillary CA
Lobectomy+ isthmusectomy
59
Carcinoma common in iodine deficient areas
Follicular
60
mgmt for follicular neoplasm
Lobectomy+isthnusectomy
61
Diagnosis of follicular and hurthle cell CA
Relies on presence of capsular and vascular invasion
62
Mgmt for hurthle cell
Adenoma: lobectomy+isthmusectomy; Carcinoma: TT:NTT+ routine central neck node dissection
63
Arises from the parafollicular cells located at the superolateral lobes of the thyroid
Medillary thyroid Ca
64
Calcitonin and CEA producin neoplasm
Medullary thyroid
65
Ultraviolet rays responsible for acute and chronic infections
UVB
66
Gangrene of the external genitalia
Fournier's gangrene
67
Causative organisms for necrotizing soft tissue infections
Polymicrobial
68
Infection following tooth extraction, odontogenic infection
Actinomyces
69
Sudden multiple, eruption associated with an internal malignancy
Lesser trelat sign
70
Nevi with swimming trunk distribution
Giant hairy nevi
71
Type of nevi that is premalignant
Congeintal
72
Aka acococordon
Skin tag
73
Most common type of skin cancer
Basal
74
Mgmt for basal cell cA
Excision with 0.5-1 cm margins
75
Mgmt for basal CA <2cm
Curettage, electrodessication, laser
76
Characterisjtcnm of squamous crll CA that correlates with malignant behavoir
Thicknrss
77
Premalignant lesion of malignant melanoma
Dysplastic nevi
78
Most common type of melanoma
Superficial spreading
79
Most common cutaneous carcinoma in head and neck
Squamous
80
Melanoma without a radial growth phase and directly invades the dermis
Nodular
81
GBS is associated with wc bacteria
C jejuni
82
Associated with malignancy an toxic megacolon- crohn's or UC
Ulcerative collitid
83
UC flare ups are triggered by
C difficile infection
84
Most closely associated with increaed rate of colorectal CA
Dietary factors