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Topnotch Surgery Pearls > Surgery > Flashcards

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
Q

Hamartromas of all 3 embryonal cell layers, facial trichelemmomas, breast CA, thyroid disease

A

Cowden’s syndrome

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26
Q

Polyposis of small intestines, colon, and rectum; melanin spots on the buccal mucosa, lips, and anus

A

Peutz-jegher

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27
Q

Also called Eck’s fistula

A

Portacaval shunt

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28
Q

Also called Warren’s shunt

A

Distal splenorenal shunt

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29
Q

Congestive hepatopathy characterized by obstruction to hepatic venous outflow

A

Budd Chiari Syndrome

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30
Q

Most common symptom and indication for resection in hemanangioma

A

Pain

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31
Q

Most common benign solid mass in the liver

A

Hemangioma

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32
Q

Most common malignant tumor

A

Metastatisis

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33
Q

Extrahepatic cholangiocarcinoma, carcinoma of the hepatic duct bifurcation

A

Klatskin tumor

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34
Q

Procedure in biliary atresia, portoenterostomy, roux en y hepaticojejunostomy

A

Kasai procedure

35
Q

Most common cause of biloma

A

Leaking cystic duct stump

36
Q

Grahams Cole test most specific test for cholecystits

A

Oral cholecystography

37
Q

Type 5 choledochal cyst- cyst in intrahepatic duct only

A

Caroli’s disease

38
Q

Managment for chronic pancreatitis

A

Puestow-gillesby procedure/ rou en y pancreaticojejunostomy

39
Q

Pancreaticoduodenostomy

A

Whipple’s procedure

40
Q

Rashkind procedure

A

Balloon atrial septostomy

41
Q

Atrial septostomy

A

Blalock hanlon

42
Q

What is the rule of 2s

A

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
Q

Preferred surgical procedure for ascending aortic dissextion

A

Stanford Type A- DeBakey type I and II

44
Q

Hartey dunhill procedure

A

Subtotal thyroidectomy

45
Q

Mgmt for toxic adenoma (plummer’s disease)

A

Unilateral lobectomy+ isthmusectony

46
Q

Mgmt for toxic multinodular goiter

A

Subtotal/ near total thyroidectomy

47
Q

Recurrent acute thyroiditis, we suspect

A

Pyriform sinus fistula

48
Q

Thyroid is being replaced by fibrous tissue

A

Reidel’s thyroiditis

49
Q

Mgnt for reidel thryoiditis

A

Wedge excision of the thyroid isthmus, steroids and thyroxine

50
Q

Single most important test in evaluation of thyroid nodules

A

FNAB

51
Q

Most common inflammatory disorder of the thyroid gland

A

Hashimoto’s lymphocytic thyroiditd

52
Q

FNAN cannot diagnose what

A

Follicular and hurthle cell CA

53
Q

1st test requested in evaluation of thyroid nodules

A

Thyroid function test; eu/hypo- FNAB; hyper- RAI

54
Q

Mgmt for thyroid cysts

A

Aspiration up to 3x

55
Q

Mgmgt for colloid adenoma

A

<3: observe with/without l thyroxine; 3 or more: lobectomy with isthmusextony

56
Q

Papillary thyroid meta involves

A

Lungs

57
Q

Most important prognostic factor for papillary thyroid CA

A

Age (45- maximum of stage II)

58
Q

Mgmt for papillary CA

A

Lobectomy+ isthmusectomy

59
Q

Carcinoma common in iodine deficient areas

A

Follicular

60
Q

mgmt for follicular neoplasm

A

Lobectomy+isthnusectomy

61
Q

Diagnosis of follicular and hurthle cell CA

A

Relies on presence of capsular and vascular invasion

62
Q

Mgmt for hurthle cell

A

Adenoma: lobectomy+isthmusectomy;
Carcinoma: TT:NTT+ routine central neck node dissection

63
Q

Arises from the parafollicular cells located at the superolateral lobes of the thyroid

A

Medillary thyroid Ca

64
Q

Calcitonin and CEA producin neoplasm

A

Medullary thyroid

65
Q

Ultraviolet rays responsible for acute and chronic infections

A

UVB

66
Q

Gangrene of the external genitalia

A

Fournier’s gangrene

67
Q

Causative organisms for necrotizing soft tissue infections

A

Polymicrobial

68
Q

Infection following tooth extraction, odontogenic infection

A

Actinomyces

69
Q

Sudden multiple, eruption associated with an internal malignancy

A

Lesser trelat sign

70
Q

Nevi with swimming trunk distribution

A

Giant hairy nevi

71
Q

Type of nevi that is premalignant

A

Congeintal

72
Q

Aka acococordon

A

Skin tag

73
Q

Most common type of skin cancer

A

Basal

74
Q

Mgmt for basal cell cA

A

Excision with 0.5-1 cm margins

75
Q

Mgmt for basal CA <2cm

A

Curettage, electrodessication, laser

76
Q

Characterisjtcnm of squamous crll CA that correlates with malignant behavoir

A

Thicknrss

77
Q

Premalignant lesion of malignant melanoma

A

Dysplastic nevi

78
Q

Most common type of melanoma

A

Superficial spreading

79
Q

Most common cutaneous carcinoma in head and neck

A

Squamous

80
Q

Melanoma without a radial growth phase and directly invades the dermis

A

Nodular

81
Q

GBS is associated with wc bacteria

A

C jejuni

82
Q

Associated with malignancy an toxic megacolon- crohn’s or UC

A

Ulcerative collitid

83
Q

UC flare ups are triggered by

A

C difficile infection

84
Q

Most closely associated with increaed rate of colorectal CA

A

Dietary factors

Topnotch Surgery Pearls (12 decks)

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