Surgery halo halo 2 Flashcards

1
Q

Most common sites of involvement of GI TB

A

Ileocecal

Jejunoileum

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2
Q

Most common elbow dislocation

A

Posterior

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3
Q

Most common primary Appendiceal tumor

A

Carcinoid

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4
Q

Most common thyroid malignancy in IODINE SUFFICIENT areas

A

Thyroid Papillary Carcinoma

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5
Q

Olive shaped mass in abdomen in an infant with projectile non bilous vomiting

confirmatory test

A

Hypertrophic pyloric stenosis

Ultrasound

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6
Q

Single most impt criterion in diagnosing carcinoma in patient with adrenal mass

A

Size

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7
Q

Most common posterior Mediastinum mass

A

Neurogenic Tumor

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8
Q

Pentalogy of Cantrell

A
Omphalocele
Diaphragmatic hernia
Bifid sternum/ lower thoracic rib abN
Basent pericardium
VSD
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9
Q
Ulcer Classification 
Modified Johnson (1-2)
A

Type 1 and 2 both near INCISURA
but 1 due to ACID hyposecretino, 2 with assoc active or quiescent duod ulcer, acid HYPERsecretion

Type 3- PREPYLORIC are, acid hypersecretion
Type 4- Near GE junction- Acid hyposecretion
Type 5- NSAID induced

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10
Q

Findings in Peritoneal Lavage that warrants Exploratory Lap

RBC
WBC
Alk Phos
Bilirubin
Amylase
A
all > :
 100,000
500
2 IU/L
0.01
19
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11
Q

Estimated blood loss

per rib fracture
Tibial fracture
Femur fracture
Pelvic Fracture

A

100-200 cc per rib
300-500 cc
800-1000cc
>1000cc

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12
Q

Clarks level of Melanoma

I-V

A
I- to basement membrane
II- to papillary dermis
III- To papillary or reticular dermis junction
IV- Reticular dermis
V- To subcutaneous fat
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13
Q

Mgt for Choledochal cyst

Type I/ Fusiform dilatation of CBD
Type II/ Diverticulum of CBD
Type III/ Choledococele of intraduodenal CBD
Type IV/ Caroli’s disease, cystic dilatation of inrahepatic duct

A

I- Cyst excision and roux en y choledochojejunostomy
II- Excision
III- Sphinteroplasty or choledochoduodenostomy
IV- Liver transplantation

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14
Q

Number of lymph node required for Axillary dissection of breast cancer

A

10 or more in level I and II

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15
Q

Mgt Appendiceal Carcinoid

Clue: size
location

A

<1cm - Appendectomy

1-2 cm- look at the location ( mid to distal)- appendectomy; if at the BASE- RIGHT HEMICOLECTOMY

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16
Q

What sign is positive if the abdominal mass is permissive in Lateral Direction but restricts movement in Superoinferior direction ?

Dx?

A

Tilaux sign

Meseteric cyst

17
Q

Pre operative CT findings that determine

UNRESECTABILITY of pancreatic Head mass?

A

Encasement of SMA, Celiac Axis, Occlusion of SMV/ portal vein

18
Q

Hard signs Peripheral Arterial Injury

A
Rapidly expanding hematoma
Absent pulses
Bruit or palpable thrill
Active Bleeding
Distal ischemia
19
Q

Soft signs of Peripheral Arterial Injury

A

Associated nerve injury
Unexplained hypotension
History of previous bleeding in the scene of the injury
Hematoma

20
Q

Fluid replacement for

Stomach and Colon
Small bowel and pancreas

A

NSS

LR

21
Q

Suture removal

Face
Neck
Scalp
Extremitis

A

3-5 days
5-7 days
7-12 days
10-14 days

22
Q
Tumor marker for 
Colon, 
Cervix,
Breast 
Lung
ovary
Urinary Tract
A

CEA

23
Q

Tumor marker for
GCT
HCC

A

AFP

24
Q

Tumor Marker for

Breast CA

A

CA 15-3

25
Q

Tumor Marker for
Pancreatic ca(mainly)
Colorectal

A

CA 19-9

26
Q

Tumor Marker for

Medullary thyorid ca

A

Calcitonin

27
Q

Tumor Marker for
Gestational Trophoblastic Disease
Choriocarcinoma
GCT

A

Inhibin

28
Q

Tumor marker for

Prostate

A

PSA

29
Q

Tumor marker for
Melanoma,
Sarcoma
Astrocytoma

A

S-100

30
Q

Tumor marker for
Renal cell ca
Sarcoma
Endometrial Ca

A

Vimentin

31
Q

Massive Hemothorax in adult

IN Children

A

More than 1.5 liters of blood in pleural space

More than 1/3 of blood volume in pleural space

32
Q

MEN 2A

A

MTC
Pheochromocytoma
Primary hyperparathyroidism

33
Q

MEN 2B

A

MTC
Pheochromocytoma
Marfanoid Habitus
Mucocutaneous ganglioneuromatosis

34
Q

Quinke’s triad of Hemobilia

A

Right upper quadrant pain
Jaundice
UGIB

35
Q

Most important prognosticating factor In patient with Thyroid papillary and follicular carcinoma

A

Age

If younger than 45y/o, even with with METASTASIS patient still stage II