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Boards Halo halo > Surgery halo halo > Flashcards

Surgery halo halo Flashcards

1
Q

This should always be performed in repair of Zenker’s diverticulum

A

Myotomy of Cricopharyngeus muscle

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2
Q

Most common cause of Otitis media in newborn

A

E coli

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3
Q

Most common cause of stridor in Newborn

A

Laryngomalacia

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4
Q

Main determinant of cosmetic outcome in full thickness lip lacerations

A

Proper apposition of Vermillion border

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5
Q

Most common cause of Laryngeal Stenosis

A

Trauma

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6
Q

Most common site of esophageal foreing body

A

Just below Cricopharyngeus muscle

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7
Q

Most common salivary tumor

A

Mucoepidormoid carcinoma

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8
Q

Most common Malignant salivary tumor of Submandibular Glands

A

Adenoid cystic carcinoma

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9
Q

Number one most common benign Salivary tumor

A

Pleomorphic adenoma

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10
Q

Number two most common benign Salivary tumor

A

Warthin’s tumor- 10% bilateral

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11
Q

Part of airway that shows greatest inflammation in Child with laryngotracheobronchitis

A

subglottic region

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12
Q

Most common oropharyngeal manifestation of AIDS

A

Oropharyngeal thrush

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13
Q

Most common cause of vertigo in a child

A

Otitis Media

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14
Q

Most common types of malignant neoplasms of the nasopharynx in adults

A

SCC

Lymphoepithelioma

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15
Q

Most common isolated pathogen in ICU patient with paranasal sinusitis

A

Gram negative bacteria (Pseudomonas)

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16
Q

Most common location of calculi in parotid duct obstruction

A

Near the Orifice

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17
Q

Most common cause of UNILATERAL sensory hearing loss

A

viral neuronitis

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18
Q

Most common cause of BILATERAL Sensory hearing loss

A

Noise

Ototoxins ( Abx, Loop diuretics, Antineoplastics)

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19
Q

Most common organisms in AOM in children

A

Strep pneumo
H Influenza
Morrhaxella catarrhalis

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20
Q

Most common clinical complication of substernal goiter

A

Horner syndrome due to Sympathetic chain involvement
Dysphagia
Respiratory difficulty

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21
Q

Stones most likely to occur in what gland

A

Submandibular Gland

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22
Q

Most common intracranial complication of suppurative otitis media

A

Meningitis

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23
Q

Most common location of salivary gland tumor

A

Parotid

mostly benign-80%

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24
Q

most common malignant parotid tumor

A

Mucoepidormal carcinoma

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25
Q

Most common malignant submandibular gland

A

Adenoid Cyst carcinoma

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26
Q

Skull base lesions most commonly affect

A

Cn 7, 8

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27
Q

Most branchial cleft cysts morst commonly found in what triangle of the neck

A

Anterior triangle, lateral to midline

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28
Q

Most common lesion of the CEREBELLOPONTINE angle or skull base
Most common initial symptom

A

Acoustic Neuroma

Unilateral sensorineural hearing loss

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29
Q

most common histopath for lip,

most common location by sun exposed induced carcinoma

A

SCC

Lower lip

30
Q

Most common presenting signs of anterior lateral pharyngeal space infections

A

Trismus
Swelling at angle of mandible
Medial bulging of Pharyngeal wall

31
Q 
Organ viability for transplantation
Heart and Lungs
Liver
Pancreas
Kidneys
A

6-8 hrs
16 hrs
24 hrs
36-40 hrs

32
Q

Parkland formula for burn patients

A

= 4ml/kg/% BSA burned
1/2 of computed volume to be given for the first 8 hrs
the next half for the next 16 hrs

33
Q

What structures herniate in the FOUR types of hiatal Hernia

A

Type 1- Cardiac
Type 2- Fundus
Type 3- Cardiac and Fundus
Type 4- Intestines

34
Q

Structures removed during Breast Conservation surgery

A

Primary breast Cancer
Normal Margin Breast tissue
Assessment of regional Lymph nodes

35
Q

Structures removed during Radical Mastectomy

A 
Medial/Lateral Pectoral Nerves
Thoracodorsal Nerve
Long Thoracic nerve
Pectoralis major
ALL Ln
All Breast
36
Q

Strucutres removed during Modified radical Mastectomy

A

Like Radical but
Nerves and LN level III are spared
Pectoralis major spared

37
Q

Normal Aortic diameter

A

2-3cm

38
Q

Indications for AORTIC ANEURYSM Repair
for ASx Patients WITHOUT connective tissue d/o

Ascending Aorta
Descending Aorta
Abdominal Aorta
Rate of Dilatation / yr for Thoracic aorta
Rate of Dilatation /yr for Abdominal aorta

A 
> 5.5cm
>6.5cm
>5.5cm
>1cm
>0.5cm
39
Q

Strongest layer of bowel

A

Submucosa

40
Q

Choledochal Cyst Type 1

A

Saccular/fusiform dilatation

41
Q

Choledochal Cyst type 2

A

Isolated diverticulum

42
Q

Choledochal Cyst Type 3

A

Choledochocele

43
Q

Choledochal Cyst Type 4

A

Inta and Extrahepatic biliary tree/ extrahepatic biliary tree dilatation

44
Q

Choledochal cyst type 5

A

Intrahepatic biliary tree dilatation

45
Q 
Aortic Dissection Classification
Debakey I
II
IIIa
IIB
A

I- Ascending and Descending Aorta
II- Ascending aorta
III- Descending aorta originating from Left Subclavian Artery
IIIa- originate Distal to Left Subclavian Artery, extends BOTH PROX and DISTALLY; above the diaphragm
IIIb- Originate distal to Left subclavian artery, extends DISTALLY ONLY; may extend below diaphragm

46
Q

Most common form of CONGENITAL diaphragmatic Hernia

A

Bochdalek’s hernia

Left Posterolateral defect

47
Q

Most common source of Gastrinoma

A

Stomach

60% malignant

48
Q

Most common site of Gastrinoma

A

Gastrinoma/ Passaro’s triangle:

Jxn of Cystic and CBD
Jxn of 2nd and third part of duodenum
Jxn of neck and body of pancreas

49
Q

Patient with thyroid nodule, INC Calcitonin

Dx?

A

Medullary Carcinoma of thyroid

50
Q

MEN2a includes

A

Medullary ca of thyroid
Pheochromocytoma
Parathyroid hyperplasia

51
Q

Basal caloric reqt for a normal healthy individual

A

25 kcal/Kg/day

52
Q

Caloric reqt for mild stress

A

25-30

53
Q

Caloric reqt for Moderate stress

A

30

54
Q

Caloric reqt for severe stress

A

35-40

55
Q

most common location of INSULINOMA

A

evenly distributed throughout Pancreas

56
Q

Most common site of GLUCAGONOMA

A

Pancreatic tail

57
Q

Most common cause of fever 48 hrs post op

A

Atelectasis

58
Q

Most common site of Colonic perforation

A

Cecum: widest and thinnest

59
Q

Most common site of Colonic Obstruction

A

Sigmoid: narrowest

60
Q 
Modified neck dissection:
Submandibular salivary gland
LN 1-5
SCM
IJV
SAN

Type 1 preserves?
Type 2
Type 3

A

SAN

SAN, SCM

SAN, SCM, IJV

61
Q

Goodsall’s rule:

External opening below Transverse anal line open to

A

Anal canal MIDLINE POSTERIORLY

62
Q

Goodsall’s rule:

Anterior opening associated with a

A

Radial Tract

63
Q

Goodsall’s rule:

Anterior fistulas

A

Have a direct track into the anal canal

64
Q

Goodsall’s rule:

Posterior fistulas will have

A

Curved track with their internal opeNing in the POSTERIOR MIDLINE OF THE ANAL CANAL

65
Q

Goodsall’s rule:
Exceptio:
Anterior fistulas more than 3 cm from the anus

A

Curved track that opens in the POSTERIOR MIDLINE ANAL CANAL

66
Q

Hernia Repair:

Bassini Repair

A

Approximates Transversalis aponeurosis/ conjoint tendon arch to the shelving edge of the INGUINAL ligament/ Poupart’s ligment

67
Q

Hernia Repair:

Mcvay Repair

A

Transversalis aponeurosis and transversalis fascia to Coper’s ligament an d the Iliopubic tract

for indirect and femoral hernia

68
Q

Hernia Repair:

Lichenstein repair

A

Open mesh repair

Reinforce the posterior inguinal wall

69
Q

Hernia Repair:

Shouldice Repair

A

2 continuous sutures
2nd layer approximates Internal oblique muscles and the transversalis abdominis muscle to the External Oblique aponeurosis superficially and parallel to Poupart’s ligament

70
Q

Minimum Urine output:
Infant
Children
Adult

A

2cc/kg/hr
1cc/kg/hr
0.5cc/kg/hr

Boards Halo halo (16 decks)

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