SurgFinal

Question 1

transverse abdominus to thompsons ligament / and internal oblique aponeurosis conjoined to ingunal ligament

Answer 1

Bassini

Question 2

repair of the posterior wall of the ingunal canal

Answer 2

ii. Shouldice

Question 3

connects the edge of the transvers abdominus aponeurosis to coppers ligament.

Answer 3

Mcvay

Question 4

non tension procedure so there is low recurrence

it uses a mesh so there is no tension

Answer 4

lichtenstein

Question 5

• small ducts that drain bile from the liver into the gall bladder.
• can be the source of bile leaking causing biliary peritonitis

Answer 5

Ducts of Luschcka

Question 6

Ducts of Luschcka

Answer 6

• small ducts that drain bile from the liver into the gall bladder
• can be the source of bile leaking causing biliary peritonitis

Question 7

signs of splenic rupture

Answer 7

orthostatic symptom

Kehr’s sign

Question 8

hesselbachs triangle

Answer 8

Epigastric vessels
Inguinal ligament
Lateral border of the rectus sheath

Question 9

what sex is femoral henna more common in?

Answer 9

females

Question 10

most common form of inguinal hernia?

Answer 10

indirect

Question 11

Kehr’s sign

Answer 11

the occurrence of acute pain in the tip of the shoulder due to the presence of blood or other irritants in the peritoneal cavity when a person is lying down and the legs are elevated. Kehr’s sign in the left shoulder is considered a classical symptom of a ruptured spleen

Question 12

calculation for corrected calcium?

Answer 12

Normal albumin is 4
normal calcium is 8.5 - 10.2

If the albumin is low, at a level of 2, you can correct it with Ca++. if the calcium is 8 -
Correct w/ a 1: .8 ratio.

increase the level of albumin to 4 so you correct the calcium by 1.6 (2 x .8)

the corrected calcium is 9.6.

Question 13

Max doses of lidocaine and Marcaine

Answer 13

a. lidocaine only 5ml
b. lidocaine w/ epi 7 ml
c. Bicarb as a buffer
d. Marcaine - last longer. max dose =2.5

Question 14

a. BAT (Blunt Abdominal Trauma Algorithm

Answer 14

If stable and have a + FAST exam - do a CT
if stable and have a - FAST exam - observe and consider a CT
if Unstable with a + Fast - move to laparoscopy to determine the extent of bleeds
if unstable with a - fast - consider other sources of blood loss, non hemorrhagic shock - consider laparoscopy and additional FAST Exam.

Question 15

most common type of gallstone?

Answer 15

mixed

Question 16

c1 fracture

Answer 16

jeffersons fracture

Question 17

c2 fracture

Answer 17

hangmans fracture

Question 18

c7 fracture

Answer 18

clay shovelers fracture

Question 19

nexus criteria

Answer 19

• There is no posterior midline cervical tenderness
• There is no evidence of intoxication
• The patient is alert and oriented to person, place, time, and event
• There is no focal neurological deficit (see focal neurological signs)
• There are no painful distracting injuries (e.g., long bone fracture)

Question 20

polysorb

Answer 20

3 weeks of wound supprot 2 months to absorb

Question 21

Maxon

Answer 21

longest wound support - 6 weeks, 6 months to absorb

Question 22

evisceration vs dehiscence

Answer 22

Dehiscence - midline inscision wound separation

Evisceration - bowels start coming out of wound

Question 23

blood at the meatus

Answer 23

retrograde urethrogram

Question 24

chest tube insertion area?

Answer 24

5-6 intercostal space mid axillary line

Question 25

IV general anesthesia?

Answer 25

propofol

Question 26

Gas general anesthesia?

Answer 26

isoflorine

Question 27

ASA classifications

Answer 27

1. Healthy person. 2. Mild systemic disease. 3. Severe systemic disease. 4. Severe systemic disease that is a constant threat to life. 5. A moribund person who is not expected to survive without the operation. 6. A declared brain-dead person whose organs are being removed for donor purposes.

Question 28

mallampati classification

Answer 28

``` class 1 best class 4 worst ```

Question 29

resuscitation fluids for burn

Answer 29

Use (4mls / kg) LR x % of burn surface area 50% in the first 8 hours 25% in the second 8 hours 25% in the third 8 hours

Question 30

maintenance fluids post op

Answer 30

4-2-1 4 mLs/kg for first 10 kg 2 mLs/kg for second 10 kg 1 mLs/kg for third 10 kg

Question 31

Desired U/O

Answer 31

0. 5 mL/kg/hr for adults 1. 0 mL/kg/hr for children 1. 5 ml/kg/hr for electrical burn patients

Question 32

Transducer frequencies

Answer 32

3. 5 htz for FAST (used in blunt abdominal trauma) 5. 0 for Vascular 7. 5 for thyroid visualization

Question 33

Branching vein tear?

Answer 33

subdural hemorrhage

Question 34

father of modern hernia repair

Answer 34

eduardo bassini

Question 35

3 types of Odontoid fracture

Answer 35

Type 1: evulsion , tip Type 2: thru base, most unstable Type 3: thru body

Question 36

what class of hemorrhage are they confused and decreased BP?

Answer 36

class III 1500-2000mL

Question 37

Tx for malignant hyperthermia

Answer 37

dantrolene

Question 38

What type of drain is a closed drain connected to a suction device? a. Blake and/or JP b. Davol c. Penrose

Answer 38

Blake and/or JP

Question 39

What type of drain uses a sump with an airflow system to keep the lumen of the drain open when fluid isn't passing through it? a. Blake/JP b. Davol c. Penrose

Answer 39

b. Davol

Question 40

What type of drain is open passively? a. Blake/JP b. Davol c. Penrose

Answer 40

c. Penrose