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Surgery > TCVS > Flashcards

TCVS Flashcards

1
Q

The most common risk factor associated with thromboangitis obliteralis is _________.

A

Cigarette smoking

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2
Q

Initial treatment for thromboangitis obliterans?

A

Strict smoking cessation

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3
Q

Most common cardiac tumor

A

Cardiac myxomas

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4
Q

Loss of the radial pulse in the arm by rotating head to the ipsilateral side with extended neck following deep inspiration associated with thoracic outlet syndrome

A

Adson sign

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5
Q

FEV1 indicating the ability to tolerate pneumonectomy?

A

2.0L ( 1.5 L for lobectomy)

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6
Q

ABI indicating increased risk of myocardial infarction and indicates significant although asymptomatic , underlying peripheral vascular disease.

A

<0.90

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7
Q

Most common symptom of acute aortic dissection

A

Pain

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8
Q

CABG advantage over PCI.

A

Three-vessel CAD.
TWO VESSEL CAD with involvement of the left anterior descending artery LAD or stenosis of the left main coronary artery MCA.

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9
Q

Vascular conduits used in coronary artery bypass grafts?

A

Internal thoracic artery
Saphenous vein
Radial artery

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10
Q

Pulmonary rehabilitation

A

Deep breathing exercise
Early mobilization
Incentive spirometry

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11
Q

Test necessary to characterize pulmonary nodule number, location, size, margin morphology, calcification pattern, and growth rate of solitary pulmonary nodules?

A

Chest CT scan

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12
Q

Management of transfusion related acute lung injury

A

Stop transfusion

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13
Q

Causes of non-pulmonary thoracic symptoms?

A

Primary tumor invasion of the vagus nerve and right laryngeal nerve

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14
Q

Management of early lung cancer ( T1, T2, and T3 without N1)

A

Surgical resection via video-assisted lobectomy or pneumonectomy

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15
Q

Malignancy affects the pulmonary apex progressively affecting the brachial nerve

A

Pancoast tumor
Presents with pain and weakness of the arm and hand muscles.

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16
Q

Lung cancer least associated with smoking?

A

Adenocarcinoma

17
Q

Next work up for substernal chest pain after trial of PPI and unremarkable endoscopic findings

A

Cardiac work up

18
Q

Which is not used during CABG?

A

Jugular vein

19
Q

On routine pre-employment check up , a 40yo woman was found to have a 1.5 cm circular , peripheral density in her right upper lobe on chest radiograph. What should be the next test to be done for evaluation?

A

Contrast enhanced CT Scan

20
Q

The most common primary tumor involving the heart is ______?

A

Myxoma

21
Q

The ideal force expiratory volume 1 second (FEV1) value of a patient with left lung carcinoma who is to undergo pneumonectomy is _______?

A

2.5L

22
Q

Ankle brachial index value of less than 0.9 is a good measurement to determine a patients risk to develop what disease?

A

Arterial obstruction
Coronary heart disease

23
Q

What is the most common symptom of acute aortic dissection?

A

Severe pain

24
Q

Most frequently encountered neoplasm of the anterior mediastinum in adults.

A

Thymoma

25
Q

Indications for repair of aortic aneurysms in asymptomatic patients w/o connective tissue disorders? (4)

A
  1. Ascending aortic aneurysms >5.5 cm diameter
  2. Descending aortic aneurysm >6.5 cm diameter
  3. Abdominal aorta >5.5cm
  4. Rate of dilatation >1cm / yr for thoracic aorta / >0.5 cm for abdominal aorta
26
Q

What is the Normal aortic diameter?

A

2-3cm

27
Q

What layer has the Strongest tensile strength of the bowel wall?

A

Submucosa

28
Q

What layer has the Strongest tensile strength of the GIT wall?

A

Submucosa

29
Q

What layer has the Strongest tensile strength of the aortic wall?

A

Tunica mefia

30
Q

Surgical Repair used in hypoplastic left heart syndrome? (3)

A
  1. Norwood
  2. Glenn
  3. Modified Fontan
31
Q

Palliative Surgical Repair used in TGA ?

A

Rastelli

32
Q

Surgical Repair used in arterial switch? (2)

A
  1. Senning
  2. Mustard
33
Q

Palliative Surgical Repair used in TOF?

A

Blalock- Taussig Shunt

34
Q

What are the two classification schemes used in aortic dissections?

A

DeBakey & Stanford Classification System

Stanford does not distinguish patients with isolated ascending aortic dissection and patients with dissection involving the entire aorta.

DeBakey Type I classification & Type II has the same definition with Stanford A and DeBakey III with Stanford B.

35
Q

What type of Aortic dissection classification which involves the ascending & descending aorta?

A

DeBakey Type I & Stanford A

36
Q

What type of Aortic dissection classification which involves the ascending aorta only?

A

DeBakey Type II & Stanford A

37
Q

What type of Aortic dissection classification which involves the descending aorta only?

A

DeBakey Type III & Stanford B

38
Q

Refers to the dissections that originate distal to the left Subclavian artery but extend proximally and distally , most above the diaphragm?

A

DeBakey Type IIIa

39
Q

Refers to the dissections that originate distal to the left Subclavian artery but extend proximally and distally , most below the diaphragm?

A

DeBakey Type III b

Surgery (14 decks)

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