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Yellow Book > YB General Surgery 1-83 > Flashcards

YB General Surgery 1-83 Flashcards

1
Q

A Nissen fundoplication procedure is done to correct:

A

Antireflux disease

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2
Q

A dissecting sponge that is a small roll of heavy cotton tape

A

Kittner/peanut

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3
Q

Peanuts and dissecting sponges are generally moistened with what?

A

Saline

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4
Q

Lap pads are normally moistened with what?

A

Saline

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5
Q

What should specimens not be passed off the field on

A

Laps/raytecs

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6
Q

A catheter commonly used in a gastrostomy

A

Mushroom

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7
Q

What should be done before handing a Penrose drain to the surgeon

A

Moisten it with saline

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8
Q

The disposable intraluminal staple designed to hold two tubular structures together after resection

A

EEA

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9
Q

Transduodenal sphincterotomy refers to the incision made into the ___ to relieve stenosis

A

Sphincter of Oddi

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10
Q

In surgery, cancer technique refers to:

A

The discarding of instruments coming in contact with the tumor after each use

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11
Q

Why are gowns, gloves, drapes, and instruments changed following a breast biopsy and before incision for a mastectomy?

A

To protect margins of healthy tissue from tumor cells

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12
Q

A postoperative complication attributed to glove powder entering a wound

A

Granulation

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13
Q

The correct procedure for sterile dressing application is to

A

apply dressing before drape removal

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14
Q

What is bowel technique for an intestinal procedure

A

Contaminated instruments are discarded, and gloves are changed

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15
Q

What is the Sengstaken-Blakemore tube used for?

A

Esophageal hemorrhage

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16
Q

Dark blood in the operative field may indicate that the patient is:

A

Hypoxic

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17
Q

The term transduodenal sphincterotomy indicates surgery of the:

A

Distal end of the common bile duct

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18
Q

McBurney in an incision used for:

A

Appendectomy

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19
Q

The simple abdominal incision offering good exposure to any part of the abdominal cavity

A

Vertical midline

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20
Q

During an appendectomy, a purse-string suture is placed around the appendix stump to:

A

Invert the stump of the appendix

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21
Q

Is gastrointestinal technique required for a cholecystectomy?

A

No

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22
Q

A hernia occurring in Hesselbach’s triangle

A

Direct

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23
Q

Pathologic enlargement of the male breast

A

Gynecomastia

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24
Q

Sutures placed in a wound to prevent wound evisceration

A

Retention

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25
Q

Surgical enlargement of the passage between the prepylorus of the stomach and the duodenum

A

Pyloroplasty

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26
Q

A Whipple operation is surgically termed:

A

Pancreaticoduodenectomy

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27
Q

A left subcostal incision indicates surgery of the:

A

Spleen

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28
Q

A lower oblique incision

A

Inguinal

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29
Q

The curved transverse incision used for pelvic surgery

A

Pfannenstiel

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30
Q

Which breast procedure removes the entire breast and axillary contents but preserves the pectoral muscles

A

Modified radical mastectomy

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31
Q

The breast procedure to remove extensive benign disease

A

Simple mastectomy

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32
Q

What incision is indicated for an esophagogastrectomy

A

Thoracoabdominal

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33
Q

What incision could retention sutures be used for

A

Vertical midline

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34
Q

Hernia in which the blood supply of the trapped sac contents is compromised and in danger of necrotizing

A

Strangulated

35
Q

Hernia in which the herniation protrudes into the inguinal canal but not the cord

A

Direct

36
Q

Hernia that leaves the abdominal cavity at the internal inguinal ring and passes with the cord structures down the inguinal canal

A

Indirect

37
Q

In a cholecystectomy, which structures are ligated and divided

A

Cystic duct and cystic artery

38
Q

How to ensure that a cyst does not return

A

Remove entire cyst and the tract

39
Q

An important consideration during a cholangiogram

A

Remove air bubbles from the cholangiocath

40
Q

Intestinal layers from inside to outside

A

Mucosa, submucosa, serosa

41
Q

A common postoperative patient complaint following a laparoscopic procedure

A

Shoulder pain

42
Q

Where does a subphrenic abscess occur

A

Liver

43
Q

Portal pressure measurement is indicated in:

A

Hepatic resection

44
Q

Which organ is removed because of trauma, blood condition, or as a staging procedure for malignancy?

A

Spleen

45
Q

Following a hemorrhoidectomy:

A

Petroleum gauze packing is placed in the anal canal

46
Q

Which term is used when requiring intraoperative x-rays during a cholecystectomy

A

Cholangiogram

47
Q

In a pilonidal cystectomy, the defect frequently is too large to close and requires use of a:

A

packing and pressure dressing

48
Q

The instrument most commonly used to grasp the mesoappendix during an appendectomy

A

Babcock

49
Q

Vaporization and coagulation of hemorrhoidal tissue can be accomplished with:

A

CO2 Laser

50
Q

An entire breast tumor/mass removal

A

Excisional biopsy

51
Q

Thrombosed vessels of the rectum

A

Hemorrhoids

52
Q

A procedure dome to give the colon a rest and that is then reversed

A

Temporary colostomy

53
Q

A device that may obviate the need for an abdominoperineal resection because a low anterior anastomosis can be performed

A

End to end anastomosis

54
Q

Advanced inflammation of the bowel could be conservatively treated with which procedure?

A

Temporary colostomy

55
Q

Blunt dissection of the gallbladder from the sulcus of the liver requires the use of a:

A

Peanut

56
Q

Direct visualization of the CBD is accomplished with a:

A

choledochoscope

57
Q

Fogerty biliary catheters are used for:

A

Facilitate stone removal

58
Q

Bariatric surgery treats what

A

Obesity

59
Q

Which incision would require cutting through Scarpa’s fascia

A

Inguinal

60
Q

Gastroplasty

A

Reduces stomach size

61
Q

Which item retracts the spermatic cord

A

Penrose drain

62
Q

An irreducible hernia whose abdominal contents have become trapped in the extraabdominal sac

A

Incarcerated hernia

63
Q

A palliative invasive procedure done to prevent malnutrition or starvation

A

Gastrostomy

64
Q

Use of high-energy shockwaves to pulverize gallstones

A

Cholelithotripsy

65
Q

How is contract medium administrated during a cholangiogram

A

cholangiocath

66
Q

An intra-abdominal pressure higher than 15 mm Hg may indicate that the needle is:

A

Buried in fatty tissue, the omentum, or a lumen of intestines

67
Q

Proper method of removing the gallbladder

A

decompress gallbladder and pull through the largest port in an Endobag

68
Q

During a laparoscopic cholecystectomy, the surgeon stands:

A

At the left side of the patient

69
Q

Gastrointestinal decompression during a general surgical procedure can be effected by the use of a:

A

Levine tube or Miller-Abbott tube

70
Q

Alternative to a conventional ileostomy that denies spontaneous stool exiting from the stoma and requires catheterization daily to evacuate the contents of the stoma

A

Kock pouch

71
Q

When both direct and indirect hernias occur in the same inguinal area

A

Pantaloon

72
Q

An inguinal hernia containing a Meckel’s diverticulum

A

Littre

73
Q

Drainage of an incision following a simple or modified radical mastectomy is accomplished by

A

Closed-wound drainage

74
Q

During a laparoscopic cholecystectomy, the camera operator stands

A

to the right of the first assistant

75
Q

Maximum pressure allowed to prevent the possible complications such as bradycardia, blood pressure changes, etc

A

15 mm Hg

76
Q

Tissue layers of the abdominal wall in order from outside to inside

A

Skin, subcutaneous, fascia, muscle, peritoneum

77
Q

What is the technique used on a laparoscopic direct inguinal hernia repair where the peritoneal space is inflated with a balloon dissector

A

TEP (total extraperitoneal)

78
Q

When viscera have protruded outside of the body

A

Evisceration

79
Q

The position that facilitates a symmetrical outcome during a mastopexy

A

Fowler’s

80
Q

Which breast reconstruction procedure reconstructs the breast without the use of implants

A

TRAM

81
Q

The procedure where a hooked wire is inserted under fluoroscopy into the suspicious tissue

A

Wire localization

82
Q

Procedure that involves injection of dye into the breast mass to track the lymph nodes

A

Sentinel node biopsy

83
Q

What is the order of the layers of the stomach wall from outside to inside

A

Serosa, muscularis, submucosa, mucosa

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