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Surgery > General > Flashcards

General Flashcards

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1
Q

1st investigation for Solitary thyroid nodules

A

S. TSH

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2
Q

Ioc for hyperthyroid nodule

A

Thyroid scan

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3
Q

Ioc for hypothyroid nodule

A

USG
FNAC

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4
Q

Treatment of Hot nodule
Or
Warm nodule

A

Radioactive iodine

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5
Q

Drugs for pt preparation of hypothyroid nodule

A

Carbimazole 3-6months

Potassium iodide/Lugols iodine
Decrease size and vascularity
Reduce intra operative bleeding

Propanolol

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6
Q

Cause of thyroid strom in thyroidectomy

A

Inadequate pt preparation

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7
Q

Kochers incision

A

Transverse neck incision for Thyroidectomy

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8
Q

When to give Median sternotomy incision

A

> 80% in retrosternal
Diameter >Thoracic inlet

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9
Q

In thyroidectomy

What to do to prevent injury to Anca cervicalis

A

Instead of retracting Stap muscles divide them

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10
Q

Nerves injured in thyroidectomy

A

ELN
RLN

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11
Q

Treatment of thyrotoxic crisis

A

Propanolol
PTU
Digoxin
Diuretics
Steroids

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12
Q

Orphan annie eye

A

PTC

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13
Q

Amyloid stroma thyroid

A

MTC

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14
Q

Thyroid ca ass with MEN

A

MTC

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15
Q

Mc mode of spread of PTC

A

Lymphatic>Blood

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16
Q

Mc thyroid malignancy leading to LN enlargement in neck

A

PTC

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17
Q

Hurthle cell

A

FTC

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18
Q

Mc mode of spread in FTC

A

Blood

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19
Q

Thyroid leading to Pressure symptoms

A

Anaplastic ca

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20
Q

Mc ca from thyroglossal cyst

A

PTC

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21
Q

Localisation scan of Parathyroid adenoma

A

Sestamibi SPECT

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22
Q

Muscle in which Parathyroid placed after surgery

A

Brachioradialis

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23
Q

Papillary dermis burn

A

Superficial dermal or
Partial thickness

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24
Q

Acc to ATLS
Resuscitation fluid in burns

Children

Electrical burns

A

2xkgx%BSA

3

4

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25
Fasciotomy layers
Skin Sc tissue Sup fascia Deep fascia
26
Mc cause of death in burns
Sepsis Pseudomonas
27
Wolf chiakoff Vs Jod basedow
Iodine induced HYPOthyroidism Iodine induced HYPERthyroidism
28
Black thyroid d t
Minocycline
29
Mcc of hypercalcemia in hospitalized pt
Malignancy
30
Mcc of primary hyperPTH
PTH adenoma
31
Mcc of hypocalcemia in thyroidectomy
ITA injury ass necrosis of parathyroid
32
Parotid surgery nerve injuries Deviation of angle Anesthesia at angle Frey syndrome
Marginal mandibular nerve Great auricular nerve Auriculotemporal nerve with sympathetic nerves
33
Submandibular surgery nerve injury Nerve injury d t Sialithiasis sx or whartons duct involvement
Marginal mandibular nerve Lingual nerve
34
Nerve injured in Thymectomy
Phrenic nerve
35
Suture for Subcuticular
Monocryl
36
Suture for bowel surgeries
PDS
37
Max strength sutures
Prolene Blue colur
38
Microsyrgeries suture
Nylon
39
Tubal structures suture
Vicryl
40
Max risk of infection suture
Dexon
41
Skin sutures
Silk
42
Jenkins rule
Length of suture should be 4 times the length of wound
43
Mc gas used for insuffkation in Lap
CO2
44
Risk of using CO2 as insufflating gas Other gases to use
Hypercarbia Avoid in COPD pts Use Room air Helium N2O
45
Bradycardia in Lap surgery d t
Peritoneal stretching J reflex
46
Excessive bubbling in ICD tube
Suspect broncho pleural fistula
47
NS can be used in which cautery
Bipolar cautery Unipolar——Distilled water Glycine
48
Burst abdomen
Serosanguinous fluid Salmon coloured On Day 6 Mgt:Bagota bag / Urobag laparotomy
49
Class 1 234 wounds
1. Clean 2. Clean contaminated 3. Contaminated 4. Dirty
50
Hyperdynamic state in which shock
Septic shock or Distributive shock
51
Wound healing strength and time
10%——1week 80%——3months 100%——NEVER
52
Type collagen in wound healing
Early——Type 3 Late——Type1
53
Split vs Full thickness graft
Epidermis partial dermis ——Epidermis full dermis Thigh————Supraclavicular Retroclavicular Secondary contracture——Primary Full——-Better for cosmesis
54
Collagen arrangement in Hyperteophic scar vs Keloid
Regularly arranged parallel Haphazardly arranged
55
Repair period of Cleft lip Cleft palate Both
Cleft lip——5months Cleft palate Soft——6 months Hard——15-18 months Both CL——5months Soft——5months Hard——15-18 months
56
Timing of Revascularization Imbibation Inosculation
Imbibation—24-48hrs Inosculation—48-72 hrs Revasculation—72hrs -7 days
57
Lip reconstruction flap
Abbe estlander flap Lingual artery
58
Delayed primary intention wound healing
Suturing after treating inf and forming healthy red granulation tissue
59
Secondary intension wound healing
Treating inf of wound and letting the epithelial cover come on its own
60
Pressure present in Negative pressure wound therapy
125mmhg
61
Contraindications of negative pressure wound therapy
Vessel Malignant wound Osteomyelitis induced wound or sinus
62
Flap for anterior chest
TRAM Transverse Rectus Abdominus Muscle Superior epigastric artery
63
Flap for oral cavity
Deltopectoral fasciocutaneous flap Internal mammary artery perforators Radial artery forearm flap
64
Base deficit is high in which type of shock
All types of
65
Mc vessel used for TPN
Subclavian vein>Internal jugular vein
66
Refeeding syndrome
HypoPO4 HypoK HypoMg HypoCa Thiamine def Zinc def
67
Insertion Line Metabolic Complications of TPN
Pneumothorax Misplacement Sepsis Thrombosis Metabolic bone disease Vit def Blood sugar derangement
68
Mc comp in a sepsis pt in ICU
Hyperglycemia
69
Mc comp of TPN
Sepsis Staph epidermis
70
Catgut changed low reactive catgut
Impregnate with chromic salt More preservation
71
Hanging drop test for veeres needle
To confirm location of needle Drop sucked into needle from hub Intraperitoneum Drop remains in the hub of needle Extraperitoneum
72
Azimuth angle Manipulation angle
Btw Telescope and Working port Btw 2 Working ports
73
Most effective bariatric surgery
BPD-DS Biliopancreatic diversion with duodenal switch
74
Most acceptable bariatric surgery
RNY gastric bypass

Surgery (10 decks)

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