General Surgery SP1

Question 1

Direct hernia

Answer 1

within Hesselbach’s triangle

protrude into inguinal canal but not cord or scrotum

Question 2

Inguinal hernia sutures

Answer 2

non absorbable monofilament

prolene

Question 3

Pantaloon hernia

Answer 3

both direct and indirect

Question 4

Meshes

Answer 4

bioabsorbable

goretex dual

prolene monofilament

Question 5

a __ is used to retract cord structures

Answer 5

penrose drain

Question 6

Incarcerated hernia

Answer 6

irreducible

abdominal contents trapped in extrabdominal sac

Question 7

Strangulated hernia

Answer 7

irreducible

abdominal contents compromised on a vascular level

Question 8

Biliary system

Answer 8

hepatocytes - bile

leave liver @ porta hepatis

CHD –> cystic duct –> CBD –> pancreatic duct –> ampulla of vater –> duodenum

Question 9

Contraindications for lap cholecystectomy

Answer 9

uncontrolled coagulopathy

COPD

heart failure due to pneumoperitoneum

cant ID structures w/ laparoscope

Question 10

Open cholecystectomy

Answer 10

general anesthesia

right subcostal/kocher

if cholangiogram, position bed for C-arm

Question 11

Laparoscopic cholecystectomy

Answer 11

preferred

less than 24hr hospital stay

general anesthesia

Question 12

Gallbladder

Answer 12

stores bile

blood - cystic artery/hepatic

bile –> cystic duct –> CBD

Question 13

Gallstones

Answer 13

cholesterol or pigmented

water, cholesterol, fat, bile salt, bilirubin

too much cholesterol, bile salts, bilirubin

Question 14

Large intestine function

Answer 14

reabsorb water and electrolytes

synthesize K and B vitamins

Question 15

Approximate serosal layer of large intestine

Answer 15

interrupted nonabsorbable

Question 16

Approximate mucosal layer of large intestine

Answer 16

running absorbably

Question 17

When does confined bowel technique start?

Answer 17

GI tract clamped and resected

Question 18

Loop colostomy and second stage

Answer 18

plastic rod externalizes bowel

enterotomy performed in patient’s room

Question 19

Haustra

Answer 19

sacculations or outpouches in bowel wall

Question 20

Colon blood supply

Answer 20

mesenteric arteries

Question 21

Intestinal clamps (3)

Answer 21

Allen

Dennis

Doyen

Question 22

Confined bowel sharps

Answer 22

give to circulator

not counted until end

Question 23

Colonoscopy anesthesia

Answer 23

local

IV conscious sedation

general

Question 24

Post-op colonoscopy

Answer 24

observe post-op bleeding

pain

perforation

Question 25

Colonoscopy position

Answer 25

left side

Question 26

Laxative for colonoscopy

Answer 26

citrate of magnesium

Question 27

Polyp

Answer 27

pedunculated tumor

Question 28

Tail of Spence

Answer 28

anchors breast to axilla

Question 29

Fibroadenoma

Answer 29

benign lesion in breast

Question 30

Incision for modified radical mastectomy

Answer 30

elliptical

Question 31

Risk factors for breast cancer

Answer 31

early menarche

Question 32

Vam Silverman needle

Answer 32

core biopsy of breast

Question 33

Hesselbach's triangle

Answer 33

deep epigastric vessels laterally inguinal ligament inferiorly rectus abdominis muscle medially

Question 34

Esophagoscopy

Answer 34

adult 10in. scope passed to cardiac sphincter of stomach

Question 35

Transfer forceps in confined bowel technique?

Answer 35

kelly

Question 36

Isosulfan dye

Answer 36

radioactive in lymph system locate sentinel node for cancer staging

Question 37

Indirect hernia

Answer 37

leave abdomen at inguinal ring follow cord structures down inguinal canal in scrotum

Question 38

Femoral hernia

Answer 38

common in females abdominal contents --> femoral canal in femoral sheath sheath distal to inguinal canal illopsoas, blood vessels, nerves, lymphatics in sheath --> lower extremities

Question 39

Appendicitis can mimic

Answer 39

ecotopic pregnancy ovarian cysts ureteral stones

Question 40

Sigmoidoscopy

Answer 40

access/visualize sigmoid or descending colon to splenic flexure

Question 41

Node removal in modified radical mastectomy

Answer 41

axillary pectoral superior apical

Question 42

Stereotactic biopsy

Answer 42

computer guided system locates non palpable lesions

Question 43

ERCP

Answer 43

direct visualization of biliary tree dye into ductile system endoscope biopsy

Question 44

Appendectomy

Answer 44

appendix - lower portion of cecum laparoscopic - endoscopic stapling device, ligating loop, suture uncomplicated appendicitis

Question 45

Choledochoscopy

Answer 45

direct visualization of CBD stone extraction w/ flexible stone forceps or fogarty embolectomy catheter interluminal diagnosis