Random Flashcards

(97 cards)

1
Q

Triad of Ileus in SFA

A
  1. Dilated small bowel loops (>3 cm dismeter)
  2. Air-fluid levels seen on upright film
  3. Paucity or absence of air in colon
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2
Q

Difference between bowel obstruction vs paralytic ileus

A

Bowel obstruction has paucity of gas beyond the site of obstruction, ileus has gas in the rectum (presacral gas)

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3
Q

Helatocellular adenoma

A

Hormone-induced liver tumor, solid & encapsulated usually in women of child bearing age.
Cause: oral contraceptives, androgen steroid therapy
=can cause life threatening hemorrhage & malignant transformatiom

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4
Q

Scoring for acute pancreatitis

A
  1. BISAP: (BUN >25 mg/dl, impaired mental stat, SIRS, >60 y/o, Pleural eff) ➡️ 1 pt each & for first 24 hrs
  2. Ranson’s: severity scoring (11 parameters - 5 upon admission & 6 for next 48 hrs)
  3. APACHE II: patients in ICU
  4. Harmless acute pancreatitis score: w/in 30 mins of admission (no rebound tenderness/guarding, N hct, N serum crea)
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5
Q

TRIAD for Acute Cholangitis

A

Charcot’s triad: RUQ pain, fever, jaundice

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6
Q

Pentad for Acute Cholangitis

A

Reynold’s pentad: RUQ pain, fever, jaundice, hypotension, altered mental status

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7
Q

Initial surgical treatment & TOC for acute colangitis

A

ERCP with stenting but if patient is unstable to do ERCP, we can opt for percutsneous Transhepatic Biliary Drainage

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8
Q

What nerve is associated with the parasympathetic system?

A

vagus nerve

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9
Q

What does melena indicate?

A

upper gastrointestinal bleeding

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10
Q

Which intercostal nerve is involved in a subcostal incision?

A

7th intercostal nerve

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11
Q

What condition is characterized by the presence of gallstones?

A

cholelithiasis

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12
Q

What is the primary cardiac pacemaker?

A

right atrium

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13
Q

Where is the mitral valve located?

A

at the apex

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14
Q

Where is the apex beat palpated?

A

5th left intercostal space midclavicular line

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15
Q

In a hysterectomy, where is the ureter located in relation to the uterine vessels?

A

inferior to uterine vessels

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16
Q

In a pelvic CT scan, where is the uterus located?

A

posterior to the bladder and anterior to the rectum

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17
Q

What muscle is affected if a person is unable to wink?

A

orbicularis oculi

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18
Q

What three structures are located in the right lower quadrant?

A

*Camper’s Fascia
*External oblique muscle
*Internal oblique muscle

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19
Q

What arteries branch off the external iliac artery?

A

*Femoral artery
*Popliteal artery

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20
Q

Which nerve roots are associated with the long extensor of the big toe?

A

L5, S1

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21
Q

Which muscle is primarily responsible for chewing?

A

buccinator

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22
Q

What layer of deep cervical fascia is associated with the thyroid during deglutition?

A

pretracheal layer

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23
Q

Where is the airway located in relation to the thyroid cartilage?

A

just below the thyroid cartilage

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24
Q

What anatomical landmark corresponds to the sternal angle of Louis?

A

2nd rib

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25
What artery supplies the apex of the heart?
anterior interventricular (descending) artery
26
What structure is the ligamentum arteriosum derived from?
ductus arteriosus
27
What is the opening between the right and left atria called?
foramen ovale
28
What type of movement occurs at the knee joint?
flexion/extension
29
What can cause gross hematuria?
tearing of the capsule, cortex, and the medulla
30
At what vertebral level is the iliac crest located?
L4
31
What anatomical landmark is used for pudendal block anesthesia via the transvaginal route?
ischial spine
32
What is the standard anatomical position?
body standing erect, eyes looking forward, palms facing ventral, toes directed anteriorly
33
What is referred to as the 'danger zone' of the scalp?
loose areolar tissue (4th layer)
34
What are the components of a typical vertebra?
*Body *Vertebral foramen *Spine
35
Where can pulsation be felt above the zygomatic arch?
superficial temporal artery
36
What is the inner lining of the eyelid called?
palpebral conjunctiva
37
Where does the drainage of most paranasal sinuses occur?
middle meatus
38
What muscle is found in both the anterior and posterior triangles of the neck?
geniohyoid
39
What are the sites of malignant growth in the esophagus?
anatomical constrictions
40
Which artery supplies the right atrium?
right coronary artery
41
What does a displaced apex beat indicate?
enlargement of the left ventricle
42
Which surface of the heart is associated with the right ventricle?
sternocostal surface
43
What defines the quadrants of the abdomen?
vertical and horizontal lines that pass through the umbilicus
44
What artery is associated with the triangle of Calot?
cystic artery
45
Where does the drainage of the common bile duct occur?
pars descendens (2nd part)
46
What is the medial border of the pars descendens?
head of the pancreas
47
What features characterize the large intestine?
*Taenia coli *Haustrations *Appendices epiploicae
48
What connects the transverse colon to the greater curvature of the stomach?
greater omentum
49
What nerve is located medial to the psoas major?
obturator nerve
50
During what weeks does organogenesis occur?
3 to 8 weeks
51
What is the anterior covering of the pancreas?
peritoneum (retroperitoneal)
52
What are hormones primarily associated with in the body?
veins
53
What arteries supply the pancreas?
*Splenic artery *Gastroduodenal artery *Superior mesenteric artery
54
What is thoracentesis?
Above the upper border of the rib mid axillary line
55
What ribs does the costal margin extend from?
7th to the 10th ribs and ends of the cartilages of ribs 11 and 12
56
What is attached laterally to rib 1?
Suprapleural membrane
57
What surface of the lungs contains the hilus?
Mediastinal surface
58
What ligaments are involved in oophorectomy secondary to hysterectomy?
Suspensory ligaments
59
What is the endometrial cycle known as?
Menstruation
60
What surrounds the protruding cervix in the vagina?
Fornix
61
What muscle is associated with dribbling of urine?
Levator ani muscle
62
What ligament is associated with the uterus?
Transverse cervical ligament
63
What structure is the external abdominal oblique aponeurosis associated with?
Superficial inguinal ring
64
What type of hernia is associated with the scrotum?
Indirect inguinal hernia
65
What is an alternate pathway of blood flow called?
Collateral circulation
66
Where is the thickest skin located?
Posterior surface of the neck and scalp
67
What condition involves drooping or sagging of the shoulder?
Trapezius
68
What is ectopic pancreatic tissue known as?
Merkel's diverticulum
69
What is the hepatic triad associated with?
Hepatoduodenal ligament
70
What do the ejaculatory ducts connect to?
Median lobe of the prostate gland
71
What forms the floor of the pelvic cavity?
Pelvic diaphragm
72
What structures are associated with Alcock's canal?
Internal pudendal vessels and pudendal nerve
73
What is plantar flexion associated with?
Calcaneal tendon
74
What muscle is responsible for leg extension?
Quadriceps femoris
75
What structures are medial to lateral in the femoral triangle?
Femoral vein, femoral artery, femoral nerve
76
What term describes a drowsy state?
Lethargic
77
What does bright red color in sputum indicate?
Hemoptysis
78
What is hematemesis characterized by?
Admixed with food, acidic, associated with retching
79
What does dyspnea refer to?
Difficulty of breathing
80
What does stridor indicate?
Obstruction of the airway
81
What signs are positive in peritonitis or appendicitis?
(+) Obturator sign and (+) iliopsoas sign
82
What wave represents atrial depolarization?
P wave
83
What is the primary pacemaker of the heart?
SA node
84
What conditions are associated with tachycardia?
Atrial fibrillation, atrial flutter, palpitation
85
What describes an irregularly irregular rhythm?
Atrial fibrillation
86
What phase of the heart cycle is represented by S3?
Rapid filling phase
87
What type of joint is the knee joint?
Hinge joint
88
What type of joint is the intervertebral joint?
Gliding joint
89
What sign indicates knee effusion?
(+) Ballottement
90
What does a floating mass refer to in a medical context?
Ballottement
91
Name examples of primary skin lesions
* Macule * Patch * Papule * Plaque * Nodule * Pustule * Vesicle * Bulla
92
Name examples of secondary skin lesions
* Scale * Keloid * Fissure * Erosion * Excoriation
93
What condition is characterized by skin lesions in cloth-covered areas?
Contact dermatitis
94
What is the average oral temperature in Celsius?
37C
95
What best reflects the body's temperature?
Tympanic membrane
96
What describes disorganized breathing with varying depths?
Ataxic
97
What are discrete discontinuous sounds heard during inspiration called?
Crackles