Flashcards in Scrub Out/Anatomy Deck (150):
Procedure of choice for pyloric stenosis
Palpable olive in the midepigastrium
Partial left ventriculectomy
Treatment for heart failure after medical management
Left umbilical artery
Remnant of urachus
Medical umbilical ligament
Medical umbilical ligament
Procedure for bleeding esophageal varices
Gold standard: endoscopic band ligation
Vein involved in esophageal varices
Left gastric vein
Most common sclerosing agent
Layer where sclerosing agent is injected
Type of gastric tube inserted for bleeding esophageal varices
What are the blood supply of the following segments of the esophagus:
1) Cervical (C6-T1)
2) Thoracic (T3-T10)
1) Inferior thyroid (5-6 cm)
2) Bronchial arteries (15 cm)
3) Left gastric, Inferior phrenic (5-6 cm)
Portal pressure to say that it is portal hypertension
In refractory bleeding, what procedure is done in acute variceal bleeding
Which vessels are blocked by the Sengstaken-blakemore tube
Vasa brevia (branch of splenic artery that supplies the greater curvature)
Largest branch of the celiac trunk
What type of obstruction in schistosomiasis
Whipple's procedure is also known as a
Procedure of choice for pancreatic CA
Procedure for chronic pancreatitis
What is a Peustow procedure
Chain of lakes appearance is seen in?
Surgical procedure of choice for biliary atresia
What is Bilroth I? Bilroth II?
I: Antrectomy + Gastroduodenostomy
II: Antrectomy + Gastrojejunostomy
Procedure of choice for duodenal atresia
Procedure of choice for Barette's esophagus
Most common predisposing condition factor to a Barette's esophagus
Most common primary esophageal motility disorder
What is Lichenstein herniorrhaphy
Tension free with mesh
Mesh has a low recurrence rate
Pringle maneuver temporarily occludes which blood vessels?
Porta hepatis (hepatic artery + portal vein)
Portal veins supplies how many percent of blood to the liver
Procedure of choice for a ruptured peptic ulcer
Graham omental patch
Bleeding of peptic ulcer is secondary to which artery?
Procedure of choice for ascending aortic aneurysm
Most common cause of aortic aneurysm in pediatrics? adults?
Most common type of aortic aneurysm
DeBakey I or Standford A (Proximal)
Surgical procedure of choice for a full rectal prolapse
Procedure of choice for achalasia
Myotomoy +/- Partial fundoplication
Radiology: bird's beak appearance
Strongest layer of the esophagus
Most common site of squamous cell CA of the esophagus?
Most common benign tumor of the esophagus?
Most common benign tumor of the stomach
What is the triad of Plummer-Vinson syndrome
Esophageal webs + atrophic glossitis + iron deficiency anemia
What type of CA is most commonly associated with Plummer-Vinson syndrome
Squamous cell CA
What is the other name of Plummer-Vinson syndrome?
Most common esophageal hernia
Sliding esophageal hernia
Most common site of Mallory-Weiss Tear
Distal third of the esophagus (GEJ)
Mallory-Weiss ~ alcoholic
What is Boerhaave's syndrome?
Pressure rupture of the esophagus
Most common site of perforation in the esophagus?
Most common site of Zenker's diverticulum
Killian's triangle involves which 2 muscles?
Between the Inferior pharyngeal constrictor and cricopharyngeus
Surgical incision: low longitudinal incision of the uterus used to the deliver babies abdominally
Transverse: Kerr incision
Procedure of choice in Hirschsprung's disease
Best age to do a rectal pullthrough
6 months - 12 months (12 months is the best)
Mile's procedure is also known as an?
Abdominoperineal resection (APR)
Done in colorectal CA
Surgical procedure of choice in colorectal CA
Low Anterior Resection: the closer you are to the rectus
Procedure pertaining to a esphagectomy through a right thoracotomy
Ivor Lewis procedure
To access squamous cell CA of the esophagus in the middle third
Heinz-Mikulicz procedure pertains to what?
Longitudinal pyloric incision
McIndoe procedure pertains to a
Vaginal reconstructive surgery
Brook ileostomy pertains to a
Done in ulcerative colitis
Procedure of choice in refractory ascites
Procedure of choice in a thyroglossal duct cyst
Procedure of choice in rectal CA less than 8cm from the anal verge
APR (Mile's procedure)
Stages of decubitus ulcer that extends into muscle and bone
Full thickness burns involves which layers?
3rd degree burn
All layers of skin + entire dermis
Left posterior diaphragmatic hernia
Morgagni: anterior diaphragmatic hernia
Gold standard for the diagnosis of glaucoma
Ideal pre-op bowel prep antibiotic
What is Dakin solution
Dilute sodium hypochlorite (bleach) used in contaminated wounds
Amyand's hernia pertains to a?
Hernial sac that contains a ruptured appendix
Accepted sclerosant for pleural effusion?
Flap used in a deep pressure ulcer
Gluteus maximus flap
Best management for a 3cm basal cell CA of the nose?
Excision with 2-4 mm margin
A small thick antectubital scar from a 2nd degree flame burn is constricting movement. To relieve the constriction, the appropriate procedure of choice to refashion the scar?
Radio: Coral reef appearance
Common cause of lower GI bleed in the elderly
Most common site of rupture in the colon
Cecum (most dilated portion)
Law of Laplace's: wall tension = pressure x radius
Most common cause of lower GI bleeds in adults? Pedia?
Pedia: Meckel's diverticulum
Most common source of extra adrenal pheochromocytoma
Organs of Zuckerkandl
Located near the abdominal aorta
Ecchymosis over the mastoid process pertaining to a basilar skull fracture
Never insert an NGT
Bilateral black eyes pertaining to a basilar skull fracture
Blood vessel of choice for CABG
Left internal mammary artery
Due to superior patency rates vs. greater saphenous vein
Most common site of a carcinoid tumor
When is the best time to perform a surgery for undescended testis
Most common site of squamous cell CA in the esophagus
Normal amount of pericardial fluid
Most commonly fractured in the body
Most commonly fractured facial bone
Hangman's fracture involves
Fracture of C2
Fracture of C1
Arrest of respiration occurs at which cervical level?
Clay Shoveller's fracture
Fracture of C7
Defect in type I collagen
Dangers of porcelain gallbladder
Risk of CA is 30-65%
In a thyroidectomy, if the inferior thyroid artery is injured, what is affected?
Recurrent laryngeal nerve
In a thyroidectomy, if the superior thyroid artery is injured, what is affected?
External laryngeal nerve
Most common site of a cholecysenteric fistula
Part of the male urethra that offers the greatest resistance
Prostatic urethra will only cause resistance if there is BPH/enlargement
Most dilatable portion of the male urethra
Widest part of the Fallopian tube
Narrowest part of the Fallopian tube
Where is lumbar tap done
Where does the spinal cord end in adults? Children?
Platelet level for OR in emergency situation? In elective surgery?
Only motor innervation of the diaphragm
C3, C4, C5
Origin of the diphargm
or Pleuroperitoneal fold/membrane
C3, C4, C5
Nerve responsible for erection
S2, S3, S4
Winging of the scapula
Long thoracic nerve
C5, C6, C7
Serratus anterior muscle
Most allergenic fluid
Compound sodium lactate that is isotonic with blood, intended for IV administration
Most common severe complication of liver abscess
Amoebic pericarditis (rupture into the pericardium)
How is Hirschsprung disease diagnosed?
Proctosigmoidoscopy + deep rectal biopsy
When is meconium passed?
24-48 hours of life
Management of a pregnant patient at 7 months AOG + Grade III hemorrhoids
Hot sitz bath
Hemorrhoids that can be manually reduced
How to manage acute cholecystitis in pregnant patients
20 weeks: open cholecystectomy
Most common site of metastasis in Wilm's tumor
Wilms tumor + macroglossia
Macroglossia is seen in 2 conditions:
Most common site of metastases for neuroblastoma
Stratum basale is also known as
Most common benign parotid mass
Most common malignant parotid mass
Most common presenting sign of anal fissures
Pain > bleeding
Most common sign of Meckel's diverticulum
Most common source or primary tumor that leads to malignant pleural effusion
Intraaortic ballon pump is inserted where?
Distal to brachiocephalic
Most common site of rupture of colonic obstruction
Law of Laplace: rupture occurs in areas with the greatest diameter
Most common organism in acute appendicitis
E. coli > Klebsiella and Bacteroides
Veins of Retzius and Sappey are found in which condition?
In facial nerve injury, which graft is used?
It is accessible, long, with low rejection
Least foreign body reaction in closing a surgical wound in the face
Cotton, nylon, and prolene are not used
Chronic lesion from a wound
Nerve responsible for recurrent ulcers
Criminal nerve of Grassi
From proximal branch of the posterior vagus nerve
Psoas sign is
Pain on extending the hip with knee in full extension
Detects retrocecal appendicitis
Most common manifestation of appendicitis
Anorexia (hamburger sign)
Most posterior cavity in the peritoneal cavity
During normal breathing, what is the position of the vocal cords
Wide open (to allow easy passage of air)
Seen in laryngoscope
Most common artery hit in pericardiocentesis
Internal thoracic artery
Best access in performing pericardiocentesis
Most common level of tracheal stenosis
Tracheal ring 1 (C1)
Tracheostomy is placed at what cervical level?
Longest portion of the fallopian tube
Site of the major papilla in the second part of the duodenum
Zone of the neck where most traumatic injury occurs
Most common site of abdominal aortic aneurysm?
Most common type of thoracic aneurysm
Left gastric vein drains to the
Portal vein = splenic vein + IMV
Where is the site of weakness in a diaphragmatic hernia
Septum transversarium or pleuroperioneal membrane
Least painful agent for pleurodesis
Most commonly involved cranial nerve in NPCA
Causes dilatation of vessels for erection
Gluteus maximus is innervated by which nerve?
Inferior gluteal nerve