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Flashcards in Scrub Out/Anatomy Deck (150):
0

Procedure of choice for pyloric stenosis

Fredt-Ramstedt

Palpable olive in the midepigastrium

1

Batista procedure

Partial left ventriculectomy

Treatment for heart failure after medical management

2

Adult remnants:

Ductus venosus
Foramen ovale
Ductus arteriosum
Umbilican vein
Left umbilical artery
Remnant of urachus

Ligamentum venosum
Fossa ovale
Ligamentum arteriosum
Ligamentum teres
Medical umbilical ligament
Medical umbilical ligament

3

Procedure for bleeding esophageal varices

Segura procedure

Gold standard: endoscopic band ligation

4

Vein involved in esophageal varices

Left gastric vein

5

Most common sclerosing agent

Tetradecyl sulfate

Cheapest: alcohol

6

Layer where sclerosing agent is injected

Submucosa

7

Type of gastric tube inserted for bleeding esophageal varices

Sengstaken-Blakemore tube

8

What are the blood supply of the following segments of the esophagus:
1) Cervical (C6-T1)
2) Thoracic (T3-T10)
3) Abdomen

1) Inferior thyroid (5-6 cm)
2) Bronchial arteries (15 cm)
3) Left gastric, Inferior phrenic (5-6 cm)

9

Portal pressure to say that it is portal hypertension

>12 mmHg

10

In refractory bleeding, what procedure is done in acute variceal bleeding

TIPS

11

Which vessels are blocked by the Sengstaken-blakemore tube

Left gastric
Esophageal
Vasa brevia (branch of splenic artery that supplies the greater curvature)

12

Largest branch of the celiac trunk

Splenic artery

13

What type of obstruction in schistosomiasis

Pre-sinusoidal obstruction

14

Whipple's procedure is also known as a

Pancreatico-Duodeno-Jejunostomy

Procedure of choice for pancreatic CA

15

Procedure for chronic pancreatitis

What is a Peustow procedure

Lateral pancreaticojejunostomy

16

Chain of lakes appearance is seen in?

Chronic pancreatitis

17

Surgical procedure of choice for biliary atresia

Kasai procedure

Hepato-porto-enterostomy

18

What is Bilroth I? Bilroth II?

I: Antrectomy + Gastroduodenostomy
II: Antrectomy + Gastrojejunostomy

19

Procedure of choice for duodenal atresia

Ladd's procedure

20

Procedure of choice for Barette's esophagus

Nissen's fundoplication

21

Most common predisposing condition factor to a Barette's esophagus

GERD

22

Most common primary esophageal motility disorder

Nutcracker/supersqueezer esophagus

23

What is Lichenstein herniorrhaphy

Tension free with mesh

Mesh has a low recurrence rate

24

Pringle maneuver temporarily occludes which blood vessels?

Porta hepatis (hepatic artery + portal vein)

25

Portal veins supplies how many percent of blood to the liver

70%

26

Procedure of choice for a ruptured peptic ulcer

Graham omental patch

27

Bleeding of peptic ulcer is secondary to which artery?

Gastroduodenal artery

28

Procedure of choice for ascending aortic aneurysm

Bentall procedure

29

Most common cause of aortic aneurysm in pediatrics? adults?

Pedia: Kawasaki
Adults: Marfan

30

Most common type of aortic aneurysm

DeBakey I or Standford A (Proximal)

31

Surgical procedure of choice for a full rectal prolapse

Thiersh procedure

32

Procedure of choice for achalasia

Heller's mymotomy

Myotomoy +/- Partial fundoplication

33

Radiology: bird's beak appearance

Achalasia

34

Strongest layer of the esophagus

Submucosa

35

Most common site of squamous cell CA of the esophagus?

Middle third

36

Most common benign tumor of the esophagus?

Leiomyoma

37

Most common benign tumor of the stomach

Leiomyoma

38

What is the triad of Plummer-Vinson syndrome

Esophageal webs + atrophic glossitis + iron deficiency anemia

39

What type of CA is most commonly associated with Plummer-Vinson syndrome

Squamous cell CA

40

What is the other name of Plummer-Vinson syndrome?

Patterson-Brown-Kelly Syndrome

41

Most common esophageal hernia

Sliding esophageal hernia

42

Most common site of Mallory-Weiss Tear

Distal third of the esophagus (GEJ)

Mallory-Weiss ~ alcoholic

43

What is Boerhaave's syndrome?

Pressure rupture of the esophagus

44

Most common site of perforation in the esophagus?

Killian's triangle

45

Most common site of Zenker's diverticulum

Killian's triangle

46

Pharyngoesophageal diverticulum

Zenker's diverticulum

47

Killian's triangle involves which 2 muscles?

Between the Inferior pharyngeal constrictor and cricopharyngeus

48

Surgical incision: low longitudinal incision of the uterus used to the deliver babies abdominally

Kronig incision

Transverse: Kerr incision

49

Procedure of choice in Hirschsprung's disease

Rectal pullthrough

50

Best age to do a rectal pullthrough

6 months - 12 months (12 months is the best)

51

Mile's procedure is also known as an?

Abdominoperineal resection (APR)

Done in colorectal CA

52

Surgical procedure of choice in colorectal CA

Mile's procedure

Low Anterior Resection: the closer you are to the rectus

53

Procedure pertaining to a esphagectomy through a right thoracotomy

Ivor Lewis procedure

To access squamous cell CA of the esophagus in the middle third

54

Heinz-Mikulicz procedure pertains to what?

Longitudinal pyloric incision

55

McIndoe procedure pertains to a

Vaginal reconstructive surgery

"Mc-INDAY"

56

Brook ileostomy pertains to a

Brooke ileostomy

Done in ulcerative colitis

57

Procedure of choice in refractory ascites

Denver shunt

58

Procedure of choice in a thyroglossal duct cyst

Sistrunk procedure

59

Procedure of choice in rectal CA less than 8cm from the anal verge

APR (Mile's procedure)

60

Stages of decubitus ulcer that extends into muscle and bone

Stage IV

61

Full thickness burns involves which layers?

3rd degree burn

All layers of skin + entire dermis

62

Bochdalek's hernia

Left posterior diaphragmatic hernia

Most common
Morgagni: anterior diaphragmatic hernia

63

Gold standard for the diagnosis of glaucoma

Tonometry

64

Ideal pre-op bowel prep antibiotic

Netilmycin

65

What is Dakin solution

Dilute sodium hypochlorite (bleach) used in contaminated wounds

66

Amyand's hernia pertains to a?

Hernial sac that contains a ruptured appendix

67

Accepted sclerosant for pleural effusion?

TALC

68

Flap used in a deep pressure ulcer

Gluteus maximus flap

69

Best management for a 3cm basal cell CA of the nose?

Excision with 2-4 mm margin

70

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?

Z-plasty (CONTRACTURE)

71

Radio: Coral reef appearance

Colonic angiodysplasia

Common cause of lower GI bleed in the elderly

72

Most common site of rupture in the colon

Cecum (most dilated portion)

Law of Laplace's: wall tension = pressure x radius

73

Most common cause of lower GI bleeds in adults? Pedia?

Adults: Diverticulosis
Pedia: Meckel's diverticulum

74

Most common source of extra adrenal pheochromocytoma

Organs of Zuckerkandl

Located near the abdominal aorta

75

Ecchymosis over the mastoid process pertaining to a basilar skull fracture

Battle's sign

Never insert an NGT

76

Bilateral black eyes pertaining to a basilar skull fracture

Raccoon eyes

77

Blood vessel of choice for CABG

Left internal mammary artery

Due to superior patency rates vs. greater saphenous vein

78

Most common site of a carcinoid tumor

Appendix

79

When is the best time to perform a surgery for undescended testis

6-12 months

80

Most common site of squamous cell CA in the esophagus

Middle third

82

Normal amount of pericardial fluid

30-50mL

84

Most commonly fractured in the body

Clavicle

85

Most commonly fractured facial bone

Nasal bone

86

Hangman's fracture involves

Fracture of C2

87

Jefferson fracture

Fracture of C1

88

Arrest of respiration occurs at which cervical level?

C2-C3

89

Clay Shoveller's fracture

Fracture of C7

90

Blue sclerae

Osteogenesis imperfecta

Defect in type I collagen

91

Dangers of porcelain gallbladder

Risk of CA is 30-65%

92

In a thyroidectomy, if the inferior thyroid artery is injured, what is affected?

Recurrent laryngeal nerve

93

In a thyroidectomy, if the superior thyroid artery is injured, what is affected?

External laryngeal nerve

94

Most common site of a cholecysenteric fistula

Duodenum

95

Part of the male urethra that offers the greatest resistance

Membranous urethra

Prostatic urethra will only cause resistance if there is BPH/enlargement

96

Most dilatable portion of the male urethra

Prostatic urethra

97

Widest part of the Fallopian tube

Ampulla

98

Narrowest part of the Fallopian tube

Isthmus

99

Where is lumbar tap done

L4-L5

(L3-L4)

100

Where does the spinal cord end in adults? Children?

Adults: L1
Children: L2-L3

101

Platelet level for OR in emergency situation? In elective surgery?

Stat: 50,000
Elective: 100,000

102

Only motor innervation of the diaphragm

Phrenic nerve
C3, C4, C5

103

Origin of the diphargm

Septum transversum
or Pleuroperitoneal fold/membrane
C3, C4, C5

104

Nerve responsible for erection

Pudendal
S2, S3, S4

105

Winging of the scapula

Long thoracic nerve
C5, C6, C7

Serratus anterior muscle

106

Most allergenic fluid

Dextran

107

Hartmann's solution

Compound sodium lactate that is isotonic with blood, intended for IV administration

108

Most common severe complication of liver abscess

Amoebic pericarditis (rupture into the pericardium)

109

How is Hirschsprung disease diagnosed?

Proctosigmoidoscopy + deep rectal biopsy

110

When is meconium passed?

24-48 hours of life

111

Management of a pregnant patient at 7 months AOG + Grade III hemorrhoids

Hot sitz bath

112

Hemorrhoids that can be manually reduced

Grade III

113

How to manage acute cholecystitis in pregnant patients

20 weeks: open cholecystectomy

114

Most common site of metastasis in Wilm's tumor

Lungs

115

Wilms tumor + macroglossia

Beckwidth-Wiedemann syndrome

116

Macroglossia is seen in 2 conditions:

Hypothyroidism
Beckwidth-Weidemann syndrome

117

Most common site of metastases for neuroblastoma

Bone

118

Stratum basale is also known as

Stratum germinativum

119

Most common benign parotid mass

Pleomorhpic adenoma

120

Most common malignant parotid mass

Mucoepidermoid

121

Most common presenting sign of anal fissures

Pain > bleeding

122

Most common sign of Meckel's diverticulum

Bleeding

123

Most common source or primary tumor that leads to malignant pleural effusion

Lung CA

124

Intraaortic ballon pump is inserted where?

Distal to brachiocephalic

125

Most common site of rupture of colonic obstruction

Cecum

Law of Laplace: rupture occurs in areas with the greatest diameter

126

Most common organism in acute appendicitis

E. coli > Klebsiella and Bacteroides

127

Veins of Retzius and Sappey are found in which condition?

Portal hypertension

128

In facial nerve injury, which graft is used?

Sural nerve

It is accessible, long, with low rejection

129

Least foreign body reaction in closing a surgical wound in the face

Staples (titanium-based)

Cotton, nylon, and prolene are not used

130

Chronic lesion from a wound

Marjolin's ulcer

131

Nerve responsible for recurrent ulcers

Criminal nerve of Grassi

From proximal branch of the posterior vagus nerve

132

Psoas sign is

Pain on extending the hip with knee in full extension

Detects retrocecal appendicitis

133

Most common manifestation of appendicitis

Anorexia (hamburger sign)

134

Most posterior cavity in the peritoneal cavity

Morrison's pouch

Hepatorenal recess

135

During normal breathing, what is the position of the vocal cords

Wide open (to allow easy passage of air)

Seen in laryngoscope

136

Most common artery hit in pericardiocentesis

Internal thoracic artery

137

Best access in performing pericardiocentesis

Subxiphoid approach

138

Most common level of tracheal stenosis

Tracheal ring 1 (C1)

139

Tracheostomy is placed at what cervical level?

C2-C4

140

Longest portion of the fallopian tube

Ampulla

141

Site of the major papilla in the second part of the duodenum

Posteromedial wall

142

Zone of the neck where most traumatic injury occurs

Zone II

143

Most common site of abdominal aortic aneurysm?

Infrarenal

144

Most common type of thoracic aneurysm

DeBakey 1

145

Left gastric vein drains to the

Portal vein

Portal vein = splenic vein + IMV

146

Where is the site of weakness in a diaphragmatic hernia

Septum transversarium or pleuroperioneal membrane

147

Least painful agent for pleurodesis

TALC (poweder)

148

Most commonly involved cranial nerve in NPCA

CN V

149

Causes dilatation of vessels for erection

Nitric oxide

160

Gluteus maximus is innervated by which nerve?

Inferior gluteal nerve

196

Undescended thesis

Cryptorchidism