Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

SURGERY > Stomach > Flashcards

Stomach Flashcards

(53 cards)

Start Studying
1
Q

Recognizable as an asymmetrical, pear shaped and most proximal abdominal organ

A

Stomach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

BLOOD SUPPLY (ARTERY)
Less curvature

A

Right epigastric art. <– common hepatic artery

Left gastric artery <– celiac trunk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

BLOOD SUPPLY (ARTERY)
Greater curvature

A

Right gastroepiploic artery <- gastroduodenal artery

Left gastroepiploic artery <- splenic artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

BLOOD SUPPLY (ARTERY)
Fundus

A

Short gastric artery <- splenic artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Induces acid secretion: (3)

A

Acetylcholine
Histamine
Gastrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Inhibits acid secretion

A

Somatostatin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Products produced by chief (zymogenic) cells (3)

A

Pepsinogen
Gastric lipase
Leptin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Products produced by parietal (oxyntic) cells

A

Hydrochloric acid
Intrinsic factor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Most serious complication of stomach related illness (?)

A

Perforation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Radiologic test that is helpful in the diagnosis of gastric perforation or delayed gastric emptying

A

Plain chest x-ray upright

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Focal defects in the gastric or duodenal mucosa which extends into the submucosa or deeper

A

Peptic ulcer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

All gastric ulcer and areas of gastritis should undergo this diagnostic test

A

Biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Most common symptom for ulcer

A

Bleedjng

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Diagnostic test for patients suspected to have gastrinoma

A

Serum gastrin levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Screening for dysphagia but will not confirm diagnosis of ulcer

A

Barium meal examination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Indications for surgery of ulcers:

A

▪️Persistent bleeding / rebleeding after endoscopic therapy
▪️Significant hemorrhage (>4 units/24hr)
▪️Ulcers located at the posterior duodenal bulb and ulcers located at the gastric lesser curvature
▪️ High risk of rebleeding based on endoscopic findings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What do you find in your upright chest radiograph for patients with perforation?

A

Pneumoperitoneum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Common presentation of patients with gastric outlet obstruction

A

Nonbilous vomiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Sloshing sound heard during sudden movement of patient on abdominal exam

A

Succussion splash

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Alarm symptoms of your ulcer (5)

A

Weight loss
Bleeding
Recurrent vomiting
Anemia
Dysphagia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Medical treatment of PUD

A

Inhibition of acid secretion
Smoking cessation
Alcohol avoidance
NSAID withdrawal
Eradicate H.pylori
Repeat EGD and biopsy 6-8 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Surgical Indication for peptic ulcer (4)

Study These Flashcards
A

Intractable pain
Hemorrhage
Perforation
Obstruction

23
Q

Most common surgical procedure performed for gastric outlet obstruction related to PUD

Study These Flashcards
A

Vagotomy and antrectomy
Vagotomy and pyloroplasty
Truncal vagotomy and gastrojejunostomy
Pyloroplasty

24
Q

Gastric ulcer Type:
Antral lesser curvature (most common)

25
Gastric ulcer Type: Type I ulcer + duodenal ulcer
Type II
26
Gastric ulcer Type: Prepyloric ulcer
Type III
27
Gastric ulcer Type: High in the lesser curvature
Type IV
28
Gastric ulcer Type: NSAID induced
Type V
29
Most commonly associated with Bilroth II gastrojejunostomy
Bile or Alkaline Reflux Gastritis
30
Triad of Alkaline Reflux Gastritis
Constant epigastric pain Nausea Bilious emesis
31
Your diagnosis when endoscopy reveals inflamed, beefy red, friable gastric mucosa. Patient post bilroth II
Alkaline Reflux Gastritis
32
Management for alkaline reflux gastritis
Roux-en-Y gastrojejunostomy
33
Uncontrolled secretion of gastrin by a pancreatic or duodenal neuroendocrine tumor
Gastrinoma (Zollinger - Ellison Syndrome)
34
Most common pancreatic tumor in patients with MEN1
Gastrinoma
35
Presentation of gastrinoma (3)
Epigastric pain GERD Diarrhea
36
Majority of gastrinomas are found in this triangle
Passaro triangle
37
Pasarro triangle is formed by 3 points
▪️CBD and cystic duct ▪️2nd and 3rd portion of the duodenum junction ▪️junction of the neck and body the pancreas Mnemonic: peptic-causing-disease
38
Confirmatory test for gastrinoma
Secretin stimulation test Gastrin >200 pg/mL after IV secretion administration
39
Most common malignant tumor in the stomach
Adenocarcinoma Note: in the esophagus its SCC
40
Classification used for adenocarcinoma of the stomach
Lauren classification
41
Most common presentation of stomach adenocarcinoma (3)
Weight loss Anorexia Early satiety
42
Results from functional obstruction due to disruption of normal propagation of pacesetter potentials in the Roux limb from the proximal duodenum, as well as altered motility in gastric remnant
Roux stasis syndrome
43
Diagnostic modalities useful for postoperative surveillance for gastric adenocarcinoma
CEA
44
Diagnostic gold standard for gastric adenocarcinoma
Upper endoscopy (EGD) + biopsy
45
Most frequently used modality for staging for gastric adenoCA
Abdominal or pelvic CT with IV and oral contrast
46
detect occult metastases in up to 31% of cases in gastric adenoCA
Staging laparoscopy with peritoneal fluid cytology
47
Low detection rate due to low tracer accumulation in diffuse and mucinous tumor (30%)
PET scan
48
In Radical subtotal gastrectomy, you remove the following: (4)
Distal 75% of the stomach Pylorus + 2cm of proximal duodenum Greater and lesser omentum Associated lymph nodes
49
Associated with protein losing enteropathy & hypochlorhydria
HYPERTROPHIC GASTROPATHY (Ménétrier Disease)
50
Presentation of HYPERTROPHIC GASTROPATHY (Ménétrier Disease) (4)
middle-aged men with epigastric pain weight loss diarrhea hypoproteinemia
51
Gastric carcinoid tumors arise from what cells
ECL cells
52
Carcinoid triad:
Flushing, diarrhea, right sided heart failure
53
blind loop syndrome (3)
steatorrhea, Vitamin B12, folate, & iron deficiency

SURGERY (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions