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Flashcards in Surgery Deck (66):
1

Most common site of cholangiocarcinoma

Hepatic duct bifurcation "Klatskin tumor"

2

External impingement of CBD

Mirrizi Syndrome

3

Fever, RUQ pain, jaundice

Charcot's Triad

4

Fever, RUQ pain, jaundice, hypotension, neurologic symptoms

Reynold Pentad

5

Symptomatic fasting hypoglycemia, serum glucose < 50 mg/dl, relief of symptoms with glucose administration

Whipple Triad

6

Most common malignant melanoma

Superficial spreading (70%)

7

Malignant melanoma with best prognosis

Lentigo maligna

8

Least common malignant melanoma which appears among dark-skinned individuals

Acral lentiginous (2-8%)

9

Acral lentiginous malignant melanoma on the great toe or thumb (sign)

Hutchinson sign

10

Optimum cytology count for solitary thyroid nodule

At leat 6 follicles each containing at least 10-15 cells from at least 2 aspirates

11

Superior thyroid artery origin

External carotid artery

12

Inferior thyroid artery origin

Thyrocervical trunk

13

Thyroidea ima artery origin

Innominate artery or aorta

14

Kidney stones, painful bones, abdominal groans, psychic moans, fatigue overtones (disease)

Hyperparathyroidism

15

Lower esophageal sphincter total length? Abdominal length? Resting pressure?

3-5 cm, 2-4 cm, 6-26 mmHg

16

Hallmark of intestinal metaplasia in esophagus

Barrett esophagus (squamous --> columnar)

17

Hypertensive LES, aperistalsis of esophageal body, failure of LES to relax

Achalasia

18

3 types of esophageal diverticula

Zenker (pharyngoesophageal), midthoracic or parabronchial, epiphrenic diverticula

19

Area of potential weakness behind the esophagus at the level of the cricopharyngeus muscle

Killian triangle

20

Peptic ulcer disease affecting mucosa only

Erosion

21

Layers affected by acute peptic ulcer disease

Mucosa, muscularis mucosa, submucosa, muscularis propia

22

Layers affected by chronic peptic ulcer disease

Mucusa, muscularis mucusa, submucosa, muscularis propia, serosa

23

Most common complication of peptic ulcer disease

Bleeding (others perforation and gastric outlet obstruction)

24

H. pylori eradication Bismuth triple therapy regimen

Bismuth 2 tabs QID, Metronidazole 250 mg TID, Tetracycline 500 mg QID

25

H. pylori eradication quadruple therapy regimen

Bismuth triple therapy regimen + PPI BID

26

PPI triple therapy regimen for H. pylori eradication

PPI BID, Amoxicillin 1 gram BID, Clarithromycin 500 mg BID

27

Standard surgical operation for gastric adenocarcinoma

Radical subtotal gastrectomy

28

Gastrointestinal stromal tumors (GIST) arise from which cells?

Interstitial cells of Cajal

29

Eponyms for gastric adenocarcinoma metastasis (give 4)

Virchow node, Sister Mary Joseph nodule, Krukenberg tumor, Blumer shelf

30

Give 2 paraneoplastic syndromes of gastric adenocarcinoma

Trosseau syndrome, acanthosis nigricans

31

Surgery for GIST

Wedge resection with negative margins

32

Treatment of unresectable, metastatic GIST

Imatinib (Gleevec)

33

Amoebicidal agents for amebic liver abscess

Metronidazole, chloroquine, tinidazole

34

Lumina agents for amebic liver abscess

Paramomomycin, Iodoquinol, Doloxanide furoate

35

Primary bile salts (2)

Cholate and chenodeoxycholate

36

Secondary bile salts (2)

Deoxycholate and lithocolate

37

Gallbladder accessory duct (proper name)

Duct of Luschka

38

Amount of bile produced per day (ml)

500-1000 ml per day

39

An opening 10 cm distal to pylorus

Ampulla of Vater (sorrounded by sphincter of Odi)

40

Gold standard treatment for cholangiocarcinoma

Resection

41

Components of triangle of Calot

Liver margin (superior), common hepatic duct (medial), cystic duct (inferolateral)

42

Local ablation options for hepatocellular carcinoma (5)

Percutaneous ethanol injection, percutaneous acetic acid injection, radiofrequency ablation, microwave coagulation therapy, cryotherapy

43

Abdominal pain, jaundice, mass

Choledochal cyst

44

Most common choledochal cyst type

Type 1 (fusiform)

45

Saccular type of choledochal cyst

Type 2

46

Choledochocoele (choledochal cyst type)

Type 3

47

Choledochal cyst involving extra and intrahepatic ducts

Type 4a

48

Choledochal cyst involving extrahepatic ducts only

Type 4b

49

Choledochal cyst involving intrahepatic ducts only

Type 5 (Caroli disease)

50

Surgery for strangulated inguinal hernia

Emergency surgery (consider non-mesh when + risk of infection)

51

Surgery for symptomatic or minimally symptomatic inguinal hernia

Consider watchful waiting

52

Surgery for symptomatic primary unilateral, primary bilateral or recurrent (after posterior technique) inguinal hernia

Mesh technique - Lichtenstein

53

Surhery for recurrent inguinal hernia after anterior technique

Mesh technique - endoscopic or open posterior approach

54

Surgical procedures for chronic pancreatitis (2)

Drainage procedures (sphincterotomy/plasty, Peustow-Gillesby procedure) and Whipple procedure

55

The only definitive and potentially curatove treatment of periampullary carcinoma

Whipple Surgery

56

Hernia of antimesenteric part only

Richter Hernia

57

Meckel diverticulum hernia

Littre Hernia

58

Direct + Indirect hernia

Pantaloon Hernia

59

2 loops in the same ring (W-shaped hernia)

Maydl Hernia

60

Hernia of appendix

Amyand Hernia

61

Hernia of superior lumbar triangle

Grynfeltt Hernia

62

Hernia of inferior lumbar triangle

Petit Hernia

63

Hernia of anterior diaphragm

Morgagni Hernia

64

Hernia of posterior diaphragm

Bochdaleck Hernia

65

Hernia lateral to rectus muscle

Spigelian Hernia

66

The diagnosis of pleural TB as a causenof exudative pleural effusion is established bh which 2 tests?

Adenosine deaminase > 40 IU/L or Gamma interferon > 140 pg/ml