Surgery halo halo

Question 1

This should always be performed in repair of Zenker’s diverticulum

Answer 1

Myotomy of Cricopharyngeus muscle

Question 2

Most common cause of Otitis media in newborn

Answer 2

E coli

Question 3

Most common cause of stridor in Newborn

Answer 3

Laryngomalacia

Question 4

Main determinant of cosmetic outcome in full thickness lip lacerations

Answer 4

Proper apposition of Vermillion border

Question 5

Most common cause of Laryngeal Stenosis

Answer 5

Trauma

Question 6

Most common site of esophageal foreing body

Answer 6

Just below Cricopharyngeus muscle

Question 7

Most common salivary tumor

Answer 7

Mucoepidormoid carcinoma

Question 8

Most common Malignant salivary tumor of Submandibular Glands

Answer 8

Adenoid cystic carcinoma

Question 9

Number one most common benign Salivary tumor

Answer 9

Pleomorphic adenoma

Question 10

Number two most common benign Salivary tumor

Answer 10

Warthin’s tumor- 10% bilateral

Question 11

Part of airway that shows greatest inflammation in Child with laryngotracheobronchitis

Answer 11

subglottic region

Question 12

Most common oropharyngeal manifestation of AIDS

Answer 12

Oropharyngeal thrush

Question 13

Most common cause of vertigo in a child

Answer 13

Otitis Media

Question 14

Most common types of malignant neoplasms of the nasopharynx in adults

Answer 14

SCC

Lymphoepithelioma

Question 15

Most common isolated pathogen in ICU patient with paranasal sinusitis

Answer 15

Gram negative bacteria (Pseudomonas)

Question 16

Most common location of calculi in parotid duct obstruction

Answer 16

Near the Orifice

Question 17

Most common cause of UNILATERAL sensory hearing loss

Answer 17

viral neuronitis

Question 18

Most common cause of BILATERAL Sensory hearing loss

Answer 18

Noise

Ototoxins ( Abx, Loop diuretics, Antineoplastics)

Question 19

Most common organisms in AOM in children

Answer 19

Strep pneumo
H Influenza
Morrhaxella catarrhalis

Question 20

Most common clinical complication of substernal goiter

Answer 20

Horner syndrome due to Sympathetic chain involvement
Dysphagia
Respiratory difficulty

Question 21

Stones most likely to occur in what gland

Answer 21

Submandibular Gland

Question 22

Most common intracranial complication of suppurative otitis media

Answer 22

Meningitis

Question 23

Most common location of salivary gland tumor

Answer 23

Parotid

mostly benign-80%

Question 24

most common malignant parotid tumor

Answer 24

Mucoepidormal carcinoma

Question 25

Most common malignant submandibular gland

Answer 25

Adenoid Cyst carcinoma

Question 26

Skull base lesions most commonly affect

Answer 26

Cn 7, 8

Question 27

Most branchial cleft cysts morst commonly found in what triangle of the neck

Answer 27

Anterior triangle, lateral to midline

Question 28

Most common lesion of the CEREBELLOPONTINE angle or skull base Most common initial symptom

Answer 28

Acoustic Neuroma | Unilateral sensorineural hearing loss

Question 29

most common histopath for lip, | most common location by sun exposed induced carcinoma

Answer 29

SCC | Lower lip

Question 30

Most common presenting signs of anterior lateral pharyngeal space infections

Answer 30

Trismus Swelling at angle of mandible Medial bulging of Pharyngeal wall

Question 31

``` Organ viability for transplantation Heart and Lungs Liver Pancreas Kidneys ```

Answer 31

6-8 hrs 16 hrs 24 hrs 36-40 hrs

Question 32

Parkland formula for burn patients

Answer 32

= 4ml/kg/% BSA burned 1/2 of computed volume to be given for the first 8 hrs the next half for the next 16 hrs

Question 33

What structures herniate in the FOUR types of hiatal Hernia

Answer 33

Type 1- Cardiac Type 2- Fundus Type 3- Cardiac and Fundus Type 4- Intestines

Question 34

Structures removed during Breast Conservation surgery

Answer 34

Primary breast Cancer Normal Margin Breast tissue Assessment of regional Lymph nodes

Question 35

Structures removed during Radical Mastectomy

Answer 35

``` Medial/Lateral Pectoral Nerves Thoracodorsal Nerve Long Thoracic nerve Pectoralis major ALL Ln All Breast ```

Question 36

Strucutres removed during Modified radical Mastectomy

Answer 36

Like Radical but Nerves and LN level III are spared Pectoralis major spared

Question 37

Normal Aortic diameter

Answer 37

2-3cm

Question 38

Indications for AORTIC ANEURYSM Repair for ASx Patients WITHOUT connective tissue d/o Ascending Aorta Descending Aorta Abdominal Aorta Rate of Dilatation / yr for Thoracic aorta Rate of Dilatation /yr for Abdominal aorta

Answer 38

``` > 5.5cm >6.5cm >5.5cm >1cm >0.5cm ```

Question 39

Strongest layer of bowel

Answer 39

Submucosa

Question 40

Choledochal Cyst Type 1

Answer 40

Saccular/fusiform dilatation

Question 41

Choledochal Cyst type 2

Answer 41

Isolated diverticulum

Question 42

Choledochal Cyst Type 3

Answer 42

Choledochocele

Question 43

Choledochal Cyst Type 4

Answer 43

Inta and Extrahepatic biliary tree/ extrahepatic biliary tree dilatation

Question 44

Choledochal cyst type 5

Answer 44

Intrahepatic biliary tree dilatation

Question 45

``` Aortic Dissection Classification Debakey I II IIIa IIB ```

Answer 45

I- Ascending and Descending Aorta II- Ascending aorta III- Descending aorta originating from Left Subclavian Artery IIIa- originate Distal to Left Subclavian Artery, extends BOTH PROX and DISTALLY; above the diaphragm IIIb- Originate distal to Left subclavian artery, extends DISTALLY ONLY; may extend below diaphragm

Question 46

Most common form of CONGENITAL diaphragmatic Hernia

Answer 46

Bochdalek's hernia | Left Posterolateral defect

Question 47

Most common source of Gastrinoma

Answer 47

Stomach | 60% malignant

Question 48

Most common site of Gastrinoma

Answer 48

Gastrinoma/ Passaro's triangle: Jxn of Cystic and CBD Jxn of 2nd and third part of duodenum Jxn of neck and body of pancreas

Question 49

Patient with thyroid nodule, INC Calcitonin | Dx?

Answer 49

Medullary Carcinoma of thyroid

Question 50

MEN2a includes

Answer 50

Medullary ca of thyroid Pheochromocytoma Parathyroid hyperplasia

Question 51

Basal caloric reqt for a normal healthy individual

Answer 51

25 kcal/Kg/day

Question 52

Caloric reqt for mild stress

Answer 52

25-30

Question 53

Caloric reqt for Moderate stress

Answer 53

30

Question 54

Caloric reqt for severe stress

Answer 54

35-40

Question 55

most common location of INSULINOMA

Answer 55

evenly distributed throughout Pancreas

Question 56

Most common site of GLUCAGONOMA

Answer 56

Pancreatic tail

Question 57

Most common cause of fever 48 hrs post op

Answer 57

Atelectasis

Question 58

Most common site of Colonic perforation

Answer 58

Cecum: widest and thinnest

Question 59

Most common site of Colonic Obstruction

Answer 59

Sigmoid: narrowest

Question 60

``` Modified neck dissection: Submandibular salivary gland LN 1-5 SCM IJV SAN ``` Type 1 preserves? Type 2 Type 3

Answer 60

SAN SAN, SCM SAN, SCM, IJV

Question 61

Goodsall's rule: | External opening below Transverse anal line open to

Answer 61

Anal canal MIDLINE POSTERIORLY

Question 62

Goodsall's rule: | Anterior opening associated with a

Answer 62

Radial Tract

Question 63

Goodsall's rule: | Anterior fistulas

Answer 63

Have a direct track into the anal canal

Question 64

Goodsall's rule: | Posterior fistulas will have

Answer 64

Curved track with their internal opeNing in the POSTERIOR MIDLINE OF THE ANAL CANAL

Question 65

Goodsall's rule: Exceptio: Anterior fistulas more than 3 cm from the anus

Answer 65

Curved track that opens in the POSTERIOR MIDLINE ANAL CANAL

Question 66

Hernia Repair: | Bassini Repair

Answer 66

Approximates Transversalis aponeurosis/ conjoint tendon arch to the shelving edge of the INGUINAL ligament/ Poupart's ligment

Question 67

Hernia Repair: | Mcvay Repair

Answer 67

Transversalis aponeurosis and transversalis fascia to Coper's ligament an d the Iliopubic tract for indirect and femoral hernia

Question 68

Hernia Repair: | Lichenstein repair

Answer 68

Open mesh repair | Reinforce the posterior inguinal wall

Question 69

Hernia Repair: | Shouldice Repair

Answer 69

2 continuous sutures 2nd layer approximates Internal oblique muscles and the transversalis abdominis muscle to the External Oblique aponeurosis superficially and parallel to Poupart's ligament

Question 70

Minimum Urine output: Infant Children Adult

Answer 70

2cc/kg/hr 1cc/kg/hr 0.5cc/kg/hr