General Surgery Exam Review Flashcards - Chapter 14
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Questions and Answers

What do the bubbles in contrast media look like in a cholangiogram?

Stones

What is a thyroid tenaculum?

Layhey clamp

What is male breast enlargement called?

Gynecomastia

What abdominal organ is a Whipple procedure done on?

<p>Pancreas</p> Signup and view all the answers

Tetney is a complication for which procedure?

<p>Thyroidectomy</p> Signup and view all the answers

What life-threatening disease can result from thyrotoxicosis?

<p>Graves disease</p> Signup and view all the answers

Which anatomical structure is the largest mass of lymphatic tissue?

<p>Spleen</p> Signup and view all the answers

Mahoney dilators are used in the?

<p>Esophagus</p> Signup and view all the answers

What are the three regions of the pancreas?

<p>Head, body, and tail</p> Signup and view all the answers

What is the Triangle of Calot and during what surgery is it dissected?

<p>Cholecystectomy</p> Signup and view all the answers

What is it called when insufflation of CO2 goes into the abdominal cavity?

<p>Pneumoperitoneum</p> Signup and view all the answers

Where is the gallbladder located in relation to the liver?

<p>Inferior surface of the liver's right lobe</p> Signup and view all the answers

What is the open appendectomy incision called?

<p>McBurney's incision</p> Signup and view all the answers

What incision would the Linea Alba be opened to the peritoneum?

<p>Median vertical</p> Signup and view all the answers

When suturing the appendiceal stump, what is the suture technique called?

<p>Purse-string technique</p> Signup and view all the answers

What is the most frequent hernia in females?

<p>Femoral</p> Signup and view all the answers

What is the term for a procedure going into the abdomen?

<p>Laparotomy</p> Signup and view all the answers

If preserving the long thoracic and thoracodorsal nerves during surgery, what is the procedure called?

<p>Modified radical mastectomy</p> Signup and view all the answers

Where are the parathyroid glands located in relation to the thyroid?

<p>Inferior, superior, dorsal</p> Signup and view all the answers

What do the parathyroid glands regulate?

<p>Blood calcium concentration</p> Signup and view all the answers

What does 'cephalad to caudad' refer to?

<p>Head to tail</p> Signup and view all the answers

What is a handheld retractor used during a thyroidectomy?

<p>Green retractor</p> Signup and view all the answers

What type of hernia protrudes through the transverse versus fascia?

<p>Direct hernia</p> Signup and view all the answers

What is the type of hernia where both direct and indirect are present?

<p>Pantaloon</p> Signup and view all the answers

What type of hernia results from failure of the deep internal ring to close during fetal development and protrudes into the scrotum?

<p>Indirect hernia</p> Signup and view all the answers

What is the name of a gastric mass of indigestible vegetable fiber and hair that can require surgical intervention?

<p>Bezoar</p> Signup and view all the answers

What do 'end to end,' 'side to side,' and 'end to side' represent?

<p>Anastomosis</p> Signup and view all the answers

What does 'lap appy' refer to?

<p>Appendectomy</p> Signup and view all the answers

What can be used to dissect the appendix?

<p>Stapler, endoloop, intracorporeal suturing instrument</p> Signup and view all the answers

Which hernia repair can a Penrose drain be used for?

<p>Inguinal hernia</p> Signup and view all the answers

Which statement is correct regarding polyps and diverticulum in the colon?

<p>Polyps protrude inward; diverticulum protrudes outward</p> Signup and view all the answers

What is the most common permanent colostomy?

<p>Sigmoid colon</p> Signup and view all the answers

An intestinal stoma is created below the costal margin, above the beltline, and lateral to which muscle?

<p>Rectus abdominus</p> Signup and view all the answers

What position is used for anal rectal procedures?

<p>Jackknife (kraske)</p> Signup and view all the answers

The hepatic and splenic flexures are located proximal and distal to what part of the large intestine?

<p>Transverse colon</p> Signup and view all the answers

What does bowel technique refer to?

<p>Steps to prevent postoperative infections (SSI)</p> Signup and view all the answers

What viewing instrument is used for hemorrhoids?

<p>Anoscope</p> Signup and view all the answers

What type of suture needle is used for the liver?

<p>Blunt</p> Signup and view all the answers

What incision is used for an open cholecystectomy?

<p>Right subcostal incision</p> Signup and view all the answers

What retractor is used for an open cholecystectomy to elevate the liver?

<p>Sweetheart/Harrington retractor</p> Signup and view all the answers

Why do we inject saline through the cholangiogram catheter before the contrast media?

<p>To make sure it is patent (patency)</p> Signup and view all the answers

What is the endocrine secreting gland of the pancreas that makes up only 1 percent of the organ?

<p>Islets of Langerhans</p> Signup and view all the answers

If a T-tube or wound drain is left after a laparoscopic cholecystectomy, where would it come out of?

<p>(Out of one of the 1mm) right port</p> Signup and view all the answers

What is pancreaticoduodenectomy more commonly known as?

<p>Whipple</p> Signup and view all the answers

Where is the needle localization performed?

<p>Breast</p> Signup and view all the answers

What is the first node in the axillary chain?

<p>Sentinel node</p> Signup and view all the answers

What is it called when removing the entire breast without any lymph nodes?

<p>Simple mastectomy</p> Signup and view all the answers

What is the irrigation fluid commonly used for breast biopsy or mastectomy surgeries?

<p>Sterile water</p> Signup and view all the answers

If a mastectomy is scheduled following a breast biopsy and frozen sections indicate carcinoma, what do we do?

<p>Reprep, redrape, regown, new gloves, and new instruments</p> Signup and view all the answers

What do bifurcated drains and fluffy pressure dressings help to prevent after a mastectomy?

<p>Hematomas and seromas</p> Signup and view all the answers

Can we hold a camera during a minimally invasive surgery?

<p>True</p> Signup and view all the answers

A laparoscopic procedure can be converted to an open procedure?

<p>True</p> Signup and view all the answers

Should skin preps be performed vigorously on breast procedures?

<p>False</p> Signup and view all the answers

Does the Hassan technique require a Verres needle?

<p>False</p> Signup and view all the answers

What is the function of the mesentery?

<ol> <li>Provides the vascular supply to the intestine; 2. Holds the intestine in place</li> </ol> Signup and view all the answers

What are the functions of the omentum?

<ol> <li>Stores adipose tissue; 2. Shock absorber, protects underlying organs; 3. Lubricates the surface of the abdominal viscera</li> </ol> Signup and view all the answers

What are the functions of the small intestine?

<p>Digestion and absorption of nutrients</p> Signup and view all the answers

What are the functions of the large intestine?

<ol> <li>Absorption of water and electrolytes; 2. Converts food material into fecal waste; 3. Produces vitamin K</li> </ol> Signup and view all the answers

What is the movement of food through the intestine with muscles called?

<p>Peristalsis</p> Signup and view all the answers

What are the two layers of the peritoneum?

<p>Visceral and parietal</p> Signup and view all the answers

What are the organs of the alimentary canal?

<p>Mouth, pharynx, esophagus, stomach, small intestine, large intestine, rectum, and anus</p> Signup and view all the answers

What is the function of the pharynx?

<p>Passageway for food and liquid</p> Signup and view all the answers

What is the primary function of the mouth?

<p>Mastication, secretion of saliva</p> Signup and view all the answers

What is the function of the esophagus?

<p>Passes food to stomach</p> Signup and view all the answers

What does the stomach secrete for digestion?

<p>HCl acid and mucus</p> Signup and view all the answers

What is the role of the small intestine?

<p>Digest chime and nutrient absorption</p> Signup and view all the answers

What are the components of the large intestine?

<p>Ascending, transverse, descending, sigmoid cecum and appendix</p> Signup and view all the answers

What is the rectum's function?

<p>Storage place for fecal matter</p> Signup and view all the answers

What is the function of the anus?

<p>Expels solid waste and controls its expulsion</p> Signup and view all the answers

Study Notes

General Surgery Exam Review

  • Cholangiogram Appearance: Bubbles in contrast media resemble stones.
  • Thyroid Tenaculum: Also known as Layhey clamp, utilized in thyroid surgeries.
  • Male Breast Enlargement: Condition known as gynecomastia.
  • Whipple Procedure: Surgical procedure performed on the pancreas.
  • Tetney Complication: Associated with thyroidectomy surgeries.
  • Thyroidtoxicosis Disease: Graves disease is life-threatening and linked to thyroid issues.
  • Lymphatic Tissue: The largest mass of lymphatic tissue in the body is the spleen.
  • Mahoney Dilators: Used specifically in procedures involving the esophagus.
  • Regions of the Pancreas: Divided into three parts: head, body, tail.
  • Triangle of Calot: Critical area dissected during a cholecystectomy.
  • Insufflation of CO2: Leads to pneumoperitoneum, a key term in abdominal surgeries.
  • Gallbladder Location: Positioned on the inferior surface of the liver's right lobe.
  • Appendectomy Incision: McBurney's incision is standard for open appendectomy.
  • Linea Alba Incision: Median vertical incision opens to the peritoneum.
  • Appendiceal Stump Suture Technique: Employs the purse-string technique for closure.
  • Common Female Hernia: Femoral hernias are frequent in females.
  • Abdominal Entry Procedure: Laparotomy refers to entering the abdomen through surgical incision.
  • Modified Radical Mastectomy: Designed to preserve long thoracic and thoracodorsal nerves.
  • Parathyroid Glands Location: Inferior, superior, and dorsal to the thyroid gland.
  • Parathyroid Function: Regulates blood calcium concentration.
  • Cephalad to Caudad: Directional term referring from head to tail.
  • Green Retractor: A handheld instrument used during thyroidectomy.
  • Direct Hernia Type: Occurs through the transverse versus fascia.
  • Pantaloon Hernia: Characterized by the presence of both direct and indirect hernias.
  • Indirect Hernia: Results from failure of the deep internal ring to close during fetal development.
  • Gastric Mass Requirement: A bezoar, consisting of indigestible fibers or hair, may need surgical intervention.
  • Anastomosis Types: Includes end-to-end, side-to-side, and end-to-side connections.
  • Lap Appy: Informal term for appendectomy.
  • Methods for Appendix Dissection: Tools include stapler, endoloop, and intracorporeal suturing instruments.
  • Inguinal Hernia Repair: Can involve the use of a Penrose drain for drainage.
  • Colon Exam Findings: Polyps protrude inward while diverticula protrude outward.
  • Permanent Colostomy Site: Most common colostomy is located at the sigmoid colon.
  • Intestinal Stoma Creation: Positioned below the costal margin, above the beltline, and lateral to the rectus abdominus.
  • Anal Rectal Procedure Position: The jackknife (kraske) position is utilized for anal procedures.
  • Flexures of the Large Intestine: Hepatic and splenic flexures are located proximal and distal to the transverse colon.
  • Bowel Technique: Refers to protocols aimed at preventing surgical site infections (SSI).
  • Viewing Instrument for Hemorrhoids: An anoscope is used for viewing.
  • Suture Needle for Liver Surgery: Blunt needles are used due to the liver's delicate structure.
  • Open Cholecystectomy Incision: Usually performed with a right subcostal incision.
  • Liver Elevation during Cholecystectomy: A sweetheart/Harrington retractor is utilized.
  • Cholangiogram Catheter Patency Check: Saline is injected prior to contrast media to ensure patent status.
  • Pancreatic Endocrine Gland: Islets of Langerhans comprise 1% of the pancreas and function in hormone secretion.
  • T-Tube/Wound Drain Position Post-Lap Chole: Exits from one of the right ports.
  • Pancreaticoduodenectomy Terminology: Commonly referred to as the Whipple procedure.
  • Needle Localization Site: Conducted in the breast for identifying lesions.
  • Sentinel Node: The first node in the axillary lymph node chain.
  • Simple Mastectomy Definition: Involves removal of the entire breast without lymph node excision.
  • Irrigation for Breast Procedures: Sterile water is used for irrigation prior to and during surgeries.
  • Mastectomy Protocol with Frozen Section Results: Requires reprep, redrape, regown, and use of new instruments if carcinoma is confirmed.
  • Post-Mastectomy Management: Bifurcated drains and fluffy pressure dressings prevent hematomas and seromas.
  • Camera Use in Minimally Invasive Surgery: It is permissible to hold a camera during such procedures.
  • Laparoscopic to Open Procedure Conversion: Possible depending on surgical conditions.
  • Breast Procedures Skin Prep: Should be gentle; vigorous preps are not recommended.
  • Hassan Technique Requirement: Does not necessitate a Verres needle.
  • Mesentery Function: Vascular supply to the intestine and stabilization of intestinal position.
  • Omentum Roles: Adipose storage, organ protection, and lubrication of abdominal surfaces.
  • Small Intestine Functions: Main site for nutrient digestion and absorption.
  • Large Intestine Functions: Absorbs water/electrolytes, transforms food into fecal waste, and produces vitamin K.
  • Peristalsis: Refers to muscle movement facilitating food transit through the intestine.
  • Two Layers of Peritoneum: Visceral layer covers organs while parietal lines the abdominal cavity.
  • Alimentary Canal Organs: Includes mouth, pharynx, esophagus, stomach, small intestine, large intestine, rectum, and anus.
  • Pharynx Function: Acts as a passageway for food and liquids, involved in surgeries like UPPP.
  • Mouth Functions: Responsible for mastication and saliva secretion.
  • Esophagus Role: Transports food to the stomach, relevant in esophagectomy.
  • Stomach Functions: Secretes hydrochloric acid and mucus for digestion; associated with gastrectomy.
  • Small Intestine Anatomy: Comprises duodenum, jejunum, and ileum; involved in digestion and absorption.
  • Large Intestine Structure: Includes ascending, transverse, descending, sigmoid colon, cecum, and appendix; critical for water absorption and fecal conversion.
  • Rectum Function: Serves as a storage site for fecal makeup, linked to procedures like hemorrhoidectomy.
  • Anus Functionality: Controls expulsion of solid waste, related to surgical procedures for anal fissures.

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Test your knowledge with these flashcards covering key concepts from Chapter 14 of General Surgery. This quiz includes important definitions and terms related to surgical procedures, anatomy, and common complications. Perfect for students preparing for exams in healthcare fields.

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