Colorectal Surgery Indian Medical PG Flashcards - Medical Study Cards
Master Colorectal Surgery with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Colorectal Surgery Flashcard Deck - 73 Cards
Flashcard 1: What is the following instrument?
_____
Answer: Goligher retractor
Flashcard 2: The instrument is a _____.
Answer: haemorrhoid stapler
Flashcard 3: The best course of definitive management for Cecal volvulus is _____
Answer: right hemicolectomy
Flashcard 4: The image depicts _____ procedure, which is associated with less surgical morbidity.
Answer: Delorme's
Flashcard 5: The most common anal fistula is the _____sphincteric fistula.
Answer: inter
Flashcard 6: Left-sided colorectal carcinoma presents with decreased stool caliber due to partial obstruction
Answer:
Flashcard 7: Presence of _____, hypertrophied anal papillae and deep canoe shaped ulcer points towards the presence of chronic anal fissure.
Answer: sentinel tag
Flashcard 8: The _____ seton is placed to maintain drainage and create scar tissue around the sphincter so that its edges do not retract after cutting.
Answer: loose
Flashcard 9: _____ classification is the most commonly used classification for the severity and complication of acute diverticulitis
Answer: Hinchey
Flashcard 10: _____ technique is used in the management of high lying anal fistula.
Answer: Setons
Flashcard 11: Surgery is indicated in _____ grade 3 or grade 4 hemorrhoids
Answer: Internal
Flashcard 12: Perineal approaches for Rectal prolapse include:_____ operationTheirsch operationAltemeier procedure
Answer: Delorme
Flashcard 13: Surgery is usually indicated for grade _____ hemorrhoids and those with a significant external component
Answer: 3 and 4
Flashcard 14: _____ is the procedure of choice for treatment of anal fissure.
Answer: Lateral internal sphincterotomy
Flashcard 15: An exception to Goodsall's rule is that fistulas with an _____ external opening greater than 3 cm from the anal margin usually track to the posterior midline.
Answer: anterior
Flashcard 16: Anorectal melanoma is staged by the _____ or thickness of the lesion.
Answer: depth
Flashcard 17: The peak incidence of colorectal carcinoma is _____ - 70 years of age
Answer: 60
Flashcard 18: In _____ hemorrhoidectomy, the tissue is resected and wounds are left open and allowed to heal by secondary intention.
Answer: Milligan-Morgan
Flashcard 19: A _____ seton has been used as a staged fistulectomy, especially in high trans-sphincteric fistulas
Answer: cutting
Flashcard 20: Volvulus of the _____ is more commonly seen in the elderly (age group)
Answer: sigmoid colon
Flashcard 21: PERFECT surgery has a recurrence rate of _____ .
Answer: zero
Flashcard 22: Patient's with persistent disease upto 6 months following Nigro regimen are usually treated with _____
Answer: APR
Flashcard 23: _____ is the treatment for Pagets disease of the anal canal (with invasive component)
Answer: Radical resection with APR
Flashcard 24: If any residual tumor is left after the Nigro regimen, what is the next step in mx?_____
Answer: APR
Flashcard 25: Grade 1, 2 and some grade 3 hemorrhoids with only an _____ component can be managed using band ligation, sclerotherapy, coagulation, and cryotherapy
Answer: internal
Flashcard 26: _____ is the most common complication following hemorrhoidectomy.
Answer: Urinary retention
Flashcard 27: Palliative _____ can be done for patients with large anorectal melanoma invading sphincters
Answer: APR
Flashcard 28: What is the treatment of anorectal abscesses?_____
Answer: Drainage+Antibiotics
Flashcard 29: According to Park's classification of fistula-in-ano:Which types arise due to perianal abscesses?_____
Answer: Inter-sphincteric
Flashcard 30: Grade 1, grade 2, and some grade 3 hemorrhoids with only an _____ component can be treated with simple procedures (surgery not needed)
Answer: internal
Flashcard 31: Patients who present after 72 hours of thrombosis of external hemorrhoids are treated with _____
Answer: conservative management
Flashcard 32: What is the following instrument?_____
Answer: Goligher retractor
Flashcard 33: _____ lesions are not associated with poor prognosis in cases of liver metastasis from colorectal carcinoma.
Answer: Metachronous (Synchronous/Metachronous)
Flashcard 34: Open hemorrhoidectomy is also known as _____ hemorrhoidectomy
Answer: Milligan-Morgan
Flashcard 35: Hemorrhoidectomy is indicated in interoexternal hemorrhoids, when the _____ hemorrhoid is well-defined
Answer: external
Flashcard 36: Surgery is indicated in _____ hemorrhoids
Answer: fibrosed (thrombosed/fibrosed)
Flashcard 37: According to Park's classification of fistula-in-ano:Which types DO NOT arise from the dentate line?_____
Answer: Extrasphincteric
Flashcard 38: What is the most common site of anal canal carcinoma metastasis?_____
Answer: Lung
Flashcard 39: Patients who present within 72 hours of thrombosis of external hemorrhoids are treated with _____
Answer: excision
Flashcard 40: _____ rule can be used as a guide in determining the location of the internal opening of fistula.
Answer: Goodsalls
Flashcard 41: _____ rectopexy is performed for rectal prolapse by abdominal approach and involves resection of the sigmoid colon
Answer: Resection
Flashcard 42: A _____ abscess is the second most common type of anorectal abscess
Answer: ischiorectal
Flashcard 43: According to Park's classification of fistula-in-ano:Which types arise due to Penetrating injury, CA rectum or Crohn's?_____
Answer: Extra-sphincteric
Flashcard 44: What sclerosants are used in injection sclerotherapy for hemorrhoids?_____
Answer: Phenol in olive oil, Sodium morrhuate and quinine urea (2)
Flashcard 45: What is the common presentation for Paget's disease of the anal canal?_____
Answer: Intractable itching
Flashcard 46: The most common cause of anorectal suppuration is nonspecific _____ infection starting from the intersphincteric space
Answer: cryptoglandular
Flashcard 47: Closed hemorrhoidectomy is also known as _____ hemorrhoidectomy
Answer: Ferguson
Flashcard 48: In a patient of thrombosed external hemorrhoids, if the presentation is after 72 hours, then management done using _____
Answer: analgesics and sitz bath
Flashcard 49: _____ incision is an oblique muscle cutting incision used for access to sigmoid colon and pelvis in patients where the midline is scarred due to previous surgery
Answer: Rutherford Morrison
Flashcard 50: According to Park's classification of fistula-in-ano:Which types arise from the dentate line?_____
Answer: Intersphincteric, Transphincteric and Suprasphincteric
Flashcard 51: In a patient of thrombosed external hemorrhoids, if the presentation is within 72 hours, then management done using _____
Answer: excision
Flashcard 52: What is the most common symptom of anal canal carcinoma?_____
Answer: Bleeding per rectum
Flashcard 53: According to Park's classification of fistula-in-ano:Which types arise due to ischiorectal fossa abscesses?_____
Answer: Trans-sphincteric
Flashcard 54: Surgery is indicated in early grade piles not responding to _____
Answer: office procedures
Flashcard 55: Fecal peritonitis is classified as stage _____ on Hinchey classification of diverticulitis
Answer: 4
Flashcard 56: Injection sclerotherapy is ideal for the treatment of _____ hemorrhoids.
Answer: internal
Flashcard 57: _____ is the treatment for Pagets disease of the anal canal (without invasive component)
Answer: Complete excision
Flashcard 58: A _____ abscess is the most common type of anorectal abscess
Answer: perianal
Flashcard 59: According to Park's classification of fistula-in-ano:Which types arise due to supralevator abscesses?_____
Answer: Supra-sphincteric
Flashcard 60: _____ are also known as a 5-day, painful, self-curing lesion
Answer: External hemorrhoids
Flashcard 61: In _____ hemorrhoidectomy, the tissue is resected and wounds are closed with absorbable sutures
Answer: Ferguson
Flashcard 62: The most common anal fistula is the _____sphincteric fistula.
Answer: inter
Flashcard 63: What is the investigation of choice for anal canal CA?_____
Answer: Proctoscopy with biopsy
Flashcard 64: The _____ classification system is commonly used to describe the severity of _____ disease
Answer: Hinchey; diverticular
Flashcard 65: Surgery of choice for incarcerated or strangulated rectal prolapse is _____ procedure
Answer: Altemeier's
Flashcard 66: The _____ classification system is commonly used to describe the severity of _____ disease
Answer: Hinchey; diverticular
Flashcard 67: Resection of the ileocecal valve can cause _____ and lead to flatulence, diarrhea, and a higher than normal concentration of Hydrogen on lactulose breath test
Answer: SIBO
Flashcard 68: The instrument is a _____.
Answer: haemorrhoid stapler
Flashcard 69: The most common anal fistula is an _____ fistula
Answer: intersphincteric
Flashcard 70: The best course of definitive management for Cecal volvulus is _____
Answer: right hemicolectomy
Flashcard 71: Sclerotherapy for hemorrhoids can lead to development of _____ if injected too deeply
Answer: prostatitis
Flashcard 72: _____ procedure is a double barrel enterostomy done in Sigmoid volvulus
Answer: Paul Mikulicz
Flashcard 73: The surgical intervention most appropriate for a case of rectal adenocarcinoma < 5 cm from the anal verge is _____
Answer: abdominoperineal resection(APR)
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