Gastrointestinal Surgery — Flashcards

Flashcard 31: _____ sign is pain in epigastrium or anterior chest, with persistent firm pressure applied to McBurney s point, seen in acute appendicitis

Answer: Aaron

Flashcard 32: _____ treatment is the definitive therapy for Meckels diverticulum

Answer: Surgical

Flashcard 33: What is the late treatment of Boerhaave's syndrome (>24 hours) for a small tear?_____

Answer: simple drainage

Flashcard 34: Best conduit of choice after CA esophagus resection is _____

Answer: stomach

Flashcard 35: _____ forceps are used for removing the laminated membrane and the daughter cysts during operation of the Hydatid cyst

Answer: Sponge holding

Flashcard 36: According to the modified Johnson classification for gastric ulcers, ulcers occurring anywhere in the stomach are classified as Type _____.

Answer: V (NSAID-related)

Flashcard 37: What is the most common site of perforation in Boerhaave's syndrome?_____

Answer: Left posterolateral wall of lower 1/3rd

Flashcard 38: What is the preferred mx for intractable peptic ulcers?_____

Answer: Highly selective vagotomy

Flashcard 39: _____ procedure is done for Zenker s diverticulum

Answer: Dohlman s

Flashcard 40: In adults, an Alvarado score of _____ or higher rules in the diagnosis of appendicitis

Answer: 7

Extra: **MANTRELS Score:** - **M**igration of pain: 1 - **A**norexia: 1 - **N**ausea/Vomiting: 1 - **T**enderness in RLQ: 2 - **R**ebound tenderness: 1 - **E**levated temperature (>37.3°C): 1 - **L**eukocytosis (>10,000/uL): 2 - **S**hift to the left (Neutrophilia): 1 **Total: 10** **Interpretation:** - **1–4:** Low probability (Appendicitis unlikely) - **5–6:** Equivocal/Possible (Observation and/or imaging recommended) - **7–10:** High probability (Rules in surgical intervention)