UPMC Horizon General Surgery MS III/IV
Must Know Information:
1. What suggests peritonitis?
2. What does peritonitis suggest?
3. What is the most common type of hernia?
4. What are the boundaries of Hesselbach’s triangle?
5. What is the first nerve of concern overlying the spermatic cord?
6. What are the contents of the spermatic cord?
7. What is the management of an acutely incarcerated hernia (non-reducible)?
8. What are the nine layer of the abdominal wall lateral to the rectus muscle?
9. Where in relation to the vas deferens does an indirect hernia sac situated usually?
10. What is primary closure of a wound?
11. What is delayed primary closure?
12. What is closure by secondary intent?
13. When is a wound in less danger of contamination post-op and why?
14. What is the most common cause of upper GI bleeding?
15. Gastric ulcers must be biopsied at time of identification due to a much higher incidence of
malignant etiology.
16. What anatomic landmark ends the upper GI tract?
17. What diagnostic maneuver helps in localizing site of upper GI bleed and should be used in all
cases of GI bleeds?
18. What is the most common cause of a lower GI bleed?
19. Who should only have an NG placed by a specialized surgeon?
20. What should be in the differential of an UGI bleed?
21. What is the anatomic arrangement of a roux en Y gastric bypass?
22. What are the long term complications of gastric bypass?
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23. What is the initial management for symtpmatic GERD?
24. What is the surgical procedure of choice for refractory reflux or for non compliance?
25. What are most common causes of lower GI bleeding?
26. How should a LGI bleed be evaluated?
27. What is the rate of bleeding needed to see on angiogram?
28. What is the rate of bleeding needed to ID bleed on a TRBC scan?
29. What is the blood supply to the colon and rectum?
30. What is mesenteric ischemia?
31. What are the causes of acute mesenteric ischemia?
32. How does it present?
33. What vessel is most commonly effected and why?
34. What is chronic mesenteric ischemia?
35. How does it present?
36. Describe cholelithiasis and different types of stones
37. What is acute cholecystitis?
38. What is Murphy’s sign and what is it associated with?
39. What is the goal in dissection of a cholecystectomy?
40. What are the borders of Calot’s triangle?
41. What often is located in Calot’s triangle?
42. What is Charcot’s triad?
43. What is Reynold’s pentad?
44. What do they suggest?
45. What composes the portal vein?
46. What is portal hypertension?
47. What is the manifestation?
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48. What is the initial management?
49. What are surgical options?
50. What is TIPS?
51. What are the 5 W’s associated with post-operative temperature elevation?
52. What is the rule of 2’s concerning Meckel’s diverticulum?
53. What is the most common tumor of the appendix?
54. What is the most common tumor of the small bowel?
55. What is the most common cause of spontaneous pneumothorax?
56. What is the treatment of a pneumothorax?
57. How does a pleurevac work?
58. What is a tension pneumothorax?
59. What is the treatment?
60. What are the common indications for therapeutic anticoagulation?
61. What are the vitamin K dependent clotting factors?
62. When starting a patient on loading dose Coumadin, what must be done concurrently?
63. Why?
64. What is phlegmasia alba dolens?
65. What is phlegmasia cerulea dolens?
66. What is the first branch of the internal carotid artery?
67. What are the branches of the external carotid artery?
68. What are the nerves of concern in a carotid dissection?
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