Surgery Rotation exam with verified
correct answers
What is this spaced called? - .......🔷ANSWERS🔶......✔✔ Triangle of Calot
Triangle of calot boundaries - .......🔷ANSWERS🔶......✔✔ The cystic artery that supplies the
gallbladder is located in the triangle of callot. It's superior boarder is the inferior surface of the liver.
It's lateral boarder is the cystic bile duct and its medial boarder is the hepatic bile duct.
What foramen must be traversed for entry into the lesser peritoneal sac?
- .......🔷ANSWERS🔶......✔✔ foramen of winslow
What structures are carefully dissected through the triangle of Calot during a colycystectomy?
- .......🔷ANSWERS🔶......✔✔ cystic duct and cystic artery
What structures are contained within the triangle of calot? - .......🔷ANSWERS🔶......✔✔ R hepatic
artery
Cystic artery
Lymph node of Lund
Lymphatics
Vascular supply to the appendix - .......🔷ANSWERS🔶......✔✔ ileocolic-->ileal branch--
>appendicular artery
,Incisions - ..........
Fascial layers - .......
referred pain to the right shoulder is often from what pathology? - .......🔷ANSWERS🔶......✔✔
perforated duodenal ulcer or ruptured spleen
severe colic always indicates ___ - .......🔷ANSWERS🔶......✔✔ obstruction
patients under treatment with adrenal steroids often have an increased/decreased response to acute
inflammation - .......🔷ANSWERS🔶......✔✔ decreased
a ruptured ectopic gestation is accompanied by what type of fever? - .......🔷ANSWERS🔶......✔✔
irregular, low grade
temperature is typically what in intestinal obstruction patients? - .......🔷ANSWERS🔶......✔✔
normal or subnormal, rarely high
all abdominal crisis gives rise to one or more of five main symptoms, what are they?
- .......🔷ANSWERS🔶......✔✔ pain
shock
vomiting
, muscular rigidity
abdominal distention
acute glaucoma can be accompanied by what other symptoms? - .......🔷ANSWERS🔶......✔✔ acute
abdominal pain; try to not let it be a distraction
discoloration over the flanks suggesting intra-abdominal bleeding. - .......🔷ANSWERS🔶......✔✔
Grey Turner's sign
what conditions cause pain with vomiting and increasing abdominal distention (vomiting is
continuous)? - .......🔷ANSWERS🔶......✔✔ obstruction or peritonitis
little or no vomiting with constipation and increasing abdominal distention is indicative of what?
- .......🔷ANSWERS🔶......✔✔ Large bowel obstruction
within what time frame should appendicitis be operated on? - .......🔷ANSWERS🔶......✔✔ within 24
hours in
the tip of the appendix is usually found in what direction? - .......🔷ANSWERS🔶......✔✔ Spleen
what are some common things in a history from an appendicitis patient?
- .......🔷ANSWERS🔶......✔✔ indigestion/gastritis or flatulence, unusual irregular bowels
what dermatomes demonstrate hyperesthesia in appendicitis? - .......🔷ANSWERS🔶......✔✔ T10-12
and L1
what is the order of occurance of appendicitis symptoms? - .......🔷ANSWERS🔶......✔✔ 1. pain,
usually epigastric or umbilical
2. anorexia, nausea, or vomiting
3. tenderness- somewhere in abdomen or pelvis
4. fever
correct answers
What is this spaced called? - .......🔷ANSWERS🔶......✔✔ Triangle of Calot
Triangle of calot boundaries - .......🔷ANSWERS🔶......✔✔ The cystic artery that supplies the
gallbladder is located in the triangle of callot. It's superior boarder is the inferior surface of the liver.
It's lateral boarder is the cystic bile duct and its medial boarder is the hepatic bile duct.
What foramen must be traversed for entry into the lesser peritoneal sac?
- .......🔷ANSWERS🔶......✔✔ foramen of winslow
What structures are carefully dissected through the triangle of Calot during a colycystectomy?
- .......🔷ANSWERS🔶......✔✔ cystic duct and cystic artery
What structures are contained within the triangle of calot? - .......🔷ANSWERS🔶......✔✔ R hepatic
artery
Cystic artery
Lymph node of Lund
Lymphatics
Vascular supply to the appendix - .......🔷ANSWERS🔶......✔✔ ileocolic-->ileal branch--
>appendicular artery
,Incisions - ..........
Fascial layers - .......
referred pain to the right shoulder is often from what pathology? - .......🔷ANSWERS🔶......✔✔
perforated duodenal ulcer or ruptured spleen
severe colic always indicates ___ - .......🔷ANSWERS🔶......✔✔ obstruction
patients under treatment with adrenal steroids often have an increased/decreased response to acute
inflammation - .......🔷ANSWERS🔶......✔✔ decreased
a ruptured ectopic gestation is accompanied by what type of fever? - .......🔷ANSWERS🔶......✔✔
irregular, low grade
temperature is typically what in intestinal obstruction patients? - .......🔷ANSWERS🔶......✔✔
normal or subnormal, rarely high
all abdominal crisis gives rise to one or more of five main symptoms, what are they?
- .......🔷ANSWERS🔶......✔✔ pain
shock
vomiting
, muscular rigidity
abdominal distention
acute glaucoma can be accompanied by what other symptoms? - .......🔷ANSWERS🔶......✔✔ acute
abdominal pain; try to not let it be a distraction
discoloration over the flanks suggesting intra-abdominal bleeding. - .......🔷ANSWERS🔶......✔✔
Grey Turner's sign
what conditions cause pain with vomiting and increasing abdominal distention (vomiting is
continuous)? - .......🔷ANSWERS🔶......✔✔ obstruction or peritonitis
little or no vomiting with constipation and increasing abdominal distention is indicative of what?
- .......🔷ANSWERS🔶......✔✔ Large bowel obstruction
within what time frame should appendicitis be operated on? - .......🔷ANSWERS🔶......✔✔ within 24
hours in
the tip of the appendix is usually found in what direction? - .......🔷ANSWERS🔶......✔✔ Spleen
what are some common things in a history from an appendicitis patient?
- .......🔷ANSWERS🔶......✔✔ indigestion/gastritis or flatulence, unusual irregular bowels
what dermatomes demonstrate hyperesthesia in appendicitis? - .......🔷ANSWERS🔶......✔✔ T10-12
and L1
what is the order of occurance of appendicitis symptoms? - .......🔷ANSWERS🔶......✔✔ 1. pain,
usually epigastric or umbilical
2. anorexia, nausea, or vomiting
3. tenderness- somewhere in abdomen or pelvis
4. fever
