Shared Flashcard Set

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certification exam
summer 2012
83
Other
Undergraduate 1
12/04/2011

Additional Other Flashcards

 


 

Cards

Term
Suprapubic prostatectomy
Definition
Removal of the prostate through a suprapubic incision. The bladder is entered and the resection is through a bladder incision. One advantage is that it allows access for surgical correction of any existing bladder condition.
Term
Retropubic Prostatectomy
Definition
Enucleation of hypertrophic prostate tissue through an incision in the anterior prostatic capsule.One advantage is that excellent hemostasis is obtained.
Term
Perineal prostatectomy
Definition
The removal of the prostate through a perineal approach. Disadvantage is that the iliac and obturator lymph nodes cannot be resected to determine the extent of the disease.
Term
Cystectomy with Ileal Neobladder
Definition
Part of the Ileum is used to make a new bladder allowing for normal urination.
Term
Cistectomy with Ileal Conduit
Definition
Total excision of urinary bladder and adjacent structures with urinary flow diverted to an isolated loop of bowel.
Term
Transurethral Resection of the Prostate Gland (TURP)
Definition
Surgical Resection of the prostate by means of a resectoscope. (Most common of the closed surgical methods)
Term
Circumcision
Definition
excision of the foreskin of glans penis. May be performed to relief of phimosis
Term
Hypospadias Repair
Definition
Surgical correction of a urerthral meatus, found abnormally on the undersurface of the penis and maybe way down into the perineum.
Term
Epispadias Repair
Definition
Surgical correction of the urethral meatus found abnormally on the penis usually at the base of penis. Anterior meatus never formed.
Term
Chordee repair or orthoplasty
Definition
Tip of the penis droops down due to chordee fibers being too taught and pulling the tip down.
Term
Meatotomy
Definition
Urethral opening is too small, an incision to enlarge the opening is cut with a fine scissor and stitched close with an absorbable suture.
Term
Orchiectomy
Definition
Removal of the testis or testes
Term
Orchiopexy
Definition
Surgical fixation of the testicle in a normal anatomical position in the scrotal sac. (if the testis fails to descend in to the scrotum)
Term
Hydrocelectomy
Definition
Excision of the tunica vaginalis of the testes to remove an enlarged fluid-filled sac due to trauma.
Term
Vasectomy
Definition
A portion of the vas deferens is removed and the lumen of the vas is electrocauterized
Term
Vaso-vasostomy
Definition
surgical Reanastomosis of the vas deferens
Term
varicocelectomy
Definition
the removal and ligation of the gonadal veins of the testes
Term
Penile Implant
Definition
A penile prothesis is implanted for treatment or organic sexual impotence
Term
Nephrectomy
Definition
Surgical removal of a kidney
Term
Nephrotomy/Nephrostomy
Definition
Creation of an opening into the kidney to maintain temporary or permanent urinary drainage.
Term
Kidney Transplant
Definition
Transplantation of a livng related or cadaveric donor kidney into the recipient's iliac fossa
Term
Nephrolithotomy/Pyelolithotomy/Ureterolithotomy
Definition
Removal of a calculus through an opening in the renal pelvis or ureter.
Term
Adrenelectomy
Definition
Partial or total excision of one or both adrenal glands. Usually performed for hyperseretion of adrenal hormones.
Term
Effacement
Definition
Thinning and flatenning of the cervix
Term
presentation
Definition
presenting part f the fetus in birth canal (cephalic, shoulder, breech)
Term
Station
Definition
presenting part of the fetus in relation to mother's ischial spines, expressed in cm
Term
4 Stages of labor
Definition

1st: begins with regular contractions and ends until the cervix is fully dilated and effacement of cervix.

2nd: complete dilation and end with the birth of the infant

3rd: birth of infant and end with the delivery of the placenta

4th: the mother recovers, bleeding is controlled, medicatin may be given

Term
Vaginal lacerations
Definition

first degree:  tear in mucous membrane of vagina and skin of the perineum

second degree: tear into muscles of the perineum

third: tear that extends into the anal sphincter and requires suturing

fourth degree: extends into the rectum and requires suturing

Term

Wertheim procedure

 

Definition
Radical hysterectomy(uterus, tubes, and ovaries and one third of vagina) and pelvic lymphadenectomy
Term
Dermatomes
Definition
Used for split-thickness grafts
Term
Vesicourethral suspension (Marshall- Marchetti-Kranz)
Definition
the periurethral tissues are sutured to the periosteum of the pubic symphysis to reposition the vesico-urethral angle, and correct urinary incontinence
Term
Vulvectomy
Definition
surgical removal of the labia majora and minora
Term
Full thickness skin grafts
Definition
contains both epidermis and dermis; donor site must be closed first referred to as composite or free-tissue grafts
Term
Submucous Resection (SMR)
Definition
The surgical procedure done to straighten a deviated septum in the nose
Term
Split thickness skin graft
Definition
contains epidermis and a small portion of dermis
Term
Cricoid cartilage
Definition
The laryngeal cartilage which serves as the first tracheal ring and completely encircles the trachea
Term
Parotids glands
Definition
Salivary glands located alongside the ear drained by Stenson's duct into the mouth
Term
Type II graft of the ear
Definition
Involves malleus damage and a graft placed between the tympanic membrane and the incus
Term
Caldwell Luc
Definition
Surgical procedure to open the maxillary sinus by way of the canine fossa for removal of the sinus
Term
Transverse Rectus abdominis myocutaneous (TRAM) flap
Definition
single-stage breast reconstruction with a flap of the rectus abdominis muscle
Term
Mentoplasty
Definition
reconstruction of the shape and size of the chin
Term
Biological Dressings
Definition
Homografts or heterograafts used as temporary coverings for denuded skin
Term
Pedicle graft
Definition
Tissue transfer from one part of the body to another with the graft tissue's blood suppply left intact
Term
First ligament clamped and ligated during and abdominal hysterectomy
Definition
Broad ligament
Term
Ideal room temperature
Definition
20-24*C or 68-75*F
Term
Norma adult white blood cell count
Definition
5,000-10,000
Term
Proper humidity of an operating room
Definition
50-55%
Term
Laser usually used for retina procedures
Definition
Argon
Term
protective devices that must be worn when an argon laser is in use
Definition
laser mask and plastic goggles
Term
Protective devices that must be worn when an Na:YAG laser is in use
Definition
laser mask and goggles with green-tinted lenses
Term
Asepsis
Definition
the absence of infectious organisms
Term
Bilroth I
Definition
Gastroduodenostomy
Term
Bilroth II
Definition
Gastrojejunostomy
Term
Thoracic Outlet Syndrome
Definition

a disorder that occurs when the blood vessels or nerves in the thoracic outlet — the space between your collarbone and your first rib — become compressed. Can be an injury caused by poor positioning

Term
Fasiculation
Definition
Involuntary muscle twitches that can occur after the muscle relaxant. Used to eliminate spontaneous breathing and promote mechanical ventilation    
Term

Parenteral

Definition
 par (near or beside) enter/o (instestines).  Medications given parenterally do not start at the mouth. Mostly injected.
Term

Pharmacodynamics

Definition
:How does your body process/breakdown the medication
Term
Compartment syndrome
Definition
Complication surgery with post op swelling.  Can also be caused by trauma.  Fascia does not “swell or give”
Term
ablation
Definition
the use of intense heat to vaporize or erode tissue
Term
Pelvic exenteration (or pelvic evisceration
Definition
is a radical surgical treatment that removes all organs from a person's pelvic cavity. The urinary bladderurethrarectum, and anus are removed
Term
Malar Implants
Definition
Cheek Implants
Term
Gamma Knife (Radiosurgery)
Definition

Narrow beams of radiation are targeted to a precisely defined volume of tissue within the brain. 

Term

 rhizotomy 

Definition
neurosurgical procedure that selectively destroys problematic nerve roots in the spinal cord
Term

LIDOCAINE 

Definition
  Given as a local anesthetic BUT used to treat ventricular TACHYCARDIA
Term
Agent of sterilization of STERRAD
Definition
Hydrogen peroxide
Term
Medication given to a patient when he/she is hypotensive
Definition
Epinephrine (Adrenalin)
Term

Position the patient should be place in for low anterior colon resection or Sigmoid Colon resection: 

Definition
  LOW LITHOTOMY
Term
Shear
Definition
the folding of underlying tissue when the skeletal structure moves while the skin remains stationary
Term

Cardiogenic shock

 

Definition
Cardiogenic shock characterized by primary myocardial dysfunction renders the heart to be unable to maintain adequate cardiac output. These patients demonstrate clinical signs of low cardiac output, with adequate intravascular volume. The patients have cool and clammy extremities, poor capillary refill, tachycardia, narrow pulse pressure, and low urine output.
Term

Hypovolemic shock

 

Definition
Hypovolemic shock results from loss of blood volume (hemorrhage), the possible reasons for which include gastrointestinal bleeding, extravasation of plasma, major surgery, trauma, and severe burns.
Term
Septic shock 
Definition
a potentially lethal drop in blood pressure due to the presence of bacteria in the blood.
 
Term
PEDICLE CLAMP
Definition

the same as a Satinsky or Stainsky clamp, used when removing and organ to clamp off the vein and artery and other structures as needed.

Term

HEMOGLOBIN Normal values

Definition
  12-14g
Term

RBC normal value

Definition
5 Million
Term
How many air exchanges in the OR?
Definition

20 EXCHANGES OF AIR PER HOUR

Term

Layers of the Intestinal Walls (outer to innermost)

Definition
Serosa, mucles, submucosa and mucosa
Term

Ligament of Treitz

Definition
Connects the duodenum to the diaphragm
Term

The four active ingredients required to deliver a successful process for EO sterilization:

Definition
Heat, gas, humidity and time
Term
Hirschsprung’s disease 
Definition
a disease of the large intestine that causes intestinal obstruction
Term

Omphalocele

Definition
a covered defect of the umbilicus (belly button) with a “sac” which contains abdominal contents
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