Surgical Jeopardy Jeopardy Template

Liver	Big stinky	Pancreas	Transplant	Goose
100 What is focal nodular hyperplasia Benign lesion best recognized by "central scar" on MRI	100 Nichols-Condon prep Eponym for bowel prep with neomycin and erythromycin	100 Necrolytic migratory erythema Rash seen with glucagonoma	100 Azathioprine Anti-rejection drug with side effects of hepatotoxicity, thrombocytopenia, pancreatitis	100 Left thoracotomy Surgical approach for perforation of distal third of esophagus
200 What is alpha fetoprotein Tumor marker for HCC	200 What is cecal bascule Cecum folds anteromedial to ascending colon, creating a flap-valve occlusion	200 Enucleation Procedure of choice for insulinoma	200 Crossmatch Procedure of mixing recipient serum, donor lymphocytes, and rabbit complement	200 1- cricopharyngeus 2- compression by left mainstem bronchus and aortic arch 3- diaphragm 3 areas of anatomical narrowing of esophagus
300 What is angiography/embolization First line treatment of hemobilia	300 Sudek's point- recto sigmoid junction Griffith's point- splenic flexure Names/locations of the two "watershed" areas of the colon	300 Beger procedure Duodenum-preserving pancreatic head resection	300 OKT3 Monoclonal antibody to cd3 receptor	300 No treatment Treatment for asymptomatic schatzki's ring
400 What is type 1 choledochal cyst Saccule or fusiform dilation of CBD	400 1. Total proctocolectomy with ileostomy 2. Restorative proctocolectomy with ileal pouch, anal anastomosis 3. Total proctocolectomy with continent ileostomy 4. Total abdominal colectomy with ileorectal anastomosis and rectal surveillance Two elective surgical options for ulcerative colitis	400 Blumer's shelf Metastatic mass in the rectal pouch palpable on rectal exam	400 Weeks to months post transplant Timing of acute rejection	400 Type 2 hiatal hernia Type of hernia in which gej remains at hiatus and fundus herniates alongside esophagus into chest
500 What is type 3 choledochal cyst Characterized as diverticulum protruding from the CBD	500 Q1-2 years beginning 8 years after onset of pancolitis or 12-15 years after ledt sided colitis Screening guidelines for surveillance colonoscopy in UC patients	500 IPMN- intraductal papillary mucinous neoplasm Premalignant pancreatic lesion with mucus exuding from the duct. Requires excision with clear margins	500 Chronic rejection Cell or humoral mediated rejection type	500 Acid suppression, endoscopy at 6 month intervals for a year, then annually if no change Treatment for Barrett's with low-grade dysplasia

Surgical jeopardy

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