4th Year general surgery 2 Flashcards

1
Q

What marker is elevated in germ cell testicular tumours?

A

Beta HCG

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2
Q

What markers are increased in leydig and Sertoli cells tumours?

A

oestrogen and testosterone

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3
Q

When is Murphys sign present?

A

Cholecystitis, ascending cholangitis

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4
Q

Where is Vitamin B12 absorbed from?

A

Terminal ileum

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5
Q

What other treatment is given following breast conserving surgery?

A

Radiotherpay

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6
Q

What tumour marker is seen in breast cancer?

A

CA 15-3

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7
Q

Where does pagets disease of the breast start?

A

Involves nipple primarily and spreads to the areolar later

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8
Q

What is the commonest cause of blood stained discharge in younger women?

A

Intraductal papilloma

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9
Q

At what ages are breast screening performed?

A

43-73

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10
Q

Features of inflammatory breast cancer?

A

Erythema and oedema in absence of elevated WCC or CRP

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11
Q

When does duct ectasia typically occur?

A

Drug menopause

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12
Q

What does Tamoxifen increase the risk of?

A

Endometrial cancer

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13
Q

What is primary sclerosing cholangitis a risk factor for?

A

Cholangiocarcinoma

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14
Q

What is the most common type of bowel cancer?

A

Adenocarcinoma

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15
Q

Bag of worms feeling in the scrotum?

A

Varicocele

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16
Q

What size of caecum is at risk of imminent perforation?

17
Q

Cause of large bowel obstruction until proven otherwise?

18
Q

What type of thyroid cancer has the best prognosis?

19
Q

What type of thyroid cancer is associated with MEN2?

20
Q

What type of thyroid cancer causes a raised calcitonin?

21
Q

3 thicknesses of burns?

A

Superficial
Deep dermal
Full thickness

22
Q

When should you give fluid resus in burns?

A

If >15% in adults

>10% in children

23
Q

What formula is used to calculate fluid resus in burns?

A

Parkland formula

24
Q

What type of leg ulcer has a punched out appearance?

25
Q

What type of leg ulcer is commonly seen in the gator area?

26
Q

What is the H pylori eradication regime?

A

Omeprazole
Amoxicillin + metronidazole for 7 days
(clarithromycin if pen allergic)