Acute Care Flashcards
How long does it take a colles fracture to unite?
6 weeks
Fractured neck of femur
Shortened and externally rotated
Earliest laboratory finding in fat embolism
Lipuria
What is Volkmann’s ischaemia
Vascular compromise in the arm
Pain in the fingers and forearm is the first sign
Most appropriate management for EVERY patient in ED
Full primary survey
Contraindication for internal fixation of a fracture
Active infection
Chemical composition of plaster of paris
Hemihydrated calcium sulphate
Most common complication of a mid-shaft humeral fracture
Radial nerve injury
Most common bone involved in carpal fracture
Schaphoid
Most suitable treatment for undisplaced fracture of neck of humerus
Collar and cuff
Following Bennett’s fracture which muscle makes it difficult to maintain reduction
Abductor pollicis longus
Best treatment for acute compartment syndrome
Operative decompression of fascial compartments
Malunited Colles’ fracture produces which deformity?
Dinner fork deformity
Most common cause of a loose body in the knee joint
Torn meniscus
What age group usually suffers acute rupture of Achilles tendon
Middle aged people
Which reflexes are preserved in brain stem death
Deep tendon reflexes
If the HB is over 70 and BP stable after a GI ulcer repair, what should you do?
No action needed
Raised ICP
Left lateral position
What type of tachycardia do tricyclic antidepressants cause?
Broad complex tachycardia
Pulseless VT
DC shock
Low Hb on ABG
Packed red cells
What drug should be continued during surgery?
Bisoprolol
Give 4 drugs which should be stopped during surgery
HRT
Clopidogrel
Furosemide
Ramipril
Management of diabetic on metformin in surgery
Place first on the list
Hypokalaemia
Infuse potassium
Most appropriate investigation for DVT in pregnancy
VQ scan
GCS below 7
Intubate and ventilate
Warfarin reversal
Prothrombin complex concentrate
Tachycardia after blunt trauma
Concealed haemorrhage