CCE 3 Surgery revision

Question 1

Causes of PAINFUL jaundice

Answer 1

Prehepatic

Hepatic

• Hepatitis

Post-hepatic

• Galllstones
• Acute cholangitis
• Pancreatitis (alcoholic or gall stones- stone blocks ampulla of vater causing back up of bile/ enzymes)

Question 2

Presentation of fractured NOF

Answer 2

• Shortened leg
• ABducted
• Externally rotated

Question 3

Presentation of Anterior Hip Dislocation

Answer 3

• ABducted
• Externally rotated

Question 4

Presentation of Posterior Hip Dislocation

Answer 4

• Shortened leg
• Flexed
• Internally rotated

Question 5

Trendelenburg Sign

Answer 5

Glut Medius & Minimnus (L4-S1) normally help bring about Hip and trunk extension and pelvic stabilsation whilst walking

The Med & Min contact of the side of the foot still on the floor to prevent the pelvis tilting towards the side of the leg off the floor

Not invovled in Trendelenburg sign

(Glut max has same role as (L5-S2))

Question 6

Crohn’s

Answer 6

• No blood or mucus
• Entire GI tract
• Skip lesions
• Transmural
• Smoking is RF

Question 7

Ulcerative Colitis

Answer 7

CLOSE UP

• Continous inflammation
• Limited to colon & rectum
• Only superficial mucosa
• Smoking is protective
• Excrete blood & mucus
• Use aminosalicyclates
• Primary sclerosing cholangitis