Clinical

Question 1

Burns - signs of inhalational injury

Answer 1

soot around nostrils
carbonaceous sputum
singed eyebrows
stridor

Question 2

Burns - Parkland Formula

Answer 2

2-4mls x weight x BSA (half in first 24hrs)

Question 3

Burns - criteria for referral to burns unit

Answer 3

• > 10% partial thickness
  • Any full thickness burn
  • Involving hands, feet, genitalia, joints
  • Electrical burns
  • Chemical burns
  • Significant co-morbidities
  • Paediatric cases
  • Associated trauma
  • Extra social support

Question 4

Trauma - criteria for CT within 1 hour

Answer 4

• GCS < 13
  
  • GCS < 15 after 24 hours
  • Open or depressed #
  • Basal skull #
  • Vomited more than once
  • Post-traumatic seizure
  • Focal neurology

Question 5

Orthopaedics - risk factors for hip dislocation

Answer 5

• Patient
  
  • Female
  • Weak hip muscles
  • Age
  • Alcohol excess
  • Neuromuscular disorders
• Surgical:
  
  • Posterior approach (posterior to greater trochanter)
  • Capsular excision
  • Previous hip surgery

Question 6

Orthopaedics - clinical features of SUFE

Answer 6

groin pain
antalgic “waddling” gait
externally rotated foot
apparently shortened hip

Question 8

Colorectal Surgery - risk factors for anastomotic leak

Answer 8

• Patient
  
  • Age
  • Gender (males)
  • Malnutrition
  • Steroids
  • Alcohol excess
• Surgical
  
  • Sepsis
  • Surgical technique/error
  • Level of anastomosis