Gen Surg

Question 1

Lump superomedial to the pubic tubercle

Answer 1

INguinal hernia

Question 2

male lifetime risk of inguinal hernia

Answer 2

25%

Question 3

Return to work time after inguinal hernia repair

Answer 3

Open - 2-3 weeks
Lap - 1-2 weeks

Question 4

RFs for SCC bladder

Answer 4

Schistosomiasis
Smoking

Question 5

RFs for transitional cell ca bladder

Answer 5

smoking
dye exposure
cyclophsphamide
rubber exposure

Question 6

The PSA level should be what after a complete prostatectomy

Answer 6

undetectable

Question 7

Vessel often damaged in ED haematoma

Answer 7

middle meningeal

Question 8

None tender mobile breast lump

Answer 8

fibroadenoma

Question 9

lumpy painful breasts, worse before period

Answer 9

fibroadenosis

Question 10

tender lump around the areola with green discharge

Answer 10

mammary duct ectasia

Question 11

blood stained discharge

Answer 11

duct papilloma

Question 12

lump posterior to the testicle

Answer 12

epididymal cyst

Question 13

swelling anterior and below the testicle which you can get above

Answer 13

hydrocele

Question 14

When are infantile hydroceles repaired?

Answer 14

1-2 years if still present

Question 15

Varicocele more common on which side

Answer 15

left

Question 16

Breast fibroadenoma size before considering surgery

Answer 16

> 3cm

Question 17

Aromatase inhibitor side effects

Answer 17

osteoporosis

Question 18

When is radiotherapy advised in breast cancer

Answer 18

wide local excision
mastectomy for t3/4 tumour / 4 positive nodes

Question 19

hormonal treatment of choice in post menopausal women and breast ca

Answer 19

aromatase inhibitors (anastrozole)

Question 20

trastuzumab should not be used in which patients?

Answer 20

heart disease

Question 21

management of sigmoid and caecal volvulus

Answer 21

rigid sigmoidoscopy + rectal tube
caecal: operative mx

Question 22

claudication of which vessels causes pain in

1. calves
2. buttocks

Answer 22

1. calves - femoral claudication
2. femoral - iliac claudication

Question 23

referral criteria for breast cancer 2ww

Answer 23

> 30 with lump
50 unilateral nipple discharge, retraction, general changes

Question 24

most common cause of breast abscess in lactating women

Answer 24

S. aureus

Question 25

most common type of breast ca

Answer 25

invasive ductal carcinoma

Question 26

drug treatment in PAD

Answer 26

statin + clopi

Question 27

risk factors for prostate ca

Answer 27

black
ageing
smoking

Question 28

exocrine function of pancreas test in chronic panc

Answer 28

faecal elastase