GEN SURG

Question 1

Anal Fissure 1st Line Management?

Answer 1

Topical 0.4% GTN Ointment

Question 2

Anal Fissure 2nd Line Management?

Answer 2

Topical Calcium Channel Blocker [Diltiazem 2%]

Question 3

Diverticulitis Management?

Answer 3

Co-Amoxiclav

Question 4

Haemorrhoids Non Surgical Management?

Answer 4

Rubber Band Ligation

Question 5

Pancreatitis 1st Line Investigation?

Answer 5

Serum Amylase / Lipase

Question 6

Volvulus AXR Sign?

Answer 6

Coffee Bean Appearance

Question 7

Epigastric Pain Radiating to Back + Cullen/Grey Turner Sign + Vomiting?

Answer 7

Pancreatitis

Question 8

Severe Anal Pain on Defecation + PR Bleed?

Answer 8

Anal Fissure

Question 9

RIF Pain + Vomiting + Guarding?

Answer 9

Appendicitis

Question 10

Appendicitis Investigation?

Answer 10

CT Abdomen

BUT

US Abdomen in Paeds / Pregnancy

Question 11

LIF Pain + PR Bleed + Fever?

Answer 11

Diverticulitis

Question 12

RUQ Pain + Fever + Vomiting + Murphy Sign?

Answer 12

Acute Cholecystitis

Management
1) IV Fluids
2) Abx

Question 13

RUQ Pain + Fever + Jaundice?

Answer 13

Acute Cholangitis

[Charcot Triad]

Management
1) ABx
2) ERCP

Question 14

Flank Pain + Costovertebral Angle Tenderness + Nausea?

Answer 14

Renal Colic

Investigation
Non Contrast CT KUB

Management
1) PR Diclofenac
2) Stone Removal / Retrieval