Gen Surg and Colorectal

Question 1

Diverticular Disease
mx

Answer 1

increase dietary fibre intake

Question 2

hinchey IV perforations

Answer 2

require resection and stoma

Question 3

acute mx of DD?

Answer 3

abx

Question 4

Dx of diverticular disease

if no perforation

Answer 4

colonoscopy
CT cologram
barium enema

Question 5

Ix of Diverticular Disease

Answer 5

acutely unwell need plain abdo xray and erect CXR to identify perforation

Question 6

in diverticular disease when you want to identify an abscess what is useful?

Answer 6

abdo CT scan with contrast

Question 7

rectal intussuception

Answer 7

obstructed defecation

Question 8

anal fissure mx?

Answer 8

topical diltiazem

Question 9

phenol injections are management for?

Answer 9

minor internal haemorroids

Question 10

Hartmanns procedure

Answer 10

sigmoid colectomy and formation of an end stoma

Question 11

chronic anal fissure mx?

Answer 11

diet modification
Laxative
topical anaesthetic

topical GTN

Question 12

colon anatomy
RIF > LIF

Answer 12

caecum > ascending colon > descending > sigmoid > rectum

Question 13

caecal cancer?
surgery?

Answer 13

right hemicolectomy

Question 14

right hemicolectomy

Answer 14

Caecal, ascending or proximal transverse colon cancer

Question 15

Neurogenic shock mx?

Answer 15

,assive vasodilation due to CNS

> vasopressors to reverse vasodilation

Question 16

strangulated inguinal hernia management?

Answer 16

Theatre open repair

Question 17

investigating bowel obstruction

Answer 17

Ct abdomen

abdo xrays

Question 18

in haemorrhagic shock BP falls when how much blood volume is lost?

Answer 18

30%

class 3

Question 19

Class 2 haemorrhagic shock presents with

Answer 19

tachycardia

Question 20

ewing sarcoma

Answer 20

lytic lesion
10-20 year olds

onion type periosteal reaction on xray

Question 21

osteomalacia findings?

Answer 21

hypocalcaemia
low urinary calcium