General Flashcards

1
Q

what nerve roots supply the achilles reflex

A

S1-S2
BUCKLE MY SHOE

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2
Q

what nerve roots supply the patellar reflex

A

L3 L4 KICK THE DOOR

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3
Q

what nerve roots supply the biceps reflex

A

C5-C6 PICK UP STICKS

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4
Q

what nerve roots supply the triceps

A

C7-C8 close the gate

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5
Q

how is the axillary nerve commonly damaged?

A

shoulder dislocation

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6
Q

how is the radial nerve commonly damaged=

A

humoral shaft fractures

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7
Q

how is the ulnar nerve commonly damaged

A

fractures and dislocations of elbow joint

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8
Q

how is the median nerve commonly damaged

A

by supracondylar humeral fractures, dislocation of elbow joint

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9
Q

What nerve roots are damaged in Erb’s palsy

A

C5/C6

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10
Q

what does the hand/arm look like in Erbs palsy

A

Waiter’s tip

adducted and medially rotated
pronated, flexed wrist

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11
Q

What nerve roots are damaged in Klumfe’s palsy and what does hand looklike

A

C8/T1 damage

CLAW HAND

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12
Q

what can cause damage to the sciatic nerve in the leg

A

Poorly placed gluteal injections, post-hip dislocation

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13
Q

what are signs and symptoms of the sciatic nerve

A

foot drop, flail foot

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14
Q

what does loss of tibial nerve function cause

A

loss of plantarflexion

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15
Q

loss of common peroneal nerve injury

A

loss of dorsiflexion

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16
Q

what is the function of the ACL

A

prevents anterior displacement of tibia

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17
Q

function of PCL

A

prevents posterior displacement of tibia

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18
Q

when does a pt have to be NBM before surgery

A

6 hours for food
2 hours for fluids
same rules of diabetics and pregnant women

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19
Q

why do you need to compress the cricoid cartilage if a patient has eaten just before surgery?

A

it prevents aspiration of gastric contents during induction

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20
Q

what is the main cause of post-op pyrexia at day 1 post op

A

atelectasois

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21
Q

how does atelectasis present

A

pyrexia
reduced oxygen sats
reduced breath sounds at lung base

on day 1 post op

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22
Q

most common cause of pyrexia at day 3 post op

A

UTI

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23
Q

most common cause of pyrexia at day 5 post op

A

SSI (staph aureus), anastamotic leak

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24
Q

what scale do you use for anaesthetics

A

ASA grading

25
what ASA having a BMI of 40 or over automatically mean
ASA 3
26
what is ASA1
normal healthy patient
27
ASA2 what is
mild systemic disease (smoker / alcohol user / ohter mild well controlled disease e.g. HTN)
28
what is ASA 3
severe ssystemic disease, not incapacitating (pooorly coontrolleed DM; prior MI, COPD etc)
29
what is ASA4
severe systemic disease that is.a THREAT TO LIFE
30
ASA5
moribound patient not expected to survive without the operation (e.g. ruptured AAA)
31
what is ASA6
Brain dead Organs being removed fo transplant
32
who needs to be screened for MRSA
all patients for elective admission (excpet TOP, opthalmic, psych) all emergency surg
33
how do you screen for MRSA
nasal swab + skin lesion
34
what do you need to do prior to secondary anastamosty after resection of part of the bowel
perform a contrast enema this is to ensure that the primary anastamosis is healedd and there are no perforatiions
35
what marker is used to assess completeness of resection of thyroid tumour
calcitonin
36
what marker is used to assess thyroid cancer recurrence
thyroglobulin antibodies
37
what kind of referral do you need to do in children presenting with inguinal hernia, depending on age?
under 1yo: urgent referral over 1yo: routine referral
38
what age group is most at risk from inguinal hernia
young children (very high rikss of iincarceration
39
when do you need to repair an inguinal hernia in chiildren (6weeks, 6m, 6y)
<6weeks orld: within 2 days <6months: within 2 weeks <6 years: withiin 2 months
40
how do you manage umbilical hernia
conservative > will self resolve
41
what are LFTs and inflammatory markers like in biliary colic
all normal!!
42
triad of boerhave
vomiting sudden onset chesst pain (from vomiting) subcut emphysema (crepitus) NO BLEEDING IN VOMIT!
43
who can you refer for bariatric surgery
ANYONE with BMI above 50 Anyone with medical conditions + BMI >35
44
wht is the mosst common organism to cause cholangitis
E. coli, followed by Klebsiella
45
ix for suspected chronic pancreatitis
faecal elastase USS contrast-enhanced CT
46
when do you use faecal elastase for diagnosing chronic pancreatiitis
oonly if CT is inconcvlusive
47
how do you manage acute mesenteric ischaemia
URGENT laparotomy
48
whi h infections mimic Chroons in the GI tract
TB Yersinia
49
what is the muscle relaxant of choice for rapid sequence induction for intubation
SUXAMETHONIUM it is rapid onset + short acting
50
what is suxamethonium used for
rapid induction in emergency procedure / GCS <8
51
2 key complications of suxamethonium
APNOEA (due to AD mutation -- lack of spontaneous ventilation folloring extubation -- re intubate and weane off) HYPERTHERMIA (temp >40)
52
how do you treat malignant hyperthermia from suxamethonium
give daltrolene
53
what is an epigastric hernia and what are RF
Lump in midline between umbilicus and xiphisternum RF: extensive physical training or coughing (from lung diseases), obesity
54
how do you manage wound dehischene
cover wound with saline-impregnated gauze (ensures abdo contents do not dry out) IV broad-spectrum antibiotics URGENT SENIOR REVIEW (needs to be taken to theatre urgently)
55
what is boas sign
referred pain to the right scapula due to cholecystitis
56
whhat is a bell clapper deformity of the testicle
testicle with a HORIZONTAL lie
57
what does cryptorchidism mean
UNDESCENDED testicle
58
what do yuo need to do if you suspect renal stone with features of systemic infection?
PERCUTAENOUS NEPHROSTOMY URGENT + IV ABx
59
how do you split the fluid you aare required to give for burns
The 24hr fluid requirement for burns is given as 50% over 8hrs followed by 50% over 16hrs