General Knowledge Flashcards
What is the correlation between time from hosp admission to surgical source control with septic peritonitis?
No association has been identified between outcome and the time from hospital admission to surgical source control
What cytological finding in free abdominal fluid is most consistent with septic peritonitis?
Presence of intracellular bacteria
What is a potential late postoperative complication following surgery for septic peritonitis?
Short bowel syndrome
Which thumb forceps should be used when handling intrathoracic tissue?
DeBakey
Which of the following is true when performing a median sternotomy?
A. The xiphoid and manubrium should be kept intact if possible
B. The internal thoracic artery runs transversely across the sternum and requires ligation and resection
C. The right accessory lung lobe cannot be visualised during a median sternotomy
D. Gelpis are the retractors of choice during mediam sternotomy
A. The xiphoid and manubrium should be kept intact if possible
Which approach to the thoracic cavity is associated with the highest risk of postoperative complications?
Median Sternotomy
What abnormalities might be detected on abdominal radiography in patients with septic peritonitis? (3)
Free abdominal gas
Loss of serosal detail
Corrugated intestines
What is the most useful test to diagnose septic peritonitis?
Abdocentesis and cytology
Which of the closure method of abdominal management is not appropriate for patients with septic peritonitis?
Closed abdomen with a passive drain
Which approach should be avoided for pericardiectomy?
Transdiaphragmatic
Which of the following thoracic wall neoplasia is MOST likely to metastasise, regardless of local control provided?
Fibrosarcoma
Chondrosarcoma
Osteosarcoma
Lymphoma
Osteosarcoma
Which nerve is visualised and preserved during pericardiectomy?
Phrenic
In small dogs with thoracic bite wounds, optimal management should include surgical exploration of the wound and the thoracic cavity in the presence of which of the following?
Flail or pseudo-flail chest
Fractured ribs
Radiological evidence of lung contusion
Pneumothorax
Any combination of the above
Any combination of the above
Why are trochar tubes associated with greater pain when in situ?
They require placement of a trap suture.
They move more readily with ventilation.
They are more traumatic to place
They have a wider bore
Which of the following is NOT a potential complication following lung lobectomy?
Pulmonary oedema
Lung lobe torsion
Haemorrhage
Laryngeal paralysis
Laryngeal paralysis
In the study by Valtolina et al. (Evaluation of small-bore wire-guided chest drains for management of pleural space disease, JSAP, 2009), what was the most common complication reported?
Failure to drainage due to tube kinking
Which of the following is NOT an appropriate technique for closing a thoracic wall defect following excision of a chest wall neoplasm?
Scalenus rotational flap
How can the risk of lung lobe laceration be decreased during thoracocentesis?
Include flexible tubing between the syringe and needle and position the bevelled edge of the needle parallel to the intrathoracic wall.
Surgery should be performed urgently in traumatic cases of diaphragmatic hernia with which of the following clinical signs? Select all that apply.
A. Severe/relentless abdominal pain
B. Gastric entrapment and tympany
C. Concurrent pelvic fracture
D. Ongoing haemorrhage or hypovolaemia
A. Severe/relentless abdominal pain
B. Gastric entrapment and tympany
D. Ongoing haemorrhage or hypovolaemia
Which dog breed is pre-disposed to chylothorax?
Afghan hound
Which cat breed is pre-disposed to chylothorax?
Siamese
Which of the following statement is true?
A. In utero, the foramen ovale carries blood from the aorta to the pulmonary artery, bypassing the still non-functioning lungs.
B. In utero, the foramen ovale carries blood from the pulmonary artery to the aorta, bypassing the still non-functioning lungs.
C. In utero, the ductus arteriosus carries blood from the aorta to the pulmonary artery, bypassing the still non-functioning lungs.
D. In utero, the ductus arteriosus carries blood from the pulmonary artery to the aorta, bypassing the still non-functioning lungs.
D. In utero, the ductus arteriosus carries blood from the pulmonary artery to the aorta, bypassing the still non-functioning lungs.
Which of the following statements about tension pneumothorax are incorrect?
A. Radiography will demonstrate marked lobar collapse, mediastinal shift to the right and a flattened left hemidiaphragm.
B. Soft tissue acts as a one-way valve allowing air to enter the pleural space during inspiration, but not to exit during expiration.
C. It develops from an open pneumothorax
D. Tension pneumothorax is very uncommon
C. It develops from an open pneumothorax
Which of the following statements is correct?
A. Medical management of PRAA is rewarding provided owner compliance and motivation is high.
B. Medical management of PRAA is unrewarding because of lifelong poor growth.
C. Medical management of PRAA is unrewarding because of progressive oesophageal dilation and regurgitation.
D. Medical management of PRAA is rewarding after placement of a gastrostomy tube.
C. Medical management of PRAA is unrewarding because of progressive oesophageal dilation and regurgitation.
