General Principles

Question 1

Surgical Sieve

*VITAMIN CDIIP

Answer 1

Vascular 
Infective 
Traumatic
Autoimmune
Metabolic 
Inflammatory 
Neoplastic

Congenital 
Degenerative 
Idiopathic 
Iatrogenic 
Psychogenic/Pharmacological/Functional

Question 2

What are the 5 types of shock?

Answer 2

Hypovolaemic 
Cardiogenic 
Septic 
Anaphylactic
Neurogenic

Question 3

What drugs have a narrow therapeutic window?

*MIND THE GAP

Answer 3

Morphine
Insulin
Neoplasmic (Chemo)
Digoxin

Theophylline
Hypoglycaemic agents
Epilepsy Drugs

Gentamicin
Anticoagulants
Psychiatric

Question 4

Which patients are describe as ‘susceptible’?

*A SAD GAP

Answer 4

Allergies

Sex
Age
Disease

Genetics
Altered Physiology
Pregnancy

Question 5

What is JACCOL?

Answer 5

Jaundice 
Anaemia
Cyanosis 
Clubbing 
Oedema 
Lymphadenopathy

Question 6

How wild you treatment Acute Hpyerkalaemia?

Answer 6

10mmol/L of calcium gluconate (+insulin and dextrose)

Question 7

What are the 3 main causes of a fever post-surgery?

Answer 7

Wind (Atelectasis or Pneumonia)
Wound (SSI)
Water (UTI)

Question 8

If a patient is hyperkalaemic and has worrying ECG traces, what is the most appropriate step in its management?

Answer 8

Give Calcium Chloride, Insulin and Dextrose

Question 9

What organs/structures are retroperitoneal?

Answer 9

Pancreas (Head, Neck and Body, Tail is not retroperitoneal as it contained within the splenorenal ligament)

Adrenal Glands

Kidneys

Ureter

IVC

Aorta

Ascending and descending portions of the colon

Question 10

What is the gold standard imaging technique for diagnosing DVT?

Answer 10

Contrast Venography

Question 11

How long should the treatment for spontaneous DVT last?

Answer 11

Current guidelines are 6 months