may 28

Question 1

what is postcholecystectomy syndrome?

Answer 1

persistant abdominal pain post-cholecystectomy (can be immediate or late)

Question 2

Common findings in a patient with postcholecystectomy syndrome?

Answer 2

elevated alkaline phos, mildly abnormal serum aminotransferases, dilated common bile duct on ultrasound

Question 3

investigation for a patient with likely postcholecystectomy syndrome?

Answer 3

endoscopic ultrasound, ERCP or MRCP

Question 4

Autnomic dysreflexia is a complication of ..

Answer 4

spinal cord injury

Question 5

path of autonomic dysreflexia?

Answer 5

loss of compensentory parasympathetic to modulate sympathetic response to pain -> severe hypertension below lesion, and flushing/sweating above the lesion

Question 6

classical ECG findings in ventricular aneurysm?

Answer 6

persistent ST-segment elevation and deep Q waves

Question 7

After XRAY, which investigation is required for patients with ventilator associated pneumonia?

Answer 7

lower respiratory tract sampling for gram stain and culture

Question 8

should benzo’s be used in delerium?

Answer 8

no - they usually prolong it

Question 9

which type of brain herniation does not cause pupillary involvement or respiratory changes?

Answer 9

subcalcifine

Question 10

tonsillar herniation presentation?

Answer 10

-fixed, midposition pupils due to parasympathetic and sympathetic dysruption

Question 11

uncal herniation presentation?

Answer 11

ipsilateral fixed and mid dilated pupil due to compression of the ipsilateral oculomotor nerve fibers

Question 12

subfalcine herniation results in compression of…

Answer 12

the cingultae gyrus under the falx cerebri