Misc eMRCS Flashcards
Blood film findings post splenectomoy
Howell Jolly Body
Pappenheimer bodies
Target cells
Erythrocyte containing siderotic granules
Where do giant cells come from
macrophages
Bloods tests for carcinoid tumour
lbood tests usually measure chromogranin A
,neuron-specific enolase (NSE), substance P
and gastrin
Findings in follicular carcinoma
prominent oxyphil cells and scanty thyroid colloid
What is the initial location of the metanephric cap from which the kidney is derived?
Medial to ureteric bud in the pelvis, failure to migrate leads to pelvic kidney
What incision is made for laparotomy in young children?
Transverse supra umbilical
Aberrant Gantzer muscle
The Gantzer muscle is an aberrant accessory of the flexor pollicis longus and is a risk factor for anterior interosseous nerve compression
Where is mesh placed in an open inguinal hernia repair?
posterior to cord structures
Where are majority of AAA located?
inferior to renal artery
Which arteries experience reversal of blood flow when axillary artery is ligated?
flow is reversed in the circumflex scapular and subscapular arteries forming a collateral circulation around the scapula
What structure is commonly divided in median sternotomy?
The interclavicular ligament lies at the upper end of a median sternotomy and is routinely divided to provide access
Causes of increased anion acidosis
M - Methanol
U - Uraemia
D - DKA/AKA
P - Paraldehyde/phenformin
I - Iron/INH
L - Lactic acidosis
E - Ethylene glycol
S - Salicylates
What structure is most at risk during saphenofemoral junction ligation?
The deep external pudendal artery runs under the long saphenous vein close to its origin and may be injured
What pressure is the insufflation machine set to during laparoscopy?
10mHg
Management of DALM in UC
Panproctocolectomy
Common cause of pruritus ani
Enterobius vermicularis
Adductor canal compression syndrome
Adductor canal compression syndrome most commonly presents in young males and is an important differential diagnosis in men presenting with symptoms of acute limb ischaemia on exertion. It is caused by compression of the femoral artery by the musculotendinous band from adductor magnus muscle
What type of hypersensitivity is granuloma formation
Type 4
Where are oxyphil cells normally found?
Parathyroid
Normal gap acidosis
H - Hyperalimentation/hyperventilation
A - Acetazolamide
R - Renal tubular acidosis
D - Diarrhoea
U - Ureteral diversion
P - Pancreatic fistula/parenteral saline
Popcorn cells in Hodgkin lymphoma
nodular lymphocyte predominant Hodgkin lymphoma
Necrosis on CT Brain, tumour type
Significant necrosis is more commonly seen with glioblastomas than with other CNS tumours.
What artery supplies lacrimal gland?
Ophthalmic
Reservoir of campylobacter
Birds