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Mrcs Recalls- Darun > Omaima Wrongs > Flashcards

Omaima Wrongs Flashcards

1
Q

Venous ulcer not responding to compression bandange after 12 weeks.

A

Ssg

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2
Q

Ulcer of heel

A

Debride nd heal by secondary intention

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3
Q

Prognostic factor for bcc

A

Lymphovascular invasion

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4
Q

Hyperacute rejection
1.hypersensitivity type
2.pathology

A
  1. Type 2. Cytotoxic. IgG mediated.
  2. Vessel thrombosis
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5
Q

Acute rejection
1.hypersensitivity type
2.pathology

A

Type 4. T lymphocytes
Leucocyte infiltration

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6
Q

Brain tumour. Headache with increased icp. Adult.

A

Frontal glioma

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7
Q

Undescended testis. Mc cancer

A

Teratoma

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8
Q

H/o frank hematuria with urinary obstruction

A

3 way foleys to irrigate.
Or cystoscopy to clear clots

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9
Q

Post turp dysuria

A

Bladder neck stenosis

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10
Q

Scc bladder risk factors

A

Long catheter
Long stones
Schistosomiasis (egypt/zimb)

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11
Q

Tcc bladder. Risk factors

A

Aniline dyes. Painter.
smoker
Rubber industry- beta naphthalamine

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12
Q

Post vasectomy painful testis

A

Sperm granuloma

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13
Q

Stone in renal pelvis. Pain refers to

A

T11- L1

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14
Q

11 yrs boy. U/l gynecomastia. Normal testis. No findings.

A

Physiological

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15
Q

Thyroid mass with headache

A

MEN? Medullary ca

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16
Q

Papillary ca thyroid. Cut off to choose bw hemi nd total thyroidectomy

A

1cm

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17
Q

Ca colon with ln mets. Duke stage?

A

Duke stage c

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18
Q

Huge spleenomegaly. From Italy

A

Ebv. Infectious mononucleosis

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19
Q

Tibetian. Ant neck swelling

A

Carotid body tumour

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20
Q

Spleenic macrophages

A

Histiocytes

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21
Q

Local infiltration for inguinal hernia. Nerve injured

A

Femoral nerve. Not illioinguinal

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22
Q

Gastric lymphoma is what type of lymphoma

A

Non hodgkins

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23
Q

Patient on oral antibiotics, devlopd dysphagia

A

Candidiasis

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24
Q

Patient on esophageal stent, now complains of sudden onsent dysphagia

A

Stent migration

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25
Anti thrombin 3 def, with dvt
Life long warfarin
26
Post MI, develops ischemic limb
Embolism
27
Post repair of AAA, b/l flaccid paralysis, loss of pain and temp. Dorsal coloumns maintained. Also urinary retension Diagnosis?
"Anterior spinal artery syndrome" seen for AAA repair.
28
Popliteal aneurysm cutoff for sx
2 cm
29
Pilon #
Axial force. Tibial# @ ankle. Intramedullary fixation of calcaneo tibial
30
Foosh then parathesia of median nerve area
Lunate dislocated
31
Sinus tarsi present between
Calaneum and talus bone
32
Morton's neuroma. Pathology
Perineural fibrosis. 3/4th toe
33
Ankle sprain. 2 mc common ligaments injured
Fibulo talar -ant Fibulo calcaneal
34
Lateral malleolus # tendon injured
Peroneus brevis
35
Simmonds test
Achilles squeeze test
36
Locked knee With trauma- Without trauma-
Locked knee With trauma- medial meniscal injury Without trauma- loose body
37
Posterior knee swelling, that had dissappeared and now appeared in calf
Ruptured baker's cyst
38
Slowly growing lateral knee swelling at joint line
Meniscus cyst
39
Lachman test
Anterior drawer test. (ACL rupture)
40
Preventing addisionian crisis
If <10 mg preop dose, jus continue postop. If more, depends on surgery: Mod sx- 10mg+25mg on induction+ 100 mg on pod 1 Major sx- 10mg+25mg on induction+ 100 mg for 3 pod
41
Pregnant. Mid diastolic murmur. Indian.
Mitral stenosis
42
Sternum # injury to which part of heart
Right ventricle
43
PWCP: normal- 10 High- 20 Low-
PWCP: normal- ards/trali High- pulm edema, cardiogenic shock Low- hypovolemia
44
Corrected metabolic acidosis. What chamge in K
HypoK
45
Reversal: Suxamethonium- Warfarin- Heparin- Opiod- Barbiturates-
Suxamethonium- neostigmine Warfarin- prothrombin complex+vitk Heparin- protamine sulphate Opiod- naloxone Barbiturates- flumazenil
46
Warfarin: Stop start protocol
Stop 5 days before sx. Start lmwh. Stop 12 hr before sx. Sx. Start lmwh 6 hrs postop. Change to warfarin once no bleeding complications.
47
Heparin, lmwh Stop start protocol
Heparin- 6hrs before sx Lmwh- 12 hrs before sx
48
Post burns. Causes of Edema- Hiccup- Hematemesis-
Edema- hypoalbuminemia Hiccup- gastric dilatation Hematemesis- curlings ulcer
49
Rx of pain from.heaptic mets
Nsiads and steriods
50
Sternotomy closure
Stainless steel 1/0
51
Tourniquet inflation
Exanguinate limb then inflate cuff ABOVE sbp
52
Local.anaes if wound infected
Bupivacaine
53
Adter declamping aorta, ehat change will.happen
Increasein end tidal co2
54
AAA pathological change
Fusiform dilatation not saccular Loss of elastic fibers in media.
55
Defects in Osteogenesis imp- Ehrler danos- Marfans-
Osteogenesis imp- collage type 1 Ehrler danos- collage type 1&3 Marfans- fibrillin
56
Contraindications to.lung cancer surgery
FEV <1.5 presence of mets Malignant pleural effusion Vocal cord paralysis
57
Surgical preparation for parathyroid
Methylene blue
58
Concept of eras is to
Reduce insulin resistance Improve nitrogen balance
59
Sterilization tech: Suture - l Endoscopic- Plastic, cathetar- Ot instruments -
Suture - ethylene oxide Endoscopic- glutaraldehyde Plastic, cathetar- gamma rad Ot instruments - autoclav
60
1 week postop. Fever. Hempotysis
PE
61
Excessive normal saline
HyperCl met acidosis
62
Scarring- Function- Healthy non transplant- Unhealthy/transplant-
Scarring- DMSA Function- Healthy non transplant- DTPA Unhealthy/transplant- MAG 3
63
Xray for c2 axis Cervical # : Axial load- Flex-ext -
Open mouth view Jefferson (c1) Hangman (c2)
64
Fnac from neck node iss scc. Scopy negative. Next step
Pet ct
65
Orbital # with diplopia. Ioc
Mri
66
Post cabg wound infection
Vanco and genta
67
Bradycardia rx Normal pt- Heart transplant pt-
Atropine Isoprenaline/ noradr
68
Acid base disorder assoc with metformin
Lactic acidosis
69
Post op GI fistula. Organism
Bacteroids
70
Epiglotitis. Young boy. Organisms
H.influenza
71
Native valve infection Old valve(>1yr) replacement Infection aft dental extraction
Streptococcus viridians
72
Prosthetic infection Hip replacement, Recent valve (<1yr) replacement
Staph epidermidis
73
Diarrhea with jaundice.
Hep A
74
Ca colon and infection
Strep bovis
75
Osteomyelitis in a child with sickle cell.anemia
Salmonella
76
Gastric lymphoma type
Non hodgkins B cell
77
Non caesating granuloma
Crohn Sarcoidosis
78
Extra intestinal NOT seen in crohns
Poly arteritis
79
Increased GGT indicates
Alcoholic
80
Myasthenia gravis
Post synaptic cholinergic receptors
81
Liver disease which factor isnt affected
Factor 8

Mrcs Recalls- Darun (4 decks)

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