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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
Q

Anti thrombin 3 def, with dvt

A

Life long warfarin

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26
Q

Post MI, develops ischemic limb

A

Embolism

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27
Q

Post repair of AAA, b/l flaccid paralysis, loss of pain and temp. Dorsal coloumns maintained. Also urinary retension
Diagnosis?

A

“Anterior spinal artery syndrome” seen for AAA repair.

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28
Q

Popliteal aneurysm cutoff for sx

A

2 cm

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29
Q

Pilon #

A

Axial force. Tibial# @ ankle. Intramedullary fixation of calcaneo tibial

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30
Q

Foosh then parathesia of median nerve area

A

Lunate dislocated

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31
Q

Sinus tarsi present between

A

Calaneum and talus bone

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32
Q

Morton’s neuroma. Pathology

A

Perineural fibrosis. 3/4th toe

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33
Q

Ankle sprain.
2 mc common ligaments injured

A

Fibulo talar -ant
Fibulo calcaneal

34
Q

Lateral malleolus # tendon injured

A

Peroneus brevis

35
Q

Simmonds test

A

Achilles squeeze test

36
Q

Locked knee
With trauma-
Without trauma-

A

Locked knee
With trauma- medial meniscal injury
Without trauma- loose body

37
Q

Posterior knee swelling, that had dissappeared and now appeared in calf

A

Ruptured baker’s cyst

38
Q

Slowly growing lateral knee swelling at joint line

A

Meniscus cyst

39
Q

Lachman test

A

Anterior drawer test. (ACL rupture)

40
Q

Preventing addisionian crisis

A

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
Q

Pregnant. Mid diastolic murmur. Indian.

A

Mitral stenosis

42
Q

Sternum # injury to which part of heart

A

Right ventricle

43
Q

PWCP:
normal- 10
High- 20
Low-

A

PWCP:
normal- ards/trali
High- pulm edema, cardiogenic shock
Low- hypovolemia

44
Q

Corrected metabolic acidosis. What chamge in K

45
Q

Reversal:
Suxamethonium-
Warfarin-
Heparin-
Opiod-
Barbiturates-

A

Suxamethonium- neostigmine
Warfarin- prothrombin complex+vitk
Heparin- protamine sulphate
Opiod- naloxone
Barbiturates- flumazenil

46
Q

Warfarin:
Stop start protocol

A

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
Q

Heparin, lmwh
Stop start protocol

A

Heparin- 6hrs before sx
Lmwh- 12 hrs before sx

48
Q

Post burns. Causes of
Edema-
Hiccup-
Hematemesis-

A

Edema- hypoalbuminemia
Hiccup- gastric dilatation
Hematemesis- curlings ulcer

49
Q

Rx of pain from.heaptic mets

A

Nsiads and steriods

50
Q

Sternotomy closure

A

Stainless steel 1/0

51
Q

Tourniquet inflation

A

Exanguinate limb then inflate cuff ABOVE sbp

52
Q

Local.anaes if wound infected

A

Bupivacaine

53
Q

Adter declamping aorta, ehat change will.happen

A

Increasein end tidal co2

54
Q

AAA pathological change

A

Fusiform dilatation not saccular
Loss of elastic fibers in media.

55
Q

Defects in
Osteogenesis imp-
Ehrler danos-
Marfans-

A

Osteogenesis imp- collage type 1
Ehrler danos- collage type 1&3
Marfans- fibrillin

56
Q

Contraindications to.lung cancer surgery

A

FEV <1.5
presence of mets
Malignant pleural effusion
Vocal cord paralysis

57
Q

Surgical preparation for parathyroid

A

Methylene blue

58
Q

Concept of eras is to

A

Reduce insulin resistance
Improve nitrogen balance

59
Q

Sterilization tech:
Suture - l
Endoscopic-
Plastic, cathetar-
Ot instruments -

A

Suture - ethylene oxide
Endoscopic- glutaraldehyde
Plastic, cathetar- gamma rad
Ot instruments - autoclav

60
Q

1 week postop. Fever. Hempotysis

61
Q

Excessive normal saline

A

HyperCl met acidosis

62
Q

Scarring-
Function-
Healthy non transplant-
Unhealthy/transplant-

A

Scarring- DMSA
Function-
Healthy non transplant- DTPA
Unhealthy/transplant- MAG 3

63
Q

Xray for c2 axis
Cervical # :
Axial load-
Flex-ext -

A

Open mouth view

Jefferson (c1)

Hangman (c2)

64
Q

Fnac from neck node iss scc. Scopy negative. Next step

65
Q

Orbital # with diplopia. Ioc

66
Q

Post cabg wound infection

A

Vanco and genta

67
Q

Bradycardia rx
Normal pt-
Heart transplant pt-

A

Atropine

Isoprenaline/ noradr

68
Q

Acid base disorder assoc with metformin

A

Lactic acidosis

69
Q

Post op GI fistula. Organism

A

Bacteroids

70
Q

Epiglotitis. Young boy. Organisms

A

H.influenza

71
Q

Native valve infection

Old valve(>1yr) replacement

Infection aft dental extraction

A

Streptococcus viridians

72
Q

Prosthetic infection
Hip replacement,
Recent valve (<1yr) replacement

A

Staph epidermidis

73
Q

Diarrhea with jaundice.

74
Q

Ca colon and infection

A

Strep bovis

75
Q

Osteomyelitis in a child with sickle cell.anemia

A

Salmonella

76
Q

Gastric lymphoma type

A

Non hodgkins B cell

77
Q

Non caesating granuloma

A

Crohn

Sarcoidosis

78
Q

Extra intestinal NOT seen in crohns

A

Poly arteritis

79
Q

Increased GGT indicates

80
Q

Myasthenia gravis

A

Post synaptic cholinergic receptors

81
Q

Liver disease which factor isnt affected

Mrcs Recalls- Darun (4 decks)

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