OSCE Flashcards
1
Q
LA max dose
A
Lignocaine
4mg/kg
7mg/kg if w/ adrenaline
60kg patient
= 24ml 1%
= 42ml 1% + adrenaline
= 12ml 2%
1ml Adrenaline (1:200000) = 5ug
60kg pt max dose adrenaline: 120ug (24ml)
2
Q
Signs of LA toxicity
A
- CIrcumoral numbness
- Lightheadedness
- Dizziness
- Visual blurring
- Tinnitus
- Coma
- Seizure
- VF
3
Q
Sutures
A
Absorbable: Catgut, Vicryl
Non-absorbale: Prolene, Nylon
Remove in 1wk (HN)
2wk (Limbs)
4
Q
Lumps and bumps description
A
“6 Students and 3 Teachers go for CAMPFIRE”
Site and number Shape Size Surface Skin Scar
Tenderness
Temp
Transillumination
Consistency Edge Attach to skin/muscle Mobility Pulsation? Fluctuation Irreducibility Regional LNs
On inspection, there are multiple lumps on the back
The largest one is on the right, which is oval shaped, 2cm in size with smooth surfaces
The overlying skin looks normal
No scars
On palpation, there is no tenderness, the consistency is soft
It is mobile and does not attach to underlying tissue The edge is smooth.
There is some fluctuation but no transillumination
5
Q
Groin swellings
A
Inguinal hernia Femoral hernia Undescended testis LN Saphena varix Pseudoaneurysm of fem a. Lipoma Sebaceous cyst
6
Q
Scrotum swelling
A
Inguinal hernia Hydrocele Varicocele Epididymal cyst Testicular tumor Lipoma/Seb cyst
