part A 2019 Flashcards
which bony structure do the vertebral arteries run in?
C1-C6 vertebral space
At what vertebral level do the middle suprarenal arteries arise from ?
L1
What vertebral level the inferior mesenteric arise at ?
L3 and supplies the hind gut
What are the crystals in Gout aspirate?
Negative birefringent crystals
Characteristics of papillary thyroid cancer?
80-85% in women
slow growing
Orphan annie nuclear inclusions
Spread via lymphatics
Injury to ulnar side of wrist with brisk arterial bleeding and ulnar artery transection? what is the neurological signs?
Unable to adduct or abduct fingers with severe clawing of the 4th and 5th digits
How is duodenal injury possible during a right hemicolectomy ?
when the ileocolic vessels and right colic vessels are ligated as the duodenum is close to the ascending colon mesentery
Woman with invasive ductal carcinoma with T1N0M0. what is the appropriate surgery?
WLE with SNB
What is the tumor in a smoker patient with high nuclear to cytoplasmic ratio and distant metastasis?
Small cell lung cancer
Features of Conn syndrome?
Hypertensiion, hypernatremia, hypokalemia, hypocalcemia.
due to primary hyperaldosteronism
10 year old, abdomen pain, dehydration, severe diarrhoea and blood stool.
Diagnosis?
Salmonella infection
A patient undergoes submandibular gland excision. Post operatively he is unable to move the muscles of the lower lip or chin on the right side. what nerve is damaged?
Marginal mandibular nerve
what is the appropriate anaesthetic in patient who is a smoker and with raised PCO2 and and mildly low PO2 with a normal PH?
Spinal anaesthetic is more appropriate in patients with CO2 and oxygen is not indicated as it can depress the respiratory drive
Symptoms of stills disease?
Persistent High fever
Pink rash
Arthralgia
Generalized lymphadenopathy
Abnormal LFTs
Leukocytosis
A direct hernia protrudes ____ to the epigastric vessels
Medially
