Passmed/pastest

Question 1

Failure to pass wind/stool after bowel surgery?

Answer 1

Post-operative ileus

Question 2

Management of post-op ileus? (3)

Answer 2

NG tube for stomach decompression
Nil by mouth
Staged recommencement of fluids/light diet

Question 3

Radiological findings in pneumoperitoneum?

Answer 3

Erect CXR- air under the diaphragm

Abdominal XR- Rigler’s sign (“double wall”)

Question 4

Most common form of inherited colon cancer?

Answer 4

HNPCC (autosomal dominant)

Question 5

Commonest genes involved in HNPCC?

Answer 5

MSH2

MLH1

Question 6

Second commonest cancer in patients with HNPCC?

Answer 6

Endometrial

Question 7

Familial adenomatous polyposis is caused by mutations in…

Answer 7

APC

Question 8

Gardners syndrome?

Answer 8

Variant of FAP; features osteomas of skull and mandible, retinal pigmentation, thyroid cancer, epidermoid cysts on skin

Question 9

Large hyperechoic lesion in the liver with normal AFP?

Answer 9

Haemangioma

Question 10

Atheromatous disease involving aorta/iliac arteries causing impotence, buttock claudication and muscle atrophy?

Answer 10

Leriche syndrome