Passmed surgery

Question 1

Nerve injury commonly associated with thyroidectomy?

Answer 1

Laryngeal nerve

Question 2

Nerve injury commonly associated with Anterior resection of rectum
Symptoms?

Answer 2

Hypogastric autonomic nerves

Increased bladder tone
Impaired ejaculation
Dyspareunia

Question 3

Nerve injury commonly associated with Axillary node clearance

Answer 3

long thoracic nerve –> winged scapula

Question 4

Nerve injury commonly associated with Inguinal hernia repair

Answer 4

Ilioinguinal nerve

Question 5

Nerve injury commonly associated with posterior approach to the hip

Answer 5

Sciatic nerve

Question 6

Nerve injury commonly associated with carotid endarterectomy

Answer 6

hypoglossal nerve

Question 7

Classical signs of a femoral nerve injury

Answer 7

Loss of hip flexion
Loss of knee extension
Loss of quadriceps tendon reflex
Loss of sensation in anteromedial aspect of the thigh

Question 8

Temperature seen in SIRS

Answer 8

outside 36-38C

Question 9

6 indications for a urinary catheter in hospital

Answer 9

Urinary retention
Bladder outlet obstruction 
UO monitoring in acute illness
Peri-operative care
Strict immobilisation
Perianal wound

Question 10

Side effects of Finasteride? MOA?

Answer 10

5-alpha reductase inhibitor

• erectile dysfunction
• reduced libido
• ejaculation problems
• gynaecomastia

Question 11

Normal ABPI

Answer 11

0.9-1.0

Question 12

ABPI >1.0 signifies…?

Answer 12

calcified vessels (pressure cuff cannot compress the leg vessels)

Question 13

at what ABPI does rest pain occur?

Answer 13

Less than 0.5

Question 14

Side effects of BCG therapy used in bladder cancer

Answer 14

Haematuria
Flu like symptoms
Dysuria
Increased frequency (^ all UTI like symptoms!)
BCG sepsis

Question 15

Acute pancreatitis which complicates with pseudocysts. When do pseudocysts tend to develop?

Answer 15

> 4 weeks after acute pancreatitis

Question 16

The gold standard treatment for patients with non-metastatic upper urinary tract disease

Answer 16

Radical nephroureterectomy

Question 17

Genetic defect in FAP

Answer 17

APC gene

Question 18

When should a man be given 2 week referral for prostate cancer?

Answer 18

• anyone with a suspicious DRE

- PSA levels above the expected range for their age

Question 19

Most common causative organism for epididymitis in >35yo?

Answer 19

E Coli

Question 20

Triad of key signs of renal cancer

Answer 20

Flank pain
Haematuria
Abdominal mass