Surg specialties - q's from passmed

Question 1

Ramsay Hunt syndrome pathophysiology

Answer 1

caused by the reactivation of the varicella-zoster virus in the geniculate ganglion of the seventh cranial nerve.

Question 2

Ramsay Hunt syndrome Mx

Answer 2

Full recovery is more likely if antiviral treatment is started within 72 hours of the onset of symptoms.
First-line treatment includes aciclovir 800 mg orally five times daily for 7 days + Prednisone 60 mg orally daily for 5 days.

Question 3

What is TURP?

Answer 3

TURP syndrome is a life-threatening complication of transurethral resection of the prostate surgery.

It is caused by irrigation with large volumes of glycine, which is hypo-osmolar and is systemically absorbed when prostatic venous sinuses are opened up during prostate resection.

Question 4

What is the IOP in glaucoma??

Answer 4

> 24mmHg

Question 5

Mx of primary open glaucoma?

Answer 5

First line: prostaglandin analogue (PGA) eyedrop
Second line: beta-blocker, carbonic anhydrase inhibitor, or sympathomimetic eyedrop

If more advanced: surgery or laser treatment can be tried2

Question 6

Following referral to ENT, patients with sudden-onset sensorineural hearing loss are treated with ____?

Answer 6

high-dose oral corticosteroids

Question 7

Why are steroids used as treatment for sensironeural loss?

Answer 7

It is thought that inflammation is the main driver in this hearing loss, so high-dose steroids have be used to good effect.