Surgery

Question 1

Central Abdominal pain and vomiting after right hemicolectomy is caused by?

Answer 1

SBO

Question 2

Arterial schema will be what in colour

Answer 2

pale/white

Question 3

Venous ischemia/thrombosis will be which colour

Answer 3

red/dark purple blue

Question 4

burning sensation and parasthesia in a diabetic is a mark of

Answer 4

diabetic radiculopathy

Question 5

pain in left iliac fossa with fever

Answer 5

acute diverticulitis; as they are more common in sigmoid colon.

Question 6

painless hematuria in men is caused by

Answer 6

transitional cell carcinoma of bladder

prostate ca

Question 7

flank pain, tender abdomen, rigors and hematuria

cause?

Answer 7

could be ureteric calculus

Question 8

Bright red blood coming separate from the faeces is caused by

Answer 8

haemorrhoids

Question 9

dark red blood and altered bowel habits is caused by

Answer 9

?malignancy so a colonoscopy is indicated

Question 10

epigastric and back pain
pale loose stools
cause?

Answer 10

chronic pancreatitis

Question 11

epigastric and back pain
pale loose stools
obstructive jaundice
cause?

Answer 11

ca of the head of pancreas

Question 12

pain in left iliac fossa;acute
change in bowel habits
Cause

Answer 12

diverticulitis

Question 13

pain in left iliac fossa; chronic
change in bowel habits
Cause

Answer 13

crohns or UC

Question 14

epigastric pain radiating to the back and releiving on sitting forward is caused by?

Answer 14

Pancreatitis

Question 15

a patient with testicular torsion should be seen within how many hrs

Answer 15

6 hrs to avoid its necrosis

Question 16

A phosphate enema is sufficient to be given before what kind of procedures

Answer 16

flexi sigi
examination under anaesthesia
hemmorhoidectomy

Question 17

for what kind of procedures is pico lax required

Answer 17

colonoscopy

resection surgeries

Question 18

causes of blood stained discharge from the nipple?

Answer 18

1) Pagets disease(dry scaly and cracked skin is a marker of it)
2) benign ductal papillota

Question 19

treatment of pagets disease when no nodes are involved

Answer 19

breast conservative surgery

Question 20

treatment of breast carcinoma which has spread to spine and bones.
Treatment?

Answer 20

chemo
not surgery
because we have to decrease the size of all the tumours

Question 21

treatment o ductal carcinoma inset with isolated tumour cells

Answer 21

isolated tumour cells are treated as negative lymph nodes as per nice
so great conservative surgery will be done.

Question 22

hypovolemic picture right after the surgery is?

Answer 22

it is hypovolemic shock not anastomotic breakdown because that occurs after around 7 days of surgery and it also presents with fever.

Question 23

hypovolemic picture right after the surgery is?

Answer 23

it is hypovolemic shock not anastomotic breakdown because that occurs after around 48hrs to 7 days of surgery and it also presents with fever+vague abdominal pain+leading to sepsis+leukocytosis

Question 24

post op patient with SOB,no chest pain and pyrexia in the first 48 hrs.
complication?

Answer 24

Atelactasis

Question 25

tracheal deviation happens in a simple or tension pneumothorax or both?

Answer 25

occurs only in tension pneumothorax

Question 26

parenteral nutrition given to a pt with anorexia developed limb weakness and decreased power
cause?

Answer 26

Refeeding syndrome

Question 27

rt upper quadrant pain, jaundice and fever; dx?

Answer 27

acute cholangitis

Question 28

rt upper quadrant pain

dx?

Answer 28

binary colic

Question 29

Deranged LFT’s after parenteral nutrition

cause?

Answer 29

Cholestasis

Question 30

vomiting is more pronounced in SBO or LBO?

Answer 30

SBO

Question 31

constipation is more in SBO or LBO?

Answer 31

LBO

Question 32

a punched out ulcer not he foot with no pulses felt.
is what kind of ulcer?
tx of it?

Answer 32

arterial ulcer
treated with hydrocolloid dressing which is used for uninfected ulcers.
if incase the ulcer would have been necrosed/turning into black/grey/could see the bone through the ulcer then we could think of debridement//or maggot therapy which is debridements alternative OR amputation.

Question 33

patients with ileostomy and panprotocolectomy having constipation should be given

Answer 33

magnesium sulphate

not loperamide as it is used in diarrhoea

Question 34

symptoms of bud chair

Answer 34

abd pain, ascites and hepatomegaly

Question 35

Mortons granuloma is found on

Answer 35

foot

Question 36

a pyogenic granuloma is

Answer 36

a hemangioma

Question 37

a ganglion when removed is yellow in colour

Answer 37

and ostemas/osteosarcomas are paler in colour

Question 38

fir tree appearance
codman triangle
mets to lungs or elsewhere
pain in knees at night particularly

Answer 38

osteosarcoma