Surgery

Question 1

pulsatile mass, bruit heard on auscultation
old man, smoker

Answer 1

AAA

Question 2

transfusion for AAA

Answer 2

packed red cells
platelets
fresh frozen plasma

Question 3

what is the biggest risk factor for keloid development

Answer 3

race (pigmented skin)

Question 4

normal urine output

Answer 4

0.5ml/kg/hr

Question 5

numbness and muscle cramps post thyroid surgery
Mx

Answer 5

transient hypocalcemia is normal
VBG or bedside ECG
after 24 hrs it should resolve

Question 6

what causes poor wound healing

Answer 6

radiotherapy

Question 7

post op PE with haemodynamic instability
how to Mx

Answer 7

1. infusion of unfractionated heparin
2. thrombolysis

Question 8

what score is used to calculate risk of post op nausea and vomiting

Answer 8

Apfel score

female
non smoker
previous post op N and V
post op opioid use

Question 9

causes of post op fever

Answer 9

4Ws
Wind: pulmonary: PE, pneumonia, aspiration
Water: UTI
Wound: wound infection
What did we do: iatrogenic: infection, transfusion reaction

Question 10

rules surrounding eating before surgery

Answer 10

clear fluids up to 2 hrs before surgery
non-clear fluids and food up to 6 hrs before surgery

Question 11

if can’t tolerate morphine post op give…

Answer 11

oxycodone