Surgery

Question 1

Primary biliary cholangitis features

Answer 1

Middle aged female, fatigue, pruritus, raised IgM

Question 2

Otitis externa management

Answer 2

Topical abx +/- steroids

Question 3

How to monitor unfractioned heparin

Answer 3

APTT

Question 4

Managing abdominal aorta aneurysm US

Answer 4

3 - 4.4 cm Small aneurysm Rescan every 12 months
4.5 - 5.4 cm Medium aneurysm Rescan every 3 months
≥ 5.5cm Large aneurysm Refer within 2 weeks to vascular surgery for probable intervention

Question 5

Oesophageal cancer
Barretts? Achalasia?

Answer 5

Barrett’s= adenocarcinoma
Achalasia= SCC

Question 6

Surgery for tumour in caecal/ascending/proximal transverse

Answer 6

R hemicolectomy

Question 7

R hemicolectomy

Answer 7

Surgery for tumour in caecal/ascending/proximal transverse

Question 8

Surgery for distal transverse/descending colon tumour

Answer 8

L hemi

Question 9

L hemi

Answer 9

Surgery for distal transverse/descending colon tumour

Question 10

Surgery for upper and lower rectum tumour

Answer 10

Anterior resection

Question 11

Surgery for anal verge tumour

Answer 11

Excision of rectum

Question 12

Anterior resection

Answer 12

Surgery for sigmoid colon, upper and low rectum

Question 13

Fibroadenoma (breast) management

Answer 13

<3cm: reassure and dc
>3cm: surgical excision

Question 14

Osteosclerosis

Answer 14

Conductive hearing loss, tinnitus, +ve family hx