Surgery

Question 1

Caecal, ascending or proximal transverse colon - disease at this level requires what kind of surgery and anastomosis?

Answer 1

Right hemicolectomy

Ileo-colic anastomosis

Question 2

Distal transverse, descending colon - disease at this level requires what kind of surgery and anastomosis?

Answer 2

Left hemicolectomy

Colo-colon anastomosis

Question 3

Sigmoid colon -disease at this level requires what kind of surgery and anastomosis?

Answer 3

High anterior resection

Colo-retal anastomosis

Question 4

Rectum- disease at this level requires what kind of surgery and anastomosis?

Answer 4

Anterior resection

Colo-rectal anastomosis +/- defunctioning stoma if lower rectum

Question 5

Anal verge - disease at this level requires what kind of surgery?

Answer 5

Abdomino-perineal excision of rectum

Question 6

Peripheral arterial disease, which antiplateley?

Answer 6

Clopidogrel. Should also be on a statin.

Question 7

Which anaesthetic agent is particularly useful in preventing post op N&V?

Answer 7

Propofol

Question 8

Which anaesthetic agent in useful in trauma and why?

Answer 8

Ketamine - doesn’t cause a drop in BP

Question 9

What are the adjuvants used for hormone receptor +ve breast cancer in pre versus post menopausal women?

Answer 9

Tamoxifen - pre and peri menopausal

Anastrozole (aromatase inhibitor) - post menopausal

Question 10

What is charcot’s triad?

Answer 10

Fever, jaundice and right upper quadrant pain

= Ascending cholangitis

Question 11

When is AAA screening offered?

Answer 11

One off screening for men age 65 is offered