Surgery

Question 1

Beck’s Triad

Answer 1

Hypotension
Muffled heart sounds
Distended neck veins

Question 2

Extremity assessment (6P’s)

Answer 2

Pulse
Pallor
Pain
Paralysis
Parathesia
Pressure

Question 3

Well’s score (Pulmonary Embolism)

Answer 3

Clinical Symptoms (3) - sudden onset SOB, tachypnea, chest pain
Other causes less likely (3)
HR >100 (1.5)
Immobilization/Surgery in 1/12 (1.5)
Previous DVT/PE (1.5)
Hemoptysis (1)
Malignancy x6/12 tx (1

Question 4

Bowel dilation

Answer 4

369
Small bowel >3cm
Colon >6 cm
Cecum >9cm

Question 5

Whipple’s triad mnemonic

Answer 5

The mnemonic is, “wHIpple’S”
H for hypoglycaemia in fasting state
I to remind you that it is seen in insulinomas
S for sugar less than 45 mg % and for Symptoms relieved by Glucose

Question 6

Treatment of upper gastrointestinal bleeding mnemonic

Answer 6

“UPPER”

U: Upper gi bleed
P: Proton pump inhibitors like pantoprazole (And medical therapy)
E: Endoscopic therapy (Banding, Tamponade, Sclerotherapy, Laser, Hemoclip, etc.)
Embolization (CT angiography guided transcatheter embolization of artery)
R: Resuscitation (with fluids)
Ryles tube

Question 7

Contents of the spermatic cord

Answer 7

VAN!
V:
Vas deferens
Pampiniform plexus of Veins
Remains of processus Vaginalis
Arteries (cat):
Cremasteric artery
Artery to the vas
Testicular artery! *meow*
Nerves:
Genitofemoral nerve
Sympathetic plexus around artery to the vas

Question 8

CREST syndrome

Answer 8

Calcinosis
Raynauds 
Esophageal dysmotility
Sclerodactyly
Telangiectasia