Surgery Block Formatives

Question 1

risk factors for RCC?

Answer 1

smoking
obesity
fam hx
genetic syndromes e.g. von hippel lindau
hypertension
cadmium exposure

Question 2

How might renal tumours cause hypertension?

Answer 2

renin secretion from tumour = activation of angiotensin pathway

Question 3

what does the left gonadal vein drain into and how could a renal tumour disrupt this drainage?

Answer 3

drains into left renal vein, tumour can give rise to venous tumour thrombus that may occlude the vein

Question 4

What structure may be injured in an ankle fracture of the lateral malleolus?

Answer 4

deltoid ligament

Question 5

what is the medial clear space?

Answer 5

joint space between the medial side of the talus and medial malleolus
should be less than 5mm

Question 6

when should you review a presumed stable ankle fracture?

Answer 6

one week later - weight bearing radiograph

Question 7

which bacterium causes most wound infections post colorectal surgery?

Answer 7

E.coli

Question 8

What would be an appropriate first line mx for wound dehiscence?

Answer 8

apply topical negative pressure VAC therapy

Question 9

Which ABPI is the upper limit for reporting claudication?

Answer 9

0.7

Question 10

What characteristic is found more in crystalloid compared to colloid solutions?

Answer 10

lower incidence of anaphylaxis

Question 11

Anaesthetic for use in ring block?

Answer 11

lignocaine 1%