Surgery flashcards

Question 1

What investigation is best to diagnose bowel perforation?

Answer 1

Erect CXR

Question 2

In a patient with hypercalciuria and renal stones, what can be used to decrease calcium excretion and stone formation?

Answer 2

Thiazide diuretics

Question 3

What to do about patients on sulfonylureas on day of surgery?

Answer 3

Omit on the day of surgery
Exception is morning surgery in patients who take BD - they can have the afternoon dose

Question 4

What is the purpose of cyproterone acetate in prostate cancer treatment?

Answer 4

GnRH agonists may cause ‘tumour flare’ when started, resulting in bone pain, bladder obstruction and other symptoms
Thereofre, cyproterone acetate can prevent the paradoxical increase in symptoms with GnRH agonists.

Question 5

Basic principles of fracture

Answer 5

ATLS
Reduce
Hold
Rehabilitate (move)

Question 6

Clinical signs of a fracture

Answer 6

Pain
Crepitus
Deformity
Swelling
Adjacent structural damage: nerves/vessels/ligament/tendons

Question 7

Management of an intraductal papilloma

Answer 7

Microdochectomy