Surgical

Question 1

When to start post-surgical anti-coagulation

Answer 1

Usually LMWH within 12 hours of surgery, or fondaparinox (6-8 hrs post op)

Question 2

Tx for carcinoid syndrome?

Answer 2

Somatostain analogue for the endocrine effects, surgery to remove/ debulk the primary tumour and chemo for the Mets

Question 3

Radial dislocation and ulnar fracture

Answer 3

Monteggia fracture

Question 4

Galazzi fracture

Answer 4

Radius fracture with disruption of radioulnar joint

Question 5

Sx of malignant hyperthermia

Answer 5

Spasms, fever, rigidity after admin of succinylcholine

Question 6

Tx for malignant hyperthermia

Answer 6

Dantrolene- it is a ryanodine receptor inhibitor and stops abnormal calcium release

Question 7

Fever post-op day 3-4 is usually

Answer 7

A UTI, it takes more time to develop an abscess (7-10 days) or wound infection

Question 8

Critically ill patient with right upper quadrant pain

Answer 8

Acalculous cholecystitis

Question 9

Pre-op abx are given when?

Answer 9

Within one hour prior to surgery

Question 10

What size to operate on a aortic aneurysm

Answer 10

5-5.5 in men, 4.5 cm in women