Surgical

Question 1

What is the management of bell’s palsy?

Answer 1

Oral prednisolone within 72 hours of onset

Question 2

After what time period of having bell’s palsy should you refer to ENT?

Answer 2

After 3 weeks - then urgent referral

Question 3

What are the features of a meniscal tear?

Answer 3

Knee-locking, knee giving-way, after a twisting injury, swelling occurs several hours after the injury

Question 4

What are the features of a cruciate ligament injury?

Answer 4

popping noise/sensation, rapid swelling, inability to return to activity, can be caused by twisting movements

Question 5

What are the features of ankylosing spondylitis?

Answer 5

Lower back pain and stiffness of insidious onset, worse in morning, improves with exercise, schober’s test <5cm

Question 6

What is the first line investigation of a testicular mass?

Answer 6

USS

Question 7

What is the management of rib fractures?

Answer 7

analgesic ladder, then regional nerve block

Question 8

What is flail chest?

Answer 8

Consecutive rib fractures, causing paradoxical movements during respiration - can cause contusional injury

Question 9

What is a late sign of cauda equina syndrome?

Answer 9

Urinary incontinence

Question 10

What are the signs of cauda equina?

Answer 10

low back pain, bilateral sciatic pain, reduced sensation perianally, decreased anal tone, urinary dysfunction

Question 11

What is investigation do you do in cauda equina?

Answer 11

MRI

Question 12

How do you manage a pre-operative low haemoglobin?

Answer 12

Pre-op blood transfusion

Question 13

What type of resection would you do for a cancer of the rectum?

Answer 13

Anterior resection

Question 14

How long prior to surgery should women stop taking the COCP?

Answer 14

4 weeks