Surgical Examination

Question 1

Look

Answer 1

Site
Size
Shape
Surface appearance
Colour

Question 2

Feel

Answer 2

Consistency
Pulsatility
Compressibility
Fluctuation
Mobility - attached to skin or underlying structures
Percussion
Tenderness
Temperature

Question 3

Ganglion

Answer 3

Around wrist/dorsum of foot

Along the tendons

Question 4

2nd branchial cleft fistula

Answer 4

Pass deep to second arch structures and over 3rd arch structures
From anterior border of SCM

Question 5

Lipoma

Answer 5

In any connective tissue
Subcut fat
Often in shoulder, trunk

Dercum’s disease - multiple lipomas

Question 6

Sebaceous cyst

Answer 6

Punctum - opening
Attached to skin

Retention cyst of obstructed sebaceous cyst

Question 7

Skin tumour

Answer 7

Basal cell carcinoma

• raised rolled edges
• pearly nodules
• telangiectasia

Look for similar lesions

Question 8

Carcinomas that metastasize to bones

Answer 8

Thyroid

Breast

Question 9

M

Answer 9

123

Question 10

Rheumatoid arthritis findings

Answer 10

123

Question 11

Crest syndrome

Answer 11

23

Question 12

Henoch Schonlein purpura

Answer 12

123

Question 13

Pyoderma gangrenosum

Answer 13

123

Question 14

Marjolin’s ulcer

Answer 14

Squamous cancer

Question 15

Port wine stain

Answer 15

123

Question 16

neurofibromatosis

Answer 16

123

Question 17

Saphena varix

Answer 17

123

Question 18

Paget’s disease of the bone, head, breast

Answer 18

123

Question 19

Ischemic leg

Answer 19

6 ps

Question 20

Keloid scar

Answer 20

123

Question 21

Hidradenitis suppurativa

Answer 21

123