Acute Care

Question 1

How long does it take a colles fracture to unite?

Answer 1

6 weeks

Question 2

Fractured neck of femur

Answer 2

Shortened and externally rotated

Question 3

Earliest laboratory finding in fat embolism

Answer 3

Lipuria

Question 4

What is Volkmann’s ischaemia

Answer 4

Vascular compromise in the arm

Pain in the fingers and forearm is the first sign

Question 5

Most appropriate management for EVERY patient in ED

Answer 5

Full primary survey

Question 6

Contraindication for internal fixation of a fracture

Answer 6

Active infection

Question 7

Chemical composition of plaster of paris

Answer 7

Hemihydrated calcium sulphate

Question 8

Most common complication of a mid-shaft humeral fracture

Answer 8

Radial nerve injury

Question 9

Most common bone involved in carpal fracture

Answer 9

Schaphoid

Question 10

Most suitable treatment for undisplaced fracture of neck of humerus

Answer 10

Collar and cuff

Question 11

Following Bennett’s fracture which muscle makes it difficult to maintain reduction

Answer 11

Abductor pollicis longus

Question 12

Best treatment for acute compartment syndrome

Answer 12

Operative decompression of fascial compartments

Question 13

Malunited Colles’ fracture produces which deformity?

Answer 13

Dinner fork deformity

Question 14

Most common cause of a loose body in the knee joint

Answer 14

Torn meniscus

Question 15

What age group usually suffers acute rupture of Achilles tendon

Answer 15

Middle aged people

Question 16

Which reflexes are preserved in brain stem death

Answer 16

Deep tendon reflexes

Question 17

If the HB is over 70 and BP stable after a GI ulcer repair, what should you do?

Answer 17

No action needed

Question 18

Raised ICP

Answer 18

Left lateral position

Question 19

What type of tachycardia do tricyclic antidepressants cause?

Answer 19

Broad complex tachycardia

Question 20

Pulseless VT

Answer 20

DC shock

Question 21

Low Hb on ABG

Answer 21

Packed red cells

Question 22

What drug should be continued during surgery?

Answer 22

Bisoprolol

Question 23

Give 4 drugs which should be stopped during surgery

Answer 23

HRT
Clopidogrel
Furosemide
Ramipril

Question 24

Management of diabetic on metformin in surgery

Answer 24

Place first on the list

Question 25

Hypokalaemia

Answer 25

Infuse potassium

Question 26

Most appropriate investigation for DVT in pregnancy

Answer 26

VQ scan

Question 27

GCS below 7

Answer 27

Intubate and ventilate

Question 28

Warfarin reversal

Answer 28

Prothrombin complex concentrate

Question 29

Tachycardia after blunt trauma

Answer 29

Concealed haemorrhage