Others

Question 1

Definitive management of necrotising fasciitis

Answer 1

Surgical debridement immediately along with intravenous antibiotics

Question 2

The most common organism causing infective exacerbations of COPD

Answer 2

Haemophilus influenzae

Question 3

Most common cause of pneumonia following influenza

Answer 3

Staph aureus

Question 4

Most common cause of pneumonia in HIV patients

Answer 4

Streptococcus pneumonia

Question 5

Abdominal pain, bloating and vomiting following bowel surgery →

Answer 5

Postoperative ileus

Most common complication following bowel surgery

Where there is a reduction in peristalsis following surgery, which leads to abdominal pain, bloating and vomiting.

Common findings include grossly distended abdomen and reduction in bowel sounds

Question 6

Management of postoperative ileus

Answer 6

Supportive management
Nil-by-mouth initially
Nasogastric tube if vomiting
IV fluids

Question 7

Initial management of suspected or confirmed scaphoid fracture

Answer 7

Immobilisation with a Futuro splint or standard below-elbow backslab

Referral to orthopaedics
Further imaging should be arranged for 7-10 days later when initial radiographs are inconclusive