20 cards

Question 1

https://app.emedici.com/storage/media/7c113ab2-edc9-4210-8f5c-bcb530281742.jpg

Answer 1

Sigmoid volvulus

Question 1

Management of complicated sigmoid volvulus

Answer 1

Bowel resection- Hartmaans

Question 2

Preferred imaging modality for evaluating perianal abscess and fistulas - especially when IBD is suspected

Answer 2

MRI

Question 3

Recurrent perianal abscess should raise suspciion for ?

Answer 3

IBD

Question 4

Which nerve can be compressed in esophageal cancer to cause hoarseness

Answer 4

Recurrent laryngeal nerve

Question 5

Which types of esophageal cancer is associated with GORD, Barrett’s and obesity

Answer 5

adenocarcinoma

Question 6

Which type of esophageal ca is associated w smoking, high alcohol intake

Answer 6

Squamous cell

Question 7

Management of diagnosed familial adenomatous polyposis

Answer 7

Total proctocolectomy - because risk of CRC approaches 100% by 40 yo

Question 8

Testing for celiac disease in IgA def

Answer 8

IgG endomyseal antibodies, IgG deaminated gliadin peptide or IgG transglutaminase antibodies

Question 9

What is the most likely complication that patients develop 2-4 weeks after pancreatitis

Answer 9

Pancreatic pseudocyst formation

Question 10

When would pancreatic necrosis develop in relation to acute episode of pancreatitis

Answer 10

withion the first week

Question 11

When would splenic vein thrmbosis develop as a complication of acute pancratits

Answer 11

acute or chronic

Question 12

Investigation of dysphagia if malignancy suspected

Answer 12

Endoscopy +/- bx

Question 13

Why is Crohn’s disease a risk factor for gallstones

Answer 13

Ileal involvement or resection - bc the ileum reabsorbs bile salts

Question 14

Clin F of abdo pain associated with perforated gut viscus

Answer 14

Sudden onset upper abdo pain spreading

Question 15

Management of venous ulcers

Answer 15

Compression therapy
Wound care
Leg elevation
Address underlying venous insufficiency - lifestyle mods, endovenous ablation , sclerotherapy
Analgesia
Adequate nutrition to support wound healing
Skin care
Vascular referral

Question 16

Management of rectus sheath hematomas

Answer 16

Stabilise: reverse any anticoags, blood transfusion
Monitor with serial HgB and repeat image
Most will resolve conservatively
Surg if persistent bleeding, signs of abdo compartment syndrome

Question 17

Gold standard for diagnosis of rectus sheath hematomas

Answer 17

CT

Question 18

Mng of toxic megacolon

Answer 18

IV CS
Abx
Supportive