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Flashcards in 4th Year general surgery 2 Deck (26):
1

What marker is elevated in germ cell testicular tumours?

Beta HCG

2

What markers are increased in leydig and Sertoli cells tumours?

oestrogen and testosterone

3

When is Murphys sign present?

Cholecystitis, ascending cholangitis

4

Where is Vitamin B12 absorbed from?

Terminal ileum

5

What other treatment is given following breast conserving surgery?

Radiotherpay

6

What tumour marker is seen in breast cancer?

CA 15-3

7

Where does pagets disease of the breast start?

Involves nipple primarily and spreads to the areolar later

8

What is the commonest cause of blood stained discharge in younger women?

Intraductal papilloma

9

At what ages are breast screening performed?

43-73

10

Features of inflammatory breast cancer?

Erythema and oedema in absence of elevated WCC or CRP

11

When does duct ectasia typically occur?

Drug menopause

12

What does Tamoxifen increase the risk of?

Endometrial cancer

13

What is primary sclerosing cholangitis a risk factor for?

Cholangiocarcinoma

14

What is the most common type of bowel cancer?

Adenocarcinoma

15

Bag of worms feeling in the scrotum?

Varicocele

16

What size of caecum is at risk of imminent perforation?

10cm

17

Cause of large bowel obstruction until proven otherwise?

Cancer

18

What type of thyroid cancer has the best prognosis?

Papillary

19

What type of thyroid cancer is associated with MEN2?

Medullary

20

What type of thyroid cancer causes a raised calcitonin?

Medullary

21

3 thicknesses of burns?

Superficial
Deep dermal
Full thickness

22

When should you give fluid resus in burns?

If >15% in adults
>10% in children

23

What formula is used to calculate fluid resus in burns?

Parkland formula

24

What type of leg ulcer has a punched out appearance?

Arterial

25

What type of leg ulcer is commonly seen in the gator area?

Venous

26

What is the H pylori eradication regime?

Omeprazole
Amoxicillin + metronidazole for 7 days
(clarithromycin if pen allergic)