Acute abdomen and Abdominal surgery

Question 1

Which of the following is NOT a common cause of acute abdomen?
a. Gallstones
b. Sigmoid volvulus
c. Strangulated hernia
d. Perforated peptic ulcer

Answer 1

Answer: b
Sigmoid volvulus is a cause of acute abdomen but it is NOT common.

Question 2

Surgery for gallstone disease may be performed laparoscopically or as a laparotomy (open surgery). Which one of the following statements regarding surgical options is NOT correct?
a. Open cholecystectomy is the required procedure for malignancy of the gallbladder.
b. An open cholecystectomy is indicated if laparoscopic surgery fails.
c. Laparoscopic surgery is associated with a shorter hospital stay.
d. Because laparoscopic surgery involves multiple incisions in order to introduce the scope and instruments it is typically associated with more post-operative pain.

Answer 2

Answer: d
Laparoscopic = LESS post-operative pain

Question 3

As part of the history the surgeons asked about gallbladder disease. Which one of the following statements regarding gallstones is NOT correct?
a. Gallstones usually consist of 85% cholesterol and 15% bile pigment.
b. There is an association with obesity.
c. The frequency of gallstone disease is much lower in men.
d. By 60 years of age almost 60% of women will have or have had gallstones.

Answer 3

Answer: d
“25% women by age 60 years” (slide 10 - acute abdomen and abdomen surgery)

Who gets Gallstones? (FFFF)
* Fat
* Female
* Forty
* Fair

Question 4

Which one of the following statements regarding visceral pain is NOT correct?
a. Visceral pain is the result of stimulation of spinal somatic nerves.
b. Nausea and vomiting are commonly associated with visceral pain.
c. Intra-abdominal ischaemia is a trigger for visceral pain.
d. Visceral pain localises poorly.

Answer 4

Answer: a
Stimulation of the AUTONOMIC nervous system.