Surgery

Question 1

gradual onset of abdominal pain starts at left side + bloody diarrhea + PMH of HTN . HF. DM
Dx???

Answer 1

Ischemic colitis

Question 2

sudden onset of abdominal pain + PMH of AF + acute abdomen

DX??

Answer 2

Acute mesentric ischemia

Question 3

intermittent stabbing pain in one part in one side of the breast radiate to axilla + no mass + not related to periods
DX???

Answer 3

non-cyclic mastalgia

Question 4

Hernia pass through deep and superficial inguinal canal ?

Answer 4

Indirect inguinal hernia

Question 5

relation of Inf. epigastric vessels to inguinal hernia

Answer 5

Indirect……..> lateral to vessels

Direct……….> medial to vessels

Question 6

What is the best time for prophylaxis Abs for surgery?

What are the Abs given?

Answer 6

at the induction of anethesia

cefuroxime and metro

Question 7

vercow L.N +ve + blood group A

possible Dx is……..?

Answer 7

gastric ca

people with blood group A are at high risk of gastric ca

Question 8

gradual progressive painless swelling in the parotid gland
Dx?
Tx?

Answer 8

pleomorphic adenoma = benign mixed tumor

superficial parotdectomy or enculation

Question 9

most common post operative complication is ……..

Answer 9

infection (wound or lung infection)

Question 10

possible abscess at the site of stoma

what’s the next step ?

Answer 10

local exploration

dainage + ABs

Question 11

young woman with breast mass

What is the best Ix?

Answer 11

US not mammography