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Chapter: 23 / Q: 4
A 34 year old patient presents with 50% partial thickness burns. What should be the most appropriate management?
Chapter: 23 / Q: 5
A man presented with cellulitis and swelling. He was started on flucloxacillin. What other medication do you want to add?
Chapter: 23 / Q: 6
A man has reducible bulge below the pubic tubercle, and on occlusion of the deep inguinal ring, cough impulse is present. What is the most likely diagnosis?
Chapter: 23 / Q: 7
A man with anterior resection and end to end anastomosis done complains of severe pain in the chest and abdominal distension. What is the most appropriate investigation likely to review the cause this deterioration?
Chapter: 23 / Q: 8
A 35 year old male builder presented with sudden onset of severe abdominal pain. He was previously fit and well other than taking ibuprofen for a long term knee injury. On examination he is in severe pain, pulse 110bpm, BP 110/70mmHg and has a rigid abdomen. What is the most likely diagnosis?
Chapter: 23 / Q: 9
A woman 5 days post-operative for bilateral salphingo-oopherectomy and abdominal hysterectomy has developed abdominal pain and vomiting along with abdominal distension and can’t pass gas. No bowel sounds heard, although well hydrated. What is the most appropriate next step?
Chapter: 23 / Q: 10
A 22 year old woman with longstanding constipation has severe ano-rectal pain on defecation. Rectal examination: impossible due to pain and spasm. What is the most probable diagnosis?
Chapter: 23 / Q: 11
A 60 year old smoker presents with cramp-like pain in the calves relived by rest and non-healing ulcers. Examination: cold extremities with lack of hair around the ankles, absent distal pulses. What is the most probable diagnosis?
Chapter: 23 / Q: 12
A 35 year old woman had an uneventful laparoscopic cholecystectomy 18 hours ago. She has a pulse 108bpm, temperature 37.8C. There are signs of reduced air entry at the right base but the CXR doesn’t show an obvious abnormality. What is the most appropriate management strategy?
Chapter: 23 / Q: 13
A 60yo pt recovering from a surgery for toxic goiter is found to be hypotensive, cyanosed in the the RR. Exam: tense neck. There is blood oozing from the drain. What is the most likely dx?
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