Surgery - Group 6 | Medical Hub

76. A university student with 4 day history of painful perianal swelling started after straining, tender nodule at anal verge. Management?

A) Reassurance, analgesics, and send home B) Incision and drainage C) Antibiotics D) Surgery

77. A 60 years old lady with sudden onset severe pain in right leg and foot for 3 hours, irregular pulse, absent right popliteal/posterior tibial/dorsalis pedis pulses. Plan?

A) Anticoagulation with heparin plus warfarin and urgent embolectomy B) Observation C) Thrombolysis alone D) Amputation

78. A 50 years old man with progressive right scrotal swelling (3 months), dull pain, right testicle enlarged, hard, small hydrocoele that does not transilluminate. Plan?

A) Book the patient for transinguinal testicular biopsy B) Orchidectomy C) Ultrasound D) Observation

79. Other signs which you look for in this patient include all the following except:

A) Slow relaxation phase of ankle jerk B) Carpopedal spasm C) Chvostek sign D) Trousseau sign

80. A 50 years old male developed fever on 4th postoperative day after gastrojejunostomy. He started oral intake day 3, on IV antibiotics first 48 hours, not out of bed. Tachypnoeic, febrile, no positive signs. Most likely cause?

A) Pulmonary collapse (atelectasis) B) Wound infection C) UTI D) DVT