Exam (elaborations)

Test bank General Surgery Michael Grant - Queens University of Belfast + 150 Q&A + Core concepts + trends developments - NEW 2025

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Queens University Belfast (QUB)

Book
General Surgery

This is a new (2025) test bank from General Surgery Michael Grant - Queens University of Belfast. 150 questions and answers, important core concepts explained and trends and developments for 2025 and onward. Perfect exam preparation. BTW I have made this test based upon all lectures from 2024, all ...

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Uploaded on January 17, 2025
Number of pages 27
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

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Chapter 1: Acute Abdomen
Questions

1. What are the key components of managing a patient with acute
abdomen?
2. Describe the causes of acute dysphagia in the oesophagus.
3. What is Boerhaave syndrome, and how is it diagnosed?
4. Explain the treatment for variceal bleeding.
5. What are the primary causes of stomach/duodenal perforation?
6. How is gallbladder wall thickening diagnosed in cholecystitis?
7. Define Charcot's triad and Reynolds' pentad in cholangitis.
8. What complications arise from acute pancreatitis?
9. How is intestinal obstruction identified on an X-ray?
10. What is the classical clinical triad for mesenteric infarct?
Answers

1. Management includes resuscitation, diagnosis based on the location
of the problem, and specific treatment like endoscopy for
oesophageal issues or surgical repair for perforations.
2. Causes include benign stricture, malignant neoplasm, or a food
bolus obstruction.
3. Boerhaave syndrome is spontaneous oesophageal perforation due
to forceful vomiting. It is diagnosed by CXR showing air in the
mediastinum and subcutaneous emphysema.
4. Treatment includes stabilization with fluids, blood transfusions, and
IV medications (e.g., somatostatin) followed by definitive treatment
like band ligation or stent insertion.
5. Causes include NSAID use, alcohol, and peptic ulcers.
6. It is diagnosed via ultrasound showing gallstones and wall
thickening (>3mm).
7. Charcot's triad includes RUQ pain, jaundice, and fever. Reynolds'
pentad adds hypotension and altered mental status.
8. Complications include pseudocysts, abscesses, and phlegmons.
9. Intestinal obstruction is identified by valvulae conniventes and
Rigler’s sign on X-ray.
10. Severe abdominal pain, lack of abdominal signs, and rapid
progression to hypovolaemic shock characterize the triad.

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Test bank General Surgery Michael Grant - Queens University of Belfast + 150 Q&A + Core concepts + trends developments - NEW 2025

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