By Pradip Datta, Christopher John Bulstrode, Iain Nixon
With greater than one thousand questions, this article is the perfect self-assessment significant other consultant to Bailey & Love's brief perform of surgical procedure, twenty sixth Edition. The publication assists readers of their instruction for examinations and permits them to check their wisdom of the foundations and perform of surgical procedure as defined inside of Bailey & Love.
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Extra info for MCQs and EMQs in Surgery: A Bailey and Love Revision Guide, Second Edition
G. absolute or relative steroid deficiency), vasopressin may be used. ➜ Mixed venous saturation 9. B, C The percentage saturation of oxygen returning to the heart from the body is a measure of the oxygen delivery and extraction by the tissues. Accurate measurement is by a long line placed in the right atrium. Samples from the SVC give slightly higher values. Normal mixed venous oxygen saturation levels are 50–70 per cent. Levels below 50 per cent indicate inadequate oxygen delivery and increased oxygen extraction by the cells.
A crushed and contaminated wound is best managed by debridement on one or several occasions before definitive repair can be carried out. Primary repair of all structures should be attempted in a tidy wound. ➜ Management of wounds 4. A, D, E The surgeon should remember to examine the whole patient according to the Advanced Trauma Life Support (ATLS) guidelines. The wound itself should be examined, taking into consideration the site and possible structures damaged. Clamps should not be applied blindly as nerve damage is likely and vascular anastomosis is rendered impossible.
Levels between 6 and 8 g /dL are selectively transfused. 3. 12. A, C, D, E Hypocalcaemia is another complication of massive transfusion. People who receive repeated transfusions over long periods of time develop iron overload. Complications from a single transfusion include incompatibility haemolytic transfusion reaction, febrile transfusion reaction, allergic reaction, infection, air embolism, thrombophlebitis and transfusion-related acute lung injury (usually from FFP). g. cirrhosis). If there is an initial doubt about the cause of shock, it is safer to assume that it is hypovolaemia and begin with fluid resuscitation, followed by an assessment of the response.
MCQs and EMQs in Surgery: A Bailey and Love Revision Guide, Second Edition by Pradip Datta, Christopher John Bulstrode, Iain Nixon