aflanvers /Y veh peers ' ESSENTIALS OF SURGERY (18/0) ‘n question (akes LO marks 1. 2 Chemicals vsed to make swab before surgery (giving their concentration a) Define the phrase aseptic technique 'b) Precautions take in aseptic technique ©) Pre -operatively is the hair cut or not? and if cut which method is used. 2. a)Sterilization definition b) Differences between sterilization and disinf fection. 3. a)Define hemeostasis , rts tao b) 8 Ways of achieving it during oa aon My Nee shall whe 4. Slide of wounds (5 pictures) identify 5. Types of suture sizes used in Tet tow ai = (wi Skin of the abdomen =f) as Skin ofthe face ~bldicxsnve —> Hero Periosteum: iv) Peritoniums v) Subcutaneous tissue. 6. 2Examples of (one absorbable and 1 non absorbable giving 2 advantages and 2 sadvantages of Kymcull hes ee Sas a Monofilament sutures ~ yonb hes il, Mubiflament sutures : ne eral ~ elprajlene ei pte 7. advantages of subcutaneous suturing Rhee 3) Wht eet ips and wha thy for Ap han 6b) Surgical mesh. What are they and wen are they wed. — 20 at —$—$—————ee—eeeeeeeeeeee Compiled ‘i Nalbarema page 1 nularemabr22kat@gmall.com 4 Lae PERM : ie else ce ROA ily Marc a pee 3- , f 4, Side of instrument emily and mention the we. 4), Guedels airway i) Nasal prongs «) Nebulization tube 4) Mask used in nebulization 9, «Laparotomy - define + Draw adagram stowing 5 incisions and give an indication for each fc giceeeeey J ; a) Whatis ‘it * ina wal be ~~ ot dey brnab creat en n 1) When sitindcaet? mi ? ia bey Krak le ba gree’ ¢) Wheniscontindicated Sy" worn oe ar 11 tide on inviual with piter-interpretation of the eiffent cenvios 2) Low ToHand igh T3I° byt Rendon b) High TSHandlowT3—P Aaya > 6) Normal TSH noma T3 and nomal 74 ilbyend * 4) High TSH and high TS 9° spetgeton {pihihors ©) High tsHtandiowT3 1° Lyioteyerl - 12. a) Slide of an instrument a 's catleter) hew) ) 3 Uses ofthe instrument 13. a)Stp by step procedure of apoio of pop pls in rctred femur an tibia. ») Complication of po. 14.9) Xray ofa fact of distal ais 9) eniy te act Col’ etre ©) Cite the investigation 4) Complications ofthe fracture. Compited Naibarema Brian nndibarewabr22kal@gmallcom : Page?slide of the chest X-ray. Most likely sia parrot 4 ent the problem ty 3 causes 16 Slide of chest X-ray most likely pocenthonr 4) Wentify the problem 1) 3 causes «) Management 17, Slide of a patient with a massively distended abdomen on right and open abdon sigmoid volvulus 4), Weite what you are seeing 1) Diagnosis ©) Surgical options the surgeon has onthe table to manage the patient 18, Regarding needles and forceps 8) There are 3 types sharp, blunt? 1) State where each i used ©) Why isthe needle cured? 8) Examples of issue forceps. Computed Nalberema rian poe?yr PRINCIPLES OF SURGERY OPTION B 1, Shock tell wgayarnyrtotiie Definition, types, pathophysiology and stages—]_yeypeah ' (5 marks each) Unruh ' Management 10 marks) 2, a) Define pre-operative evaluation and discuss its justification giving 2 examples (1¢ marks) ') Define pre-operative optimization and discuss its justification giving 2 examples (10 mark 3. Write short notes on i) Crystalloids (10 marks ii) Prophylactic antibiotics (10 marks) iil) Indications of whole blood transfusion preoperatively (10marks) iv) Mechanical bowel preparation (1Omarks) Questions asked to option A Questions were about 1) Shock. 2) Fractures 3) Towrniquets 44) Halsted principles Compiled Ndibarema Brian Iulibaremabr22kai@gmallcom aonr “TL ye Ho 9g ~ pel P ro hd CLINICAL SURGERY OFTIONS Itchy - pac splint Nilay Sok ow Vg 1. Brest gg aig & a¢ 0 \ ~ Ophua Hh a Mee An 8 yar female pres witha mati po Pe 8 Je mas inh 2emin si, How would mange hs pent (Sms) Regarding mastalgia (15 marks) a) Whatisiv? elie d Me Lilden) 0) How doesit rn, i Went z nyel Ali nergy Lic yr fre 6) Whstarthe teatmentopion ah, fee SY atk nero 4), Whatis the prognosis? eye thug 2, Thyroid a) Regarding hyperthyroidism (10 marks) Whatisit? How does it present? What are treatment options? ‘What isthe prognosis? ) Deseribe the pre ar evan of «pth agcuoroid egies a for a aefene os partial thyroidectomy, a (ahs, 2a © Dessetecnptane otal econ. peat and rested econ aaa Tdwedp mahre cugheare Pres Ei clas mle r nelieey i. Gastric peptic ulcers (10 Marks y- eh fi H1Pylr eradication therapy (10 MER Sh, Pita, = 3, Write short notes on fii, Grade 111 haemorrods. (10 Marks y iv, Acute of chronic fissure ‘Compiled Naibarema Brian Page Pes cedinab 7, i | bh yor xeon, Lid, |e os Tran bg ty BD we rebn se Urey chee =e beNh iaally 1 AVAS DON w calf aren qn BY OPTION 4, ston, sh. Shock a anil 16 \ WES iy “i fahwen Wy wats) x Define sok 13 tyes oF souk (Anak) Taw het We pu Dewi hea iy section of shock (Amat) Nw Hh, Diseuss atl) . nee th eergeney anager of a patidot with trauma too . 10 the Lower lg eosent in shock (Utah) of ta whe by Eggle tes ” bstrtion ANG it~ Chef Non hae struc — of tedany , ~ Naklus, io c “ j uke) choy & frailene ccna What itis CF a mee Me aa compar an contrast sal wean are bowel —— tng od a “what age the common causes of 10? (3 Prt i ~ fellas eu a aig Mpada 1 low would you prepare a patent with a a AES for an emerpesey a Se aa (marks) 2. Groin hernia E hate = Hebe aera = ‘What isan obstructed inguinal berms? mars) Gee Ghee + Compan in ek mS ia tangled inguinal ea rks) ~ lhe ream eee pe sowed let Screen ‘Compare and contrast a femoral hemia and an inguinal ema Gina) ‘What are complications of inguinal hia repair and how are they esolved (8marks). 4. A.3o year old sustains a fracture of the tibia and fibula and presents to A& E with compartment syndrome . » ger Tine an What ist compartment some (inst) How is it recognized? (4marks) 8 cher eles at ~ 1 flelecccalitarr SY poten, degreev ty hay Ye we or minor cut ¥0 be repaired under Vocal miesthesia How Woy, 4 simple of a * Weterine the a | (Am tks) Kho Q St " st 4 blood products and the indications for their use (Smarks) PH, it pepe - » safe Jose of local anesthesia for utilization in af Ve Blood transfusion List 4 adverse effects of blood transfusion and how they are managed (8marks) 6. dyspesia 130 yar old male resents inthe suite department With 8 ved gay ‘on and off epigasria pain that radiates tothe back and also reports heart burn and bloating Soon offer a 0 year old male presents wth similar complaints Of persistent epigastric pin for 6 ‘weeks that radiates to the back, heart bum and bloating: How would you approach these two ‘scenarios? ae. ‘ etter Vererrboe ate ne sa boo Ve Ph > cnt pear caee ‘tt Ane pveiton Malilebesd dic, © weedy be ~\ sh Aherosl Ul = he AD foie ven clalbont ) DWhely, Ae dew Coders deel ~\weageh\al, Neen ietiece ~Mlbkel Weneadeery

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