By Gordon S. Laing FRCS (auth.)
This little ebook has been written essentially for the senior condominium officer in twist of fate and Emergency and the registrar pursuing a occupation within the strong point. i'm hoping additionally that it'll be of curiosity to clinical scholars. because of the initiative of Professor Miles Irving, Professor of surgical procedure, college of Manchester, scientific scholars were taught coincidence and Emergency in desire health facility given that 1974. the various solutions to the questions right here were elaborated because of their enquiring minds. it's been a excitement to educate them. MCQs can be informative and wonderful and never considered as a tiresome chore in basic terms due to self evaluate scoring. i've got passed over the packing containers and the "don't understand" reaction. The solutions are both real or fake. i've got tried to fit the questions into numerous sections with a point of series, yet there's an inevitable overlap quite with reference to the sections at the unresponsive sufferer, poisoning and damage. the ultimate part is a particular mix of twist of fate and Emergency and that i idea "Pot pourri" a suitable name. i've got loved compiling the questions and that i desire that either undergraduates and postgraduates will locate studying them a painless and beneficial workout. eventually my thank you are as a result of my secretary Eileen Bates for her typing and patience.
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Additional info for Accident and Emergency Medicine
7 Abdominal viscera injury: a. Is certain if there is an imprint of clothing or tyre on the skin of the abdomen b. May result in alteration of the abdominal contour c. Is certain if bowel sounds are absent d. Should be suspected if there is tenderness of the left hypochondrium e. 8 In abdominal injury peritoneal lavage: a. Has an accuracy of 80%-90% in diagnosing intra-abdominal bleeding b. Should be preceded by urethral catheterisation c. Should be performed by inserting the cannula 3-4 em below the umbilicus d.
F c. F d. T e. T A patient who has swallowed a corrosive should be given water to dilute the corrosive. Vomiting should not be encouraged and gastric lavage never performed. Alkalis should never be given for acid poisoning, nor acid for alkali poisoning. After dilution the gastric contents may be aspirated carefully through a nasogastric tube. Milk should be left in the stomach and the patient encouraged to swallow raw eggs. 13 a. F b. T c. T d. T e. T 75 mg/kg is given IV for 1 hour for 5 days.
B. c. d. 6% of all causes of death Causes 8%-10% of the population to attend Accident and Emergency Departments e. 2 Chest injury management involves: a. b. c. d. e. 3 A flail segment in chest injury: a. b. c. d. e. 4 May be unilateral May be bilateral Moves outwards on inspiration May compromise ventilation Can be fixed with a metal plate behind the sternum A fractured sternum: a. b. c. d. e. 5 The airway and ventilation Relieving tension pneumothorax Arresting haemorrhage Removal of protruding foreign bodies Packing a sucking wound Is produced by considerable force or deceleration injury Is oblique or longitudinal Is an indication for ECG Is extremely painful Is treated by internal fixation with a Steinmann pin A fractured rib: a.
Accident and Emergency Medicine by Gordon S. Laing FRCS (auth.)