Repeated Medical PG Question- 103

#SURGERY(INI-CET)

Q- A patient underwent a surgery for inguinal hernia five days before. Now comes to the hospital with a complaint of fever. What can be the cause?

         A. Atelectasis of lung 

         B. Surgical site infection 

         C. Thromboembolism 

         D. Chest infection

ANSWER= B. Surgical site infection

Explain:- Causes of Post-Op fever: ▪️ POD 1-2→ Atelectasis ▪️POD 2-3 -> UTI ▪️POD 3-7→Wound infection(SSI) ▪️POD 5-7→DVT/Thrombophlebitis ▪️POD>7 → Drug fever

 

Q- In a patient of acute limb ischemia, which of the following is having worst  prognosis? 

             A. Pain 

             B. Pallor

             C. Pulselessness 

             D. Paralysis

ANSWER= D. Pulselessness
Explain:- The traditional 5 P's of acute ischemia in a limb (ie, pain, paresthesia, pallor, pulselessness, poikilothermia) are not clinically reliable; they may manifest only in the late stages of compartment syndrome, by which time extensive and irreversible soft tissue damage may have taken place. In case of acute limb ischemia the worst prognosis would be pulselessness, however in case of compartment syndrome paralysis show worst prognosis

 

Q-  Ovarian cyst 5 x 5 cm in a 26 year old pregnant lady. What will be it's management? 

        A. CA-125 level

       B. Diagnostic Lap 

       C. CT scan 

       D. Observe and follow up

ANSWER= D. Observe and follow up
Explain:- For ovarian cyst in young female size less than 5 cm then nothing to be done, Surgery is indicated for cyst size more than 7cm. So at this level observation and follow up should be done.But in case of menopausal woman ovarian cyst first CA-125 should be done.