Title Surgery 12-2023 update 1.pdf ✅

SPOT LIGHT ON SURGERY 2024 MCQS BOOK DR FADI QUTISHAT Surgery 12/2023 MCQs 1 st Edition • For internship doctors, residents and students in medical schools. • For preparation to internship exams, entrance exam for residency in JUH, Royal medical services and Ministry of health of Jordan. • More than 30 frequently tested facts • Past papers exam QUTISHAT FADI, MD 2023/2024
SPOT LIGHT ON SURGERY 2024 MCQS BOOK DR FADI QUTISHAT Surgery 12/2023 1) A 23-year-old man suffering of deep partial flame burn. Dressing done using topical preparation that may cause neutropenia which is A. Bacitracin B. Neomycin C. Silver sulfadiazine D. Vancomycin E. Silver nitrate Explanation List of drugs can cause neutropenia
SPOT LIGHT ON SURGERY 2024 MCQS BOOK DR FADI QUTISHAT
SPOT LIGHT ON SURGERY 2024 MCQS BOOK DR FADI QUTISHAT Reference https://www.uptodate.com/contents/topical-agents-and- dressingsforlocalburnwoundcarecsi=17954721-51e1-438e-833a- 2fab162650d6&source=contentShare 2) Which of the following is the best Initial treatment for a patient with severe acute limb Ischemia due to embolism A. Endovascular thrombolysis B. Systemic thrombolysis C. Surgical embolectomy D. Anticoagulation with heparin E. Fasciotomy Explanation SUMMARY AND RECOMMENDATIONS ●Clinical presentations – Clinical manifestations of acute embolism to the lower extremities can range from isolated digital ischemia to profound acute global limb ischemia. Some patients will experience a subclinical progressive loss of outflow vessels from recurrent embolism leading to a chronic peripheral artery disease-like picture. ●Etiologies – A variety of etiologies can potentially lead to embolization of the lower extremities, and understanding these should guide an efficient and thorough clinical evaluation, treatment, and source control. The history and physical examination may be sufficient to determine the most likely etiology and to initiate treatment. ●Vascular imaging – We suggest obtaining CT angiography because it provides valuable information about the location of the disease and level of baseline atherosclerotic plaque burden. Even in the setting of acute limb ischemia, CT angiography can usually be quickly accomplished while preparing the patient for intervention, but imaging can be deferred if it will delay treatment. ●Initial management – For those who present with acute limb ischemia, anticoagulation typically with a heparin (bolus followed by infusion) and intravenous fluid therapy should be immediately initiated prior to making plans for intervention. These can be started while awaiting evaluation by a specialist trained to treat the embolic event. ●Approach to limb management – Options for managing lower extremity embolism include open embolectomy, thrombolysis, and transcatheter thrombectomy. Factors such as anatomy, degree of limb threat, runoff, suspected etiology, and patient factors will guide the choice of one over the other.