Title 18- Post-operative .pdf ✅

2021 MRCS I.V. 1/1/2021 Post-Operative Post-Operative EMRCS
MRCS I.V. Course 1 EMRCS, Post-operative MRCS I.V. Course care P o s t - o p e r a t i v e c a r e N. Question Ans. 1 A 72-year-old man attends vascular clinic after having an amputation 2 months ago. He is having difficulty sleeping at night due to persistent tingling at the amputation site. He is known to have orthostatic hypotension. What is the most appropriate analgesic modality? A. Amitriptyline B. Pregabalin C. Duloxetine D. Morphine E. Diclofenac B 2 What is the most appropriate method of delivering early post-operative analgesia to a 6-month-old child following an orchidopexy? A. TAP block B. Caudal block C. Wound analgesic infusion catheter D. Spinal block E. Epidural block B 3 A 70-year-old lady has a cerebrovascular accident and has been recovering in hospital for the past 3 weeks. She has been deemed to have an unsafe swallow. What is the best option for long term feeding? A. Endoscopically inserted PEG feeding tube B. Long term fine bore nasogastric feeding tube C. Surgically inserted feeding jejunostomy tube D. TPN via a central vein E. TPN via a peripheral cannula A 4 Which of the following would be a sensible volume for maintenance intravenous fluids in a 3-day old term neonate? A. 50ml/ kg/ hour B. 50ml/ kg/ day C. 100ml/kg/hour D. 100ml/kg/day E. 200ml/kg/day D 5 A 56-year-old lady with idiopathic thrombocytopenic purpura has a platelet count of 50. She is due to undergo a splenectomy. What is the optimal timing of a platelet transfusion in this case? D
MRCS I.V. Course 2 EMRCS, Post-operative MRCS I.V. Course care A. 24 hours pre-operatively B. 2 hours pre-operatively C. Whilst making the skin incision D. After ligation of the splenic artery E. On removal of the spleen 6 A 56-year-old man is on the ward 5 days following a high anterior resection for a carcinoma of the recto sigmoid junction. Over the past 12 hours, he has developed increasing lower abdominal pain, a fever of 37.8oC and fast atrial fibrillation. Of the investigations listed below, which is likely to be the most useful? A. Abdominal X-ray B. Abdominal ultrasound scan C. Abdominal CT scan D. Echocardiogram E. Measurement of cardiac enzymes in the blood C 7 Which of the following blood products can be administered to a non-ABO matched recipient? A. Whole blood B. Platelets C. Packed red cells D. Stem cells E. Irradiated whole blood B 8 A 4-week-old preterm neonate is due to have surgery for an inguinal hernia. Which of the following fluids should be administered whilst they are nil by mouth? A. 10% dextrose B. 50% dextrose C. 5% dextrose D. 25% dextrose E. Hartmann's solution A 9 What is the most appropriate analgesic modality for a 52-year-old male undergoing an open elective resection of the splenic flexure colonic cancer? A. TAP block B. Local anesthetic wound infiltration C. Spinal block D. Epidural anesthetic E. Rectal diclofenac D