By Gordon S. Laing FRCS (auth.)
This little ebook has been written basically for the senior residence officer in coincidence and Emergency and the registrar pursuing a profession within the area of expertise. i am hoping additionally that it'll be of curiosity to scientific scholars. because of the initiative of Professor Miles Irving, Professor of surgical procedure, collage of Manchester, clinical scholars were taught coincidence and Emergency in wish health center given that 1974. the various solutions to the questions the following were elaborated because of their enquiring minds. it's been a excitement to coach them. MCQs might be informative and exciting and never considered as a tiresome chore simply due to self evaluation scoring. i've got passed over the bins and the "don't comprehend" reaction. The solutions are both actual or fake. i've got tried to fit the questions into numerous sections with a point of series, yet there's an inevitable overlap relatively 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 suggestion "Pot pourri" a suitable identify. i've got loved compiling the questions and that i desire that either undergraduates and postgraduates will locate studying them a painless and priceless 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
21 a. b. c. d. e. T T T T F There is paralysis of the interossei and inner two lumbrical muscles, adductor pollicis and hypothenar muscles. Loss of sensation occurs over the medial part of the hand, palm and dorsum and includes the little finger and medial part of the ring finger. 22 Volkmann's ischaemic contracture: a. b. c. d. e. 23 Is a complication of supracondylar fracture Is due to a haematoma compressing the brachial artery Results in shortening of the flexor muscles due to fibrosis Results in flexion of the wrist May be confirmed by flexing the wrist, and the fingers can often be extended Fracture of the fifth metacarpal: a.
D. e. T T T F T Salicylates stimulate the respiratory centre producing a respiratory alkalosis. There may be severe hypokalaemia. 2 a. b. c. d. e. T T T T F There is hyperpyrexia. 3 a. b. c. d. e. T T T T T The ketosis is produced by the stimulation of fat metabolism. Protein catabolism is accelerated, producing an increase in circulating amino acids. 4 Blood salicylate levels of: a. b. c. d. e. 5 100-300 mgll indicate some toxicity mg/l indicate mild toxicity 500-700 mg/l indicate moderate toxicity 700-1000 mg/l indicate severe toxicity Over 1000 mg/l indicate very severe toxicity 3~500 The treatment of salicylate poisoning is by: a.
T T F T F Hypoglycaemic coma may be confused with an upper motor neurone lesion. In the presence of sweating a blood sugar test should be done, particularly if there is a history of irritability and drunken behaviour prior to the unconsciousness. It is wise to do a blood sugar test on any patient who resists examination. In myxoedema the reflexes are sluggish and the plantar responses flexor. An extensor response is a normal physiological finding in young infants. In hepatic coma the plantar response is flexor.