Surgical Questions and Answers

Free Medical and Surgical Questions And Answers

The colon

7. What are the habitual and dietary causes of constipation?

Correct answer: (1) Dyschezia (rectal stasis due to faulty bowel habit).(2) Dehydration.(3) Starvation.(4) Lack of bulk in diet.

The colon

6. Which drugs can cause constipation?

Correct answer: (1) Ganglion blockers.(2) Opiate analgesics.(3) Aspirin.(4) Anticholinergics.

The colon

5. What are the causes of adynamic bowel which can cause constipation?

Correct answer: (1) Hirschsprung’s disease.(2) Senility.(3) Spinal cord injuries and disease.(4) Myxoedema.(5) Parkinson’s disease.

The colon

2. What are the causes of constipation?

Correct answer: (1) Organic obstruction:(a) carcinoma of the colon;(b) diverticular disease.(2) Painful anal conditions:(a) fissure in ano;(b) prolapsed piles.(3) Adynamic bowel:(a) Hirschsprung’s disease;(b) senility;(c) spinal cord injuries and disease;(d) myxoedema;(e) Parkinson’s disease.(4) Drugs:(a) aspirin;(b) opiate analgesics;(c) anticholinergics;(d) ganglion blockers.(5) Habit…

Acute appendicitis

13. What are the three positions in which the appendix can lie?

Correct answer: (1) Distally the tip may lie anywhere from behind the caecum (retrocaecal); (2) adjacent to the ileum, or (3) down in the pelvis lying against the rectum or bladder.

Acute appendicitis

12. What is the nature of the pain of acute appendicitis?

Correct answer: Typically the pain commences as a central periumbilical colic, which shifts after approximately 6 hours to the right iliac fossa or, more accurately, to the site of the inflamed appendix as the adjacent peritoneum becomes inflamed. The appendix…

Acute appendicitis

11. How do patients with acute appendicitis typically present?

Correct answer: The vast majority of patients with acute appendicitis present with marked localized pain and tenderness in the right iliac fossa.