Pressure Sores

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Q) Frequency of order of pressure sores (Click for more general Surgery MCQs) 

A. Heel>occiput>malleolus>greater trochanter

B. Ischium>sacrum>greater trochanter>heel

C. Malleolus>ischium>greater trochanter>occipital

D. Ischium>greater trochanter>sacrum>heel

ANS:  D

This is a very simple question which is often answered incorrectly.

Pressure sore frequency in descending order

1. Ischium
2. Greater trochanter
3. Sacrum
4. Heel
5. Malleolus (lateral>medial)
6. Occiput

Bailey summary box 3.5 page 29

Peptic Ulcer Location

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Q) False statement about location of peptic ulcer?

a) Type 1 is on greater curvature

b) Type 2 is gastric body and duodenal

c) Pauchet procedure is for type IV

d) Type Iv is high on lesser curvature

Ans 16) a

TYPE             LOCATION                             ACID LEVEL
I                   Lesser curve at incisura         Low to normal
II               Gastric body with duodenal ulcer Increased
III                      Prepyloric                           Increased
IV                   High on lesser curve               Normal
V                        Anywhere                            Normal,

Aspiration Pneumonia

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Q) Post op aspiration occurs  in which part of lung?
a) Right upper
b) Right middle
c) right Lower
d) Left lung

Leukemia – Induction Chemo

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Q) Leukemic pt started on chemotherapy, developed abdominal pain, anemia,  leucopenia and  thrombocytopenia. what is the most likely cause?
A. Perforation
B. Appendicitis
C. Neutropenic colitis
D. Leukemic colitis