EMQs in Clinical Medicine.pdf - Peshawar Medical College

156 The abdomen and surgery
68 Postoperative complications
A
B
C
D
E
F
recurrent laryngeal nerve palsy
tracheal obstruction
paralytic ileus
pulmonary embolus
hypercalcaemia
perforated bowel
G
H
I
J
K
L
adhesions
deep vein thrombosis
ischaemic bowel
pneumonia
hypokalaemia
hypocalcaemia
Choose, from the options above, the postoperative complication that is being
described in the questions below. Each option may be used only once.
1 A 40-year-old man presents with a hoarse voice after subtotal thyroidectomy.
2 A 40-year-old woman presents with pain and swelling in her left calf after
pelvic surgery.
3 A 62 year old presents with sudden onset shortness of breath 10 days after a hip
replacement.
4 A 40-year-old man presents with tetany after a near-total thyroidectomy.
5 A 46-year-old man with a history of bowel surgery presents with abdominal
pain and vomiting. On examination there is some tenderness on palpation.
Bowel sounds are tinkling. His abdominal radiograph shows dilated loops of
small bowel.
Answers: see page 182.