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8 Cards in this Set
- Front
- Back
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Which is incorrect regarding Acute Abdominal Pain in the elderly?
A. The mortality rate for emergency surgery is 40% B. Surgical intervention occurs twice as often in the elderly as compared with younger patients. C. The presence of free air on AXR and Leukocytosis are associated with an increased risk of death. D. They have an increased rate of perforation with appendicitis. |
A. 15-30%
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In regards to acute cholecystitis in the elderly, which is incorrect?
A. It is the most common indication for surgery in older patients. B. They have an increased prevalence of gallstones and decreased common bile duct diameter. C. They can be afebrile, with no leukocytosis, nor LFT derangements. D. Complications occur in more than 50% over the age of 65. |
B. Increased bile duct diameter.
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Which is incorrect regarding small bowel obstruction in the elderly?
A. It is caused by hernias 15-30 % of the time B. AXR is normal in 15% of cases C. Gallstone ileus can present with air in the biliary tree. D. Distended Small bowel loops greater than 2.5-3.0 cm , and air-fluid levels are diagnostic |
B. 25-40%
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The Classic triad of what is indicative of Gallstone Ileus?
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1. Small Bowel Obstruction
2. Air in the biliary tree 3. Calculus on AXR |
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Which is incorrect regarding Large Bowel obstruction in the elderly?
A. Malignancy is the most common cause of LBO in the elderly. B. Dilated large bowel loops greater than 5 cm = LBO C. The risk of perforation occurs with dilatation more than 7.5 cm D. Sigmoid volvulus is the most common type of colonic volvulus. |
C. 9cm
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Which is the strongest risk factor for AAA in the elderly?
A. Hypertension B. Smoking C. Peripheral vascular disease D. Male sex. |
B. Cigarette smoking
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List the 4 main mechanisms for acute mesenteric ischaemia.
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1. Arterial embolism (50%)
2. Arterial thrombosis (15-25%) 3. Non-occlusive ischaemia ( 20%) 4. Mesenteric venous thrombosis.(5%) |
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Which is correct regarding acute mesenteric ischaemia in the elderly?
A. They present with severe localised abdominal pain B. 50% have symptoms similar to Gastroenteritis C. Metabolic acidosis and elevated lactate are common early findings. D. CT scan can show intestinal wall gas and bowel wall thickening from oedema /haemorrhage. |
D.
A - severe, poorly localised and out of proportion to physical findings. B - 30% have nausea / vomiting/diarrhoea C.- late signs-of ischaemia / infarction. |
