About vaccum assited closure, which of the following is false?

A 72-year-old man is admitted to the hospital for management of a perforated gallbladder and peritonitis. The patient undergoes emergent exploratory laparotomy and requires prolonged and complicated surgery. The patient does well in the immediate postoperative period. On post-op day 4 the patient becomes short of breath and requires 2 liters of supplemental oxygen via nasal cannula. The patient's past medical history includes a right mainstem endobronchial cancer and resultant recurrent bacterial pneumonia in the right lung, as well as generalized anxiety disorder and osteoarthritis for which the patient takes naproxen daily. Chest radiograph shows left lower lobe atelectasis. Which of the following elements of this patient’s history most likely contributed to his current clinical presentation?

A 35 years old tailor comes with dilated tortuous veins on her right lower limb. You want to rule out saphenofemoral incompetence. Which test would you perform?

A 67-year-old man has a dark brown skin lesion on his left upper extremity. He states that he has had this lesion for several years, but his partner thought that it appeared different and suggested to be evaluated. He was a swimmer and lifeguard throughout his childhood and into his young adulthood. He rarely used sunscreen and had several bad burns in his youth. He has a history of basal cell carcinoma on his face that was removed. Which of the following physical examination findings would prompt a further diagnostic evaluation of this lesion?

About gas gangrene, one of the following is False:

Which of following is an Immune suppressor and also an antitumour agent

Lipoma of which site can become malignant?

A 45-year-old woman presents to the emergency department with a two-day history of fever and chills. The patient underwent an uncomplicated laparoscopic cholecystectomy for acute cholecystitis ten days ago. She reports pain at the incision site with purulent discharge and surrounding redness. Past medical history is significant for rheumatoid arthritis. Medications include methotrexate. The patient does not smoke or drink alcohol. BMI is 31 kg/m2. Temperature is 38.9°C (102°F), blood pressure is 119/76 mmHg, pulse is 110/min, respiratory rate is 20/min, and oxygen saturation is 97% on room air. On physical examination, one of the surgical wounds is tender with purulent drainage, dehiscence, and surrounding erythema. A tender fluctuant mass is palpated. Laboratory evaluation is significant for leukocytosis with left shift and an elevated CRP. Which of the following is the best next step in management?

Which is true among the following, regarding remodeling phase in wound healing?

Physical examination of a bed-ridden patient reveals an area of skin necrosis overlying the sacrum. Which of the following findings would lead to classifying the patient’s lesion as a stage III pressure ulcer?

Which of the following blood product has shortest shelf life?

A 30-year-old man is brought to the emergency department by his partner after multiple episodes of hematemesis. The patient is unresponsive and unable to provide a history. According to his partner, the patient had spent the evening at a bar where he consumed more than 10 shots of liquor. After leaving the bar, he vomited multiple times. There was bright-red blood mixed with the vomitus. While in the emergency department, the patient has two additional episodes of hematemesis. During the physical exam, the patient mumbles incoherently, is unable to follow commands, and tries to push away the examiner’s hands. Pupils are 3 centimeters bilaterally and reactive to light. Cardiac, pulmonary, and abdominal exams are non-contributory. Which of the following is the next best step in the management of this patient?

True about tensile strength of polypropylene is

Contraindications for emergency day care surgery are all except

After transplantion surgery, risk of which cancer is higher?

Which is not seen in prolonged starvation phase

Which of the following statements regarding preoperative management of specific medical problems are true?

A 78-year-old diabetic man presents to the emergency department with a cold left leg. The patient woke up this morning and went to put on socks when he noticed that his left leg was cool to touch. He normally has pain in the leg that is worse at night and exacerbated by walking, but his leg has never felt cool. The patient has an allergy to penicillin as well as to iodinated contrast. Temperature is 37.3ºC (99.1ºF), pulse is 90/min, respiratory rate is 14/min and blood pressure is 139/84 mmHg. On physical exam, the left leg is cool and pale, and he is unable to plantar- or dorsiflex the left foot. Motor strength is diminished with left knee flexion and extension. Sensation is absent up to the mid calf. There are non-palpable pulses in the distal left leg and absent venous/arterial doppler signals. Which of the following suspected diagnosis and associated imaging modality is most appropriate for this patient?

A 52-year-old woman has discharge from the left side of jaw bone since three months. There is adjacent painless swelling with small opening at the summit. There is no fever, chest symptoms or weight loss at present. Which of the following is the most probable diagnosis?

A 55-year-old man comes to the emergency department after experiencing several episodes of non-bilious and non-bloody emesis, followed by a sudden onset of intense, sharp chest pain radiating to the back. The patient drinks a pint of vodka daily and regularly uses intranasal cocaine. He reports last using cocaine this morning. Temperature is 37.0°C (98.6°F), pulse is 102/min, respirations are 22/min, blood pressure is 210/120 mmHg, and oxygen saturation is 99% on room air. Physical examination demonstrates a regurgitant murmur. ECG shows nonspecific T-wave abnormalities, and chest radiography is unremarkable. Which physical examination finding should be assessed next based on this patient’s clinical presentation?

A 23-year-old male presents to the emergency department after being stabbed in the chest. The patient's primary survey is notable for decreased breath sounds over the right chest. Secondary survey reveals a single stab wound to the right lateral thorax, tracheal deviation, and jugular venous distension. Temperature is 37.0°C (98.6°F), pulse is 126/min, and blood pressure is 77/42 mmHg. Respiratory rate is 26/min, and oxygen saturation is 90% on room air. Which of the following best describes the correct anatomic space for emergent intervention to manage this patient's condition?

A 30-year-old man of 65 kg has been admitted with severe burns and catabolic response to stress. You are the resident on duty in Burns ward. The newly joined dietician has prescribed him 40 kcal per kg energy need and 1gm/kg/day protein need. The patient is being given a 3000 ml solution containing 20% glucose and 4.25% protein. Comment on the formulation.

You have started your new hospital. It has a state-of-the-art operation theatre. You will now have to train the nurses about asepsis and cleaning. What should one use to clean the blood spills in the OT?

True about wound dehiscence:

A 41-year-old man has been in coma for last 15 days since a RTA. The most suitable route for maintaining nutrition will be:

A 25-year-old lady brings her newborn child who has a red skin patch on face. She is concerned because she also had a patch since her marriage and that had increased in size and colour over years. You have reassured her nothing to worry because the patch will mostly go away by the kid's first birthday. What is the diagnosis for the mother and child respectively?

A 54-year-old obese woman underwent a pelvic surgery for cancer of rectum. On day three, she was having sudden-onset respiratory distress for which she was shifted immediately to ICU. Cardiac assessment was normal but patient needed pulmonary angiography. What is the origin of the problem which lead to this complication?

You are revising acid-base balance. After revising for whole two hours, you are now confident that one of the following does not cause metabolic acidosis:

A 21-year-old medical student presents to the emergency department for evaluation of jaw pain. The pain started two hours ago after yawning during the class and clinical posting, and now he cannot open or close his mouth. Past medical history is unremarkable. Vitals are within normal limits. Physical examination demonstrates tenderness over the bilateral periauricular areas with palpable indentation of the preauricular space. The patient’s mouth is open and fixed. The coronoid process of the mandible is prominent and palpable just below the maxilla. Persistent spasm of which of the following muscles contributes to this patient’s clinical presentation?

Which of the following statements regarding Burns is TRUE?