- Email: [email protected]
True or false answers
True or False Answers Current treatments for axillary hyperhidrosis Regarding primary hyperhidrosis: • It affects approximately 1% of the population TRUE • The isolated palmar variant is commoner than isolated axillary hyperhidrosis FALSE • Over-production of sweat occurs at the apocrine sweat glands in the axillae FALSE • Acetylcholine is the principal terminal neurotransmitter TRUE • Excessive parasympathetic stimulation is the cause FALSE Regarding the treatment of primary hyperhidrosis: • Systemic anticholinergics are effective and cause few side effects FALSE • Topical aluminium chloride is effective in the majority of cases of axillary hyperhidrosis TRUE • Treatment with intradermal botulinum toxin offers a permanent solution FALSE • Intradermal botulinum toxin is as effective as sympathectomy for axillary hyperhidrosis TRUE • Surgical sympathectomy remains the gold standard in palmar hyperhidrosis TRUE
How much do healthcare professionals know about informed consent? A Bristol experience A “Gillick-competent” child aged 12: • is defined as a child who has sufficient intelligence to understand the potential complications of a treatment FALSE • cannot have their consent to treatment overidden by a parent TRUE • can have elective surgery against their own will if the parents want it TRUE • should only be operated on in an emergency situation with parental consent FALSE • cannot be operated on without a signed consent form FALSE Regarding the law on Jehovah’s Witnesses and blood transfusion: • If the relative of an unconscious adult produces evidence of a patient’s belief and wish not to receive blood, then it must not be given by law TRUE • A surgeon may not give a transfusion to a child of Jehovah’s Witnesses in an emergency if the parents do not consent FALSE • If a Jehovah’s Witness adult makes an informed decision not to receive blood, this must be adhered to TRUE • If an adult who is not a Jehovah’s Witness makes an informed decision to refuse a blood transfusion, then this does not have to be acted upon FALSE • An adult Jehovah’s Witness may make an advanced statement stating their intent not to receive blood in an emergency in the event that they are unable to communicate. This statement must be honoured TRUE
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The Royal Colleges of Surgeons of Edinburgh and Ireland
© 2004 Surg J R Coll Surg Edinb Irel 2: 6; 360-361
Daflon for haemorrhoids: A prospective multi-centre observational study Daflon: • Is a flavonoid vasoprotector and phlebotrophic agent TRUE • Cannot be used safely during pregnancy FALSE • Interacts with anticoagulants such as warfarin FALSE • Alleviates most haemorrhoidal symptoms TRUE Treatment options for haemorrhoids include: • Injection sclerotherapy with adrenaline FALSE
Unique Online Postgraduate Programmes in Healthcare Informatics
• Rubber band ligation TRUE • Daflon TRUE • Stapled haemorrhoidectomy TRUE
• • •
A simple technique to control iatrogenic solid organ injury haemorrhage Which of the following statements are true regarding iatrogenic splenic injury:
• •
• The only mechanism of injury is traction FALSE • Rarely occurs other than with left colon surgery FALSE • Always needs a splenectomy FALSE • Splenic preservation is possible in most of the cases TRUE • Splenic auto-transplantation is recommended in all cases FALSE Which of the following statements are false regarding splenic injury haemostasis: • High intensity focused ultrasound (HIFU) has been used to control splenic injury bleeding TRUE • Topical application of brin glue can be used to achieve haemostsis TRUE • Splenic wrapping with polyglactin mesh can be used to repair and control splenic injury haemorrhage TRUE • Simple diathermy is adequate most of the time to control minor bleeding TRUE • Haemostatic agents to control splenic injury haemorrhage are dif fcult to use and devoid of any complications FALSE © 2004 Surg J R Coll Surg Edinb Irel 2: 6; 360-361
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Develop advanced skills in interpreting and managing healthcare information Contribute to the impact of informatics in healthcare provision MSc, Postgraduate Diploma and individual Continuing Professional Development modules Open to healthcare professionals worldwide Delivered by interactive tutorials, activities and assignments over the Internet, supported by residential sessions in Edinburgh and Bath Over 120 current students, from over 25 different countries
A unique partnership between the Royal College of Surgeons of Edinburgh and University of Bath offers this innovative MSc, providing surgeons, nurses, managers, software engineers, clinical researchers and many other professional groups with the opportunity to develop skills and understanding in this increasingly important sector. For further information and to apply online visit www.healthcare-informatics.info or email [email protected], or contact: Edinburgh +44 131 5273412 or Bath +44 1225 383224
The Royal Colleges of Surgeons of Edinburgh and Ireland
361
How much do healthcare professionals know about informed consent? A Bristol experience A “Gillick-competent” child aged 12: • is defined as a child who has sufficient intelligence to understand the potential complications of a treatment FALSE • cannot have their consent to treatment overidden by a parent TRUE • can have elective surgery against their own will if the parents want it TRUE • should only be operated on in an emergency situation with parental consent FALSE • cannot be operated on without a signed consent form FALSE Regarding the law on Jehovah’s Witnesses and blood transfusion: • If the relative of an unconscious adult produces evidence of a patient’s belief and wish not to receive blood, then it must not be given by law TRUE • A surgeon may not give a transfusion to a child of Jehovah’s Witnesses in an emergency if the parents do not consent FALSE • If a Jehovah’s Witness adult makes an informed decision not to receive blood, this must be adhered to TRUE • If an adult who is not a Jehovah’s Witness makes an informed decision to refuse a blood transfusion, then this does not have to be acted upon FALSE • An adult Jehovah’s Witness may make an advanced statement stating their intent not to receive blood in an emergency in the event that they are unable to communicate. This statement must be honoured TRUE
360
The Royal Colleges of Surgeons of Edinburgh and Ireland
© 2004 Surg J R Coll Surg Edinb Irel 2: 6; 360-361
Daflon for haemorrhoids: A prospective multi-centre observational study Daflon: • Is a flavonoid vasoprotector and phlebotrophic agent TRUE • Cannot be used safely during pregnancy FALSE • Interacts with anticoagulants such as warfarin FALSE • Alleviates most haemorrhoidal symptoms TRUE Treatment options for haemorrhoids include: • Injection sclerotherapy with adrenaline FALSE
Unique Online Postgraduate Programmes in Healthcare Informatics
• Rubber band ligation TRUE • Daflon TRUE • Stapled haemorrhoidectomy TRUE
• • •
A simple technique to control iatrogenic solid organ injury haemorrhage Which of the following statements are true regarding iatrogenic splenic injury:
• •
• The only mechanism of injury is traction FALSE • Rarely occurs other than with left colon surgery FALSE • Always needs a splenectomy FALSE • Splenic preservation is possible in most of the cases TRUE • Splenic auto-transplantation is recommended in all cases FALSE Which of the following statements are false regarding splenic injury haemostasis: • High intensity focused ultrasound (HIFU) has been used to control splenic injury bleeding TRUE • Topical application of brin glue can be used to achieve haemostsis TRUE • Splenic wrapping with polyglactin mesh can be used to repair and control splenic injury haemorrhage TRUE • Simple diathermy is adequate most of the time to control minor bleeding TRUE • Haemostatic agents to control splenic injury haemorrhage are dif fcult to use and devoid of any complications FALSE © 2004 Surg J R Coll Surg Edinb Irel 2: 6; 360-361
•
Develop advanced skills in interpreting and managing healthcare information Contribute to the impact of informatics in healthcare provision MSc, Postgraduate Diploma and individual Continuing Professional Development modules Open to healthcare professionals worldwide Delivered by interactive tutorials, activities and assignments over the Internet, supported by residential sessions in Edinburgh and Bath Over 120 current students, from over 25 different countries
A unique partnership between the Royal College of Surgeons of Edinburgh and University of Bath offers this innovative MSc, providing surgeons, nurses, managers, software engineers, clinical researchers and many other professional groups with the opportunity to develop skills and understanding in this increasingly important sector. For further information and to apply online visit www.healthcare-informatics.info or email [email protected], or contact: Edinburgh +44 131 5273412 or Bath +44 1225 383224
The Royal Colleges of Surgeons of Edinburgh and Ireland
361