Download - MRCS Part a Recall
-
7/24/2019 MRCS Part a Recall
1/32
MRCS Part A 25th jan 2011 : recall
concentrate in clinical anatomy and orthopedic
time is only ur enemy especially in paper 1no calculation no long questions
paper1:
1-tredelenburg sign , which muscle tested!Gluteus medius and minimus
2-fall on out stretch hand result compartment and parathesia on median nerve
distribution, disslocation of lunate.
3-Posterior perforating duodenal ulcer bleeder?gastroduodenal artery
4- loss of sensation on medial aspect of arm , root value T1
5-pt hitten by hard subject in head violent , sagittal sinus
6-muscle of thumb and palm supply by ulnar nerve
7- test pt hand while palm on table he cant touch paper by thumb, lesion of ext polic
8- lymph drainage of cervix, to internal & ext illic
9- pt feel numbness on medial aspect of leg following varicose vein surgery,
saphenous nerve
10-knee joint injury about 4 question
11-structures in deltopectoral fossa during dissection
12-nerve found during operating injuinal hernia
13-nerve injured during submandibular gland surgery (!"#$%&$''(& *+,-+. /0*%1(&.2(,%0*(& 3(*4051&(,6
14-lateral and third ventricle dilated where site of obstruction (Sylvia)
15-PDA formed from which aortic arch in embryo!6tharch
16-blood supply of desending colon
17- nerve supply to anal canal
18- branchs of trigiminal nerve & excit foramen for each one
19-lymph drainage of anal squamous cell carcinoma (Sup Inguinal)
20-gall bladder the most distinct part identified during surgery
-
7/24/2019 MRCS Part a Recall
2/32
21-hip joint movment muscle action in ext. rotation
22-dermatoum of lateral aspect of forarm C6
23-medistinal biopsy
24- hemisection of spinal cord , sensartion modilities loss
25-injury during maxillofascial surgrey lead to loss sensation over ant. 2/3 of tongue
(lingual nerve)
26-fracture of medial epicondyle which muscle of forarm not affected
27-collection of crainal nerves and its actions
28-neck surgery lead to horseness of voice , unilateral recurrnt
29-pt felt pain in calf muscle , the level of vascular occlusion is?
30- pleural tapping in mid axillary line, 7-9th
31-branch of internal iliac and its supply.Superior gluteal nerve supplies
32- epidural Lumbar puncture, structures pierced, level,Post. longitudinalligament
33- during TURB using dithermy stimulate which nerve that cause twitching
34-portal vein formed by union of ? bhind ,
35- pt loss sensation over web space of big toe, which nerve affected (Deep Fibular?)
36- sternocledomastoid mass in the middle
37- man with groin mass
38- baby with inguinal mass
39-player injury ,Anterior cruciate ligament prevents Ant. dislocation of tibia,
40- coronary circulation
41-surounding testis tunica albuginea
42-fall from horse injury to structure behind Scalenus anterior.
43- Ovale Transmits Mandibular Nerve,Rotundum Transmits Maxillary Nerve
44- sprinting duirng playing football --> pain and post of the thigh. later severe pain
-
7/24/2019 MRCS Part a Recall
3/32
and the lat side of the knee. unable to extend knee dt pain. what is the tendon being
involve?
--> tendon of biceps femoris
45-a knife penetrate the left of the sternal angle fthe rib with pt normal air entery ,
tachycardic,
46-IN surgical ICU, with flial chest intubated pt develop breathelessness need
increase ventalation pressure ,o2 drop to 70% . what is the most common cause
47- vitamin play role in ,, A , B12
48- extracellular fluid osmolality equal to osmolarity in which part of tubule loop of
Henle in pt taken lasix?
49-Angiotensin II, pt with sec HTN taken enlapril
50- TSH, T4, T3 level in gravies , ttt recurennce hyperthyroidism taken thyroxin, in
hashimioto in medullary cell carcinoma
51-protein c deficinancy affect factor and cycle of coagulation
MRCS part A 8 Jan 13
some of the questions:
1- Supination of the arm --> C6
2- Claw hand --> T1 lesion
3- what effect of ulnar nerve injury on the thumb movement --> loss of
adduction
4- Left line of the heart on CXR what does it belong to (Rt Atrium, Rt
ventricle, Lt atrium or ventricle)?
5-Stap injury to Rt side lateral to the sternum what will injure
(Hemizygus v., IVC, Rt atrium, Rt ventricle)6- Lung function in COPD --> reduced RV (I think this is the correct
answer)
7- Which mucle affected in the 4th cranial n injury to the eye, patient
can't look down specially on coming down the stairs. can't remember
8- patient on warfarin what will it disturb --> 2, 7, 9, 10
9- Most common cause of OM in children --> H Influenza (not sure)
10- Lyning of the bladder!transitional
11- Most common cause of mesenteric ischemia --> embolism
12- In pancreatitis necrosis happen due to (lipase or amylase or otherenzymes)? is it Lipase
-
7/24/2019 MRCS Part a Recall
4/32
13- Chiled spine level for LP!below L2/3
14- Lost sensation side of tongue what nerve!lingual(Trigeminal)
15- numb lower lip after tooth extraction what nerve!inferior alveolar
nerve
16- normal anion gap acidosis (don't remember rest of question butcouldn't find renal a stenosis or pancreatic fistula among the answers)
17- Child with symptoms of inguinal hernia when at school only ? reason
(Gubernaculum, or the other embriological structures for the development
in this area)
18- on repairing the inguinal hernia which muscle is disected?
19- Chushings response --> increased BP, increases RR low HR but did
not mention the pulse pressure
20-few about tumor markers can't remember
21- fluids for burns?22- polyps in a rectum of someone with spots around the mouth mostly
Peut Jughers what type of polyps --> ? adenomatous
23- Antiphospholipid
24- wound healing
25- acute inflammation --> neutophils
26- COPD --> chronic Resp acidosis
27-fluid over load vs PE cant remember the question
28- the local effect of Lidocaine when injected
29-Chap with head injury GCS 15 initially then 11 with dilated pupil ?
site of injury.
30- GCS score, moaning, pointing at pain, opening eyes to pain
31- latix allergy --> type I
32- What other matching is improtant in transplant apart from ABO --> I
wrote HLA DR not sure if Rhesus
33- which tendon posterior to lateral maleolus --> Perneous (fibular)
longus
34- N. injury lost dorsiflexion and lost sensation over first toe web -->
deep fibular nerve injury
35-femoral ring medially--> lacunar ligament36- lost sensation lateral leg what is the mechanism of injury --> tibial
fracture (sural n) others were not related or very high or low
37- A registrar PR a patient 4 cm he felt something laterally what
anatomical stucture is it?
38-Hassall cells --> thymus
39- what is anterior to renal artery --> renal v
40- on opening the poplitial fossa what is the first structure --> tibial n.
41- lymphatic drainage of the scrotum--> superficial inguinal LN
42- Lymphatic drainage of the tetsticles --> Lumbar paraortic LN43- Anterior surface of the hear --> ? Rt atrium
-
7/24/2019 MRCS Part a Recall
5/32
44- Transpyloric plane --> L1
45- where is the commonest site for collection of fluid in the abdo after
perf. appendix.
46- lateral posterior approach operation to fix radial head fracture what
nerve injured on loosing sensation medial part of hand +/- little and ringfingers movements --> Ulnar n injury
47- Renin product --> Angiotensin I
48- Stomas --> End colostomy, or others including Hartman's
49-Increased ACTH after trauma
50-Anal Ca--> Human papiloma V
51-EBV --> lymphoma
52-factors that increase gastric acidity --> vagal stimulation, Gastrin,
Histamin
53-Factor that help Gastrin --> Histamine54-Dark GB stones on opening the GB --> ? Bile salts
55-Type of cell change in Barret's -> metaplasia Squamous!columnar
56-patient with winging scapula --> Serratus ant. muscle
few questions
1.ear discharge with 40db hearing loss- cholesteatoma
2.ear pain relieved after discharge coming from ear- AOM
3.ear discharge with long standing itching around ear
4.discharge from sinus anterior to tragus in a child -> Otitis externa5.inv. of choice in a man with thyroid nodule - FNAC
6.treatment of medullary carc. of thyroid - total thyroidectomy
7.treatment in man with pappilary carc. of thyroid of less than 0.5cms
with no lymphnodes - hemithyroidectomy
8.treatment of upper ureteric obstruction with .07mm stone and
hydronephrosis and fever
9.treatment of 1cm ureteric stone with no hydronephrosis- ESWL
10.bloody discharge from single duct of breast - pappiloma
11.creamy discharge with no cytology - duct ectasia12.patient on warfarin with few atypical cells on aspiration of breast cyst
13.young female with no mass or cyst but discomfort -?fibroadenos
14. tethewring of breast skin- carcinoma
15.fibroadenoma
16.child with pathological # of femoral shaft with abdo. pain and mass
17.child with skin nodule and brown spots with similar history in sibling -
neurofibroma
18.soft swellin at back with rubbing at exam preparations strap - lipome
19.one on infected sebaceous cyst20.diabetic with loss of sensation on dorsum of foot with pulsation felt in
-
7/24/2019 MRCS Part a Recall
6/32
the same limb -neuropathy
21.pfannensteil incision
22.upper midline abdo. incision
23.rheumatoid lady day1 postop with hypotension and low sodium and
high pottasium with long term steroids - adrenal insufficiency24.hoarse voice after carotid enarterctomy
25.epispadiasis
26.5weeks history of liver failure with raised inr and deranged lfts
27.osteomyelitis in sickle cell anaemia
28.infection from eating watercresses
29.child with pruritis ani
30.lactating mother with big cyst -galactocele
31.presenting feature for left side ca. colon
32.26yr. female with sudden collapse and pain to right shoulder -ruptured ectopic/ovarian cyst torsion
few more questions
1.rupture of FDP
2.child with elbow fracture - median nerve
3.child with haemarthrosis and similar family history- haemophilia
4.head injury with dilated pupils -parasympathetic/sympathetic damage
5.postop long term nutrition in pt. with jejunum of 5cms _ total parenteralnutrition or some fortified diet
6.post op nutrition for oesiphagectomy patient
7.post head injury pt. nutrition
8.penile cancer with multiple small wart like lesions
9.21 year old caucasian with splenomegaly - infectious mononucleosis
10.19 year caucasian girl with gall stones -spherocytosis
11.most common cause of mesentric infarction -
embolism/thrombosis/venous thrombosis
12.right gastroepiploic artery is a branch of GDA
1.post op fluid replacement -2litres dext. with 1litre saline
2.problem with basilar artery obstruction - visual problems
3.perianal abscess treatment - incision
4.first treatment for acute fissure -medical treatment
5.non reducible piles- haemmorhoidectomy
6.thromboprophylaxis in pt. with h/o cancer has undergone joint
replacement
7.thromboprophylaxis in pt. with PVD has gone AK amputation
-
7/24/2019 MRCS Part a Recall
7/32
8.antibodies to which cells in pernicious anaemia
9.good prognosis in ca. breast -her2 receptor absence/oestrogen +/---
10.acute rejection in transplantation- t cells
11.endocarditis in lady with very old mitral valve replacement which
organism!Strep12.changes in osteoarthritis- cyst,erosion of cartilage,fibrosis
13.development dysplasia of hip
14.slipped subcapital femoral epiphysis
15.effect of moderate exercise on alveolar Po2 & Pco2
16.effect of pulmonary embolism on alveolar Po2 & Pco2
17.effect of rest on alveolar Po2 & Pco2
18.brown sequard syndrome leads to
19.50 yr. old with new malabsorbtion - ?adult onset coeliac disease
20.patient with vomiting tell his electrolyte changes21.what you feel posterolaterally on PR examination
22.electrolyte change in patient with diarrhoea and soft mass on PR exam
23.nerve supplying adductors is stimulated during TURP -
OBTURATOR NERVE
24.level of conus medullaris in child -L 2/3
25.foreign body lands in which bronchus -right inferior
26.parasternal R side penetrating chest wound will damage what
27.spinal artery damaged in repair of thoracic aorta
28.tibia sagging behind on lateral xray of knee - PCL tear
29.footballer with knee injury with valgus stress test +ve and minimal
knee effusion- MCL injury
30.effect of osteoporosis on calcium level in blood
31.immediate treatment of hypercalcemia - iv fluids
32.patient with refractory hypertension - VMA levels increased
33.5yr. survival in dikes B cancer - 70 %
few more to go
1.old man with absent pulses distal to femoral with ulcer over calf-
arterial ischaemia
2.old lady with ulcer over medial malleolus and staining of skin around it
- DVT
3.artery causing ischaemia of colon beyond splenic flexure - anterior
branch of aorta arising at L3
4.decreased urine output 12 hours after surgery- cortisol or vasopressin
5.best to measure GFR - inulin
6.child comes back to # clinic with wrist pain after 1week as he was
cleared of any lower end radius fracture- scaphoid fracture
-
7/24/2019 MRCS Part a Recall
8/32
7.testicular pain after vasectomy-sperm granuloma /spermatocele
8.lady with progressing jaundice over 3months and weight loss- ca.
pancreas
9.treatment for localised ca. pancreas-pancreatoduodenectomy
10.treatment for grade 4 ca. pancreas- endoscopic stenting or MRIstenting
11.nerve supply of sternocleidomastoid-accesor spinal
12.dysphagia with no relaxation at all of lower esophageal sphincter on
manometric studies
13.progressive dysphagia with history of gastroesophageal reflux for 3-4
years
14.neck abscess in adult with tonsil and uvula moved to centre
15.neck abscess in child with drooling and difficulty in moving neck
16.27 yr. old with testicular swelling- carcinoma17.80yr old with scrotal swelling from groin not transilluminating-
inguinal hernia
18.patient died after discharged from ED after road accident with
treatment for chest pain - rupture aorta
19.continuation of pericardioperitoneal cavities in child.give diagnosis
20.10 yr. old h/o nidtarsal fracture comes with pain in midfoot-
osteoarthritis
Few more questions
1.how to identify C-2 vertebra on X-ray
2.porcine skin graft
3.allograft
4.kidney transplant from identical twin- isograft
5.skin grafting - autograft
6.hodgkins with worse prognosis
7.paraneoplastic syndrome secreting ACTH
A 65 year old man is admitted for a below knee amputation. He is taking
digoxin. Clinically the patient has an irregularly irregular pulse. What
would you expect to see when you examine the jugular venous pressure?
Answer abscent a wave
Jugular venous pressure
Absent a waves = Atrial fibrillation
-
7/24/2019 MRCS Part a Recall
9/32
Large a waves = Any cause of right ventricular hypertrophy, tricuspid
stenosis
Cannon waves (extra large a waves) = Complete heart block
Prominent v waves = Tricuspid regurgitation
Slow y descent = Tricuspid stenosis, right atrial myxomaSteep y descent = Right ventricular failure, constrictive pericarditis,
tricuspid regurgitation
A 43 year old man presents with haemoptysis and is diagnosed as having
tuberculosis. Which of the cell types listed below will usually internalise
the tubercule bacullis?
Answer : Macrophages
Questions from paper 2 Part A 8 Jan 13
1- Organism for Hydatid liver disease --> Echinococcus
2- Pruritis ani in a child --> Enterobious Vermicularis
3- Mother and her children with pruritis ani was diagnosed wrongly by
GP --> ? salmonilla
4- fibroadenoma
5- creamy nipple discharge6- Galactocele
7- bone lesion and fracture in a child ? Osteoid sarcoma
8- Primary sclerosing cholangitis in a patient with UC
9- Gilbert Syndrome
10- localised pancreatic Ca with no spread --> ? local excision
11- pancreatic Ca with liver mets--> ? pancreaticodudenectomy and
removal of any obvious tumor
12- Calcitonin --> Medullary Ca --> treatment Total thyridectomy
13- well capsulated papillary Ca in one lope --> I answered totalthyridectomy but was not sure if the correct answer is Hemi
14- Raised Ca, raised Alk phosphate and low Phosphate --> Pri
Hyperparathyroidism
15- low TSH and raised T3 AND T4 --> Pri Hyperthyroidism
16- child with dislocated elbow --> signs of ulnar nerve injury
17- Direct inguinal hernia
18- Spighelian hernia
19- Knee injury --> medical collateral ligament injury
20- Knee injury --> PCL
21- Child with nasal bleed and other symptoms --> naso-something tumor
-
7/24/2019 MRCS Part a Recall
10/32
22- ear infection --> AOM
23- Kidney stone 7mm in the ureter --> ? Uretri=olithiotomy (not sure)
24- kidney stone in the PUJ --> wave distruction
25- sigmoid valvulous
26- bloody diarrohea, with anal fistula --> Crohn's/UC27- Lt abdo pain, chronic --> what type of stool ? dark blood
28- Child with symptom of intussusseption --> Jelly stool
29- Lady with calcium 3.7 initial managment --> IV fluids I wrote
Bisphosphonate which is usually the treament when Ca >3 BUT I think I
am wrong it is not the initial treatment, fluids first if not improved give
Bis
30- po op hoarsness of voice which nerve (recurrent laryngial nerve not
among the answers) ? Vagal
31- Patient for sigmoid colectomy what post op anticoag prophylaxis -->LMWH + stockings?
32- below knee amputation for gangreen got worse after operation and
extended --> ? infection
33- after amputation distal leg got swollen ?
34- patient with IHD and peripheral vaascular disease what anticoag
prophylaxis--> ? LMWH only ?
MRCS Exam 11/09/2012 mcqs
Questions I can recall:
pt with high Ca and high pth...primary hyperthyroidism
which muscle initiates abduction of shoulder...supraspinatus
which structure will be in left 5th intercostal space...right ventricle
principle support of uterus... transverse muscles/facia
in elbow brachial art relation to median n...lat
which process enhances ingestion of bacterias...opsonisation
after splenectomy...leucocytosisanatomical snuffbox border...apb
one question with nerve injuries...answers were ulnar and another with
low trunk brachial plexus inj
lymph drainage of scrotum, testes and prostate
testicular swelling in children...epidydimal cyst, torsion of morgagni,
hydrocele, seminoma, idiopatic scrotal swelling
medullary thyroid ca...calcitonin
thyroid test interpretationfor thyrotoxicosis, hypothyroidism, medullary
ca, pt after thyroidectomy with and without suspection of mts
pt with high co2, high bicarbonate, low o2
-
7/24/2019 MRCS Part a Recall
11/32
another question about spinal problems...one was disc prolapse, spina
biffida occulta, ankylosing spondilytis
few questions regarding s1 dermotome
pt with
pancreatic tumours...answers were insulinoma, glucagonomain pheochromacytoma...vanillilmandelic acid in urine
skin lesions...seborrhoic keratosis, dermatofibroma, few others cannot
recall
one with reynauds fenomenon
breast lesions...duct ectasy, subareolar abscess, ductal ca, pagets
child with walkig problems...development dysplasia, slipped upper
femoral epiphysis, septic arthritis
pt after laparoscopic cholecyctectomy with bile leaking from drain dg andanother one with pancreatic head ca who failed ercp next stage of mg
antibiotic prophylaxis questions cannot recall exactly but one was gas
gangrene
pathogen responsible for process again few questions one was surgeon
after working with clean wound, perianal lesion, insect bite
opposite of relative risk.,.... numbers needed to -treat
-sensitivity
- DDH..-SCFE
-SEPTIC Arthritis
-perthes
-NERVE supply of pernieum
-pulmonary artery branchial arch
-nucleolus pulposes causing disc prolapse
-pt with stiff back and limited expansion.... anklyosing spondilitis
- p with prominent sacrum spondylolithesis
-stupid question about blood groups-MCL
-mm tear
lumber puncture - 1st structure
femoral blood sampling land mark
compartment syndrome
hip extensor
-
7/24/2019 MRCS Part a Recall
12/32
the last emq regarding men with gynaecomastia. dg
function of iliopsoas..
which structure will be injured during chest drainage through 5th
intercostal on midaxillary line..
which nerve is in the posterior triangle of the neck...spinal accessorynerve was the answer
transpyloric plane level...l1
pt with loss of anal tone with conus medullaris compression which
dermatome will be affected...s2 s3 s4
3questions on gcs calculation...one was no motor no sensor no verbal so
answer was 3. another one 14.
questions regarding ankle brachial pressure...the db one was the one >1
ulcers and arterial ds 0,2 chronic venous ischaemia 0.7 and one more
can't recallone q regarding assosiations of polyarteriitis nodosa...
question about sinoatrial node
another one which structure can be auscultated on 2nd spaceleft sternal
border...pulmonary valve
A 10 year old boy is with symptoms of right knee pain. for the past 3
months and the pain typically lasts for several hours. On examination he
walks with an antalgic gait and has apparent right leg shorteningPerthes
structure medial to femoral hernia
Lacunar lig
MRCS 2012 sept part A
part a paper 2
patient travel to zembabwi fever nausea
patient underwent op possibly decrease immunity
+ pneumonitis
options
CMV
-
7/24/2019 MRCS Part a Recall
13/32
h B v
c
d
ahiv
if u know answer?
7$3+ *+1,$ 899993(* :0;< '$3+ +"+ '0%* = >0#&$#0(99$?+ @,4 * A;< BC #(&'" :0;< D$,+
-
7/24/2019 MRCS Part a Recall
14/32
V= ]J D$, E
-
7/24/2019 MRCS Part a Recall
15/32
Oi 2+;Y] K2*4
@^= L U1+';0$* ]+E1,,+*; [+(I*+''. 7144+* `(&& >$:* P1; C$ /$'' MDB$*E+$1'*+''9 E(;(#&+J"@_= M*+ B('+ M&4 L%+ P1; Q,+'+*;+4 /0I+ 2' +"+ '810*;@A= +&4+, D+3(&+ :0;< '10E04+ (;;+3#;e +35(,(''+4 (D;+, '13 3+40E(&0*;+,-+*;0$*e
-
7/24/2019 MRCS Part a Recall
16/32
__= Y1,*+, 7"*4$3+ NR*;+';0*(& M5';,1E;0$*KK R*;1''1'?B,$'
_A= Q0;h k1%(, '9 L>_F= R*D&(3(;$," 5$:+& ' 0*-+'; 9999B9,#_a= 2+;((*(&"'0'9999`$,+'; S,(#
-
7/24/2019 MRCS Part a Recall
17/32
WG= `(E+ 4+'+('+ ';(;0';0E #(0,+4 ; ;+';WV= R*;+*;0$* Y$ Y,+(;9 L&& R*E&14+4WO= 2+;+(;< 9/$*% U; 7"*4,$3+W@= 7E+D0*(;+Y,+(;3+*; b-(%(& 3(*$-+, $, D&+E(0*04+VVO= /"3+ >' Y,+(;3+*; Q+*0E0&&0*+ L&&+,%"9>$J"E"VV@= B'D D0*40*% X0(& 2+*0*%0;0'VV^= B(1'+ MD [04+ U,' >1,0*% \J+,E0'+ Y+';9 R* [#: 7"*4,$3+9K R*E,+('+]+D,(E;$," MD LEE+''$," Q(;
-
7/24/2019 MRCS Part a Recall
18/32
VVW= LE1;+ 2(*0(999&0;+-+&$#' L54$30*(& Q(0* `$&&$:+4 P" /$E L*4 >+-+&$#+' /0#73(EI0*% L*4 7;(,0*% [
-
7/24/2019 MRCS Part a Recall
19/32
V^W= Q1&3 \359BYQLV_G= P1,I0;;' &"3#
-
7/24/2019 MRCS Part a Recall
20/32
VFW= B$3#&+;+
-
7/24/2019 MRCS Part a Recall
21/32
17. Intussuception
18. Juvenile rectal polyp
19. Anal fissure
20. Inflammatory bowel disease
21. Unilateral cleft lip.maxillary process and median nasal process22. Posterior urethral valves
23. Urethral stricture
24. Bladder cancer
25. Proteus.renal stone
26. Glomerulonephritis
27. Pre renal failure
28. 75 kg, 22% burns5 to 7 L/24 hours electrolyte containing fluid
29. 85 kg, 19% burns5 to 7 l/24 hours electrolyte containg fluid
30. Full thickness bur..split thickness graft31. Basal cell ca.advancement flap
32. Wound debridement and closure
33. Wound debridement and secondary intention healing
34. Necrositing fasciitis
35. Hirudinitis suppurativa
36. Clostridial myonecrosis
37. Serum calcium high, phoapous high, pth high, renal
failure..Teritiary hyperparathyroidism
38. Pth function.activation of 1,25 hydroxy calciferol
39. Conn syndrome.hypervolumia
40. Adrenal 1.5 cm mass.nonfunctioning adrenal adenoma
41. Lactic acidanaerobic glycolysis
42. Metabolic alkalosis..nasogastric aspirate
43. Metabolic acidosis.DKA
44. COPD. Respiratory acidosis
45. COPD.respiratory acidosis
46. COPD..type 2 respiratory failure
47. Pulmonary embolism.respiratory alkalosis
48. Increased fev1 and fvcCOPD/asthma/fibrosingalveolitis/bronchiectasis/pte
49. Lung volume on spirometry Maximum inspiration to maximum
expirationMaximum voluntary ventilation
50. During CPB, axillary artery exposurestructure not seenaxillary
lymphnoodes/
51. Left internal thoracic artery branch of subclavian artery..immediate
branch at origin
52. Hemopneumothorax drainage5th ics mid axillary line
53. Pericardial tamponade drainage..no answer54. Type of lung cancer in heavy smoker, hilar mass, massive mediastinal
-
7/24/2019 MRCS Part a Recall
22/32
nodal mass, histologically.small cell ca
55. Chronic smoker.bronchial metaplasisreversible nonstratified
squamous epithelium
56. Peutz jaughers syndrome
57. Familial adenomatous polyposis58. Colonic polyp is due
to..apoptosis/calcification/degeneration/metaplasia/dysplasia
59. Testicular mass, normal tumor markers, histology.classic
seminoma
60. Testicular injury, painless testicular mass, left supraclavicular
node..seminoma
61. Brest cancer tumor markerno answer
62. Testicular malignant teratoma tumor markerafp
63. Metastatic colon cancer tumor marker..cea64. Hepatocellular cancerafp
65. Rectal cancer 11 cm from anal verge.anterior resection
66. Peritonitis due to perfoarated diverticular disease.hartman
operation
67. Testicular descentgobernaculam
68. Testicular torsion
69. Neonatal hydrocele.processus vaginalis
70. Anal intra epithelial neoplasia
71. Cancer at anal verge.inguinal lymphnodes
72. Aortic aneurysm near SMA pushing LRV
9 RB> 0*'+,;0$* '0;+9 3(* :0;<
-
7/24/2019 MRCS Part a Recall
23/32
&('; A3$*;$##&+, 0* -(,0$1' ;"#+' $D -+,0E$'+ -+0*' ^;
-
7/24/2019 MRCS Part a Recall
24/32
9 Q,$;+1' 0*D+E;0$* 0* 1,0*+ :0'#*$+(. ;(E
-
7/24/2019 MRCS Part a Recall
25/32
999 BY? BQQK9 2$,#
-
7/24/2019 MRCS Part a Recall
26/32
9 ]+*(& -+0* &;= '04+ :0&& $5';(E&+4 5" $*+ $D ;
-
7/24/2019 MRCS Part a Recall
27/32
*+,-+ 0*-$&-+4K
9 7k$%,+*' '"*4,$3+. #&+$3$,#
-
7/24/2019 MRCS Part a Recall
28/32
9 [
-
7/24/2019 MRCS Part a Recall
29/32
$+'$#
-
7/24/2019 MRCS Part a Recall
30/32
hge
11-artery involved with patient coming with leg weakness: ? ACA
12- tendon involved in anatomical snuff box: extensor pollicis brevis
13- Patient with enlarged lateral and 3rd ventricles: stenosis at aquecuct
of Sylvius.14- Thyroid carcinoma with cervical LNs metastasis: papillary thyroid
CA.
15- Intracranial bleeding with unilateral dilated fixed pupil: trantentorial
herniation.
16- Deprssed skull fracture at vertex, which vein involved : SSS
17- Nerve injured in posterior triangle of the neck: spinal accessory N.
18- Golf player had blow to the face, probable EO muscle injury, which
investigation: US
19- Inhaled FB, where it will settle: right lower lobe20- Nerves supplying anal sphincter: S2,3,4
21- Catheterizing a male, what is the tightest part: membranous urethra
22- perinural parotid tumour: ?pleomorphic adenoma
23- Slim tall pregnant lady with chest pain: ? aortic dissection (probable
Marfan syndrome)
24- prgnant lady with shock: ? acute massive PE
25- pregnant lady with pleuritic chest pain, haemoptysis: ? pulmonary
infarction
26- 19 years old boy post appendecectomy, poor UOP: 500 mls gelo
27- Post stroke gentleman, day 7, not eating: consider PEG tube
28- daily requirment post op patient: 1 L saline+ 1.5 L hartmann's
29- 45 years old gentlema, known Barrett's oes, high grade dysplasia : ?
for oesophagectomy
30- Advanced Ca oes with solitar liver met:? stent
31- A lady with known iron defeciency and dysphagia oes varices
32- young lady, chest pain, normal ECG and enzymes: oes spasm
33- Newborn, respiratory distress, trachea shifted, displaced cardiac apex:
? congenital diaphragmatic hernia
34-Newborn, cyanotic, improves with crying: ? subglottic stenosis35- Newborn, unable to pass NG, air in stomach: congenital oes atresia
with tracheo-oes fistula.
36- embryonic origin of right and left pul arteries.
37- Tumour marker for medullary thyroid CA: calcitonin
38- Tumour marker for pheochromocytoma: VMA
39- Prolonged constipation, LIF pain, fever: diverticulitis
40- Drug used in ITU , important in septic shock: noradrenaline
41- Post thyroidectomy teacher, unable to sing: unilateral external
laryngeal N injury42- Vomitting, abdo pain, swelling at reversal of colostomy site:
-
7/24/2019 MRCS Part a Recall
31/32
obstructed incisional hernia
43- Pfannenstiel incision, which layer divided: ? rectus sheath
44- Upper midline incision, which layer divided: linea alba
45- Bullet going through junction of linea semilunaris and costal margin
on right side, which structure injured: GB46- Structure at medial part of femoral ring: lacunar lig
47- pu;sating neck swelling, confirmed by angio: carotid a aneurysm
48- Enlarged tender liver, multiple lesions, calcification: ? hydatid
disease
49- 11 years old child, painful scrotal 3 mm swelling, separated from
testis: torsion hydatid of Morgagni
50- Man acute scrotum, oedematous, tender hemiscrotum: ? testicular
torsion
51- big painless scrotal swelling: hydrocele52- painless swelling above testis: ?epidydimal cyst
53- 26 years old male, rapidly growing swelling within testis: ? testicular
tumor
54- site of ectopic testis: ? base of penis
55- footballer with twisting injury and tenderness just proximal to medial
part of knee joint: ? medial collateral lig injury
56- structure felt in PV anteriorly at level fo cervix:? dome of bladder/ ?
base of bladder
57- Artery injured in upper chest wall below clavicle: ? thoracoacromial
a.
V97;,1E;1,+ &0(5&+ ;$ 0*k1," 41,0*% D051&+E;$3"e K#+,$*+(& (,;+,"O9 ]+E$#,0E(& $D (5'$&1;+ ,0'Ie K*135+, *++4+4 ;$ ;,+(;@9 7+*'0;0-0;" 4+D0*0;0$*^9 >0DD+,+*E+ 5+;:++* E$*;,$& (*4 +J#+,03+*;e K(5'$&1;+ ,0'I_9 Y"#+ $D D,(E;1,+ 0* E
-
7/24/2019 MRCS Part a Recall
32/32
V@9 Q$'; ;