MRCS Part a Recall

7/24/2019 MRCS Part a Recall

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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


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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


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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


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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


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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


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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


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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


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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


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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


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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


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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


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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


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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


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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

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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:


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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.

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MRCS Part a Recall

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