eMRCS questions Flashcards

1
Q

Features of Kilippel-Tranaunay syndrome?

A

Port wine stains
Varicose veins - not including long saphenous
Gigantism due to soft tissue and bone hypertrophy
Improperly developed lymphatic system

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2
Q

Features of osteomalacia

A

Low calcium and low phosphate
High ALP

Due to vitamin D deficiency

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3
Q

Triad of felty’s syndrome

A

Rheumatoid disease
Splenomegaly
Neutropaenia

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4
Q

Contents of the deep perineal pouch

A

Urethral sphincter
Transversus perinei
Dorsal nerve of penis - branch of perineal nerve
Deep and dorsal arteries of the penis
Artery to bulb
Urethral artery

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5
Q

which thyroid malignancy are oxyphil cells associated with?

A

Hurthle cell tumour (variant of follicular carcinoma)

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6
Q

What is the lymphatic drainage of the glottis, supraglottis and subglottis?

A

Glottis - none
Supraglottis - deep cervical lymph nodes
Subglottis - prelaryngeal, pretracheal and inferior deep cervical lymph nodes

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7
Q

What hormone causes pancreas to secrete water and electrolytes?

A

Secretin

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8
Q

Which muscle relaxants do not cause histamine release?

A

Vercaronium and suxamethonium as they are not tetrahydroisoquilones

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9
Q

What can be injected IV during neck exploration to help locate the parathyroid glands?

A

Methylene blue

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10
Q

What substance acts as a urinary acid base buffer?

A

Phosphate

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11
Q

How is anatomical dead space measured in the lung? and what gas does it use?

A

Fowler’s method, nitrogen.

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12
Q

Features of hypoklaemia on ECG?

A

Prolonged PR
Small/abscent T waves
ST depression
Long QT
U waves

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13
Q

What causes an increase in anatomical dead space?

A

Standing
Drugs that cause bronchodilation eg adrenaline
Increased lung volumes

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14
Q

What is the lymphatic drainage of the
-tip of the tongue?
-posterior 1/3 of the tongue?
- middle of the tongue?

A

Tip - submental
Posterior 1/3 - deep cervical with early bilateral node metastasis
Middle - predominanaly submandibular if lateral, if more central then could drain directly to deep cervical nodes

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15
Q

Where is most water absorbed in the GI tract?

A

Jejunum

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16
Q

What are the contents of the superficial perineal pouch?

A

Ischiocavernosus muscle
Bulbospongiosus muscle
Superficial transverse perineal muscles
Greater vestibular gland (bartholins)

(Urethral artery
Artery to bulb of vestibule
Scortal arteries)

17
Q

What amino acid does collagen contain?

A

Glycine

18
Q

What is the most common cardiac abnormality in pregnancy

A

Mitral valve stenosis

19
Q

What vertebral level is the phrenic nucleus?

A

C3

20
Q

What forms the spinal processes

A

2 laminae posteriorly

21
Q

What ECG changes are seen in PE?

A

S1Q3T3
Tall R wave in V1
P pulmonale (peaked P waves in II, III and aVF)
TWI V1-V3

22
Q

Where does psoas major originate from?

A

T12-L5

23
Q

Features of MEN 2a

A

Medullary thyroid cancer
Phaeochromocytoma
Mucosal neuroma
Marfanoid appearance

24
Q

Which primary malignancy causes polycythaemia?

A

Renal cell carcinoma
Paraneoplastic syndrome

25
Q

What is the lymphatic drainage of the superficial perineal pouch?

A

Superficial inguinal lymph nodes