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MRCS Past Questions Knowledge > Examinations > Flashcards

Examinations Flashcards

1
Q

Bitemporal hemianopia DDx?

A

Pituitary adenoma
Meningioma
Cranipharyngioma
Mets

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2
Q

Investigations of bitemporal hemianopia?

A

MRI

Prolactin, GH, LH, FSH, ACTH

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3
Q

Management of pituitary ademona?

A

Hormone replacements
Bromocriptine- dopamine agonist
Trans sphenoid surgery

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4
Q

Difference between neuro claudication and vascular claudicaiton

A

Spinal cord stenosis- narrowing of neural foramina- neuro signs/sympts
Better on sitting down
Vascular claudication- more signs

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5
Q

Investigation for nerve palsy?

A

Electromyography

Nerve conduction studies

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6
Q

What food increases salivation?

A

Lemon drops

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7
Q

What nerves associated with submandibular gland?

A

Lingual, Hypoglossal and marginal mandibular nerve

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8
Q

Goitre DDx?

A

Hypothyroid- Hashimotos, iodine deficiency

Hyperthyroid- graves, multinodular toxic, Cancer, adenoma

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9
Q

Pacemaker indication?

A

SAN dsyfunction
AV block
Bundle branch block

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10
Q

What is the classification of diverticulitis?

A 
Hinchley's
1- pericolic inflammation, abscess <4cm
2- pericolic abscess >4cm
3- Peritonitis purulent
4- faeculent peritonitis
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11
Q

Management of hydrocele?

A 
Scrotal support
Cancer?
Sponteaneous resolution
If persistent/large
Then Lord's vs Jaboulay's plication
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12
Q

Pre op considerations for mechanical heart valve?

A

Pre op work up, echo, cardio
Bridging anticoag
Abx on induction
ECG

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13
Q

Conductive hearing loss DDx

A

Outer ear- otitis externa, ear wax
Inner ear- otitis media with effusion, otoslcerosis, trauma leading to haemotypmanum, tympanic membrane perf
Post nasal epistaxsis up via eustachian tube, cholestoma

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14
Q

Treatment of dupytren’s?

A 
MDT
Physio
Change of habits
Steroid/collagenase
Fasciotomy +- grafting
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15
Q

Causes of hypothyroidism?

A 
Hashimoto's
Sub acute
Iodine deficiency
Iatrogenic- throidectomy/carbimazole/radioiodine
Pituitary/hypothalamic disease
Post partum
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16
Q

Finasteride MOA?

A

5-alpha reductase inhibitor

Prevents conversion of testosterone to dihydrotesterone

17
Q

Surface anatomy of liver?

A

5th intercostal space mid clavicular lines- nipple to nipple

Down to 8-10th intercostal space right mid clavicular line

MRCS Past Questions Knowledge (6 decks)

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