Fawzia Corrections

Question 1

Layers spinal needle goes through

Answer 1

Skin
Subcutaneous tissue
Supraspinatus ligament
Interspinous ligament
Ligamentum flavum
Dura mater
Subdural space
Arachnoid mater
Subarachnoid space

Question 2

Bone lesions in MM

Answer 2

Osteolytic

Question 3

Dorsiflexion of foot root

Answer 3

L4 (L3/L4), medial sensory loss, knee reflex lost

Question 4

Dorsiflexion of great toe

Answer 4

L5 (L4/L5), dorsal foot sensory loss, no reflex lost

Question 5

Plantarflexion of foot

Answer 5

S1 (L5/S1), lateral foot loss, ankle reflex lost

Question 6

Annular pancreas

Answer 6

2nd part of duodenum

Question 7

Cause of dark, pigmented gall stones

Answer 7

Unconjugated bilirubin

Question 8

Acidosis bicarbonate level

Answer 8

Decreases

Question 9

Which artery is the most likely additional source of blood supply to the territory of the inferior
mesenteric artery?

Answer 9

Middle colic artery

Question 10

Acute renal transplant rejection cell

Answer 10

T-cell mediated

Question 11

Heart valves and murmurs

Answer 11

APTM DR SS

Question 12

Sepsis SVR

Answer 12

Decreased and CO increased

Question 13

Tracheostomy performed via the
second, third and fourth tracheal rings. Which intervening structure is most likely to
require transection?

Answer 13

Thyroid isthmus

Question 14

Loss of foot eversion and sensation loss?

Answer 14

Superficial peroneal (fibular) nerve and sensation on dorsum of foot

Question 15

Loss of foot dorsiflexion and what sensation loss?

Answer 15

Deep peroneal (fibular) nerve, 1st webspace

Question 16

Why do you using inulin for GFR?

Answer 16

It is filtered and not reabsorbed (note not secreted)

Question 17

Which one of the following
statements is true about the effects and availability of vitamin K?

Answer 17

Affected by resection of terminal ileum

Question 17

What part of the brain is the facial nerve in?

Answer 17

Pons

2,2,4,4, (CMPM, cerebellum, midbrain, pons, medulla)

Question 18

Primary vs secondary hypothyroidisim

Answer 18

Primary - TSH high
Secondary - All parameters low

Question 19

Parotid tumour. A biopsy reveals extensive
perineural invasion.

Answer 19

Adenoid cystic Ca

Question 20

Cardiac muscle

Answer 20

Contraction is triggered by an influx of Ca through the sarcolemma

Question 21

Conus Medullaris

Answer 21

L1/L2

Question 22

What is the
ligament (of the proximal radio-ulnar joint) that holds the radial head in place?

Answer 22

Annular ligament

Question 23

Cardiogenic shock

Answer 23

Reduced stroke volume

Question 24

Opthalamic artery

Answer 24

Comes off internal carotid

Question 25

Dermatome nipple, umbilicus, LA hernia

Answer 25

T4, T10 and L1/T12

Question 26

A diagnosis of varicocele is made. Which vessel is involved?

Answer 26

Testicular vein

Question 27

Subclavian steal syndrome

Answer 27

Stenosis of the subclavian artery proximal to the first branch

Question 28

Post-hernia repair loss of sensation + loss of motor function

Answer 28

Sensation - ilioinguinal Motor - Femoral

Question 29

Trigeminal branches (foramen)

Answer 29

V1 (Opthalmic) - Superior orbital fissure V2 ( Maxillary) - Foramen Rotundum V3 (Mandibular) - Foramen Ovale

Question 30

Anterior to lateral malleolus

Answer 30

SPN

Question 31

Knee reflex root

Answer 31

L4

Question 32

In the popliteal fossa, which of the following structures is closest to the capsule of the knee joint?

Answer 32

Popliteal artery

Question 33

The external inguinal ring is a defect in?

Answer 33

External oblique apopneurosis

Question 34

Granulomatous inflammation on biopsy

Answer 34

Crohn's Disease

Question 35

Crypt formation

Answer 35

UC

Question 36

Fixed and dilated left pupil-. Which of the following accounts for the pupillary signs?

Answer 36

Compression of oculomotor nerve parasympathetic fibres

Question 37

What is the principal cause underlying reduced coronary artery blood flow?

Answer 37

Decreased diastolic interval

Question 38

Lymph + thyroid Ca

Answer 38

Papillary Ca

Question 39

Vomiting ABG

Answer 39

Hypokalaemic alkalosis

Question 40

Which of the following best accounts for the action of the counter current multiplier?

Answer 40

Impermeability to water in thick ascending limb

Question 41

Ileum resection vitamin

Answer 41

Decreased B12+ vit K

Question 41

What is the best prediction for morbidity and mortality after surgery?

Answer 41

FEV <1L

Question 42

Which one of the/following statements is true of the right ventricle?

Answer 42

Is directly related to the diaphragm

Question 43

Which one of the following regarding the anatomy of the ring finger is correct?

Answer 43

Has a cutaneous innervation from the radial nerve

Question 44

The common iliac veins join to form the inferior vena cava at which vertebral level?

Answer 44

L5

Question 45

He has a body mass index (SMI) of 41 and a risk of perioperative hypoxia. Reduction of which of the following volumes or capacities is this risk most likely to be due to?

Answer 45

Functional residual capacity