MRCS A

Question 1

List 3 stimuli that cause release of glucagon

Answer 1

1. low glucose
2. Raised amino acids
3. Raised catecholamines

Question 2

what type of nipple discharge is seen in duct ectasia ?

Answer 2

creamy discharge

Question 3

what are the treatment options for trouble some duct ectasia ?

Answer 3

1. microdochectomy (if young) or total duct excision (if older).

Question 4

Spot diagnosis

Intestinal hamartomas with skin pigmentations

Answer 4

Peutz -Jeghers syndrome

Question 5

which common anaesthetic agent has anti-emetic properties

Answer 5

Propofol

Question 6

which anaesthetic agent is known to cause adrenal suppression ?

Answer 6

Etomidate

Question 7

which common anaesthetic agent has the strongest analgesia properties ?

Answer 7

Ketamine

Question 8

The common femoral originates from what artery ?

Answer 8

External iliac

Question 9

Inferior epigastric vessels are used as landmarks to differentiate direct vs indirect hernias - what artery does the inferior epigastric artery branch off ?

Answer 9

External iliac artery

Question 10

what is the blood supply to the hip ?

Answer 10

Medial circumflex femoral and lateral circumflex femoral arteries (Branches of profunda femoris). Also from the inferior gluteal artery.