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MRCS Mageed Sheet > MRCS Recalls Jan 2017 (Part 1) > Flashcards

MRCS Recalls Jan 2017 (Part 1) Flashcards

1
Q
  1. An elderly man has bilateral femur shaft fracture underwent fixation, intra-operative blood loss was 800ml, after 1-hour post op he became tachypneic and then arrested. What is the most likely cause?
    A. Fat embolism
    B. Tension pneumothorax
    C. Pulmonary embolism
    D. Acute left ventricular failure
    E. None of the above
A

A. Fat embolism

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2
Q
  1. A 32 years old patient came at A& E with swelling and pain at mid-thigh. On examination, his foot is externally rotated with absent dorsalis pedis pulse. What is the most likely cause?
    A. Anterior hip dislocation
    B. Posterior hip dislocation
    C. Fracture neck of femur
    D. Fracture femoral shaft
    E. None of the above
A

D. Fracture femoral shaft

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3
Q
  1. A 54 years old man was hit on his left knee. He developed knee swelling immediately with positive anterior drawer test. Aspiration was done few days later & revealed blood. What is the most likely cause?
    A. Meniscal tear
    B. Medial collateral ligament injury
    C. Lateral collateral ligament injury
    D. Anterior cruciate ligament injury
    E. Posterior cruciate ligament injury
A

D. Anterior cruciate ligament injury

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4
Q
  1. A 23 years old athlete sustained a twisting knee injury during a game. He was prescribed medical treatment and rest for 4 weeks. After 4 weeks, he returned to play and got injured again. Now his knee is swollen and painful with loss of ability to extension. MRI would show:
    A. Meniscal tear
    B. Medial collateral ligament injury
    C. Lateral collateral ligament injury
    D. Anterior cruciate ligament injury
    E. Posterior cruciate ligament injury
A

A. Meniscal tear

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5
Q
  1. Following a pelvic surgery, a 51 years old patient developed numbness over the medial side of thigh. What is the most likely affected nerve?
    A. Femoral nerve
    B. Common peroneal nerve
    C. Sciatic nerve
    D. Obturator nerve
    E. None of the above
A

D. Obturator nerve

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6
Q
  1. A 12 years old boy was playing on his bicycle when he presents to his mother with a severe pain in his scrotum. On examination, his left testis was normal, but the right one was not felt. What is the best next step?
    A. U/S
    B. Immediate exploration
    C. Pain killer
    D. Duplex
    E. Aspiration
A

B. Immediate exploration

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7
Q
  1. A surgeon is making an incision from a point below to the middle third of the clavicle to the delto-pectoral groove. Which of the following structures is least likely to be injured ?
    A. Shoulder joint capsule.
    B. Pectoralis major muscle .
    C. Cephalic vein
    D. Thoracoacromial artery
    E. None of the above
A

A. Shoulder joint capsule.

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8
Q
  1. A 70-year-old man presents to his general practitioner with back pain that has been worsening over the last six weeks. He also complains of slow urinary flow. Digital rectal examination reveals an irregular hard prostate. Prostate specific antigen is 300 ng/ml (normal <4). What should the first line of treatment be
    A. Bladder neck incision
    B. Hormonal manipulation
    C. Radical prostatectomy
    D. Transurethral resection of prostate
    E. Watchful waiting
A

B. Hormonal manipulation

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9
Q
  1. A 23 years old patient was admitted after falling on his outstretched hand. His examination revealed that his thumb is extended and adducted with lost other thumb movements. What is the most accepted cause of this injury?
    A. Hook of hamate fracture
    B. Distal radial fracture
    C. Lunate dislocation.
    D. Scaphoid fracture
    E. Montagea fracture
A

C. Lunate dislocation.

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10
Q
  1. A 25 years old man presented with a shiny tense palm skin after a displaced wrist fracture. What is the most likely cause?
    A. Regional pain syndrome
    B. Carpal tunnel syndrome
    C. Dupuytrens contracture
    D. Hemarthrosis
    E. Malunion
A

A. Regional pain syndrome

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11
Q
  1. Cuboid bone articulates with which bones anteriorly?
    A. 4th metatarsal only
    B. Navicular
    C. 4th and 5th metatarsals
    D. 3rd and 4th metatarsals
    E. 2nd and 3rd metatarsals
A

C. 4th and 5th metatarsals

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12
Q
  1. A patient presented with medial side of leg numbness following stripping for varicose veins. Which one is the mostly affected nerve?
    A. Saphenous nerve.
    B. Sural nerve
    C. Femoral nerve
    D. Tibial nerve
    E. Superficial peroneal nerve
A

A. Saphenous nerve.

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13
Q
  1. A man presented with Loss of foot eversion associated with foot drop after a tibial fracture fixation. Which of the following nerves would be responsible?
    A. Sciatic nerve.
    B. Superficial peroneal nerve
    C. Deep peroneal nerve
    D. Tibial nerve
    E. Common peroneal nerve
A

E. Common peroneal nerve

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14
Q
  1. A 55-year-old man complains of long-standing pain in the lumbar region on heavy physical activity. He is very stiff in the morning and the pain is worse at the end of the day. Anti- inflammatory medication provides moderate relief of his symptoms. Examination reveals restriction of his movements in the spine with pain on extension of the spine. There are no clinical signs in the legs. Which of the following is the most likely diagnosis?
    A. Central prolapsed lumbar disc
    B. Disc infection
    C. Facet joint arthrosis
    D. Malignant vertebral lesion
    E. Posterolateral disc prolapse
A

C. Facet joint arthrosis

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15
Q
  1. A 60-year-old man complains of aching, heaviness, numbness and tingling in his thighs and legs. These symptoms are precipitated by standing or by walking for 10 minutes. They are relieved by sitting down. He has noticed that walking downhill is more troublesome than going uphill. What is the most likely cause?
    A. Osteoarthritis of the hip
    B. Saddle embolus
    C. Spinal stenosis
    D. Thrombosed aorta including renal arteries
    E. Spondylolisthesis
A

C. Spinal stenosis

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16
Q
  1. Axillary nerve supplies deltoid muscle as well as which of the following muscles?
    A. Teres major
    B. Teres minor
    C. Pectoralis major
    D. Pectoralis minor
    E. Subscapularis
A

B. Teres minor

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17
Q
  1. An Xray of a long bone showed lytic lesion in a 53 years old female. Where do you expect the site of primary lesion?
    A. Breast cancer
    B. Bladder cancer
    C. Small cell lung cancer
    D. Renal cell carcinoma
    E. None of the above
A

A. Breast cancer

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18
Q
  1. After axillary dissection, a patient became unable to pick up a knife because his wrist flexes while trying to do so. On examination, there is numbness in badge area. Injury to which structure has been implicated?
    A. Medial cord of brachial plexus
    B. Posterior cord of brachial plexus
    C. Median nerve
    D. Ulnar nerve
    E. Radial nerve
A

B. Posterior cord of brachial plexus

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19
Q
  1. A 49-year-old Egyptian smoker man on holiday in the United Kingdom presents with haematuria. He gives a history of bladder irritative symptoms for seven months. He has lived in a rural community for his whole life. What is the likely diagnosis?
    A. Cystitis cystica
    B. Interstitial cystitis
    C. Multiple superficial transitional cell carcinomas
    D. Muscle invasive transitional cell bladder cancer E. Squamous cell carcinoma of the bladder
A

E. Squamous cell carcinoma of the bladder

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20
Q
  1. Femoral canal lateral relation is:
    A. Femoral vein
    B. Lacunar ligament
    C. Inguinal ligament
    D. Pectineal ligament
    E. None of the above
A

A. Femoral vein

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21
Q
  1. A 51 years old man walks with a Trendelenburg gait after a hip injury. Which muscle is affected?
    A. Psoas major
    B. Gluteus Medius
    C. Obturator internus
    D. Gluteus maximus
    E. Pyriformis
A

B. Gluteus Medius

22
Q
  1. A 63 years old patient complaining from calf claudication on walking a short distance, by examination there is loss of tibial arteries pulses, what is the most likely site of arterial occlusion?
    A. External iliac artery
    B. Common femoral artery
    C. Superficial femoral artery
    D. Popliteal artery
    E. Anterior tibial artery
A

C. Superficial femoral artery

23
Q
  1. A 35-yr-old patient diagnose as FAP and his biopsy follow showed high grade dysplastic changes a management planed is for prophylactic pan-proctocolectomy and stoma formation, what is the type of stoma will you use?
    A. End ileostomy
    B. End colostomy
    C. loop ileostomy
    D. loop colostomy
    E. Ileal pouch and anal anastomosis
A

A. End ileostomy

24
Q
  1. A 55-yr-old patient with perforated sigmoid diverticulum planned for Hartmann’s procedure. What is the Stoma type will you design?
    A. End ileostomy
    B. End colostomy
    C. loop ileostomy
    D. loop colostomy
    E. Gastrostomy
A

B. End colostomy

25
Q
  1. A 26-year-old patient with down’s syndrome in need for appendicectomy, patient understand all aspects of Surgery, from whom you will obtain the consent?
    A. Consent the patient
    B. Consent the parents
    C. Cannot proceed
    D. Proceed without consent
    E. None of the above
A

A. Consent the patient

26
Q
  1. A 6-year-old-boy with deteriorating health needs a blood transfusion, the parents refused for religious reasons. What will you do?
    A. Consent by proxy
    B. Cannot proceed
    C. Proceed without consent
    D. Apply for a judge to a court
    E. None of the above
A

D. Apply for a judge to a court

27
Q
  1. In cases of arterial mycotic aneurysm, what is the Common causative organism?
    A. Streptococcus aureus
    B. Candida Albicans
    C. Aspergillus
    D. Staph aureus
    E. Anaplastic ca
A

D. Staph aureus

28
Q
  1. A 45-lady started to complain from right leg pain and swelling, after traveling from japan to UK, her peripheral pulses were intact, ultrasound revealed a large femoral venous thrombus, what is to be given immediately?
    A. Oral Warfarin
    B. IV Heparin
    C. Thrombolysis
    D. Aspirin
    E. IVC Filter
A

B. IV Heparin

29
Q
  1. A 62-year-old man presents with a painful, pale right lower limb. He underwent right femoro- popliteal (below knee) bypass 18 months ago using in-situ vein. On duplex examination the graft is blocked. What is the most likely histological feature of the graft?
    A. Aneurysmal dilatation
    B. Atheromatous plaques
    C. Neointimal hyperplasia
    D. Smooth muscle hyperplasia
    E. Arterial dissection
A

C. Neointimal hyperplasia

30
Q
  1. A 70 years old male patient complains from abdominal aneurysm measuring 4.7 cm what Is the best plane of action?
    A. Open surgical repair
    B. EVAR
    C. CT angiography
    D. Follow up with serial ultrasound
    E. No thing to do
A

D. Follow up with serial ultrasound

31
Q
  1. A 55 year old patient complaining of recurrent complicated perianal fistulae over the past 3 years, what is the best modality of investigation that we help you to delineate the course of the fistula?
    A. CT Scan of the Pelvis
    B. Superficial Us
    C. Fistulogram
    D. MRI scan of the pelvis
    E. None of the above
A

D. MRI scan of the pelvis

32
Q
  1. Which method of sterilization is the best for endoscopy tools?
    A. Dry oven,
    B. Laser
    C. Gas sterilization
    D. autoclave
    E. Formaldehyde
A

C. Gas sterilization

33
Q
  1. A 60-year-old lady presented with creamy nipple discharge. What is your possible diagnosis? A. Duct ectasia
    B. Breast cancer
    C. Ductal papilloma
    D. Fibroadenoma
    E. None of the above
A

A. Duct ectasia

34
Q
  1. A 60-year-old lady with breast mass which is tethering to the skin & nipple retraction. what is your possible diagnosis?
    A. Duct ectasia
    B. Breast cancer
    C. Ductal papilloma
    D. Fibroadenoma
    E. None of the above
A

B. Breast cancer

35
Q
  1. A 35-year-old lady presented with bloody nipple discharge. What is your possible diagnosis?
    A. Duct ectasia
    B. Breast cancer
    C. Ductal papilloma
    D. Fibroadenoma
    E. None of the above
A

C. Ductal papilloma

36
Q
  1. A young man hit on side of head, squamous part of temporal bone fractured, extradural hematoma formed. What is the involved artery ?
    A. middle meningeal artery
    B. occipital artery
    C. middle cerebral artery
    D. Vertebrobasilar artery
    E. None of the above
A

A. middle meningeal artery

37
Q
  1. An old alcoholic brought to E&D drowsy then he lost his loss of consciousness, no hx of trauma, collapsed, then died. Diagnosis is :
    A. Acute subdural hemorrhage
    B. Extradural hemorrhage
    C. Sub arachnoid hemorrhage
    D. Intraventricular hemorrhage
    E. None of the above
A

C. Sub arachnoid hemorrhage

38
Q
  1. Preterm baby found drowsy & floppy immediately post-partum. what is your diagnosis?
    A. Acute subdural hemorrhage
    B. Extradural hemorrhage
    C. Sub arachnoid hemorrhage
    D. Intraventricular hemorrhage
    E. None of the above
A

D. Intraventricular hemorrhage

39
Q
  1. A22 year old patient w history of RTA and his examination showing Raised JVP, trachea shifted to right no breath sounds on left, what to do ?
    A. A chest drain to anterior left side
    B. chest drain to posterior right side
    C. ETT
    D. Needle decompression
    E. None of the above
A

D. Needle decompression

40
Q
  1. A 55-year-old female presented with Thyroid mass and she also complaining from pulsating mass in her forehead what is your possible diagnosis?
    A. follicular Carcinoma
    B. Papillary carcinoma
    C. Anaplastic carcinoma
    D. Medullary carcinoma
    E. None of the above
A

A. follicular Carcinoma

41
Q
  1. A 66 year old female presented with Thyroid mass Rapidly growing and has stridor with change in her voice what is your possible diagnosis ?
    A. follicular Carcinoma
    B. Papillary carcinoma
    C. Anaplastic carcinoma
    D. Medullary carcinoma
    E. None of the above
A

C. Anaplastic carcinoma

42
Q
  1. Man presenting with head injury showing deterioration in GCS which becomes 3 with unilateral unreactive pupil?
    A. tentorial Herniating
    B. hydrocephalus
    C. papilledema
    D. Subarachnoid hemorrhage
    E. None of the above
A

A. tentorial Herniating

43
Q
  1. Male patient 55 years old has manifestations of Hypercalcemia with renal stone his investigations showing Renal function normal and elevated PTH what is the cause of this?
    A. Solitary parathyroid adenoma
    B. Diffuse parathyroid hyperplasia
    C. Parathyroid carcinoma
    D. Vitamin D toxicity
    E. None of the above
A

A. Solitary parathyroid adenoma

44
Q
  1. Renal transplant patient described complaining from recurrent abdominal pain with bone pain and he mentioned that he had had multiple fractures in the last period his investigations showing High calcium, low phosphate, high alkaline phosphate with high PTH. What is the diagnosis?
    A. Tertiary hyperparathyroidism
    B. Secondary hyperparathyroidism
    C. Primary hyperparathyroidism
    D. Increase vitamin D
    E. None of the above
A

A. Tertiary hyperparathyroidism

45
Q
  1. A 60-year-old non-smoker presents with three-month history of loss of weight, malaise and breathlessness. On examination he has left supraclavicular lymph node enlargement. Chest radiograph reveals multiple bilateral opacities. What abnormality would a biopsy of a left supra- clavicular lymph node most probably show?
    A. Chronic inflammatory cells
    B. Granuloma
    C. Langerhans’s type giant cells
    D. Multiple abnormal mitotic figures in cells
    E. Reed Sternberg cells
A

D. Multiple abnormal mitotic figures in cells

46
Q
  1. Mediastinal mass, biopsy shows Hassall corpuscle what is your diagnosis?
    A. Thymoma
    B. lymphoma
    C. bronchial carcinoma
    D. Schwannoma
    E. None of the above
A

A. Thymoma

47
Q
  1. A 11-year-old boy has angioedema in his hand after insect bite what is the possible cause?
    A. hypersensitivity reaction type 4
    B. hypersensitivity reaction type 1
    C. hypersensitivity reaction type 2
    D. Hypersensitivity reaction type3
    E. None of the above
A

B. hypersensitivity reaction type 1

48
Q
  1. What is the suitable antibiotic given to patient as Prophylaxis for splenectomy ?
    A. Cephalosporins
    B. Quinolones
    C. Penicillin
    D. Aminoglycoside
    E. None of the above
A

C. Penicillin

49
Q
  1. Homeless self-neglected man found in the street having Bilateral gynecomastia what is the possible cause?
    A. alcoholic cirrhosis
    B. malnutrition
    C. Liver disease
    D. Testicular tumor
    E. None of the above
A

B. malnutrition

50
Q
  1. Female patient diagnosed as Hashimoto thyroiditis on hemithyroidectomy she had lymphoma what type of cell causing lymphoma
    A. B cell
    B. T cell
    C. plasma cell
    D. macrophage
    E. None of the above
A

A. B cell

MRCS Mageed Sheet (24 decks)

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