MRCS Recalls Jan 2017 (Part 2) Flashcards
1
Q
- 60-year-old man presents with a short history of pain in the right cheek and right upper teeth Maxillary sinus infection is diagnosed. This sinus is particularly prone to infection because of?
A. absence of Celia on the epithelium lining the sinus
B. closeness of the sinus to the nasal cavity
C. poor blood supply
D. Position of the sinus ostium high on the medial wall
E. relationship of the front teeth to the floor of the sinus
A
D. Position of the sinus ostium high on the medial wall
2
Q
- A 60-yr-old patient with Small ulcer on tip of nose, a lesion was excised from ear few months ago& -diagnosed as BCC, what is your diagnosis:
A. BCC
B. SCC
C. Keratoacanthoma
D. Herpes labialis
E. metastatic
A
A. BCC
3
Q
- An elderly patient with an Ulcer painless on lower lip with no cervical LNs enlarged. What is your diagnosis?
A. SCC
B. Keratoacanthoma
C. Herpes labialis
D. BCC
E. Metastatic
A
D. BCC
4
Q
- A patient with a groin mass, when examined an abnormal growth found under big toenail with discoloration, what is your diagnosis about groin mass?
A. ВСС
B. metastatic
C. Malignant melanoma
D. SCC
E. Keratoacanthoma
A
B. metastatic
5
Q
- A patient with malignant melanoma. what is the best prognostic factor ?
A. .5 mm Breslow thickness
B. Free margins
C. No lymph nodes involved
D. No distant spread
E. No mitotic figures
A
A. .5 mm Breslow thickness
6
Q
- A patient with anal cancer below the dentate line. Lymphatic spread to :
A. Iliac nodes
B. Superficial horizontal inguinal nodes
C. Superficial vertical inguinal nodes
D. Deep inguinal nodes
E. Para-aortic nodes
A
B. Superficial horizontal inguinal nodes
7
Q
- Lymphatic drainage of cervix
A. Internal iliac
B. Superficial vertical inguinal
C. Deep inguinal
D. Superficial horizontal inguinal
E. Para-aortic
A
A. Internal iliac
8
Q
- Lymphatic drainage of ovaries ?
A. Iliac nodes
B. Superficial horizontal inguinal nodes
C. Superficial vertical inguinal nodes
D. Deep inguinal nodes
E. Para-aortic nodes
A
E. Para-aortic nodes
9
Q
- Neonate presented with repeated vomiting and diagnosed as malrotation. Gut rotation occur around which structure ?
A. coeliac axis
B. IMA
C. portal vein
D. SMA
E. Celiac trunk
A
D. SMA
10
Q
- If Uncinate process split & formed annual pancreas, it can cause obstruction of which structure ?
A. Gall bladder
B. 1st part of duodenum
C. 2nd part of duodenum
D. 3rd part of duodenum
E. 4th part of duodenum
A
C. 2nd part of duodenum
11
Q
- Which structure lies anterior to Head of pancreas ?
A. pylorus
B. portal vein
C. hepatic artery
D. common bile duct
E. IVC
A
A. pylorus
12
Q
- Calot’s triangle medial boundary :
A. hepatic artery
B. cystic duct
C. cystic artery
D. common bile duct
E. hepatic duct
A
E. hepatic duct
13
Q
- Posterior duodenal penetration occurred & massive bleeding developed. What is the artery involved?
A. Gastroduodenal artery
B. gastroepiploic
C. SMA
D. IMA
E. Portal vein
A
A. Gastroduodenal artery
14
Q
- Congenital diaphragmatic hernia in which intestine in chest baby. part of diaphragm involved is developed from
A. left pleuroperitoneal membrane
B. right pleuroperitoneal membrane
C. septum transversum
D. hiatal opening
E. none of the above
A
A. left pleuroperitoneal membrane
15
Q
- Flail chest, no pneumothorax but pain on inspiration Management plan ?
A. Infiltration by 2% lignocaine
B. Infiltration by 1% or 0.5 bupivacaine
C. chest drains with suction
D. chest drains without suction
E. none of the above
A
A. Infiltration by 2% lignocaine
16
Q
- Which structure is not posterior relation of kidney?
A. iliacus
B. Psoas
C. Quadrates lumborum
D. Tranversalis muscle
E. diaphragm
A
A. iliacus
17
Q
- Rectal bleeding, on colonoscopy found bleeding from sigmoid colon, artery involved ?
A. inferior rectal
B. left colic
C. middle colic
D. right colic
E. ileocolic
A
B. left colic
18
Q
- Neonate, with meconium-stained front of diaper :
A. patent urachus
B. patent Vitello intestinal
C. patent ductus venosus
D. patent ductus arteriosus
E. none of the above
A
B. patent Vitello intestinal
19
Q
- A 5-yr-old boy with abdominal pain on examination there Right iliac fossa mass on U/S there is Sausage shaped appearance :
A. intussusceptions
B. Malrotation of bowel
C. Volvulus
D. Pyloric stenosis
E. Duodenal atresia
A
A. intussusceptions
20
Q
- A 3-yr-old Boy, brought with Cherry red mass protruding from anus :
A. bleeding hemorrhoid
B. juvenile polyp
C. intussusceptions
D. Pyloric stenosis
E. Duodenal atresia
A
B. juvenile polyp