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MRCS > MRCS Recalls Jan 2017 (Part 3) > Flashcards

MRCS Recalls Jan 2017 (Part 3) Flashcards

1
Q
  1. Patient on warfarin, INR deranged (4), need urgent surgery, what will you do 1st step?
    A. Stop Warfarin then give Human prothrombin complex + Vit K
    B. Stop Warfarin then give Vit K + FFP
    C. Stop warfarin and give oral vitamin K
    D. Stop warfarin and give FFP
    E. Stop warfarin only
A

A. Stop Warfarin then give Human prothrombin complex + Vit K

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2
Q
  1. Post colectomy heel pressure sore with skin necrosis, what is management?
    A. debridement and heal through secondary intention
    B. Closure
    C. Flap
    D. Split Thickness graft
    E. None of the above
A

A. debridement and heal through secondary intention

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3
Q
  1. Leg burns with deep wound. 3 weeks later came with ulcer 7x10 cm on tibia and bone is exposed, what is the management?
    A. secondary intention
    B. primary closure
    C. immediate split thickness graft
    D. delayed split thickness graft
    E. flap
A

E. flap

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4
Q
  1. A patient presented with a central nervous system tumor causing paralysis of the glossopharyngeal and vagus nerves. What is the most likely location of the tumor?
    A. Mid-brain
    B. Pons
    C. Medulla
    D. Ventricles
    E. Cervical cord
A

C. Medulla

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5
Q
  1. Which of the following makes the posterior wall of inguinal canal?
    A. Conjoint tendon
    B. Internal oblique muscle
    C. Transversus abdominus
    D. External oblique muscle
    E. Cremasteric muscle
A

A. Conjoint tendon

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6
Q
  1. A 45-year-old man presents with a 3 cm X 4 cm swelling in the right groin which is non-tender. A cough impulse is elicited. At operation, an indirect inguinal hernia is found. The external inguinal ring is a defect in which of the following abdominal
    A. External oblique aponeurosis
    B. External oblique muscle
    C. Internal oblique muscle
    D. Transversus abdominis muscle
    E. Transversalis fascia
A

A. External oblique aponeurosis

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7
Q
  1. Hydrocele is surrounded directly by which scrotal covering
    A. Tunica vaginalis
    B. Dartos muscle
    C. Cremasteric muscle
    D. Internal spermatic fascia
    E. External spermatic fascia
A

A. Tunica vaginalis

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8
Q
  1. Insulin dependent glucose transporter works in which part of kidney ?
    A. DCT
    B. Collecting ducts
    C. PCT
    D. Loop of Henle ascending part
    E. Loop of henle descending part
A

C. PCT

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9
Q
  1. Renal vein relation:
    A. Anterior to aorta
    B. Posterior to aorta
    C. medial to aorta
    D. lateral to vein
    E. none of the above
A

A. Anterior to aorta

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10
Q

110.5 years old woman presented with recurrent peptic ulcer. She is on proton pump inhibitor and previously perceived h pylori eradication treatment. Which of the following is likely to raise in her venous blood?
A. CCK
B. Secretin
C. Gastrin
D. Histamine
E. Pancreozymin

A

C. Gastrin

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11
Q
  1. Muscles of facial expression derived from which arch?
    A. 1st
    B. 2nd
    C. 3rd
    D. 4th
    E. 6th
A

B. 2nd

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12
Q
  1. Innervation of the costal part of the parietal pleura when you put in a chest tube?
    A. Glossopharyngeal
    B. vagus nerve
    C. intercostal nerves
    D. phrenic nerve
    E. None of the above
A

C. intercostal nerves

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13
Q
  1. SA node nerve comes from .
    A. fibers from vagus
    B. sympathetic fibers
    C. fibers from cardiac plexus
    D. somatic fibers
    E. none of the above
A

C. fibers from cardiac plexus

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14
Q
  1. A woman with metastatic breast cancer is admitted to hospital confused and acutely unwell, with nausea and vomiting. Her vital signs are within normal limits. What abnormality is most likely to contribute to her clinical condition?
    A. Hypercalcemia
    B. Hyperkalemia
    C. Hypocalcemia
    D. Hypokalemia
    E. Hyponatremia
A

A. Hypercalcemia

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15
Q

115.70 years old man attended a respiratory clinic due to complaint of longstanding breathlessness. His spirometry revealed an FEV1 of 1.8L and FVC of 2.1L. Which of the following are most likely cause?
A. Fibrosing alveolitis
B. Asthma
C. Bronchiectasis
D. COPD
E. Pneumonia

A

A. Fibrosing alveolitis

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16
Q
  1. Posterior relations of kidney .
    A. Psoas
    B. Duodenum
    C. Liver
    D. Transverse colon
    E. None of the above
A

A. Psoas

17
Q
  1. Pulmonary arteries developed from :
    A. First
    B. Second
    C. Third
    D. Fourth
    E. 6th
A

E. 6th

18
Q
  1. Vertebral artery is branch from?
    A. Subclavian artery 1st part
    B. Subclavian artery 2nd part
    C. Subclavian artery 3rd part
    D. Axillary artery 1st part
    E. Axillary artery 3rd part
A

A. Subclavian artery 1st part

19
Q

119.A 53-year-old man presents with a nodule on his chin. He is concerned because it has grown extremely rapidly over the course of the preceding week. On examination he has a swollen, red, dome shaped lesion with a central defect that contains a keratinous type material.
A. Squamous cell carcinoma
B. Bowens disease
C. Actinic keratosis
D. Basal cell carcinoma
E. Keratoacanthoma

A

E. Keratoacanthoma

20
Q
  1. Affected clotting factors in Liver failure include all except
    A. 2
    B. 3
    C. 7
    D. 9
    E. 10
A

B. 3

21
Q
  1. Emergency mini tracheostomy site.
    A. A Cricothyroid membrane
    B. 3 to 5 tracheal rings
    C. Above thyroid cartilage
    D. Below cricoid cartilage
    E. None of the above
A

A. A Cricothyroid membrane

22
Q
  1. One side soft palate paralysis with tongue reduced sensation. Which part of brain got compressed?
    A. Medulla
    B. Pons
    C. Midbrain
    D. Hippocampus
    E. Temporal lobe
A

A. Medulla

23
Q
  1. Numbness at chin
    A. Mental Nerve
    B. Lingual
    C. Marginal mandibular
    D. Hypoglossal
    E. None of the above
A

A. Mental Nerve

24
Q
  1. Patient with low Na and low plasma osmolality with symptoms of headache and raised ICP what is diagnosis?
    A. Hyperaldosteronism
    B. SIADH
    C. DI
    D. DM
    E. None of the above
A

B. SIADH

25
Q
  1. Parotid surgery followed by facial weakness
    A. Injured facial neve
    B. Injured mandibular nerve
    C. Injured maxillary nerve
    D. Injured vagus nerve
    E. None of the above
A

A. Injured facial neve

26
Q
  1. Best investigation in pulmonary embolism
    A. A Chest X-ray
    B. ABG
    C. CT pulmonary angio
    D. D- dimer
    E. V/Q scan
A

C. CT pulmonary angio

27
Q

127.A patient with Crohns disease most of small intestine resected, feeding by
A. TPN
B. Fine bore Nasogastric tube
C. PEG
D. Elemental diet
E. Nasojejunal feeding

A

A. TPN

28
Q
  1. Amount of blood in Aorta per cardiac cycle
    A. 70ml
    B. 95 ml
    C. 5 Liters
    D. 2 Liters
    E. 13 liters
A

A. 70ml

29
Q
  1. Left coronary artery
    A. Passes behind pulmonary trunk
    B. Arises from the right aortic sinus
    C. Arises below the aortic valve
    D. Arises from posterior right aortic sinus
    E. None of the above
A

A. Passes behind pulmonary trunk

MRCS (7 decks)

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