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MRCS Mageed Sheet > Salah Wrongs > Flashcards

Salah Wrongs Flashcards

1
Q

Wound healing following healing. Most significant event

A

Platlet degranulation

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2
Q

Metaststic prostate cancer not invloing bone. Main treatment

A

Hormonal theraphy

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3
Q

Shoeber test

A

Ankylosing spondylitis.
Xray- bamboo spine

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4
Q

Stipple cell

A

Lead poisoning

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5
Q

Structure between ulnar artey nd median nerve

A

Pronator teres

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6
Q

Auriculotemporal nerve. Branch of.

A

Mandibular nerve. V3.

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7
Q

Eam sensory:.
Anterior and superior wall-
Posterior and inf wall-

A

Auriculotemporal
Auricular br of vagus

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8
Q

Siadh drugs

A

A- analgesics nsiads opiods
B- barbiturates
C- carbamazepine, cyclophosphamide
D- diuretics

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9
Q

Soap bubble. Lytic and lucent areas

A

Osteoclastoma

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10
Q

Spinal cord ends at adult_____ and children _______
Dural sac ends at ______
Lp done at ______

A

Spinal cord ends at adult L1 and children L3
Dural sac ends at S2
Lp done at L3 L4

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11
Q

Pseudopolyps on colonoscopy

A

U C

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12
Q

Bupicacaine. Dose and conc

A

3 mg /kg
0.25%

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13
Q

Subchondral cyst

A

Osteoarthritis

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14
Q

Red urine

A

Rifampicin, beetroot, rhubarb, blackberries.

Not phosphaturia.

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15
Q

Potassium:
Rta 1,2 -
Rta 4-

A

Rta 1,2 - hypoK
Rta 4- hyperK

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16
Q

Dcis. Calcification

A

Comedo

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17
Q

Bifringent crystals:
Negatively-
Postive-
Apple green-

A

Negatively- gout
Postive- pseudogout
Apple green- amyloidosis

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18
Q

Serologic marker for primary biliary cirrhosis

A

Antimitochondiral antibodies AMA

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19
Q

Cholangitis due to ercp

A

E coli

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20
Q

All.hand muscle wasting-
Little finger dermatome-

A

All.hand muscle wasting-T1
Little finger dermatome- C8

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21
Q

Umn usually spastic paralysis with hyper relexia.
Umn with flaccid paralysis and abN loss of bulbocavernous reflex seen in

A

Spinal shock

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22
Q

Stone-
Chemotherapy -
Inborn error but radiolucent -
With family history but radio opaque-
Infection-

A

Stone-
Chemotherapy - uric acid
Inform but radiolucent- Uris acid
With family history- cysteine
Infection- struvite

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23
Q

Swelling and pain at tibial tuberosity

A

Osgood schlatter

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24
Q

Pain on walking downstairs. Quadriceps wasting

A

Chondromalacia patellae

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25
Q

Talipes equiovarus
Calcaneum -
Navicular -
Talus-
Tibia-Talar joint -

A

Talipes equiovarus
Calcaneum - adducted and inverted
Navicular - medial rotation
Talus- wedge shaped head
Tibia-Talar joint - plantar flexion

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26
Q

Tibial spiral fracture with good cover

A

IMN

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27
Q

Spondylolisthesis

A

One vertebrae over other. Scotty dog sign.

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28
Q

Metastatic lower oesophageal tumour-
Metastatic upper esophageal tumour-

A

Metastatic lower oesophageal tumour- stent
Metastatic upper esophageal tumour- chemo

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29
Q

Gastric lymphoma. B or T cell

A

B cell

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30
Q

Inferior thyroid enters thyroid at

A

C6

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31
Q

Conn’s syndrome

A

HTN hyperNa hypoK

32
Q

Most common tendon rupture in cut wrist

33
Q

Flexible sigmoidoscopy preparation

A

Phosphate enema at the morning of procedure

34
Q

Colonoscopy for anemia

A

Oral purgative day before and stop ferrous sulphate 7 days before

35
Q

Acute adrenal insufficiency treatment

A

Hydrocortisone 100 mg iv

36
Q

Isolated hemisensory loss

A

Lacunar infarct

37
Q

Broca’s area which artery

A

Middle cerebral

38
Q

Ideal method to drain Gb in cholangitis or malignancy

A

Ercp and drain. Not PTC

39
Q

2 imp features of etomidate

A

Cardiac safety
Adrenal suppression

40
Q

Mech of action of epirubicin

A

Intercalation of DNA

41
Q

Egyptian. Diarrhoea. Bloating. Fat malabsorption.

42
Q

Cells:
Parathyroid- cells
Follicular variant - cell
Papillary-
Anaplastic - cell

Thymus-

A

Cells:
Parathyroid- oxyphill cells
Follicular variant - hurthle cell
Papillary- orphan Annie
Anaplastic - spindle cell

Thymus- hassle corpuscle

43
Q

Knee locking

A

Meniscus injury

44
Q

Transfusion. Pulmonary edema. CVP N(~10). Not responding to Lasix

45
Q

Iv induction doc
1 Rapid sequence intubation.
2 hemodynamic instability
3 day care. Antiemetic

A

1 Thiopentone
2 ketamine
3 propofol

46
Q

Neuropathic pain:
Doc and s/e

Trigeminal neuralgia -
Diabetic -

A

Doc- Amitryptaline. S/e postural hypotension. If so, pregabalin.

Trigeminal- carbamazepine

Diabetic - duloxetine

47
Q

Which brain tumour?

Morning headache.
4 th ventricle
Central necrosis

A

Frontal glioma
Ependymoma
Glioblastoma multiforme

48
Q

Vasodilator of choice in SAH

A

Nimodepine

49
Q

Valgus test positive. Which ligament injury

A

Medial collateral ligament

50
Q

Following Axillary dissection. All shoulder movements restricted

A

Adhesive capsulitis.

If up and down motion weak (painter)- latismus dorsi(thoracodorsal)

51
Q

Gritte stoke
Syme

A

Knee. (Patella retained !!)
Ankle.

52
Q

Achondroplasia.
Mode of inheritance.
Defect in

A

Autosomal dominant
Fibroblast growth factor

53
Q

After wide local excision for breast cancer if positive margin.

A

Mastectomy not RT.

54
Q

Type of amyloid in :

RA-
Multiple myeloma-
ESRD-

A

Type of amyloid in :

RA- AA
Multiple myeloma- AL
ESRD- beta 2

55
Q

Intrinsic pathway and test
Extrinsic pathway and test

A

12,11,9- aptt
7- pt

56
Q

Cardiac shadow -

Left-
Right -

A

Cardiac shadow -

Left- left ventricle
Right - right atrium

57
Q

Charlson score

A

Comorbidity score

58
Q

Para testicular mass. Young boy

A

Rhabdomyosarcoma

59
Q

Hip dislocation. Attitude.
Ant dislocation
Post dislocation

A

FABER
FADIR

60
Q

Sympathectomy. Which not to do
T1-
L1 -

A

Sympathectomy. Which not to do
T1- Horner’s So do t3,4
L1 - retrograde ejaculation. So do l2,3

61
Q

Suspected Addison disease. Which test

A

ACTH stimulation test.

62
Q

Painless profuse bleeding. Hx of TIA. taking statins.

A

Diverticular bleed

63
Q

40 yrs. Non painful. Bilateral. Scrotal swelling. Smooth and adherent to testis.

A

Epididymal cyst

64
Q

PVC factory. Vinyl chloride. Mass in right lobe of liver

A

Angiosarcoma

65
Q

Recolonoscopy for Adenoma.

A

Within 1 Yr - 5 adenoma , 3 greater than 1 cm
With 3 yrs- <5 adenoma, 1 more than 1 cm

66
Q

Lithium. Na and water disturbance caused

A

Diabetes insipidus + hyperNa

67
Q

Inhibits insulin release

A

B blockers.

68
Q

Mech of Aldo
Mech. Of adh

Furosemide.

Thiazide.

A

Aldo- Dct. Inc Na and cl absorption. K excretion. Water absorption.

ADH - increases aquaporins in CD. Only water absorption.

Na k 2 cl transporter in ascending loop.

Dct.

69
Q

Pagets of nipple. Which biopsy

A

Punch biopsy

70
Q

Bulk forming laxatives. BBC
Osmotic. MOM
Stimulant

A

Bulk bran cellulose.
Mag sulf. Osmotic. Mag citrate.
Bisacodyl. Senna. Docusate.

71
Q

Middle cardiac vein accompanies

A

Posterior interventricular artery

72
Q

Only muscle in hand supplied by superficial br of ulnar

A

Palmaris brevis

73
Q

Goose foot

A

SemiTendinosus
Gracilis
Sartorius

74
Q

Cannon A waves
Absent a waves

A

Tricuspid stenosis
Atrial fibrillation

75
Q

Femoral neck shaft angle

76
Q

Hormones that decrease in trauma

A

Insulin. Oestrogen. Testosterone

No change in FSH LH TSH

MRCS Mageed Sheet (24 decks)

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