Q. True about breast cancer is?
a) Doubling time of breast tumor is 1 month
b) Skip metastasis in level iii lymph nodes is common
c) Lungs are commonly involved by direct invasion
d) Dimpling of skin is due to shortening of cooper's ligaments
Category: MRCS
Most common cause of acute mesenteric ischemia
Q1.) Most common cause of acute mesenteric ischemia?
a) Atheromatous thrombus
b) Embolism
c) NOMI
d) All equal
Trauma
Q12) a 50 year old man with road side accident and injuries on right chest and femoral fracture, He is conscious, BP is 80/60 , Pulse 104/min, and chest expansion is reduced. JVP is not visible and heart sounds are normal. Respiratory rate is 22/min
What does he have
a) Left heart failure
b) Fat Embolism
c) Pneumothorax
d) Fluid loss
MRCS Neurosurgery
Q) A 35 year old lady has severe vomiting accompanied with headache and becomes unconscious. She has no similar history in the past and is not on any medicines.
She has a GCS of 11/15, BP 140/90, Pulse of 86/min. No cardiac or respiratory cause is noted for the symptoms.She has mild nuchal rigidity and b/l extensor plantar response.
CT scan of the brain is equivocal .Lumbar puncture studies show high RBcs in the aspirate? What is the next step in management?
a) MRI brain
b) Cerebral Angiogram
c) MR angiogram
d) IV broad spectrum antibiotic and anti virals
Answer
Clinical Paediatric surgery Question
Q14. A 6 months old baby is brought to the emergency with continuous crying and drawing his legs up for 1 day. He has vomiting and passage of bloody stools. On examination a lump is found in right hypochondrium. What is the best clinical diagnoses?
a) Intussusception
b) Gastrochisis
c) Hirshprung disease
d) Intestinal atresia
Ureteral injuries
Q) A 24 year old male suffers low velocity gun shot wound in lower abdomen. On exploration there is a 1 cm segment loss of left ureter above the pelvic brim. Best management is :
a) Ureterocystostomy
b) Uretero ureterostomy
c) Ureterostomy
d) Ligation of ureter
Esophagus perforation
Q) A 45 year old man who has been drinking regularly for the past 15 years vomits after a large meal and complains of severe chest pain. Cardiac cause is ruled out and boerhavve's syndrome is suspected. Which of the following is not true about this condition
a) Gastrograffin tests will confirm the diagnosis
b) Perforation is most common in the left lower end
c) Exploration and full thickness suturing of perforation should be done
d) This condition has a high morbidity and mortality if not diagnosed at time
Answer for premium members - Discussion on Boerhaave's syndrome
Enzyme deficiency in chronic pancreatitis
Q) A 45 year old male with carcinoma head of pancreas, complains of stickiness of stools and difficulty in digestion. Which of the following enzyme deficiency does he have?
a) Amylase
b) Protease
c) Lipase
d) Elastase
Reno vascular hypertension
Q) Which of the following is true about reno vascular hypertension
a) Seen in young age group
b) Both kidneys are of same size
c) It is familial
d) Diuretics will control the hypertension
Answer for free
a
Renal artery occlusion creates ischemia of the kidney which releases renin. Hypereninemia leads to secondary hypertension. This further leads to conversion of angiotensin I to angiotensin II and vasocontriction and eventually release of aldosterone.
It is a disease of young adults and children
Size of the kidneys vary and diuretics do not control hypertension because the mechanism is high renin secretion which is unresponsive to diuretics.