Ready for the MRCS

61year old man presented with swelling over the right hip joint, fever and difficulty in walking. His ESR level is 123. What is the diagnosis?

28 year old man presented following a blunt trauma to forearm. X rays were performed. What is the frature?

78 year old lady presented with upper GI symptoms. UGI endoscopy performed. What is the abnormality here?

This 62 years old lady presented with large neck lump which moves with deglutition. What are the clinical signs that you would elicit in this patient?

25 year old gentleman presented following road traffic accident. He complains of left side chest pain.
What are the possible complications you would think?

This man had a road traffic accident and injury to the right leg.
What is the name of this apparatus?

Which of the following is not a structure related to the carotid artery
A. Hypoglossal nerve
B. Vagus nerve
C. Phrenic nerve
D. Carotid sinus
E. Accesory spinal nerve

20 year old male admitted following a road traffic accident. He has noticeable bruises on forehead. On examination he is drowsy, low blood pressure and tachycardic.

What is the best management
a. Intubate and vetilation
b. Infusion of crystalloids
c. Perform CT head
d. Analgesics
e. Arrange a routine USS

You have just completed a laparotomy for peritonitis due to a perforated peptic ulcer. What is the best surgical strategy for avoidance of a complete abdominal wound dehisence?

A. Use of skin clips to close the skin rather than sub cuticular sutures
B. Careful approximation of the peritonum with a non absorbable sutures
C. Mass closure of the midline wound using a 1 polydiaxone suture
D. Direct apposition of the re**us muscle rather than linea alba aponeurosis
E. Mass closure of the midline wound using a 3/0 polypropylene suture

Transection of the radial nerve at the level of the axilla will result in all of the following except:

A.Loss of elbow extension.
B.Loss of extension of the interphalangeal joints.
C.Loss of metacarpophalangeal extension.
D.Loss of triceps reflex.
E.Loss of sensation overlying the first dorsal interosseous.

i) What is the Alverado score?
ii) What is the cut off value?

62 year old patient presented with worsening severe abdominal pain for 6 hours duration. On examination, distension and generalized abdominal tenderness were there.

Her x-ray is shown as below.

1. What is the sign?
2. What is the diagnosis?
3. How will you manage?