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mrcs a > Fawzia Corrections > Flashcards

Fawzia Corrections Flashcards

1
Q

Layers spinal needle goes through

A

Skin
Subcutaneous tissue
Supraspinatus ligament
Interspinous ligament
Ligamentum flavum
Dura mater
Subdural space
Arachnoid mater
Subarachnoid space

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2
Q

Bone lesions in MM

A

Osteolytic

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3
Q

Dorsiflexion of foot root

A

L4 (L3/L4), medial sensory loss, knee reflex lost

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4
Q

Dorsiflexion of great toe

A

L5 (L4/L5), dorsal foot sensory loss, no reflex lost

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5
Q

Plantarflexion of foot

A

S1 (L5/S1), lateral foot loss, ankle reflex lost

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6
Q

Annular pancreas

A

2nd part of duodenum

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7
Q

Cause of dark, pigmented gall stones

A

Unconjugated bilirubin

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8
Q

Acidosis bicarbonate level

A

Decreases

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9
Q

Which artery is the most likely additional source of blood supply to the territory of the inferior
mesenteric artery?

A

Middle colic artery

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10
Q

Acute renal transplant rejection cell

A

T-cell mediated

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11
Q

Heart valves and murmurs

A

APTM DR SS

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12
Q

Sepsis SVR

A

Decreased and CO increased

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13
Q

Tracheostomy performed via the
second, third and fourth tracheal rings. Which intervening structure is most likely to
require transection?

A

Thyroid isthmus

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14
Q

Loss of foot eversion and sensation loss?

A

Superficial peroneal (fibular) nerve and sensation on dorsum of foot

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15
Q

Loss of foot dorsiflexion and what sensation loss?

A

Deep peroneal (fibular) nerve, 1st webspace

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16
Q

Why do you using inulin for GFR?

A

It is filtered and not reabsorbed (note not secreted)

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17
Q

Which one of the following
statements is true about the effects and availability of vitamin K?

A

Affected by resection of terminal ileum

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17
Q

What part of the brain is the facial nerve in?

A

Pons

2,2,4,4, (CMPM, cerebellum, midbrain, pons, medulla)

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18
Q

Primary vs secondary hypothyroidisim

A

Primary - TSH high
Secondary - All parameters low

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19
Q

Parotid tumour. A biopsy reveals extensive
perineural invasion.

A

Adenoid cystic Ca

20
Q

Cardiac muscle

A

Contraction is triggered by an influx of Ca through the sarcolemma

21
Q

Conus Medullaris

A

L1/L2

22
Q

What is the
ligament (of the proximal radio-ulnar joint) that holds the radial head in place?

A

Annular ligament

23
Q

Cardiogenic shock

A

Reduced stroke volume

24
Q

Opthalamic artery

A

Comes off internal carotid

25
Q

Dermatome nipple, umbilicus, LA hernia

A

T4, T10 and L1/T12

26
Q

A diagnosis of varicocele
is made. Which vessel is involved?

A

Testicular vein

27
Q

Subclavian steal syndrome

A

Stenosis of the subclavian artery proximal to the first branch

28
Q

Post-hernia repair loss of sensation + loss of motor function

A

Sensation - ilioinguinal
Motor - Femoral

29
Q

Trigeminal branches (foramen)

A

V1 (Opthalmic) - Superior orbital fissure
V2 ( Maxillary) - Foramen Rotundum
V3 (Mandibular) - Foramen Ovale

30
Q

Anterior to lateral malleolus

A

SPN

31
Q

Knee reflex root

A

L4

32
Q

In the popliteal fossa, which of
the following structures is closest to the capsule of the knee joint?

A

Popliteal artery

33
Q

The external inguinal ring is a defect in?

A

External oblique apopneurosis

34
Q

Granulomatous inflammation on biopsy

A

Crohn’s Disease

35
Q

Crypt formation

A

UC

36
Q

Fixed and dilated left
pupil-. Which of the following accounts for the pupillary signs?

A

Compression of oculomotor nerve parasympathetic fibres

37
Q

What is the principal cause underlying reduced coronary artery blood
flow?

A

Decreased diastolic interval

38
Q

Lymph + thyroid Ca

A

Papillary Ca

39
Q

Vomiting ABG

A

Hypokalaemic alkalosis

40
Q

Which of the following best accounts for the action of the counter current multiplier?

A

Impermeability to water in thick ascending limb

41
Q

Ileum resection vitamin

A

Decreased B12+ vit K

41
Q

What is the best prediction for morbidity and mortality after
surgery?

A

FEV <1L

42
Q

Which one of the/following statements is true of the
right ventricle?

A

Is directly related to the diaphragm

43
Q

Which one of the following regarding the anatomy
of the ring finger is correct?

A

Has a cutaneous innervation from the radial nerve

44
Q

The common iliac veins join to form the inferior vena cava at
which vertebral level?

A

L5

45
Q

He has a body mass index (SMI) of 41 and a risk of perioperative hypoxia. Reduction
of which of the following volumes or capacities is this risk most likely to be due to?

A

Functional residual capacity

46
Q
A

mrcs a (4 decks)

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