MRCS RECALLS PRACTICE APRIL 2021

Question 1

22. A 7-year-old girl is admitted for an elective tonsillectomy. She has had normal
    development and her pulse; blood pressure and weight are normal for her age. She
    is being prepared for surgery. Which of the following preoperative tests are
    required?
    A. Clotting test
    B. Full blood count
    C. Renal function test
    D. All of the above
    E. None of the above
23. A 75-year-old man who had a laparotomy for a small bowel obstruction became
    acutely confused on the fifth postoperative day and the nurse noticed a
    serosanguinous discharge from the wound. Which of the following is the most
    likely diagnosis?
    A. Gas gangrene
    B. Infected wound haematoma
    C. Necrotizing fasciitis
    D. Wound abscess
    E. Wound dehiscence
24. A 53-year-old woman, who complains of paroxysmal headaches associated with
    palpitation and is found to have a mass in the right lobe of her thyroid. She has a
    family history of thyroid cancer. Which of the following is the most likely
    diagnosis?
    A. Anaplastic carcinoma
    B. Follicular carcinoma
    C. Medullary carcinoma
    D. Papillary carcinoma
    E. Squamous carcinoma
25. A 30-year-old man is brought to the Emergency Department following a road
    traffic accident. Chest X-ray reveals a widened mediastinum. What is the most
    likely structure to be damaged?
    A. Ascending aorta
    B. Descending aorta
    C. Pulmonary trunk
    D. Pulmonary veins
    E. Superior vena cava