FCA1-0100
A young male is operated on for an open inguinal hernia repair. During the procedure, the cord is mobilized, and the deep inguinal ring is located. What structure forms the lateral wall of the deep inguinal ring?
Archives: FRCA Part 1
FCA1-0101
An 80-year-old female presents to the emergency department with symptoms consistent with mesenteric ischemia. She is quickly shifted to the operation theatre for an emergency laparotomy. On exploration, the segment of the colon from the splenic flexure down to the rectum is ischemic. The artery blocked in this scenario arises at what vertebral level from the aorta?
FCA1-0062
A 50-year-old male is planned for elective parotidectomy for pleomorphic adenoma. The surgeon intends to use a nerve integrity monitor thus avoiding neuromuscular blockade. Which of the following nerves is liable to injury in parotidectomy?
FCA1-0063
A 20-year-old male student is admitted to ER after sustaining a crush injury of the pelvis. Clinical examination is as follows: Airway: Patent Breathing: RR: 25 breaths per minute, breath sounds vesicular, nil added. Circulation: Capillary refill time = 4 seconds, cool peripheries. Pulse: 125 beats per minute, BP: 125/96 mmHg. Disability: Glasgow coma score 15,|Anxious and in pain. Secondary survey does not reveal any other significant injuries. The patient is given high flow oxygen therapy and intravenous access is established. Which one of the following options is the most appropriate initial route of intravenous access?
FCA1-0076
A 60-year-old man, with a history of excessive alcohol intake, presents for the first time in the emergency department with acute abdominal pain in the epigastric region. On examination, the man is sweating and has a high-grade fever. His heart rate is 140/min and a BP of 92/59 mmHg. The patient is diagnosed with acute pancreatitis. Which of the following is a complication you are most likely to see in this patient?
FCA1-0077
A 55-year-old man has complaints of severe tearing chest pain. A preliminary diagnosis of aortic dissection is made in the emergency department. In aortic dissection, which layers have blood flowing in between them?
FCA1-0078
A 42 year old lady has acute onset of painless weakness on her left side of the face with a drooping mouth and difficulty speaking. With no significant past medical history and after relevant investigations, you rule out stroke as a possible cause. The lady is suspected to have suffered Bell’s palsy, an idiopathic paralysis of the facial nerve. What symptoms are you most likely to find on examination in a patient with Bell’s palsy?
FCA1-0079
A 50-year-old man has complained of persistent hoarseness and dry cough. He has a history of smoking 20 cigarettes per day. The examination reveals no significant clinical signs of cranial nerve damage. Referred to an ENT specialist, the patient is explained how coughing is usually a defence mechanism of the body which is activated more than usual by the chemical irritants in cigarette smoke. However, the ENT doctor suspects a nerve involvement in the cough reflex as the patient also presents with hoarseness with the dry cough. Which nerves is the ENT doctor suspecting to have been affected in this patient?
FCA1-0080
What separates the tunica media from the tunica adventitia in a blood vessel?
FCA1-0081
A cannula is inserted into the cephalic vein of a 30-year-old man. Which of the following structures does the cephalic vein pass through?