MRCS-1386

A 33 year old woman presents with a complaint of dysphagia. She has a ten year history of treatment refractory anaemia secondary to menorrhagia. Which of the following is the most likely underlying cause?

MRCS-1366

A 32-year-old female is found to have a thyroglossal cyst that has been recently infected and the patient requests treatment. What is the most appropriate course of action?

MRCS-1368

A 32-year-old female presents with painful bright red bleeding that occurs post defecation. Digital rectal examination is too uncomfortable for the patient, perineal inspection shows a prominent posterior skin tag. What is the best course of action?

MRCS-1370

A 30-year-old male cuts the corner of his lip whilst shaving. Over the next few days, a large purplish lesion appears at the site which bleeds on contact. What is the most likely diagnosis?

MRCS-1372

A 28-year-old male injured his ankle playing football. On examination, he has tenderness over both medial and lateral malleoli. X-ray demonstrates a bimalleolar fracture with a displaced distal fibula fracture, at the level of the syndesmosis and fracture of the medial malleolus with talar shift. The ankle has been provisionally reduced and splinted in the emergency department. What is the most appropriate management?

MRCS-1374

A 32-year-old male is admitted overnight, following a road traffic accident. He has an open tibial fracture with a 20 cm wound and extensive periosteal stripping. He is neurovascularly intact; IV antibiotics and wound dressing have been administered in the emergency department. What is the most appropriate course of action?

MRCS-1354

A 2-day-old baby presents with recurrent episodes of choking and cyanotic episodes. There is a history of polyhydramnios. What is the most likely diagnosis?

MRCS-1356

A 2-day old neonate is developing increasing problems with feeding. On examination, she has a pan systolic murmur and her forearms have not developed properly. What is the most likely underlying problem?

MRCS-1358

A 4-month-old boy is brought to the clinic by his mother who has noticed a swelling in the right hemiscrotum. On examination, there is a firm mass affecting the right spermatic cord distally, the testis is felt separately from it. What is the most likely diagnosis?

MRCS-1360

A 4-year-old boy is brought to the clinic with symptoms of urinary hesitancy and poor stream. Which of the following is the most likely underlying diagnosis?