MRCS-1362
A 4-year-old boy is referred to the clinic with a scrotal swelling. On examination, the mass does not transilluminate and it is impossible to palpate normal cord above it. What is the most likely diagnosis?
Category: Generic Surgical Topics
MRCS-1364
A 4-year-old boy inserts a crayon into his external auditory meatus. Attempts to remove it have not been successful. What is the best course of action?
MRCS-1342
A 30-year-old professional footballer is admitted to the emergency department. During a tackle, his leg is twisted with his knee flexed. He hears a loud crack and his knee rapidly becomes swollen. Which of the following is the main site of injury?
MRCS-1344
A 30-year-old female undergoes a renal transplant for focal segmental glomerulosclerosis. Within hours of the operation, the patient becomes unwell with features consistent with severe systemic inflammatory response syndrome. The patient is immediately taken back to the theatre and the transplanted kidney is removed. What type of immunoglobulins is responsible for graft rejection?
MRCS-1346
A 30-year-old male has had a sore throat for the past 5 days. Over the past 24 hours, he has noticed increasing and severe throbbing pain in the region of his right tonsil. He has pyrexia and on examination, he is noted to have swelling of this area. What is the most likely cause?
MRCS-1348
A 30-year-old male presents to the clinic with a recurrent thyroid cyst. It has been drained on three different occasions. Each time the cyst is aspirated and cytology is reassuring. What is the most appropriate course of action?
MRCS-1350
A 30-year-old male presents with a lump in his scalp. It is located approximately 4cm superior to the external occipital protuberance. It feels smooth and slightly fluctuant and has a centrally located small epithelial defect. What is the most likely underlying diagnosis?
MRCS-1352
A 2-day old baby develops dyspnoea. A chest x-ray is performed and shows a radio-opaque shadow with an air-fluid level in the chest. It is located immediately anterior to the 6th hemivertebra. Which of the following is the most likely underlying diagnosis?
MRCS-1334
A 30-year-old male is reviewed in the clinic. He has suffered from Crohn’s disease for many years, he has recently undergone a subtotal colectomy. However, he has residual Crohns in his rectum causing the ongoing symptoms. Medical therapy is ineffective. What is the best course of action?
MRCS-1336
A 30-year-old male presents with a recurrent inguinal hernia on the left side of his abdomen and a newly diagnosed inguinal hernia on the right side. What is the best course of action?