MRCS-1322

A 30-year-old male presents with painful, bright red, rectal bleeding. On examination, he is found to have a posteriorly sited, midline, fissure in ano. What is the most appropriate treatment?

MRCS-1308

A 26-year-old female presents to her GP complaining of a two day history of right upper quadrant pain, fever and a white vaginal discharge. She has seen the GP twice in 12 weeks complaining of pelvic pain and dyspareunia. What is the most likely cause?

MRCS-1310

A 23-year-old female with a history of bilateral vitreous haemorrhage is referred with bilateral lesions in the cerebellar region. What is the likely diagnosis?

MRCS-1312

A 28-year-old male presents to the emergency department with a swelling over his left elbow after a fall on an outstretched hand. On examination, he has tenderness over the proximal part of his forearm and has severely restricted supination and pronation movements. What is the most likely injury?

MRCS-1314

A 30-year-old female presents with a breast lump. She has previously undergone a breast augmentation with an implant. What is the imaging technique of choice?

MRCS-1302

A 27-year-old male complains of passing painless bright red blood rectally. It has been occurring over the past week and tends to occur post defecation. He also suffers from pruritus ani. The underlying cause is likely to be manageable by treatment from which of the following modalities?

MRCS-1304

A 27-year-old male is admitted with left-sided loin pain that radiates to his groin. His investigations demonstrate a 9mm left-sided calculus within the proximal ureter. What is the most appropriate course of action?

MRCS-1306

A 27-year-old ski instructor who falls off a ski lift and sustains a spiral fracture of the midshaft of the tibia. Attempts to achieve a satisfactory position in plaster have failed. Overlying tissues are healthy. What is the most appropriate course of action?

MRCS-1292

A 22-year-old male is diagnosed with an intersphincteric fistula-in-ano during an examination under anaesthetic. Which is the most appropriate treatment?

MRCS-1294

A 27-year-old builder presents with a reducible swelling in the right groin, it is increasing in size and has not been operated on previously. What is the best course of action?