Category: Generic Surgical Topics

MRCS-1272

A 21-year-old woman presents with an episode of greenish discharge from the left nipple. Clinical examination of the breast is normal. Her breast USS report is U1 (normal). What should be the best course of action?

MRCS-1274

A 40-year-old man has been diagnosed with anal fissure, which has failed to respond to first-line treatment. What should be the next most appropriate treatment?

MRCS-1276

A 30-year-old woman presents with a history of severe epigastric pain that worsens post prandially. On examination, the abdomen is soft and non tender with no palpable mass felt. However, a bruit is heard in the epigastrium, on auscultation. Imaging with USS shows no gallstones and OGD is normal as well. What is the most likely diagnosis?

MRCS-1278

A 32-year-old man is brought to the emergency department following a crush injury to his right forearm. On examination, the arm is tender, red, and swollen. There is clinical evidence of an ulnar fracture, and the patient cannot move his fingers. What should be the most appropriate course of action?

MRCS-1268

A 26-year-old rugby player falls directly on his right shoulder. He presents to the emergency department with pain and swelling of the shoulder joint. The right clavicle is prominent and there appears to be a step deformity. What is the most likely diagnosis?

MRCS-1254

A 34-year-old woman presents with an itching and bleeding pigmented lesion on her right thigh. What should be the most appropriate step of management?

MRCS-1256

A 50-year-old man presents with bright red rectal bleeding that occurs post defecation and is noted on the toilet paper. It is also associated with severe pain. On external anal examination, a skin tag is identified at 6 o’clock position.Which of the following treatment options is most likely to be helpful?

MRCS-1258

A 30-year-old man who is a known case of hepatitis C presents with pain and swelling in the right groin. On examination, a large, pulsatile swelling is noted in the right groin. There is no cough impulse. What is the most likely diagnosis?

MRCS-1260

A 21-year-old man is admitted to the hospital with diarrhoea and severe abdominal pain for the past 18 hours. He was asymptomatic before that.Which of the following is the likely cause?

MRCS-1262

A 30-year-old man is admitted to the hospital with an embolus in the brachial artery. A cervical rib is suspected as being the underlying cause. From which of the following vertebral levels does the cervical rib arise?