MRCS-1576
A 49 year old carpenter is rushed to the hospital after falling from the roof of a house. He has an open fracture of his tibia with a 14 cm wound and he is neurovascularly intact. What is the most appropriate course of action?
Archives: MRCS Part A
MRCS-1573
A 53 year old construction worker who had fallen from a ladder and fractured multiple ribs is admitted in the hospital 36 hours later. On examination, he is confused and agitated and has clinical evidence of lateralising signs. He deteriorates further and then dies with no response to resuscitation. What is the most likely explanation?
MRCS-1577
A 71 year old woman is being observed at the hospital for severe epigastric pain. Her abdomen is soft and non tender. However, the medical intern states that you should look at the ECG which looks abnormal. Which of the following features is an indication for urgent coronary thrombolysis or percutaneous intervention?
MRCS-1574
A 56 year old female is placed on Tamoxifen for the treatment of ER-positive breast cancer. Which malignancy is associated with Tamoxifen use?
MRCS-1572
A 42 year old man slips while walking down the stairs and injures his ankle. He is rushed to the doctor’s office and on examination, he has tenderness over the lateral and medial malleolus. X-rays demonstrate an undisplaced fracture of the distal fibula at the level of the syndesmosis and a congruent ankle mortise. What is the best course of management?
MRCS-1575
A 51 year old female presents with a sensation of grittiness in her eyes which has been present for the past few months. She also complains of symptoms of a dry mouth. On examination, she is seen with a swelling of her parotid gland. However, she has no evidence of facial nerve palsy. Which of the following is the most likely underlying diagnosis?
MRCS-1566
A 54 year old man with end stage renal failure is undergoing a live donor renal transplant. The surgeon decides to implant the kidney in the left iliac fossa via a Rutherford Morrison incision. To which vessels should the transplanted kidney be anastomosed?
MRCS-1567
A 30 year old man is diagnosed on oesophageal biopsies to have loss of ganglion cells in the myenteric plexus. Which of the following would be the most appropriate diagnosis?
MRCS-1568
An 8 month old baby girl presents with a spiral fracture of her left humerus. Her father states that he grabbed her arm because she was falling off the park slide. He noticed that something was wrong and he rushed to the hospital with her. Which of the following is the most likely issue?
MRCS-1562
A 60 year old man receives a cadaveric renal transplant for treatment of end stage renal failure. The organ is ABO group matched only. On completion of the vascular anastomoses the surgeons remove the clamps. Over the course of the next fifteen minutes, the donated kidney becomes dusky and swollen and appears non viable. Which of the following is the most likely process that has caused this event?