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?
Archives: MRCS Part A
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-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?
MRCS-1563
A 43 year old female with thyrotoxicosis is referred to the endocrinology clinic because she was poorly controlled on carbimazole and has received orbital radiotherapy for severe proptosis. She had improved clinically but she relapsed on stopping her carbimazole. What is the best course of action?
MRCS-1560
A 41 year old woman presents with discomfort in her left breast. On examination, she has a discrete, soft, fluctuant area in the upper outer quadrant of her left breast. A halo sign is observed on the mammogram. What is the most likely explanation for this process?
MRCS-1570
A 7 year old boy is taken to his family doctor for treatment of a painful limp. His mother states that the symptoms started 7 weeks ago. Two hip x-rays have been performed and they appear normal. What is the most appropriate course of action?
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-1559
A 39 year old female is admitted with biliary colic. Investigations show gallstones. A laparoscopic cholecystectomy is performed and a large stone is impacted in Hartman’s pouch. After the operation, she fails to settle and becomes jaundiced. Bile continues to collect from the drain placed at the surgical site. What is the most appropriate course of action?
MRCS-1561
A 42 year old female has a redo thyroidectomy for a multinodular goitre. She develops oculogyric crises and diffuse muscle spasm a day after completing surgery. Which of the following is the best course of action?
MRCS-1554
A 50 year old man presents to the hospital with an episode of alcoholic pancreatitis. He makes progress slowly but steadily. He is reviewed clinically at 7 weeks following admission. On examination, he is seen with a diffuse fullness of his upper abdomen and on imaging, a collection of fluid is found to be located behind the stomach. Tests show that his serum amylase is mildly elevated. Which of the following is the most likely explanation?