Sadia
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Recall: MRCS
26th April 05 themes/part1 n part2
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06.27.05 (3 years ago)
#1
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Some of the Questions I try to recollect for part 1 are
Ill just give the broad stem
Acetyl choline
Tumour supressor gene
person stabbed on right side of hear 4th intercosta space next to sternum--which structues damaged
spleen --role
structures passing behind piriformis in greater sciatic notch
things u look to declare death
hyperkalemia causes
diff. areas of kidney where water ,glucose ,osmolarity etc are involved
PTH hormone functions
structures related to middle ear
Heparin-
what is normally found in urine --glucose ,protein ,ph etc
Vasodilating substances --histamine ,prostacyclin etc
solitary thyroid nodule --more common in femaels /males ,in young ,to be left alone
cutaneous nerve supply to ring finger
postion of brachial artery ,,brachial nerve ,,cephalic vein
osteosacroma
pagets disease-causes blindness in crease in acid phosptase etc
hornes syndrom
different lymph drainage to --scrotum ,vulva , cervix ,hallux,
poor wound healing causes
effects on corticosteriods
internal carotid artery
thymus --relations ,,when it atropies
atrophy question- normal physiolgical changes , in feotus too?? malignant change
conns syndrome
autosomal dominat disease
use of gram staining
Part 2
grafts ,--diff types-full burns , scapl ,3 cm over tibia
2 main questions on metabolic acidosis /alkolosis
chest injury--tension pneumo /massive haemothorax
graft rejection in kidney --give diff mechanism
acute abdomen -at least 4 main stems
cardia bypass -post and now patient has loss of sensation over various parts of lower leg -for eg shapenous nerve are etc
walking cycle
again stab through rt side of sternal margin
post of complications in abdominal op
what anticoagulation will u give --like smoker ,ca now for hip replacemnet
back pain
leriche syndrome-with types of bypass ,,femoral aortic etc
spinal stenosis
head injury --with loss of consouisne ,,extradural ,,cerebral edema etc
skin lesions --basal cell ca ,
post op hoarsness of voice --- cannot talk
singer now cant sing high pitches
post op adbominal wound dehiscense ===what ur gonna do
post op --breathless ness... fever ,,abdominal signs --? pe , abscess
midline swelling in neck of child which does not move on protusion of tomgue
head injury on ventilator ,,3 days ,,heametemsis u gave 3 units of blood ,,now what will u do
post op heametemsis ,,gave 3 units ,,stil bleeding and bp still low --what will u do
swelling in lower limbs--
after flight from Australia
after excercise
homans sign positive
fluids u will give in a burns patient
one with extensive burns over scalp ,back and legs
one with circumfertial burns to lower limbs and pernieum
casuses of foot drop
differtn causes of diarrrhea and vomiiting problems
a bird sat on her glass bottle now has diarrhea-camploybacter
some guy who is back from bangaldesh with diarrhea abdominal pain and sigmoid scope shows red infalmmed rectum--? typhoid
chest --loss of weight with haemoptysis ,smoker
a bouncer --on some kidney rejection theorey
another boucer on stastics
sweeling in testices
-hit by a ball one month back ,,now has painles swelling
severe pain ,,tenderness in hemi scrotum
patient has tenderness in groin ,awaiting some pheno injection for ingrowing toe nail--? lymph node
skin lesions --one weeping ,itching ,one with central puntucm ,
round swelling on chest -? dermatiform
post op skin conditions --sudden onset of sweeling and ? necrotilsing fasicti
swelling ht skin post op
post op complications ...what test u order
suden onset of breathless nes-- vq scan
post op diarhhea --?? stool cuture
question on post traingale of neck
head injury again--some csf bloody in extra sub dural injury
splenomegaly --
somebody come back from italy --huge swelling in spleen
swelling in neck with fever nd hepatomegaly -/ infectious mononucleosus
causes of heaptocellular ca
causes of metabolic disturbances in ca
eg -urine hypoosmalor
na low e diff scenraios given
bright red bleeding while stool
--no history
smoker
lump in rectum
after lifting heavy objetc --? perneal haematoma
with no pain -bright red ? haemorrhoids
back pain
weight lifter with central cord symptoms ,,urinary ,
scitica symtoms --posterolaetral --loss of lordosis
back pain again
child not wanting to play=?spondylothesis
some 60 year old lady from safari in africa back h/o r a +? pathological fracture
referred pain
stone in kidney pelvis
refered pain to t 10-8??
Murmurs seen in
massive ventricular defect with cardia failure
small atrial defect
causes of organism in osteolmyletis
organism --
child with all tb test negatibe but LN caseating
how conditions would affect lung
--pneumoetomy
tracheal obstruction
post op for aaa repair has urine problems
? obstruction ? ligation of catheter values of urine osmolarity etc given,,? arf
lady post op cholcystecomy --now has pain ,,does not move ,,pain is shifting --? biliary pertionitis
IL TAKE A BREAK NOW
SEE IF I CAN RECOLLECT SOME MORE LATER
ALL THE BEST
REGRDS
Posted: Wed Apr 27, 2005 12:50 pm Post subject:
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part 1 --
odonoid peg --which ligament attachent etc ,heamatoma if fracture where ,,ween in open mouth view
SLE -affects venules and cappilaries ,genetic , utricaria common
avascular necrosis of bone --caisoons disease ,corticosteriods etc
causes of non healing of femur -tissue interpositonf ,iscahemic bone ,
nerve damage - neurometemiss worse than axonemetsis, traction worse than pressure
papliary ca in thyroid
ca prostrate is an adenoca ,,does not cross fascia of denovillers etc
bladder outflow problems , what will u see,
a large AV fistula will show the following
The tests done in renal transplant --HSV virus , hiv hep b etc
patient with hIGH bp
HAS SwEATING PAPLIPATIOND BP 200/100 AND PALPABLE throid --phaechromocytoe
has some skin stria --cushings
bracnhes of facial nerve if damaged in parotids
widened mediastinum
post trauma to knee ,,can move it varus ? medial colaeral ligament damage
hit dash board now tibia looks a little posterior comapred to other ? anterior cruciate ligament
adenocarcinoma of kidney
part 2
pain control in some ca vomiiing etc --? opiate patch
pain control in termnal ca with nerve pai - ? carbamazepine
pain control in some one --/ caoelica axis ablation ,,back pain with ca
constipation causes duff scenarios
lower abdominal pina --diff scenarios
on rupture urethra --after rta ..prosate not alpabl e--site of ruture
fall from ht ,,site of rutture
types of fistula --vomitting --eg high enteric fistula ,, low type ,, recurrent urinary trat infections
different types of shoch u have to say based on CO , HR , SYSTEMIC PERheral resistance --so hypovolemis ,, septic ,,cardiogenic
swelling in neck --worse post prandia -? siladenesis
vascular investigations
in a tennis player after swelling in lt arm
some guy who has diziness while working > cervical rib
some guy with caritd bruit now has a cva
small wound after trival injury in lady non healing now --test -glucose
Posted: Thu Apr 28, 2005 8:15 am Post subject: recollection of part one MRCS
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I could recollect a few questions ,i am posting them.
I will try post whichour friend has missed
1.recurrent laryngeal nerve-sensory supply to below vocal cords, supplies all the intrinsic mucles, is in close relation with the inferior thyroid arteries.
2.Facial nerve branches-auriculotemporal,temporal,buccal,chordae tympani,lingual.
3.renal -capsule can be easily removed, perinephric fat and kidney are covered by capsule,increase in the amount fat causes more mobility,suppilied by t8-t10nerves.
4.gfr can be measured by-inulin,creatinine,pah acid,glucose,protein.
5.rectal canal-does not contain pritoneum covering,drains into deep inguinal lymph nodes,main blood supply is midle rectal artery,drains into superior mesentric nodes.
6.anal canal-lower part is supplied by inferior rectal nerve,drains into superficial inguinal nodes,
7.phagocytic cells-mast cells,megaloblasts,lymphocytes,kuppfer cells,neutrophils
8.acidic urine is formed by-proteus ,pseudomonas etc
9.thyroid with pretrachel fascia is closely related to-trachea,larynx,sternomastoid,stylothyroid,phrenic
10.tibial artery is in close relation with-popliteal vein,soleus,gastronemus,sartorius.
11.movements at ankle and big toe-inversion-tibialis anterior,eversion -tibialis posterior,dorsiflexion ankle-extensor hallucis longus,extension of ankle-extensor hallusis brevis
12.parathyroid harmone-released from anterior pituitory,increases ca absorption directly fro the gut,increases plasma phosphate levels,is a glycoprotein.
13.acute osteomyelitis is caused by-stap.epidermidis,haemophilus infleunzae,strep.pyogenes
14.about inguinal canal-transmits genital branch of genitofemoral nerve,lower boerder is formed directly by inguinal ligament,upper surface is formed by internal obliquetransmits lymphatics from uterus in females
15.posterior triangle of neck-bulging from larynx,deep cervical nodes
16.vagus -increases acidity,gastric clearance,gallbladder contraction in response to fatty food,mobility of splenic flexure,
17.oesophagus-motility is by vagus nerve innervation,drains into azygos vein,supplied directly by aorta,crossed by thoracic duct in front.
18.ulnar nerve-section at elbow causes more deformity than section at wrist,adduction of thumb is lost, supplies medial 2 lumbricals, abduction caused by palmar interossei,supplies extensor carpi radialis longus.
19.extrahepatic portal hypertension-causes ascitis,splenomegaly with hypersplenism,massive hepatomegaly,lft's are near normal,hepaticencephalopathy is a sequale
20.deafness-sensorineural deafness due to haircell loss,barotrauma,exposure to loud sound
21.nerve roots-l5 causes extension of great toe, l4 supplies lateral maleolus,quadriceps femoris-extension of knee,s3 defect-reduce ankle jerk.
22.extradural haematoma-fracture of cranium,hypovolaemic shock,ipsilateral pupillary constiction,due to break in dural vessels.
23.pulmonary embolism ecg changes-s wave risein v1, t wave inversion v1-v3, left axis deviation, rbbb.
24.frest rectal bleeding in a child is seen in- adenoma,juvenile polyp, metaplastic polyps, familial polyposis coli, peutj jeghers syndrome
25.immunoglobulins-has a constant and variable portions,are immunogenic,are glycoproteins,cleavaged by pepsin.
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