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1) A normal adult has a splenectomy following a road accident. The sequelae would include:

Choose 3 of the following options.

1. Thrombocytosis.

2. Decreased destruction of RBCs.

3. Increased susceptibility to infection.

4. Decreased serum transport of iron.

5. Increased serum transport of iron.

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2) Which of the following is true of traumatic dislocation of the hip?

One answer only.

A. Most occur in the elderly.

B. Posterior dislocations are more common than anterior.

C. The obturator nerve is most commonly injured.

D. Recurrent dislocation is common.

E. All of the above.

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3) Which of the following are true of a properly functioning intra-aortic balloon pump (IABP)?

Choose 2 of the following options.

1. It improves coronary blood flow and decreases afterload.

2. The tip should be positioned just distal to the left subclavian artery.

3. Helium rather than CO2 should be used for balloon inflation.

4. It can only be used in a heparinised patient.

5. CO2 only should be used

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4) Carcinoma of the oesophagus :

One answer only.

1. Is usually adenocarcinoma if it occurs at the lower end of the oesophagus

2. Metastasises early to the liver and the lungs.

3. May be resected if it occurs above the aortic arch.

4. May be associated with the Plummer-Vinson Syndrome.

5. None of the above

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5) A 30 year old man is stable but has evidence of thoraco-abdominal trauma following a motor vehicle accident. Which is the best method of excluding diaphragmatic rupture?

One answer only.

A. CXR.

B. Thoracoabdominal CAT scan.

C. Peritoneal lavage.

D. Immediate laparotomy.

E. None of the above.

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6) Complications of subtotal thyroidectomy include:

Choose 3 of the following options.

1. Aphonia

2. Recurrence of thyrotoxicosis

3. Myxoedema

4. Hypercalcaemia

5. Apraxia

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7) In postgastrectomy syndromes:

Choose 2 of the following options.

1. Early dumping is due to rebound hypoglycaemia

2. Anaemia is seen in about half of the cases

3. Folate deficiency is common

4. Backaches are causatively linked

5. Diabetes has increased prevalence

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8) With regard to the thoracic outlet syndrome:

Choose 4 of the following options.

1. Treatment can include 1st rib resection.

2. Compression of the lower trunk of the brachial plexus is the most common cause of symptoms.

3. Compression of the neurovascular bundle between scalenus anterior and medius can be the cause.

4. It can be caused by the presence of a cervical rib.

5. Compression of the upper trunk of the brachial plexus is the most common cause of symptoms

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9) Colo-vesical fistula is a well-recognised complication of:

Choose 3 of the following options.

1. Crohn's disease.

2. Diverticular disease.

3. Colonic carcinoma.

4. Ischaemic colitis

5. Mesenteric infarction

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10) Known risk factors for the development of pancreatic carcinoma include:

Choose 3 of the following options.

1. Cigarette smoking.

2. Diabetes mellitus.

3. Chronic pancreatitis.

4. Cholelithiasis.

5. Gastrectomy