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Anatomy-Mrcs-Success-80-Qs.pdf
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12/7/2018 Applied Surgical Anatomy SBAs Sameh Awad Ibrahim Ahmed Moh
Dashboard / My courses / MRCS Success: MRCS Part A online revision tool / Applied Surgical Anatomy / Applied Surgical Anatomy S
Started on Friday, 7 December 2018, 6:39 PM
State Finished
Completed on Friday, 7 December 2018, 10:33 PM
Time taken 3 hours 54 mins
Marks 8.00/80.00
Grade 10.00 out of 100.00
For CBM, the grade above is shown relative to the maximum for all correct at C=1.
Results for the whole quiz (80 questions)
,12/7/2018 Applied Surgical Anatomy SBAs
Average CBM 0.10
mark
Accuracy 13.8%
CBM bonus -0.4%
Accuracy + 13.4%
Bonus
Results for just the 20 answered questions
Average CBM 0.40
mark
Accuracy 55.0%
CBM bonus -1.5%
Accuracy + 53.5%
Bonus
Break-down by certainty
C=3 Responses: 3. Accuracy: 67%. (Optimal range 80% to 100%). You were a bit over-confident using this certainty lev
C=2 Responses: 5. Accuracy: 60%. (Optimal range 67% to 80%). You were a bit over-confident using this certainty leve
C=1 Responses: 12. Accuracy: 50%. (Optimal range 0% to 67%). You were OK using this certainty level.
,12/7/2018 Applied Surgical Anatomy SBAs
Question 1
A 3-month-old boy presents to your outpatient clinic as the parents describe seeing clear fluid discharge from the umbi
Incorrect
been noted since soon after the umbilical cord separated. Which one of the following is the most likely underlying (emb
CBM mark 0.00 explanation?
Weight 1.00
Select one:
A patent urachus
A patent vitello-intestinal duct
A urachal cyst
An exomphalos
An umbilical granuloma
Certainty : C=1 (Unsure: <67%) C=2 (Mid: >67%) C=3 (Quite sure: >80%)
After separation of the cord there should not be any discharge from the umbilicus. The presence of clear fluid points to
being urine rather than bowel content coming from the umbilicus. A patent urachus implies a persistent collection to the
allowing small amounts of urine to leak but the patient often remains completely well.
A patent urachus - correct
A patent vitello-intestinal duct - you would expect bowel content, not clear fluid with a connection to the bowel
A urachal cyst - a urachal cyst typically will not drain as the urachal tract is obliterated on either side of the cyst
, 12/7/2018 Applied Surgical Anatomy SBAs
An exomphalos - this is an abdominal wall defect with the bowel covered by the cord structures and would be identified
birth
An umbilical granuloma - a granuloma may leak small amounts of fluid but typically is more serosanguinous
The
A patent
correct
urachus
answer is:
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