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Perioperative-Management-Mrcs-42-Qs.pdf
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12/12/2018 Perioperative Management QuestionsSameh Awad I
Dashboard / My courses / MRCS Success: MRCS Part A online revision tool / Perioperative
/ Perioperative Management Questions
Started on Wednesday, 12 December 2018, 11:40 PM
State Finished
Completed on Wednesday, 12 December 2018, 11:41 PM
Time taken 56 secs
Marks 1.00/42.00
Grade 2.38 out of 100.00
For CBM, the grade above is shown relative to the maximum for all correc
Results for the whole quiz (42 questions)
Average CBM 0.02
mark
Accuracy 2.4%
CBM bonus 0.0%
Accuracy + 2.4%
Bonus
Results for just the 1 answered questions
Average CBM 1.00
mark
Accuracy 100.0%
CBM bonus -20.0%
Accuracy + 80.0%
Bonus
,12/12/2018 Perioperative Management Questions
Question 1
Correct
CBM mark 1.00
Weight 1.00
A 40-year-old man presents with clinical and endocrinological features of acromegaly. A microa
is identified. Which one of the following is the most compelling reason for treating this tumour?
Select one:
Avoidance of cardiovascular complications
Avoidance of colonic cancer
Avoidance of diabetes
Avoidance of optic pathway compression
Avoidance of radiological progression
Certainty : C=1 (Unsure: <67%) C=2 (Mid: >67%) C=3 (Quite sure: >80%)
Cardiovascular complications have most effect on survival and are best avoided by early treatm
All other conditions can occur but have less effect upon survival and are therefore less compel
would initiate additional treatment. Optic pathway compression will not occur with a micro aden
occurs.
The correct answer is:
Avoidance of cardiovascular complications
You did not select a certainty. Assuming: C=1 (Unsure: <67%).
,12/12/2018 Perioperative Management Questions
Question 2
Not answered
Weight 1.00
A 54-year-old man with osteoarthritis of the left knee presents at your pre-operative clinic. He a
hypertension, fibrotic pulmonary disease and chronic kidney disease. He is taking captopril (an
hypertension. On examination, his blood pressure is 160/120 mmHg. Why has the captopril no
Select one:
It acts in the kidney to inhibit release of renin from the juxta-glomerular apparatus
It acts in the liver to inhibit conversion of angiotensin I to angiotensin II
It acts in the liver to inhibit conversion of angiotensinogen to angiotensin I
It acts in the lungs to inhibit conversion of angiotensin I to angiotensin II
It acts in the lungs to inhibit conversion of angiotensinogen to angiotensin I
Certainty : C=1 (Unsure: <67%) C=2 (Mid: >67%) C=3 (Quite sure: >80%)
ACE is found in the lung, its acts on angiotensin 1, converting it to angiotensin II.
The correct answer is:
It acts in the lungs to inhibit conversion of angiotensin I to angiotensin II
, 12/12/2018 Perioperative Management Questions
Question 3
Not answered
Weight 1.00
An elderly patient with an intra-capsular fractured neck of femur is due to have a hip hemiarthro
the following describe anatomical steps to access the hip joint during the most commonly used
hemiarthroplasty?
Select one:
Detaching the anterior aspect of gluteus medius and minimus from the greater trochanter
Detaching piriformis and the short external rotators from their femoral insertion
Developing a plane between the gracilis and adductor longus muscles
Developing a superficial plane between sartorius and tensor fasciae latae
Elevation of vastus lateralis
Certainty : C=1 (Unsure: <67%) C=2 (Mid: >67%) C=3 (Quite sure: >80%)
The most commonly used approach for hip hemiarthroplasty is the antero - lateral (modified ha
During this approach the gluteus medius and minimus are detached as one or separate layers
anteriorly to gain access to the hip joint.
The correct answer is:
Detaching the anterior aspect of gluteus medius and minimus from the greater trochanter
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