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MRCS Part A exam review questions and answers
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MRCS Part A exam review questions and answers
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MRCS Part A exam review questions andanswers
Where is the main source of bleeding in epistaxis - Littles area
What is the main source of arterial supply to Littles area - Sphenopalatine and
greater Palatine arteries
What is the most common parotid neoplasm - Benign Pleomorphic Adenoma or
Benign Mixed tumour
What is the most common bilateral benign neoplasm of the parotid - Warthins
tumour (Papillary cystadenoma)
What the most common parotid tumour in children less than 1 year of age -
Haemangioma
What is Swirl Sign on CT - Areas of fresh blood and clots together, seen in
intracranial haemorrhages
When are you most likely to see an intraventricular haemorrhage - Neonates in
the first 72 hours
,MRCS Part A exam review questions and
answers
What are the 5 levels of evidence - I - Evidence gained from systematic review of
all RCTs
II - Evidence gained form at least 1 properly performed RCT
III - Evidence gained from well desienged pseudo RCT or historical controls
IV - Evidence derived from case series or reports
V - Panel or expert opinion
What is suitable management of scalp bleeding - Mattress sutures
What is is suitable management of bleeding from raw surfaces - Spray diathermy
and argon plasma coagulation
How do wounds heal in primary closure - Primary intention
What is a major risk of incorrect vacuum assisted closure involving bowel -
Fistulation
Where are Latex tube drains mainly used - Where fibrosis is ideal EG T tube
following exploration of common bile duct
,MRCS Part A exam review questions and
answers
What are good sutures to use that will break down after 6-12 weeks - Polydiaxone
(PDS) and Polyglycolic acid (Vicryl)
What is a good suture to use thats permanent for vascular anastomoses? -
Polypropylene (prolene)
What is a good suture to use thats permanent for laparoscopic surgery? -
Polyester (ethibond)
What is the waveform of the cutting function in electrosurgery - Sinusoidal and
non-modulated
What is the waveform of the coagulation function in electrosurgery - Modulated
current with intermittent dampened sine waves of high peak voltage
What electrosurgery setting leads to loss of cellular water but not protein damage
- Desication
, MRCS Part A exam review questions and
answers
Which electrosurgery setting leads to a spray effect with local, superficial tissue
destruction - Fulguration
What type of transplant is allograft - Transplant of tissue from genetically non
identical donor from the same species
What type of transplant is isograft - Graft between two individuals with genetically
identical material
What type of transplant is autograft - Transplanation of organs or tissues from one
part of the body to another in the same individual
What type of transplant is xenograft - Tissue transplanted from another species
What is the commonest cause of acute limb ischaemia - Thrombosis of a pre-
existing site of atherosclerosis
What are the clinical signs of limb ischaemia by their ABPI - 1.2+ - Usually due to
vessel calcification
1.0-1.2 - Normal
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