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MRCS High Yield Exam Questions With Correct Answers

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MRCS High Yield Exam Questions With Correct Answers What is the treatment of palliative colon cancer? - answerStents Bypass surgery Diversion stomas What is the treatment of right colon cancer? - answerRight hemicolectomy with ileo-colic anastomosis <5% leak rate What is the treatment tr...

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  • October 18, 2024
  • Unknown
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • MRCS
  • MRCS
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM



MRCS High Yield Exam Questions With
Correct Answers


What is the treatment of palliative colon cancer? - answer✔Stents


Bypass surgery

Diversion stomas


What is the treatment of right colon cancer? - answer✔Right hemicolectomy with ileo-colic

anastomosis




<5% leak rate


What is the treatment transverse colon cancer? - answer✔Extended right hemicolectomy with

ileo-colic anastomosis




<5% leak rate


What is the treatment of splenic flexure colon cancer? - answer✔Extended right hemicolectomy

with ileo-colic anastomosis

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM




<5% leak rate (better than left hemicolectomy w/ colo-colic: 2-5%)


What is the treatment of left colon cancer? - answer✔Left hemicolectomy with colo-colon

anastomosis




2-5% leak rate


What is the treatment of sigmoid colon cancer? - answer✔High anterior resection with colo-

rectal anastomosis




5% leak rate


What is the treatment of upper rectal cancer? - answer✔Anterior resection with total mesorectal

excision and Colo-rectal anastomosis




Likely radiotherapy




5% leak rate

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


What is the treatment of low rectal cancer? - answer✔Anterior resection with TME and colo-

rectal anastomsis (+/- defunctioning stoma)




Likely radiotherapy




10% leak rate


What is the treatment of anal verge rectal cancer? - answer✔Abdomino-perineal excision of

colon and rectum




Likely radiotherapy


What is Hartmans procedure? - answer✔Resection of sigmoid colon with end colostomy


How do you manage patients with large bowel obstruction resulting from carcinoma above the

peritoneal reflection? - answer✔Resection




Stenting




Defunctioning

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM


How do you manage patients with large bowel obstruction from rectal cancer? -

answer✔*Defunctioning loop colostomy*




Then staging


What is the level of the inferior phrenic branches? - answer✔T12 (paired, parietal)


What is the level of the coeliac trunk? - answer✔T12 (unpaired, visceral)


What is the level of the SMA? - answer✔L1 (unpaired visceral)


What is the level of the middle suprarenal arteries? - answer✔L1 (paired visceral)


What is the level of the renal arteries? - answer✔L1/L2 (paired visceral)


What is the level of the gonadal arteries? - answer✔L2 (paired visceral)


What is the level of the lumbar arteries? - answer✔L1-L4 (paired parietal)


What is the level of the IMA? - answer✔L3 (unpaired visceral)


What is the level of the median sacral artery? - answer✔L4 (unpaired parietal)


What is the level of the common iliac artery? - answer✔L4 (paired terminal)


What vessel may be divided to improve access to aneurysm neck in juxtarenal AAA?

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