MRCS Practice Papers Part A: Paper 2 EMQs - PasTest

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4 <strong>MRCS</strong> PRACTICE PAPERS PART A: PAPER 2 EMQSPAPER 1 QUESTIONSTHEME: EXTENSOR COMPARTMENTS OF THE WRISTA IB IIC IIID IVE VF VIFor each of the following statements, choose the most appropriatecompartment from the list above. Each option may be used once, morethan once or not at all. 6 7 8Extensor carpi radialis brevis is in this compartment.This compartment lies radial to Lister’s tubercle at the wrist.Extensor digiti minimi is in this compartment.
QUESTIONS5THEME: SEPSISA BacteraemiaB Systemic inflammatory response syndrome (to sepsis) (SIRS)C SepsisD Severe sepsisE Septic shockPAPER 1 QUESTIONSFor each of the following clinical scenarios, choose the most appropriatediagnosis from the list above. Each option may be used once, more thanonce or not at all. 9 10 11 12A 30-year-old man presents with severe right loin pain, radiatingto the groin. A mid-stream urine (MSU) shows blood, proteinand nitrites. A KUB study reveals a calculus. His temperature is39.1 °C, pulse 127/min, respiratory rate (RR) 38 breaths/min andBP 81/43 mmHg despite 3 litres of intravenous fluids, and hiswhite cell count (WCC) is 21 × 10 9 /l.A 79-year-old woman 1 week post-op has a pyrexia of 38.4 °C,pulse 104/min, BP 144/90 mmHg and WCC 14 × 10 9 /l. Chest X-ray (CXR) shows a left lower lobe pneumonia.A 30-year-old male post-op patient had blood cultures taken48 hours ago which are positive. He is currently apyrexial, pulse64/min, RR 12 breaths/min, BP 123/82 mmHg, with a normalWCC.A 27-year-old female post-op patient has a temperature of38.7 °C, pulse 86/min, RR 24 breaths/min, BP 127/74 mmHgand WCC 16 × 10 9 /l. Her CXR is clear, an MSU negative and thewound is fine.
Page 1 and 2: MRCS Practice PapersPart A: Paper 2
Page 3: 3QUESTIONSPRACTICE PAPER 1THEME: DI
Page 7 and 8: QUESTIONS7THEME: ANAESTHETIC AGENTS
Page 9 and 10: QUESTIONS9THEME: DAY-CASE SURGERYAB
Page 11 and 12: QUESTIONS11THEME: BURNSA 10 800 mlB
Page 13 and 14: QUESTIONS13THEME: SURGICAL INCISION
Page 15: QUESTIONS15THEME: URINARY TRACT INF
Page 18 and 19: ANSWERS155SEPSIS9 E - Septic shock1
Page 20 and 21: ANSWERS157ANAESTHETIC AGENTS19 I -
Page 22 and 23: ANSWERS159DAY-CASE SURGERY26 B - Un
Page 24 and 25: ANSWERS161BURNS32 C - 8640 ml33 B -
Page 26 and 27: ANSWERS163SURGICAL INCISIONS40 C -
Page 28: ANSWERS165URINARY TRACT INFECTIONS4

MRCS Practice Papers Part A: Paper 2 EMQs - PasTest

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