MCQS for MRCS Part-2

MRCS

Q1.A 60-year-old woman complains of pain and swelling of gradual onset in both
her knees over a period of 2 years. On examination there is evidence of excess
synovial fluid and synovial thickening in both knee joints and local tenderness.
Standing X-rays of her knees show diminution of joint space, sclerosis and cysts
in the adjacent bones. Osteophytes are also seen at the articular margins.
Theme: Pathological fracture
a Osteoporosis
b Osteomalacia
c Metastatic carcinoma
d Osteoblastoma
e Giant cell tumour

Q2.Metastatic calcification:
A occurs in normal tissue
B is characterised by psammoma bodies
C is associated with hyperparathyroidism
D characteristically occurs in osteoarthritis

Q3.The cephalic vein:
A begins in the region of the anatomical snuffbox
B at the elbow is deep to the lateral cutaneous nerve of the forearm
C ends by joining the brachial vein
D is medial to the biceps muscle in the arm
E has no valves

Q4.Chest injuries
a Tension pneumothorax
b Aortic rupture
c Haemothorax
d Aortic dissection
e Ruptured spleen
f Cardiac tamponade

Q5. Swollen, painful joints
a Osteoarthritis
b Gout
c Rheumatoid arthritis
d Tuberculous arthritis
e Neuropathic joint disease

Q6. A 34-year-old woman presents with a 2-month history of severe unilateral
Raynaud's phenomenon.
Theme:Lower leg ulceration
a Chronic obliterative arterial disease
b Superficial venous dysfunction
c Deep venous dysfunction
d Rheumatoid arthritis
e Squamous cell carcinoma

Q7.An 80-year-old retired chef has noticed that the edge of an ulcer situated above
the medial malleolus for 17 years has recently become ‘heaped up’ and bleeds
easily on contact.
Theme: Aneurysms
a Immediate ultrasound
b Insert intravenous lines, crossmatch blood and transfer to theatre
c Check the pulse and blood pressure half hourly
d Immediate CT scan
e Immediate endovascular stenting

Q8. A construction worker has his left leg trapped under falling bricks. At a followup
clinic 8 weeks later, it is observed that on the left side he has a foot drop and
diminished sensation on the lateral aspect of his leg and the dorsum of the foot,
with marginal sparing. He is unable to dorsiflex his left ankle or foot.
Theme: Conditions of the parotid gland
a Mumps
b Carcinoma
c Abscess
d Sjögren’s syndrome
e Mikulicz’s syndrome
f Pleomorphic adenoma
g Sialectasis

MCQS for MRCS part-1

MRCS

Q1. A 55-year-old man presents to the upper gastrointestinal clinic with symptoms of indigestion. He undergoes upper gastrointestinal (GI) endoscopy and visits you later to discuss his results. You tell him he has Barrett's oesophagus and he wants to know more. The following are features of Barrett's oesophagus except:-
1. Small intestinal metaplasia of the normal squamous mucosa.
2. Increased risk of oesophageal adenocarcinoma.
3. A Association with gastro-oesophageal reflux disease.
4. The presence of goblet cells.
5. The presence of cuboidal mucosal phenotype.

Q2. Utilising the posterior approach to a surgical procedure on the kidney, the surgeon will find that
True / False
1. The perirenal fat is exterior to the renal fascia (of Gerota)
2. The peritoneum needs to be opened
3. The pleura reaches below the level of the 12th rib
4. The renal artery is posterior to the renal vein
5. The subcostal nerve is anterior to the kidney

Q3. Injury --- cant dorsiflex ankle, area os sensory defect over mid foot,
1. deep peroneal n
2.superfec. per. n
3.tibial n
4.common per. n

Q4. first structure when opening pop fossa
1.solius
2. popletius
3. pop. artery
4.pop. vein
5.tibial n.

MCQS for MRCP part-2

MRCP

Q1.Aspirin inhibits platelet function by acetylating :
a) prostaglandin reductase
b) thromboxane synthetase
c) cyclooxygenase
d) succinic dehydrogenase
e) NADH-cytochrome-c-reductase

Q2.Marfan syndrome is associated with defective encoding of
a) collagen
b) elastin
c) fibrillin
d) elastin
e) laminin

Q3.The most common type of nontraumatic acute monoarthritis in young, sexually active persons.
a) Lyme disease
b) Nongonococcal septic arthritis
c) Gonococcal arthritis
d) gout
e) Spontaneous osteonecrosis

Q4..This patient with advanced HIV disease noted the appearance of these lesions on her face over several weeks.
What is the causative agent?
(Please select 1 option)
0. Bartonella henselae
0. Cryptococcus neoformans
0. Human herpes virus 8
0. Human papilloma virus
0. Pox virus

Q5.Muscarinic Acetylcholine receptors are selectively blocked by :
a) atropine
b) C5
c) muscarine
d) curare and C6
e) nicotine

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MCQS for MRCP part-1

MRCP

Q1.A 28 patient with a 10 year history of bronchial asthma presents with footdrop, he is noted to have purpura and painful skin nodules, the chest radiograph shows several peripheral nodules, these features are characteristic of:
a) Leoffler's syndrome
b) Idiopathic Hypereosinophilic Syndrome
c) chronic eosinophilic pneumonia
d) Churg-Strauss syndrome
e) Allergic bronchopulmonary aspergillosis

Q2.A sexually active patient presents with a pharyngitis , diarrhea and lymphadenopathy three weeks following exposure to an individual infected with HIV.
What is the test of choice for HIV in acutely infected individuals during the short period between infection and seroconversion?
a) viral lysate EIA
b) Fluoxetine
c) p24 antigen
d) Radioimmunoprecipitation assay
e) Polymerase chain reaction

Q3.A selective, reversible alpha-1 blocker which may be used in the pre-operative preparation of patients with phaeochromocytoma
a) phenylephrine
b) prazosin
c) clonidine
d) yohimbine
e) idazoxan

Q4.A patient suffering from hemochromatosis classically presents with the following triad:
a) micro-nodular liver cirrhosis, iron deficiency anemia & diabetes mellitus
b) micro-nodular liver cirrhosis, diabetes mellitus & bronze pigmentation of skin
c) diabetes mellitus, sickle cell anemia, bronze pigmentation of skin
d) micro-nodular liver cirrhosis, diabetes mellitus & sickle cell anemia
e) micro-nodular liver cirrhosis, Kayser-Fleischer rings & diabetes mellitus

Q5.An 18-year-old male presented with excessive bleeding following a tooth extraction.
His investigations showed:
Platelet count 260 x 109/l (150-400)
Prothrombin time 13 s (11.5-15.5)
Activated partial thromboplastin time 86 s (30-40)
Factor VIII 110 IU/dl (50-150)
Deficiency of which of the following clotting factors is the most likely explanation for this patient? (Please select 1 option)
0. II
0. V
0. VII
0. IX
0. X

Q6.A fifty-five year old with chronic cardiac failure is on treatment with digoxin and the a loop diuretic.
This combination is likely to cause digoxin toxicity by the following reason:
a) this combination increases the half-life of digoxin
b) diuretics decrease potassium levels
c) frusemide and digoxin interact to form a poisonous compound
d) digoxin is a competitive inhibitor of frusemide
e) the above statement is wrong, loop diuretics are not a recognised cause of increased digoxin toxicity

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