Exam (elaborations)
MRCS High Yield Questions And Answers
- Course
- Institution
MRCS High Yield Questions And Answers MRCS High Yield Questions And Answers MRCS High Yield Questions And Answers
[Show more]
Content preview
MRCS High YieldWhat is the treatment of palliative colon cancer? - ANS Stents
Bypass surgery
Diversion stomas
What is the treatment of right colon cancer? - ANS Right hemicolectomy with ileo-colic anastomosis
<5% leak rate
What is the treatment transverse colon cancer? - ANS Extended right hemicolectomy with ileo-colic
anastomosis
<5% leak rate
What is the treatment of splenic flexure colon cancer? - ANS Extended right hemicolectomy with ileo-
colic anastomosis
<5% leak rate (better than left hemicolectomy w/ colo-colic: 2-5%)
What is the treatment of left colon cancer? - ANS Left hemicolectomy with colo-colon anastomosis
2-5% leak rate
What is the treatment of sigmoid colon cancer? - ANS High anterior resection with colo-rectal
anastomosis
,5% leak rate
What is the treatment of upper rectal cancer? - ANS Anterior resection with total mesorectal excision
and Colo-rectal anastomosis
Likely radiotherapy
5% leak rate
What is the treatment of low rectal cancer? - ANS Anterior resection with TME and colo-rectal
anastomsis (+/- defunctioning stoma)
Likely radiotherapy
10% leak rate
What is the treatment of anal verge rectal cancer? - ANS Abdomino-perineal excision of colon and
rectum
Likely radiotherapy
What is Hartmans procedure? - ANS Resection of sigmoid colon with end colostomy
How do you manage patients with large bowel obstruction resulting from carcinoma above the
peritoneal reflection? - ANS Resection
Stenting
,Defunctioning
How do you manage patients with large bowel obstruction from rectal cancer? - ANS *Defunctioning
loop colostomy*
Then staging
What is the level of the inferior phrenic branches? - ANS T12 (paired, parietal)
What is the level of the coeliac trunk? - ANS T12 (unpaired, visceral)
What is the level of the SMA? - ANS L1 (unpaired visceral)
What is the level of the middle suprarenal arteries? - ANS L1 (paired visceral)
What is the level of the renal arteries? - ANS L1/L2 (paired visceral)
What is the level of the gonadal arteries? - ANS L2 (paired visceral)
What is the level of the lumbar arteries? - ANS L1-L4 (paired parietal)
What is the level of the IMA? - ANS L3 (unpaired visceral)
What is the level of the median sacral artery? - ANS L4 (unpaired parietal)
, What is the level of the common iliac artery? - ANS L4 (paired terminal)
What vessel may be divided to improve access to aneurysm neck in juxtarenal AAA?
What branch of aorta overlies this? - ANS Left renal vein (anterior relation of AA)
SMA overlies left renal vein
When do you offer surgery for AAA? - ANS Aneurysm 5.5-6cm (asymptomatic)
Symptomatic aneurysms
Rupture
How many layers of abdominal wall are found in AAAs? - ANS All 3 layers
What are the risks of AAA rupture depending on size? - ANS 5-5.9cm = 25% 5yr
6-6.9cm = 35%
7cm+ = 75%
What is the most appropriate fluid regime in rAAA? - ANS 1 litre Hartmanns over 4hours
(avoid high volume infusion)
Mnemonic for decending abdominal aorta branches? - ANS Prostitutes cause sagging swollen red
testicles (in men) living in sin
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lectjoseph. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
84146 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now