MRCS Test Questions with Correct Answers Already Passed

MRCS Test Questions with Correct Answers Already Passed What are the four CEPOD classifications of intervention? - Answers 1 (immediate, minutes) - life, limb or organ threatening 2 (urgent, hours) 3 (expedited, days) 4 (elective) What is the ATLS definition of massive haemothorax? - Answers 1.5L initially drained or 200ml/h for 2-4 hours What are the haemodynamic parameters in class I haemorrhage shock? - Answers Volume loss - 750ml (15%) HR - 100 BP - normal RR - 20 UO - 30 What are the haemodynamic parameters in class II haemorrhage shock? - Answers Volume loss - 750ml - 1500ml (15-30%) HR - 100-120 BP - normal RR - 20-30 UO - 20-30 What are the haemodynamic parameters in class III haemorrhage shock? - Answers Volume loss - ml (30-40%) HR - 120-140 BP - decreased RR - 30-40 UO - 5-15 What are the haemodynamic parameters in class IV haemorrhage shock? - Answers Volume loss - 2000ml (40%) HR - 140 BP - decreased RR - 40 UO - 5 What are the five ASA grades based on medical co-morbidities? - Answers I - normal healthy individual II - mild systemic disease III - severe systemic disease IV - incapacitating systemic disease (constant life threat) V - Moribund, not expected to survive 24hrs In which position should the distal fragment of a Colles fracture be set during casting? - Answers Palmer flexion and ulnar deviation What are the three types of nodal dissection during gastrectomy? - Answers D1 - removal of nodes around the tumour site D2 - first 11 nodal stations (coeliac axis clearance) D3 - 16 nodal stations (peri-aortic) What are the Dukes stages for bowel cancer? - Answers A - restricted to mucosa (90%) B - all muscle layers (75%) C - nodal involvement (50%) D - distant mets