MRCS Preps #Abdominal Surgery Q4

Theme: Abdominal Stomas MCQ: Select the Most Appropriate Stoma A. End ileostomyB. End colostomyC. Loop ileostomyD. Loop colostomyE. End jejunostomyF. Loop jejunostomyG. Caecostomy Scenario: A 63-year-old woman presents with large bowel obstruction. On examination, she has a carcinoma located 10 cm from the anal verge. Answer: D. Loop colostomy Explanation Why Loop Colostomy? NEXT Why Not … Read more

MRCS Preps #Abdominal Surgery Q3

Theme: Abdominal Stomas MCQ: Select the Most Appropriate Stoma A. End ileostomyB. End colostomyC. Loop ileostomyD. Loop colostomyE. End jejunostomyF. Loop jejunostomyG. Caecostomy Scenario: A 23-year-old man with uncontrolled ulcerative colitis is undergoing an emergency subtotal colectomy. Answer: A. End ileostomy Explanation Why End Ileostomy? Why Not the Other Options? Summary: In an emergency subtotal colectomy … Read more

MRCS Preps #Abdominal Surgery Q2

Theme: Abdominal Stomas MCQ: Select the Most Appropriate Stoma A. End ileostomyB. End colostomyC. Loop ileostomyD. Loop colostomyE. End jejunostomyF. Loop jejunostomyG. Caecostomy Scenario: Answer: C. Loop ileostomy Explanation: Why Loop Ileostomy? NEXT Why Not the Other Options? Summary: In low anterior resection with planned restoration of intestinal continuity, a loop ileostomy is the most … Read more

MRCS Preps #Abdominal Surgery Q1

A 53-year-old man undergoes a reversal of a loop colostomy. He recovers well and is discharged home. Ten days later, he is readmitted with symptoms of vomiting and colicky abdominal pain. On examination, there is a swelling at the loop colostomy site, which is tender. What is the most likely underlying diagnosis? A. HaematomaB. Intra-abdominal … Read more

MRCS Preps #Lower Limb Q14

A 24-year-old lady is stabbed in the buttock. Following the injury, the wound is sutured in the emergency department. Eight weeks later, she attends the clinic. As she walks into the clinic room, she has a waddling gait and difficulty with thigh abduction. On examination, she has buttock muscle wasting. Which nerve has been injured? … Read more