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