Surgery Questions For MDC License Exams Passco

OCTOBER, 2017
SURGERY
Q1. Thirty (30) years old man presented at a health center with complain of a swelling in the right groin which had been there for over four (4) years. Whilst standing, the swelling became very prominent in the groin. The swelling disappeared completely when he lied on his back. When asked to cough, the swelling appeared with the cough and disappeared after the cough.
a. What is your provisional diagnosis?

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b. List four (4) differential diagnosis for this condition?

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c. List two laboratory tests you will request for this patient in preparation for managing his condition and explain why you have chosen these two tests

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d. List two modes of surgery that can be used to manage this condition

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Q2. Twenty years old young lady reported to clinic with a lump in her breast which she noticed two months ago. The lump has not been growing in size and there is no associated discharge from the nipple. Examination revealed a breast lump in the right breast located in the upper outer quadrant of the breast. The lump measured 1.5cm by 1.5 cm in dimension. It is painless, not attached to the overlying skin or underlying muscle.
a. What is your provisional diagnosis?

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b. List four (4) differential diagnosis

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c. What imaging procedure is more appropriate to request for this patient for more information on the lump? List two reasons for your choice of imaging technique

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d. What will be your advice to this patient and why?

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Q3. A patient report to a clinic with complaint that, he had been hit by a mad man with a wooden plank on the right forearm. He has severe pains now and the middle one third of the forearm is swollen, tender and inflamed but the overlying skin is intact. No crepitus is felt at the site of injury
a. Name two bones at risk of injury from the attack and how you would find out if there is any damage to them

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b. Investigation revealed no damage to the bones. What is your clinical diagnosis of the pain and swelling of the patient?

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c. How will you manage this condition?

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d. Assuming the patient had no trauma to the right forearm but rather presented with pain and swelling for some day’s duration, what will be two differential diagnoses?

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QUESTION ONE
A young man was involved in a road traffic accident and sustained a fracture of the femur and was brought to your health facility.
How will you elicit that the part of the limb below the fracture is viable?
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Mention four (4) investigations you will carry out
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What will be your initial management of the case?
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QUESTION TWO
You were in the health facility when a six (6) year old boy was brought in by the parents with a swelling in front of the right ear.
Mention two differential diagnosis of the condition
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Mention three (3) investigations you will carry out
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Mention four complications of the condition
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Give two reasons why you will refer the case?
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