Sample 1

OESOPHAGEAL PATHOLOGY

A Achalasia
B Barretts oesophagus
C Candida oesophagitis
D Congenital oesophageal stricture
E Eosinophilic oesophagitis
F Fibrotic stricture
G Mallory Weiss tear
H Oesophageal perforation
I Oesophageal varices
J Plummer Vincent syndrome
K Post cricoid web
L Reflux oesophagitis
M Schatski ring
N Squamous metaplasia
O Vascular compression of oesophagus

For each of the scenarios below, choose the single most likely diagnosis from the list of
options above. Each option may be used once, more than once or not at all.

1. Is a cause of haematemesis following prolonged retching.
2. A 55 year old woman with long standing rheumatic mitral valve regurgitation
suddenly develops dysphagia for chicken pieces.
3. An 80 year old spinster who lives alone develops dysphagia for some solids and is
found to be anaemic.





















Sample 2

ABDOMINAL MASS

A Appendix abscess
B Appendix mass
C Caecal tumour
D Diverticular disease
E Ectopic pregnancy
F Fibroid (uterine)
G Hypernephroma
H Ovarian cyst
I Pancreatic tumour
J Sigmoid volvulus
K Terminal ilial mass

In each of the following scenarios, choose the most appropriate option from the list above.
Each option may be used once, more than once or not at all.

1. A 17 year old man has a five day history of lower abdominal pain, nausea and a
temperature of 37.8C. He is tender in the RIF and a mass is palpable.
2. A 28 year old woman has a three day history of RIF pain. She is unable to lie flat.
There if a vague mass in the RIF and she has a temperature of 37.2C.
3. A 57 year old woman is lethargic with a two month history of pain in the lower
abdomen. She is pale and there is a palpable mass in the right lower abdomen.

























Sample 3


CHEST

A Bronchopleural fistula
B Chylous pleural effusion
C Congenital lobar emphysema
D Empyema
E Extralobular sequestration
F Haemothorax
G Inhaled peanut
H Intralobular sequestration
I Pneumothorax
J Recurrent trachea-oesophageal fistula
K Tracheal stenosis
L Tracheomalacia

From the list of options above, choose the most appropriate option for each of the following
scenarios. Each option may be used once, more than once or not at all.

1. A 43 year old alcoholic man fell down the stairs and was found to have fractured his
ribs on the right hand side. He was also found to have a pneumothorax. A chest drain
has been placed but four days later there is no reinflation of the pneumothorax.
2. A 55 year old Egyptian woman has a thyroidectomy for a massive multinodular
goitre. Post-operatively she develops respiratory difficulties.
3. A 6 year old boy has had two attacks of chest infection and the chest X-ray shows
apex of lower lobe consolidation.






















Sample 4


ANTIBIOTICS

A Any broad spectrum antibiotic
B Ciprofloxacin
C Erythromycin
D Gentamycin
E Linocycline
F Metronidazole
G Rifamicin
H Streptomycin
I Tetracyclines
J Vancomycin

For each of the following side effects, select the most likely antibiotic from the list of options
above. Each option may be used once, more than once or not at all.

1. Yellow staining of the teeth in infants.
2. Nephotoxicity.
3. Pseudomembranous colitis.




























Sample 5


HERNIA PRESENTATIONS

A Diaphragmatic
B Epigastric
C Femoral
D Hiatus
E Incisional
F Inguinal
G Internal
H Lumbar
I Muscular
J Obturator
K Parastomal
L Paraumbilical
M Port site
N Richters
O Spigelian

For each of the following scenarios, choose the most likely hernia from the list above. Each
option may be used once, more than once or not at all.

1. A 38 year old woman with a BMI of 45 presents with a mass in the centre of the
abdomen which is red, swollen and painful.
2. A 42 year old woman who has had three caesarean sections, presents with a swelling
to the left of the midline at the end of the wound.
3. A 63 year old female grocer worker presents with a swelling in her groin.