MRCS Part B – ENT – Mega Mock – CL

1.

a. Name the disorder
b. Write the etiology
c. 3 clinical features
d. Which surgery is contraindicated and why?

2.

1.What is your provisional Diagnosis ?
2.Most likely pathology?
3.Mention 6 risk factors for this lesion?
4.Mention 2 symptoms of this patient?
5.Mention 2 lines of treatment?

3.

a. Identify the condition
b. Name the sign seen on X ray
c. Name the causative organism
d. List 5 clinical features
e. Name 1 DD and 3 differentiating features between them
f. Outline the management protocol

4. Write the discharge summary for Mr. William Ashford (DOB: 12/09/1980, NHS Number: ABC1234, residing in 22B Baker Street, London) who underwent bilateral functional endoscopic sinus surgery for nasal polyp at Ward 10 of Imperial Hospital, London under ENT Consultant, Mr. Thomas on 3rd October, 2023 and discharged on 4th October 2023 as planned, without any complication. His preop CT Report showed bilateral nasal polyposis and patient had been suffering from bilateral nasal obstruction for 2 years.

5.


a. Which of the above requires immediate treatment and why?
b. List out 3 clinical features of the above
c. List 3 complications of ingestion of object A
d. Outline the management protocol of A or B
e. Give 2 complications if object in A is placed in nose
f. Give 2 complications if object in A is placed in ear

6.



i. Name all the items listed.
ii. Which ones are used in adenotonsillectomy?
iii. Which ones are used to stop epistaxis?
iv. What is the full form of BIP?
v. Give one use of (f).
vi. Give one use of (a).

7.
a. What the indications of adenoidectomy?
b. Write 3 contraindications
c. Write 3 complications
d. Mention 4 different techniques of doing adenoidectomy

8.

A 20 YEAR male patient with left sided painless neck swelling
1. Mention 2 initial examination steps you can do in the clinic if you suspect branchial cyst?
2.Embryological origin?
3.Mention 2 derivatives of 2nd branchial arch cleft?
4.List 5 differential diagnosis for this mass?
5.The lesion is cystic and FNA was done… Mention 3 specific findings for the aspirate?

9.

A. 5-year-old child presents to your clinic with the above features.
a. Identify the most probable cause
b. Name 2 other clinical features commonly seen in such children
c. As a responsible doctor, what would be your plan of action?

10.

1.Name the structures from (1-7)
2.Which levels will be dissected in lateral neck dissection?
3.Mention 3 complications of lateral neck dissection?
4.Structure preserved in Modified radical neck dissection?
5.5 nerves in risk to be damaged in level II dissection

11.

a. Identify the disorder
b. Name the causative organism and mode of transmission
c. Give 4 clinical features
d. What are the complications?
e. Outline the investigations

12.

1.What is your provisional diagnosis?
2.Mention the Causative organism?
3.Mention the name of the required vaccine and when is it supposed to be given?
4.Mention 3 clinical features?
5.Mention 3 methods of surgical treatment?

13.

a. Identify the disorder
b. What is the etiology?
c. Name 1 syndrome associated with this disorder
d. What is the treatment?
e. Name 2 complications
f. What are the causes of recurrence?

14.


What is the name of this radiological study?
– Label (1-3)

15.

a. Name the congenital anomaly
b. Name the syndrome often associated with it
c. Mention the triad found in this congenital anomaly
d. What is the treatment protocol?
e. Name 2 complications which can happen during surgery

16.

A 50-year-old gentleman has been referred to the ENT clinic from endocrinology for further management after having this scan. He has a history of recurrent renal stones
1. What is the name of this radiological study?
2.Describe the image?
3.Describe 4 indications for surgical intervention? and mention 3 complications?
4. Mention 2 investigations you would request on the following day after the operation.
5.Mention 2 non-surgical lines of management of Hyperparathyroidism?
6.What is the half-life of PTH?
7. Mention 3 sites of ectopic parathyroid glands?
8. What genetic condition may be associated with this condition?

17.

A child presents with this for the last 4 weeks.
a. Identify the disease
b. What is the causative organism and mode of transmission?
c. Name 2 clinical features
d. What are the investigations you want to do?
e. Mention the treatment protocol

18.

1) Identify both foramina (A) (B)?
2) Which structure is usually ligated to control severe epistaxis due to facial trauma?
3) Identify (C)? Mention TWO structures passing through it?
4) List SIX nerves that pass through (D)?
5) Identify (E)?

19.
You are the CT2 doctor in New England District Hospital. A patient attended to the ED on 1st October 2023 with stridor. Urgent tracheostomy under local anesthesia was done and then direct laryngoscopy was performed. It showed right transglottic mass that causes fixation to the vocal chords and extended to the anterior one third of the left vocal chord.
HPE showed moderately differentiated squamous cell carcinoma. Imaging of the neck showed right glottic mass with invasion of thyroid cartilage and no neck lymph node involvement. Metastatic work up was negative. The patient has been diagnosed with hypertension since 2018 for which he has commenced Concor 5 tablets. No allergy history was given. Write a transfer letter to Ms. Stokes, ENT Consultant in New England Tertiary hospital explaining the patient condition and including the grading of his condition and management plan (include the nursing instruction for tracheostomy).

20.

A female patient with thyroid swelling, with following LABS
TSH – 8 (0.4 – 4.5 mU/L)
FT3 – 3.5 (3.5 – 7.8 nmol/L)
FT4 – 9.5 (9.0-25 pmol/L)
High anti thyroid peroxidase Ab

1.What is the most likely diagnosis?
1 year later the patient started complaining of fatigue and cold intolerance.
2.Mention 2 clinical features apart from the above mentioned features?
3.Mention the medication that will be used and its dosage?
4.Mention 2 indications for surgical intervention?
5.Mention the pathology of the thyroid cancer that this patient is in high risk to develop?