Newly

MRCS Part A 1 & 2

Product description

Achieve exam success with our MRCS Part A resource 
2020+ questions  

Our resource contains questions based on themes from previous exams, providing detailed explanations and key learning points to improve your knowledge.


<!-- split -->Demo Question

 
A 20-year-old woman is followed up two months after her initial presentation with a painful, tender, midline neck swelling. The lump moves upwards on swallowing. She was treated with antibiotics and the infection has resolved.
Which investigation should be undertaken before any surgical treatment?
 Calcium and PTH assessment
 Flexible nasoendoscopy to assess vocal cord function
 Lateral soft-tissue x ray of the neck
 Thyroid function tests
 Ultrasound scan of the neck<!-- split -->

Key Learning Point

 
Ultrasound imaging is extremely useful in differentiating midline cystic neck swellings.<!-- split -->

Explanation

 
The likely diagnosis is a thyroglossal cyst.
Before excising any thyroglossal cyst an ultrasound scan is needed to confirm the presence of a normal thyroid gland. Rarely, ectopic thyroid tissue can be present in the excised specimen, a remnant from the descent of thyroid in early fetal life.