FRCS Gen Surg Practice Questions - Intercollegiate Specialty Fellowship Examination in General Surgery (FRCS Gen Surg) Exam - FRCS Gen Surg Practice Questions - Intercollegiate Specialty Fellowship Examination in General Surgery (FRCS Gen Surg) Exam

Question 1

A 68-year-old man has a biopsy-proven adenocarcinoma of the upper rectum 12 cm from the anal verge. Staging MRI shows a T3 tumour with a clear circumferential resection margin and no threatened mesorectal fascia; CT shows no metastases. According to current UK practice, what is the most appropriate management?

Long-course chemoradiotherapy followed by total mesorectal excision Primary anterior resection with total mesorectal excision Abdominoperineal excision of the rectum Defunctioning loop colostomy followed by palliative chemotherapy

Correct Answer:

Primary anterior resection with total mesorectal excision

Question 2

A 55-year-old woman has a 3 cm sigmoid adenocarcinoma confirmed on colonoscopy. Which lymphovascular pedicle must be ligated to achieve an oncologically adequate (high-tie) resection with complete mesocolic excision?

Ileocolic artery Middle colic artery Inferior mesenteric artery near its origin Superior rectal artery only, preserving the inferior mesenteric trunk

Correct Answer:

Inferior mesenteric artery near its origin

Question 3

A 24-year-old man with a 10-year history of ulcerative colitis has surveillance colonoscopy showing flat high-grade dysplasia confirmed by two pathologists, with otherwise quiescent pancolitis. What is the most appropriate definitive surgical recommendation?

Endoscopic mucosal resection of the dysplastic area with continued surveillance Increase maintenance immunomodulation and repeat colonoscopy in 6 months Segmental colectomy of the affected segment Restorative proctocolectomy with ileal pouch-anal anastomosis

Correct Answer:

Restorative proctocolectomy with ileal pouch-anal anastomosis

Question 4

A 40-year-old man presents with a tender, fluctuant swelling lateral to the anal margin with overlying erythema and fever. There is no obvious internal opening. What is the most appropriate immediate management?

Oral antibiotics and outpatient review Incision and drainage under anaesthesia Immediate fistulotomy Endoanal ultrasound before any intervention

Correct Answer:

Incision and drainage under anaesthesia

Question 5

A 62-year-old woman presents with left iliac fossa pain, fever and a CT showing acute sigmoid diverticulitis with a 3 cm pericolic abscess but no free perforation. She is haemodynamically stable. What is the most appropriate first-line management?

Hartmann's procedure Elective sigmoid colectomy on this admission Laparoscopic lavage Intravenous antibiotics with consideration of radiological (percutaneous) drainage

Correct Answer:

Intravenous antibiotics with consideration of radiological (percutaneous) drainage

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About this Exam

Prepare with the FRCS Gen Surg Practice Questions - Intercollegiate Specialty Fellowship Examination in General Surgery (FRCS Gen Surg) Exam practice quiz. This question bank includes 100 questions covering year-old, woman, presents, management, and shows. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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FRCS Gen Surg Practice Questions - Intercollegiate Specialty Fellowship Examination in General Surgery (FRCS Gen Surg) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, woman, presents, management, and shows. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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FRCS Gen Surg Practice Questions - Intercollegiate Specialty Fellowship Examination in General Surgery (FRCS Gen Surg) Exam

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