MRCS High Yield Exam Questions and
Answers (Latest 2025)
What is the treatment of palliative colon cancer? - Correct
Answer ✅Stents
Bypass surgery
Diversion stomas
What is the treatment of right colon cancer? - Correct Answer
✅Right hemicolectomy with ileo-colic anastomosis
<5% leak rate
What is the treatment transverse colon cancer? - Correct
Answer ✅Extended right hemicolectomy with ileo-colic
anastomosis
<5% leak rate
What is the treatment of splenic flexure colon cancer? - Correct
Answer ✅Extended right hemicolectomy with ileo-colic
anastomosis
<5% leak rate (better than left hemicolectomy w/ colo-colic: 2-
5%)
What is the treatment of left colon cancer? - Correct Answer
✅Left hemicolectomy with colo-colon anastomosis
,MRCS High Yield Exam Questions and
Answers (Latest 2025)
2-5% leak rate
What is the treatment of sigmoid colon cancer? - Correct
Answer ✅High anterior resection with colo-rectal anastomosis
5% leak rate
What is the treatment of upper rectal cancer? - Correct Answer
✅Anterior resection with total mesorectal excision and Colo-rectal
anastomosis
Likely radiotherapy
5% leak rate
What is the treatment of low rectal cancer? - Correct Answer
✅Anterior resection with TME and colo-rectal anastomsis (+/-
defunctioning stoma)
Likely radiotherapy
10% leak rate
What is the treatment of anal verge rectal cancer? - Correct
Answer ✅Abdomino-perineal excision of colon and rectum
,MRCS High Yield Exam Questions and
Answers (Latest 2025)
Likely radiotherapy
What is Hartmans procedure? - Correct Answer ✅Resection of
sigmoid colon with end colostomy
How do you manage patients with large bowel obstruction
resulting from carcinoma above the peritoneal reflection? -
Correct Answer ✅Resection
Stenting
Defunctioning
How do you manage patients with large bowel obstruction from
rectal cancer? - Correct Answer ✅*Defunctioning loop
colostomy*
Then staging
What is the level of the inferior phrenic branches? - Correct
Answer ✅T12 (paired, parietal)
What is the level of the coeliac trunk? - Correct Answer ✅T12
(unpaired, visceral)
, MRCS High Yield Exam Questions and
Answers (Latest 2025)
What is the level of the SMA? - Correct Answer ✅L1 (unpaired
visceral)
What is the level of the middle suprarenal arteries? - Correct
Answer ✅L1 (paired visceral)
What is the level of the renal arteries? - Correct Answer ✅L1/L2
(paired visceral)
What is the level of the gonadal arteries? - Correct Answer ✅L2
(paired visceral)
What is the level of the lumbar arteries? - Correct Answer ✅L1-
L4 (paired parietal)
What is the level of the IMA? - Correct Answer ✅L3 (unpaired
visceral)
What is the level of the median sacral artery? - Correct Answer
✅L4 (unpaired parietal)
What is the level of the common iliac artery? - Correct Answer
✅L4 (paired terminal)
What vessel may be divided to improve access to aneurysm neck
in juxtarenal AAA?
Answers (Latest 2025)
What is the treatment of palliative colon cancer? - Correct
Answer ✅Stents
Bypass surgery
Diversion stomas
What is the treatment of right colon cancer? - Correct Answer
✅Right hemicolectomy with ileo-colic anastomosis
<5% leak rate
What is the treatment transverse colon cancer? - Correct
Answer ✅Extended right hemicolectomy with ileo-colic
anastomosis
<5% leak rate
What is the treatment of splenic flexure colon cancer? - Correct
Answer ✅Extended right hemicolectomy with ileo-colic
anastomosis
<5% leak rate (better than left hemicolectomy w/ colo-colic: 2-
5%)
What is the treatment of left colon cancer? - Correct Answer
✅Left hemicolectomy with colo-colon anastomosis
,MRCS High Yield Exam Questions and
Answers (Latest 2025)
2-5% leak rate
What is the treatment of sigmoid colon cancer? - Correct
Answer ✅High anterior resection with colo-rectal anastomosis
5% leak rate
What is the treatment of upper rectal cancer? - Correct Answer
✅Anterior resection with total mesorectal excision and Colo-rectal
anastomosis
Likely radiotherapy
5% leak rate
What is the treatment of low rectal cancer? - Correct Answer
✅Anterior resection with TME and colo-rectal anastomsis (+/-
defunctioning stoma)
Likely radiotherapy
10% leak rate
What is the treatment of anal verge rectal cancer? - Correct
Answer ✅Abdomino-perineal excision of colon and rectum
,MRCS High Yield Exam Questions and
Answers (Latest 2025)
Likely radiotherapy
What is Hartmans procedure? - Correct Answer ✅Resection of
sigmoid colon with end colostomy
How do you manage patients with large bowel obstruction
resulting from carcinoma above the peritoneal reflection? -
Correct Answer ✅Resection
Stenting
Defunctioning
How do you manage patients with large bowel obstruction from
rectal cancer? - Correct Answer ✅*Defunctioning loop
colostomy*
Then staging
What is the level of the inferior phrenic branches? - Correct
Answer ✅T12 (paired, parietal)
What is the level of the coeliac trunk? - Correct Answer ✅T12
(unpaired, visceral)
, MRCS High Yield Exam Questions and
Answers (Latest 2025)
What is the level of the SMA? - Correct Answer ✅L1 (unpaired
visceral)
What is the level of the middle suprarenal arteries? - Correct
Answer ✅L1 (paired visceral)
What is the level of the renal arteries? - Correct Answer ✅L1/L2
(paired visceral)
What is the level of the gonadal arteries? - Correct Answer ✅L2
(paired visceral)
What is the level of the lumbar arteries? - Correct Answer ✅L1-
L4 (paired parietal)
What is the level of the IMA? - Correct Answer ✅L3 (unpaired
visceral)
What is the level of the median sacral artery? - Correct Answer
✅L4 (unpaired parietal)
What is the level of the common iliac artery? - Correct Answer
✅L4 (paired terminal)
What vessel may be divided to improve access to aneurysm neck
in juxtarenal AAA?
