Dr.Shahriar's Surgical Handicraft

13/02/2026

🔴 ENDOCRINE TRAPS

• Graves in 1st trimester → PTU, not carbimazole
• Thyroid storm → Beta-blocker + thionamide first (NOT iodide alone)
• Post-thyroidectomy cancer → Suppress TSH
• Bone metastases lethargy → Hypercalcaemia (not hyponatraemia)
• Brain metastases headache → Steroids before radiotherapy
• Pheochromocytoma triad = headache + sweating + palpitations
• TURP syndrome → Acute hyponatraemia → Confusion (NOT pontine myelinolysis unless overcorrected)

03/02/2026

MRCS JAN 2026 Released With Well Explained and Authenticate answer...

26/01/2026

MRCS Recall -Jan 2025 jan 2026 ...

20/01/2026

MRCS Recall Question 16 :@ S-25 @ Emergency Medicine

An 11-year-old boy presents with loin bruising following blunt abdominal trauma during a football match. He is haemodynamically stable on assessment. What is the most appropriate initial imaging investigation?

A) CT Abdomen and Pelvis
B) Focused Assessment with Sonography for Trauma (FAST)
C) X-ray Abdomen
D) MRI Abdomen
E) Complete Blood Count

20/01/2026

MRCS Question 14 :@ S-25 @ Clinical Microbiology

A 60-year-old man is scheduled for elective colorectal surgery. According to current surgical infection control guidelines, which of the following represents the most appropriate antibiotic prophylaxis strategy?

A) Postoperative antibiotics for 5 days
B) A single preoperative dose of broad-spectrum antibiotic within 60 minutes of incision
C) Commence antibiotics after wound closure
D) Two doses of antibiotics: one preoperative and one 24 hours later
E) No antibiotic prophylaxis is required

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04/12/2025

MRCS RECALL Sep 2025 Paper 2

A 16-year-old girl collapses after a rugby tackle. She initially continued playing but now has a GCS of 8 and is intubated. Her pupils are bilaterally dilated and non-reactive.

What is the most appropriate immediate step in her management?

A) Administer mannitol
B) Call Neurosurgery
C) Initiate hyperventilation
D) Measure ICP
E) Start IV fluids

(Pastest has wrong answered this Q )

23/11/2025

🔥 MRCS – Trauma Surgery Q-Bank
🩺 The Single Most Important Topic for MRCS Part A + OSCE
Our includes:
✔️ All 2020–2025 Recall Questions
✔️ eMRCS + Pastest + Medbuddy High-Yield Items
✔️ Focused, Exam-Ready Explanations for Rapid Revision
✔️ Designed for Surgical Trainees Who Want to PASS on the First Attempt
📚 Boost your score. Master trauma. Beat the exam.
👉 Grab your copy ASAP!

20/11/2025

The Best Collection of Trauma Surgery for MRCS Exam... Part A


All emergency of GIT,Vascular,Colorectal,Neuro in one PDF......

🔥 MRCS – Trauma Surgery Q-Bank
🩺 The Single Most Important Topic for MRCS Part A + OSCE

Our includes:
✔️ All 2020–2025 Recall Questions
✔️ eMRCS + Pastest + Medbuddy High-Yield Items
✔️ Focused, Exam-Ready Explanations for Rapid Revision
✔️ Designed for Surgical Trainees Who Want to PASS on the First Attempt

📚 Boost your score. Master trauma. Beat the exam.
👉 Grab your copy ASAP!

14/11/2025

Surgical Handicraft MRCS Question Cluster: Lower-Limb Infection
(Same Scenario → Different Answers)

Scenario 1 —

A 54-year-old healthy man develops redness and warmth over his shin after a superficial scratch. He is systemically well and there is no ulcer or discharge.
What is the most appropriate first-line antibiotic?

Correct Answer: Flucloxacillin
→ Because this is simple cellulitis (Gram-positive only).

Scenario 2 —

A 54-year-old man presents with redness and swelling around a plantar ulcer on his foot. There is mild discharge but no systemic features.
What is the most appropriate first-line antibiotic?

Correct Answer: Co-amoxiclav
→ Because ulcers = mixed flora → need Gram+ / Gram− / anaerobic cover.

Scenario 3 —

A 54-year-old man presents with a painful, fluctuant swelling on his shin with overlying erythema.
What is the most appropriate initial management?

Correct Answer: Incision & drainage
→ ANY abscess = surgical drainage first, not antibiotics.

Scenario 4 — SYSTEMICALLY UNWELL → Answer: IV Flucloxacillin

A 54-year-old man with spreading shin cellulitis now has fever (38.6°C) and tachycardia.
What is the most appropriate initial treatment?

Correct Answer: IV flucloxacillin
→ Moderate–severe cellulitis = IV therapy.

Scenario 5 —

A 54-year-old diabetic man presents with a deep foot ulcer, erythema, foul-smelling discharge, and hypotension.
What is the most appropriate empiric antibiotic?

Correct Answer: Piperacillin–tazobactam
→ Severe polymicrobial diabetic foot + sepsis = broad-spectrum IV.

12/11/2025

MRCS Recall Q Bank @ Dr. Shahriar’s MRCS Surgical Scenarios

The most authentic, corrected, and illustrated MRCS recall collection — with clear explanations, error-free integration, and reasoning for every option.
Master the MRCS with confidence and clarity.

📘 Recall 2020–2025

💡 Also Available: MRCS Notes • Mocks • Q Bank • Revision Series

12/11/2025

Question 37 :@ S-25 @ Hepatobiliary and Pancreatic Surgery
A patient on the third postoperative day following laparoscopic cholecystectomy presents with epigastric tenderness and moderate free fluid on imaging. What is the most appropriate management plan?
A) Open Laparotomy
B) Laparoscopic Washout and Drain Placement
C) Percutaneous Transhepatic Drainage
D) Conservative Management

09/11/2025

Preparing for MRCS Part A & B?
Join thousands of trainees using Dr. Shahriar’s Surgical Handicraft – Where surgical knowledge meets craftsmanship.

📘 What We Offer: MRCS Part A
✅ MRCS Q-Banks (3000 + Recall+eMRCS+pastest,Medbuddy)
✅ MRCS Surgical Scenarios 2020–2025 – Authentic Recall-based & Explained & illustrated

📘 What We Offer: MRCS Part B
✅ MRCS OSCE Notes
(Salah+eMRCS+Pastest+Recall Updated upto 2025)
✅ MRCS OSCE Recalls (Authentic Recall of Last 5 Years)

🎯 Updated | UK Guideline Based | Independent | Exam Focused

📂 Free sample PDFs: [Text us]
📧 surgicalhandicraft@gmail.com

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