During thyroid surgery, a nerve is injured resulting in loss of abduction of the vocal cords. Which nerve is most likely damaged?

A patient has the following ABG results:pH 7.25, pCO₂ 3.5 kPa, HCO₃⁻ 15 mmol/L What is the most likely diagnosis?

A patient receives 3 litres of 0.9% saline over 24 hours. What is the main effect on plasma osmolarity?

When I decided to sit MRCS Part A, I knew it would be difficult. What I did not realise was how different it would be from every exam I had taken before. I was not a surgical trainee. I was not spending every day in theatre. I was not discussing anatomy on ward rounds or revising physiology after work. Like many international candidates, I was balancing work, life, and study while trying to prepare for one of the broadest examinations in medicine. At first, I underestimated the exam. I looked at the syllabus and thought: "I studied anatomy in medical school." "I know pathology." "I learned physiology years ago." The problem was that "learning it once" and "being able to answer MRCS questions" are completely different things. The first few weeks of revision felt comfortable. Then reality arrived. I opened an anatomy question bank. I couldn't remember nerve roots. I couldn't remember embryological derivatives. I confused foramina, blood supply, and anatomical relations. Physiology was even worse. Acid-base balance. Renal physiology. Endocrine feedback loops. Respiratory mechanics. I realised that knowledge I once knew had slowly disappeared over the years. Instead of accepting this, I made another mistake. I avoided my weak areas. I revised topics I enjoyed. I spent time reading surgical notes. I watched videos. I highlighted textbooks. It felt productive. But I wasn't improving. The examination doesn't reward what you already know. It exposes what you don't know. As the exam approached, I became more anxious. Every revision session reminded me of another topic I had forgotten. Every question bank revealed another weakness. I started jumping between resources, searching for the perfect notes. I convinced myself that if I found the right book, the right course, or the right question bank, everything would suddenly become easier. It never did. Exam day arrived. Paper 1 started. For the first twenty questions, I felt reasonably confident. Then came anatomy. Then embryology.

Any one have issue with emrcs log in or just me ?