Get ahead! SURGERY100 EMQs for Finals

258 Pages·2007·1.34 MB·English

by  James Wigley

Get ahead!
Surgery
100 EMQs for fi nals
Saran Shantikumar
Foundation Year House Offi cer
Academic Vascular Surgery
Leeds General Infi rmary
Leeds, UK
CRC Press
Taylor & Francis Group
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© 2007 by Taylor & Francis Group, LLC
CRC Press is an imprint of Taylor & Francis Group, an Informa business
No claim to original U.S. Government works
Version Date: 20121114
International Standard Book Number-13: 978-1-85315-845-2 (eBook - PDF)
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used only for identification and explanation without intent to infringe.
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CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
© 2007 by Taylor & Francis Group, LLC
CRC Press is an imprint of Taylor & Francis Group, an Informa business
No claim to original U.S. Government works
Printed in the United States of America on acid-free paper
Version Date: 20121114
International Standard Book Number: 978-1-85315-746-2 (Paperback)
This book contains information obtained from authentic and highly regarded sources. Reasonable
efforts have been made to publish reliable data and information, but the author and publisher cannot
assume responsibility for the validity of all materials or the consequences of their use. The authors and
publishers have attempted to trace the copyright holders of all material reproduced in this publication
and apologize to copyright holders if permission to publish in this form has not been obtained. If any
copyright material has not been acknowledged please write and let us know so we may rectify in any
future reprint.
Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced,
transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or
hereafter invented, including photocopying, microfilming, and recording, or in any information stor-
age or retrieval system, without written permission from the publishers.
For permission to photocopy or use material electronically from this work, please access www.copy-
right.com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222
Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that pro-
vides licenses and registration for a variety of users. For organizations that have been granted a pho-
tocopy license by the CCC, a separate system of payment has been arranged.
Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are
used only for identification and explanation without intent to infringe.
Visit the Taylor & Francis Web site at
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© 2007 Royal Society of Medicine Press Ltd
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Contents C
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Foreword ix
Preface xi
Introduction to Get ahead! xiii
Practice Paper 1: Questions 1
Theme 1: Investigation of abdominal pain 1
Theme 2: Burns 2
Theme 3: Back Pain 3
Theme 4: Intestinal obstruction 4
Theme 5: Ulcers 5
Theme 6: Management of hernias 6
Theme 7: Diagnosis of breast disease 7
Theme 8: Management of testicular conditions 8
Theme 9: Hypersensitivity reactions 9
Theme 10: Neck lumps 10
Theme 11: Classifi cation of jaundice 11
Theme 12: Should disorders 12
Theme 13: Thyroid disease 13
Theme 14: Diagnosis of chest trauma 14
Theme 15: Abdominal incisions 15
Theme 16: Groin lumps 16
Theme 17: Management of venous disease 17
Practice Paper 1: Answers 18
Practice Paper 2: Questions 41
Theme 1: Haematuria 41
Theme 2: Arterial blood gases 42
Theme 3: Lower limb nerve lesions 43
Theme 4: Investigation of gastrointestinal bleeding 44
Theme 5: Diagnosis of breast disease 45
Theme 6: Local anaesthetic agents 46
Theme 7: Diagnosis of jaundice 47
Theme 8: Thyroid disease 48
Theme 9: Management of skin conditions 49
Theme 10: Neck lumps 50
Theme 11: Paediatric orthopaedic conditions 51
Theme 12: Gastrointestinal polyps 52
Theme 13: Femoral neck fractures 53
Theme 14: Diagnosis of groin lumps 54
Theme 15: Classifi cation of hernias 55
Theme 16: Investigation of vascular disease 56
Practice Paper 2: Answers 57
v
Practice Paper 3: Questions 77
C
o Theme 1: Upper gastrointestinal haemorrhage 77
n
t Theme 2: Airway management 78
e
n Theme 3: Pancreatic tumours 79
t Theme 4: Endocrine disorders 80
s
Theme 5: Management of abdominal pain 81
Theme 6: Skin lesions 82
Theme 7: Conditions of the nose 83
Theme 8: Paediatric orthopaedic conditions 84
Theme 9: Management of prostate disease 85
Theme 10: Statistics 86
Theme 11: Knee injuries 87
Theme 12: Management of anorectal conditions 88
Theme 13: Upper limb nerve lesions 89
Theme 14: Anatomy of hernias 90
Theme 15: Management of common fractures 91
Theme 16: Diagnosis of vascular disease 92
Practice Paper 3: Answers 93
Practice Paper 4: Questions 117
Theme 1: Diagnosis of dysphagia 117
Theme 2: Shock 118
Theme 3: Management of chest trauma 119
Theme 4: Diagnosis of abdominal pain 120
Theme 5: Hand disorders 121
Theme 6: Diagnosis of biliary tract disease 122
Theme 7: Investigation of urological disease 123
Theme 8: Lower gastrointestinal haemorrhage 124
Theme 9: Tumour markers 125
Theme 10: Investigation of breast disease 126
Theme 11: Penile conditions 127
Theme 12: Cutaneous malignancies 128
Theme 13: Management of endocrine disease 129
Theme 14: Eye disease 130
Theme 15: Preoperative morbidity 131
Theme 16: Bone tumours 132
Theme 17: Management of arterial disease 133
Practice Paper 4: Answers 134

vi
Practice Paper 5: Questions 159
C
Theme 1: Glasgow coma scale 159 o
n
Theme 2: Diagnosis of hernias 160 t
e
Theme 3: Management of urological disease 161 n
Theme 4: Diagnosis of hepatomegaly 162 t
s
Theme 5: Diagnosis of the swollen limb 163
Theme 6: Eponymous fractures and classifi cations 164
Theme 7: Investigation of abdominal pain 165
Theme 8: Nipple discharge 166
Theme 9: Skin lesions 167
Theme 10: Diagnosis of anorectal disease 168
Theme 11: Intravenous fl uids 169
Theme 12: Management of paediatric surgical conditions 170
Theme 13: Ear disease 171
Theme 14: Knee conditions 172
Theme 15: Diagnosis of vascular disease 173
Theme 16: Investigation of dysphagia 174
Theme 17: Upper limb nerve lesions 175
Practice Paper 5: Answers 176
Practice Paper 6: Questions 199
Theme 1: Diagnosis of hernias 199
Theme 2: Spinal cord lesions 200
Theme 3: Management of biliary tract disease 201
Theme 4: Ulcers 202
Theme 5: Consent 203
Theme 6: Colorectal operations 204
Theme 7: Management of breast cancer 205
Theme 8: Tumour staging systems 206
Theme 9: Investigation of endocrine disease 207
Theme 10: Diagnosis of dysphagia 208
Theme 11: Management of urinary retention 209
Theme 12: Diagnosis of paediatric surgical conditions 210
Theme 13: Diagnosis of foot disorders 211
Theme 14: Diagnosis of abdominal pain 212
Theme 15: Management of head injury 213
Theme 16: Urological conditions 214
Theme 17: Management of abdominal aortic Aneurysms 215
Practice Paper 6: Answers 216
Index of topics covered 241

vii

Foreword F
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It gives me great pleasure in writing the foreword for this excellent text
by Saran Shantikumar. Extended matching questions have become an
essential part of undergraduate medical examinations, not only for being
the fairest format available, but also for allowing a wider coverage of the
subject than other question types allow. I congratulate Saran for taking the
time and effort to write this book. This short volume covers the breadth of
surgery including all the commonly asked clinical scenarios. The themes
are well chosen, following careful thought, and the case histories provided
are excellent. The quality of this book is enhanced by the clear language
and the clarity of explanations provided in the answers.
Assessments are always important, but none are more signifi cant than the
fi nal examinations. The examination period is a time of enormous anxiety
and this work of Saran’s should go a long way in relieving the pressure
of studying for the surgery examinations. I am sure over the years Get
ahead! Surgery will become an indispensable revision aid for undergraduate
medical students preparing for their fi nals.
Raj Prasad
Consultant Hepatobiliary and Transplant Surgeon
St. James’s University Hospital,
Leeds, UK

ix