MCQs and EMQs in Surgery: A Bailey and Love Revision Guide, Second Edition

613 Pages·2015·3.06 MB·English

by  Pradip Datta, Christopher John Bulstrode, Iain Nixon

Bailey & Love
COMPANION GUIDE
MCQs and
EMQs in
Surgery
Pradip K Datta M BE, MS, FRCS (Ed, Eng, Irel, Glasg), Honorary
Consultant Surgeon, Caithness General Hospital, Wick, Member of
Council and College Tutor, Royal College of Surgeons of Edinburgh
Christopher J K Bulstrode M Ch, FRCS (Orth), Professor and
Honorary Consultant Trauma and Orthopaedic Surgeon, University of
Oxford, Member of Council, Royal College of Surgeons of Edinburgh
B V Praveen M S, FRCS (Ed, Eng, Glasg, Irel, Gen), Consultant
Surgeon and Associate Director of Medical Education, Southend
University Hospital, Honorary Senior Lecturer, Queen Mary, University
of London
First published in Great Britain in 2010 by
Hodder Arnold, an imprint of Hodder Education,
part of Hachette UK, 338 Euston Road, London NW1 3BH
http://www.hodderarnold.com
© 2010 Datta, Bulstrode and Praveen.
All rights reserved. Apart from any use permitted under UK copyright law, this publication
may only be reproduced, stored or transmitted, in any form, or by any means with prior
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the date of going to press, neither the author[s] nor the publisher can accept any legal
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without limiting the generality of the preceding disclaimer) every effort has been made to
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before administering any of the drugs recommended in this book.
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A catalog record for this book is available from the Library of Congress
ISBN 978-0-340-98580-9
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ii
Contents
Foreword ix
Contributors x
Preface xi
Acknowledgements xi
List of Abbreviations Used xiii
Introduction xvi
PART 1: PRINCIPLES 1
1 The metabolic response to injury 3
■ Pradip Datta
2 Shock and blood transfusion 8
■ Bandipalyam Praveen
3 Wounds, tissue repair and scars 16
■ Bandipalyam Praveen
4 Surgical infection 22
■ Bandipalyam Praveen
5 Tropical surgery 31
■ Pawanindra Lal, Sanjay De Bakshi
6 Paediatric surgery 75
■ Pradip Datta
7 Oncology 84
■ Bandipalyam Praveen
8 Surgical audit and research 90
■ Bandipalyam Praveen
9 Surgical ethics 94
■ Pradip Datta
10 Diagnostic imaging 96
■ Pradip Datta
PART 2: INVESTIGATION AND DIAGNOSIS 101
11 Gastrointestinal endoscopy 103
■ Bandipalyam Praveen
iii
12 Tissue diagnosis 107
■ Pradip Datta
PART 3: PERIOPERATIVE CARE 111
13 Preoperative preparation 113
■ Bandipalyam Praveen
14 Anaesthesia and pain relief 118
■ Nigel Webster
15 Care in the operating room 122
■ Pradip Datta
16 The high-risk surgical patient 124
■ Bandipalyam Praveen
17 Nutrition and fluid therapy 127
■ Nandini Rao
18 Basic surgical skills and anastomosis 135
■ Pradip Datta
19 Laparoscopic and robotic surgery 137
■ Bandipalyam Praveen
20 Postoperative care 144
■ Pradip Datta
PART 4: TRAUMA 151
21 Introduction to trauma 153
■ Pradip Datta
22 Trauma epidemiology 156
■ Christopher Bulstrode
23 Head injury 160
■ Lynn Myles
24 Neck and spine 166
■ Christopher Bulstrode
25 Trauma to the face and mouth 171
■ Charles Perkins
26 Trauma to the chest and abdomen 176
■ Pradip Datta
iv
CONTENTS
27 Extremity trauma 185
■ Christopher Bulstrode
28 Burns 195
■ John McGregor
29 Plastic and reconstructive surgery 205
■ John McGregor
30 Disaster surgery 212
■ Christopher Bulstrode
PART 5: ELECTIVE ORTHOPAEDICS 217
31 Elective orthopaedics: musculoskeletal examination 219
■ Christopher Bulstrode
32 Sports medicine 224
■ Christopher Bulstrode
33 The spine 233
■ Christopher Bulstrode
34 The upper limb 238
■ Christopher Bulstrode
35 The hip and knee 246
■ Christopher Bulstrode
36 The foot and ankle 252
■ Christopher Bulstrode
37 Infection and tumours 257
■ Christopher Bulstrode
38 Paediatric orthopaedics 264
■ Christopher Bulstrode
PART 6: SKIN AND SUBCUTANEOUS TISSUE 271
39 Skin and subcutaneous tissue 273
■ Pradip Datta
PART 7: HEAD AND NECK 281
40 Elective neurosurgery 283
■ Lynn Myles
v
CONTENTS
41 The eye and orbit 292
■ Brian Fleck
42 Cleft lip and palate: developmental
abnormalities of face, mouth and jaws 302
■ John McGregor
43 The nose and sinuses 309
■ Iain J Nixon
44 The ear 319
■ Iain J Nixon
45 Pharynx, larynx and neck 330
■ Iain J Nixon
46 Oropharyngeal cancer 341
■ Iain J Nixon
47 Disorders of the salivary glands 351
■ Iain J Nixon
PART 8: BREAST AND ENDOCRINE 361
48 Thyroid and the parathyroid gland 363
■ Nandini Rao
49 Adrenal glands and other endocrine disorders 375
■ Nandini Rao
50 The breast 385
■ Pradip Datta
PART 9: CARDIOTHORACIC 389
51 Cardiac surgery 391
■ Dumbor Ngaage
52 The thorax 397
■ Dumbor Ngaage
PART 10: VASCULAR 403
53 Arterial disorders 405
■ Peter McCollum
54 Venous disorders 411
■ Peter McCollum
vi
CONTENTS
55 Lymphatic disorders 416
■ Peter McCollum
PART 11: ABDOMINAL 421
56 History and examination of the abdomen 423
■ Pradip Datta
57 Hernia, umbilicus and abdominal wall 425
■ Bandipalyam Praveen
58 The peritoneum, omentum, mesentery
and retroperitoneal space 432
■ Pradip Datta
59 The oesophagus 437
■ Pradip Datta
60 Stomach and duodenum 441
■ Bandipalyam Praveen
61 The liver 451
■ Pradip Datta
62 The spleen 458
■ Pradip Datta
63 The gall bladder and bile ducts 461
■ Bandipalyam Praveen
64 The pancreas 468
■ Pradip Datta
65 The small and large intestines 474
■ Pradip Datta
66 Intestinal obstruction 488
■ Bandipalyam Praveen
67 The vermiform appendix 495
■ Pradip Datta
68 The rectum 499
■ Pradip Datta
69 The anus and anal canal 504
■ Bandipalyam Praveen
vii
CONTENTS
PART 12: GENITOURINARY 513
70 Urinary symptoms and investigations 515
■ Pradip Datta
71 The kidneys and ureters 521
■ Pradip Datta
72 The urinary bladder 533
■ Pradip Datta
73 The prostate and seminal vesicles 541
■ Pradip Datta
74 The urethra and penis 546
■ Pradip Datta
75 The testis and scrotum 549
■ Pradip Datta
76 Gynaecology 554
■ Pradip Datta
PART 13: TRANSPLANTATION 559
77 Transplantation 561
■ Bandipalyam Praveen
Index 569
viii
CONTENTS
Foreword
This innovative companion volume will certainly be considered as an
essential complement to Bailey & Love’s Short Practice of Surgery. The
authors and contributors have recognised the fundamental changes
that have occurred in surgical training and assessment where greater
knowledge must be acquired in a shorter period of time, not only to
ensure success in examinations but also to provide the comprehensive
foundations on which to build clinical expertise. The Silver Jubilee
edition of Bailey & Love in 2008 emphasised its enduring importance for
generations of surgeons internationally. MCQs and EMQs in Surgery will
define the indispensable elements for today’s surgical practitioners.
John D Orr, FRCS (Ed)
ix