Single Best Answers in Surgery, Second Edition

454 Pages·2014·4.15 MB·English

by  Darren K Patten

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EA DARREN K PATTEN, DAVID M LAYFIELD, SHOBHIT ARYA,
FT
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aE DANIEL R LEFF and PARASKEVAS A PARASKEVA
The second edition of Single Best Answers in Surgery continues to provide invaluable nN
guidance to this widely used question format, written by authors who understand that d P, L EDITORIAL ADVISOR: ARA DARZI
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detailed explanations accompanying each answer are the key to a successful revision aid. RY
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This book presents over 500 SBA questions arranged into topic areas as well as a section SIE
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of random questions for self-testing under examination conditions. A clear discussion of how ED
the correct answer was reached and other options ruled out for every question is given V,
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at the end of each section, making this book an excellent learning aid for all stages of R
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undergraduate surgical studies, and particularly during revision for final examinations. A
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Key features:
• Over 500 questions comprehensively cover all aspects of surgical SS
knowledge required by students in
• Divided into sections for targeted study and revision Ug
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• New to this second edition – ‘Applied anatomy’ and ‘Surgical critical care’, e

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and extended ‘Practice exam’
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• Written in a clear, consistent and authoritative style s
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• With a Foreword by Professor the Lord Darzi of Denham A
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The authors: w Single Best
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Darren K Patten BSc(Hons) MBBS MRCS(Eng) Wellcome Trust Clinical Research Fellow r
and Specialist Trainee in General Surgery (London Deanery), Department of Surgery Ys
in Answers in
and Cancer, The Imperial Centre for Translational and Experimental Medicine,

Imperial College, London, UK
David M Layfield BSc(Hons) MBBS MRCS(Eng) CRUK Clinical Research Fellow and Specialist
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Trainee in General Surgery (Yorkshire and Humber Deanery), University of Southampton, UK DE SURGERY
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Shobhit Arya BSc(Hons) MBBS MRCS(Eng) Clinical Research Fellow, Department of ITO
Biosurgery and Surgical technology, QEQM, St Mary’s Hospital, Imperial College, London, UK I
O
N
Daniel R Leff MBBS PhD FRCS(Gen Surg) Clinical Lecturer in Surgery, Hamlyn Centre for ND
Robotic Surgery, Imperial College, London, UK

Paraskeva A Paraskevas MBBS(Hons) PhD FRCS(Gen Surg) Reader in Surgery and
SECOND EDITION
Consultant Colorectal Surgeon, St Mary’s Hospital, Imperial College Healthcare NHS Trust,
London, UK
The editorial advisor:
Professor the Lord Darzi of Denham KBE HonFREng FMedSci Professor of Surgery and
Head of Department, Paul Hamlyn Chair of Surgery, Department of Biosurgery and Surgical
Technology, Division of Surgery, Oncology, Reproductive Biology and Anaesthetics, Faculty
of Medicine, Imperial College, London, UK
K17436
ISBN-13: 978-1-4441-7597-4
90000
9 781444 175974
Single Best Answers in
SURGERY
Second edition
K17436_C000.indd 1 9/25/14 6:45 PM
K17436_Book.indb 2 9/25/14 11:46 AM
Single Best
Answers in
SURGERY
Second edition
Darren K Patten BSc(Hons) MBBS MRCS(Eng) Wellcome Trust Clinical Research
Fellow and Specialist Trainee in General Surgery (London Deanery), Department of
Surgery and Cancer, The Imperial Centre for Translational and Experimental Medicine,
Imperial College, London, UK
David M Layfield BSc(Hons) MBBS MRCS(Eng) CRUK Clinical Research Fellow
and Specialist Trainee in General Surgery (Yorkshire and Humber Deanery),
University of Southampton, UK
Shobhit Arya BSc(Hons) MBBS MRCS(Eng) Clinical Research Fellow, Department
of Biosurgery and Surgical technology, QEQM , St Mary’s Hospital, Imperial College,
London, UK
Daniel R Leff MBBS PhD FRCS(Gen Surg) Clinical Lecturer in Surgery, Hamlyn
Centre for Robotic Surgery, Imperial College, London, UK
Paraskeva A Paraskevas MBBS(Hons) PhD FRCS(Gen Surg) Reader in Surgery and
Consultant Colorectal Surgeon, St Mary’s Hospital, Imperial College Healthcare NHS
Trust, London, UK
Editorial Advisor
Professor the Lord Darzi of Denham KBE HonFREng FMedSci Professor of Surgery
and Head of Department, Paul Hamlyn Chair of Surgery, Department of Biosurgery
and Surgical Technology, Division of Surgery, Oncology, Reproductive Biology and
Anaesthetics, Faculty of Medicine, Imperial College, London, UK
K17436_C000.indd 3 25/09/14 11:23 PM
CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
© 2015 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: 20140911
International Standard Book Number-13: 978-1-4441-7598-1 (eBook - PDF)
This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts
have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal
responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views
or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not neces-
sarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for
use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other
professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and
the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on
dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant
national drug formulary and the drug companies’ printed instructions, and their websites, before administering any of
the drugs recommended in this book. This book does not indicate whether a particular treatment is appropriate or suit-
able for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own
professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted
to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permis-
sion 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 pho-
tocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission
from the publishers.
For permission to photocopy or use material electronically from this work, please access www.copyright.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 provides licenses and registration for a variety of users. For
organizations that have been granted a photocopy 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
http://www.taylorandfrancis.com
and the CRC Press Web site at
http://www.crcpress.com
To my Mother, Father (June 1948–February 1994) and
Brother for their everlasting support.
Darren K Patten
CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
© 2015 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 on acid-free paper
Version Date: 20140911
International Standard Book Number-13: 978-1-4441-7597-4 (Paperback)
This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts
have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal
responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views
or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not neces-
sarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for
use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other
professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and
the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on
dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant
national drug formulary and the drug companies’ printed instructions, and their websites, before administering any of
the drugs recommended in this book. This book does not indicate whether a particular treatment is appropriate or suit-
able for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own
professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted
to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permis-
sion 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 pho-
tocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission
from the publishers.
For permission to photocopy or use material electronically from this work, please access www.copyright.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 provides licenses and registration for a variety of users. For
organizations that have been granted a photocopy 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
http://www.taylorandfrancis.com
and the CRC Press Web site at
http://www.crcpress.com
K17436_Book.indb 5 9/25/14 11:46 AM
K17436_Book.indb 6 9/25/14 11:46 AM
Contents
Contributors ix
Foreword xi
Preface xiii
Acknowledgements xv
How to approach an SBA exam xvii
Abbreviations xix
Common reference intervals xxi
SECTION 1: APPLIED ANATOMY 1
Questions 2
Answers 9
SECTION 2: PRE- AND POSTOPERATIVE MANAGEMENT 19
Questions 20
Answers 29
SECTION 3: FLUID BALANCE AND NUTRITION 39
Questions 40
Answers 47
SECTION 4: ANAESTHETICS AND SURGICAL CRITICAL CARE 55
Questions 56
Answers 64
SECTION 5: TRAUMA 75
Questions 77
Answers 86
SECTION 6: ABDOMEN: UPPER GASTROINTESTINAL AND
HEPATOBILIARY SURGERY 101
Questions 103
Answers 112
SECTION 7: ABDOMEN: LOWER GASTROINTESTINAL SURGERY 131
Questions 133
Answers 141
SECTION 8: ABDOMEN: THE ACUTE ABDOMEN 157
Questions 159
Answers 168
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viii Contents
SECTION 9: BREAST SURGERY AND ENDOCRINE DISEASE 183
Questions 184
Answers 192
SECTION 10: VASCULAR SURGERY 203
Questions 204
Answers 212
SECTION 11: UROLOGY 227
Questions 229
Answers 238
SECTION 12: ORTHOPAEDICS 257
Questions 259
Answers 267
SECTION 13: NEUROSURGERY 281
Questions 282
Answers 289
SECTION 14: ENT SURGERY 303
Questions 304
Answers 311
SECTION 15: OPHTHALMIC SURGERY 317
Questions 318
Answers 325
SECTION 16: LUMPS, BUMPS, SKIN AND HERNIAS 333
Questions 334
Answers 340
SECTION 17: PRACTICE EXAM 351
Questions 354
Answers 384
Index 431
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Contributors
Authors
Mr Darren K Patten BSc(Hons) MBBS MRCS(Eng), Wellcome Trust Clinical
Research Fellow and Specialist Trainee in General Surgery (London Deanery),
Department of Surgery and Cancer, The Imperial Centre for Translational and
Experimental Medicine, Imperial College London, UK
Mr David M Layfield BSc(Hons) MBBS MRCS(Eng), CRUK Clinical Research
Fellow and Specialist Trainee in General Surgery (Yorkshire and Humber
Deanery), University of Southampton, UK
Mr Shobit Arya BSc(Hons) MBBS MRCS(Eng), Clinical Research Fellow,
Department of Biosurgery and Surgical Technology, QEQM, St Mary's Hospital,
Imperial College, London, UK
Mr Daniel R Leff MBBS PhD FRCS(Gen Surg), Clinical Lecturer in Surgery,
Hamlyn Centre for Robotic Surgery, Imperial College, London, UK
Mr Paraskevas A Paraskeva MBBS(Hons) PhD FRCS(Gen Surg), Reader
in Surgery and Consultant Colorectal Surgeon, St Mary's Hospital, Imperial
College Healthcare NHS Trust, London, UK
Editorial Advisor
Professor the Lord Darzi of Denham KBE HonFREng FMedSci, Professor of
Surgery and Head of Department, Paul Hamlyn Chair of Surgery, Department of
Biosurgery and Surgical Technology, Division of Surgery, Oncology, Reproductive
Biology and Anaesthetics, Faculty of Medicine, Imperial College, London, UK
K17436_Book.indb 9 9/25/14 11:46 AM