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Examination Surgery


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Table of Contents

Section 1 Examination information and preparation Chapter 1.1 Basic examination requirements and organisation The Fellowship in Australasia The Intercollegiate Specialty Examination in General Surgery in the UK and Ireland Chapter 1.2 Preparation for the fellowship examination Plan, prepare and practise Awareness of the aims, format and marking scheme of the Examination Syllabus of the Fellowship exam (FRACS only) Structure, structure, structure Summary/key points Chapter 1.3 Important topics for the fellowship examination Written paper 1 Written paper 2 Clinical viva 1 Clinical viva 2 Chapter 1.4 Suggested reading list What to read? So many books, so little time! Written examinations 1 and 2 Clinical vivas Anatomy viva Operative viva Pathophysiology and critical care and clinical reasoning viva General reading Section 2 The written papers Chapter 2.1 The written examination paper 1 - spot test questions The examination format Exam technique Preparation and practising Chapter 2.2 Common written examination spot test questions: model answers 2.2.1 Scrotal swelling 2.2.2 Breast cancer. 2.2.3 Bilateral gynaecomastia 2.2.4 Paget's disease of the nipple 2.2.5 Rectal cancer 2.2.6 Clostridium difficile colitis 2.2.7 Colitis 2.2.8 Large bowel obstruction 2.2.9 Rectal prolapse 2.2.10 Appendiceal mucocoele 2.2.11 Fistula in ano 2.2.12 Fissure-in-ano 2.2.13 Anal squamous cell carcinoma 2.2.14 Small bowel obstruction 2.2.15 Meckel's diverticulum 2.2.16 Gastrointestinal stromal tumour 2.2.17 Parathyroid adenoma 2.2.18 Pancreatic cystic lesion 2.2.19 Submandibular duct stone 2.2.20 Malignant melanoma 2.2.21 Basal cell carcinoma 2.2.22 Squamous cell carcinoma 2.2.23 Lymphoscintogram 2.2.24 Pelvic fracture 2.2.25 Splenic trauma 2.2.26 Seatbelt injury 2.2.27 Barium swallow: oesophageal cancer and achalasia 2.2.28 Gastric ulcer 2.2.29 Choledochal cyst 2.2.30 Pancreatic pseudocyst 2.2.31 Diabetic foot 2.2.32 Ischaemic leg 2.2.33 Psoas abscess Chapter 2.3 The written examination paper 2 - short answer questions The examination format Exam technique Preparation and practising Chapter 2.4 Common written examination short answer questions 2.4.1 Genetics of colorectal cancer syndromes 2.4.2 Autonomic innervation of the pelvis 2.4.3 Management of large bowel obstruction/role of colonic stents 2.4.4 Colonoscopic surveillance and complications 2.4.5 Enterocutaneous fistula 2.4.6 Solitary thyroid nodules 2.4.7 Thyrotoxicosis 2.4.8 Primary hyperparathyroidism 2.4.9 Phaeochromocytoma 2.4.10 Anterior and posterior neck triangles 2.4.11 Laparostomy 2.4.12 Malignant melanoma 2.4.13 Renal transplantation: short- and long-term complications 2.4.14 Blunt abdominal injury 2.4.15 Burns 2.4.16 Gastro-oesophageal refl ux disease 2.4.17 Obesity/bariatric surgery 2.4.18 Upper GI haemorrhage 2.4.19 Complications after laparoscopic cholecystectomy 2.4.20 Solid liver lesions 2.4.21 Pancreatic mass 2.4.22 Venous thromboembolism prophylaxis 2.4.23 Leg ulcers 2.4.24 Needle stick injury Section 3 The clinical examination Chapter 3.1 An approach to the clinical examination The examination format Exam technique Preparation and practising Chapter 3.2 The medium case clinical examination The examination format Exam technique Preparation and practising Chapter 3.3 Common medium cases 3.3.1 Breast cancer 3.3.2 Rectal cancer 3.3.3 Colon cancer 3.3.4 Ulcerative colitis 3.3.5 Oesophageal carcinoma 3.3.6 Chronic liver disease 3.3.7 Liver metastases 3.3.8 Abdominal mass 3.3.9 Malignant melanoma Chapter 3.4 The short case clinical examination The examination format Exam technique Preparation and practising Chapter 3.5 Common short cases 3.5.1 Inguinal hernia 3.5.2 Incisional hernia 3.5.3 Goitre 3.5.4 Parotid mass 3.5.5 Neck lymphadenopathy 3.5.6 Dupuytren's contracture 3.5.7 Leg ulcers 3.5.8 Peripheral occlusive arterial disease 3.5.9 Lymphoedema 3.5.10 Varicose veins 3.5.11 Median nerve palsy 3.5.12 Ulnar nerve palsy 3.5.13 Abdominal mass Section 4 The viva voce examination Chapter 4.1 Surgical anatomy The examination format Exam technique Preparation and practising Chapter 4.2 Common surgical anatomy viva topics: model answers 4.2.1 Extraperitoneal inguinal region anatomy 4.2.2 Axillary anatomy 4.2.3 Thyroidectomy anatomy 4.2.4 Parotid gland anatomy and relations 4.2.5 Submandibular gland and relations 4.2.6 Blood supply of the stomach 4.2.7 Cholecystectomy anatomy 4.2.8 Intra-operative cholangiogram 4.2.9 Liver anatomy 4.2.10 The pancreas and its relations 4.2.11 Superfi cial venous system of the lower limb 4.2.12 The parathyroid glands 4.2.13 Median nerve 4.2.14 Ulnar nerve 4.2.15 Femoral triangle 4.2.16 Popliteal fossa 4.2.17 Branches of the abdominal aorta 4.2.18 Diaphragm 4.2.19 Retroperitoneal anatomy 4.2.20 Transpyloric plane 4.2.21 Transtubercular plane 4.2.22 Internal iliac artery branches Chapter 4.3 Operative surgery The examination format Exam technique Preparation and practising Chapter 4.4 Common operative surgery viva topics: model answers 4.4.1 Inguinal hernia repair 4.4.2 Complicated femoral hernia repair 4.4.3 Axillary dissection 4.4.4 Ileostomy closure 4.4.5 Right hemicolectomy/caecal volvulus 4.4.6 Hartmann's procedure 4.4.7 Haemorrhoidectomy 4.4.8 Small bowel resection 4.4.9 Thyroglossal cysts 4.4.10 Submandibular gland excision 4.4.11 Tracheostomy 4.4.12 Trauma laparotomy 4.4.13 Perforated peptic ulcer 4.4.14 Intra-operative management of common bile duct stones 4.4.15 Trauma splenectomy 4.4.16 High ligation of the long saphenous vein Chapter 4.5 Pathophysiology and critical care/clinical reasoning The examination format Exam technique Preparation and practising Chapter 4.6 Pathophysiology and critical care/clinical reasoning viva topics: model answers 4.6.1 Synoptic breast pathology reporting 4.6.2 Colonic polyps 4.6.3 Crohn's disease 4.6.4 Carcinoid of the appendix 4.6.5 Fistula-in-ano 4.6.6 Pilonidal sinus 4.6.7 Small bowel tumours 4.6.8 Thyroid cancer 4.6.9 Multinodular goitre 4.6.10 Adrenal tumours 4.6.11 Systemic infl ammatory response syndrome 4.6.12 Multi-organ dysfunction syndrome 4.6.13 Necrotising soft tissue infections 4.6.14 Mesenteric ischaemia 4.6.15 Testicular tumours 4.6.16 Tension pneumothorax 4.6.17 Barrett's oesophagus 4.6.18 Oesophageal cancer 4.6.19 Stomach cancer 4.6.20 Hydatid cyst 4.6.21 Pancreatitis 4.6.22 Anticoagulation

About the Author

Professor Marc Gladman MBBS DRCOG DFFP PhD MRCOG MRCS(Eng) FRCS(Gen Surg) is a Professor of Surgery at Blacktown / Mount Druitt Hospitals in Sydney, Australia and holds the position of Chair of Surgery at the School of Medicine of the University of Western Sydney. He qualified from King's College School of Medicine, University of London and completed training in obstetrics and gynaecology and general surgery in the UK. He won the prestigious Frances and Augustus Newman Foundation Research Fellowship and the HJ Windsor Prize of the Royal College of Surgeons of England and The Worshipful Company of Cutlers' Fellowship in Surgery. After being awarded a PhD for a period of original research by the University of London, he began higher training in general surgery as a specialist registrar, but later moved to integrated academic training as a NIHR clinical lecturer. He then went on to complete senior training fellowships in London and Sydney before securing his Chair in Surgery in Sydney. He is committed to undergraduate and postgraduate teaching and career development. During the last 10 years, he has been extensively involved in surgical examinations at multiple centres in the UK and Australia and has designed, directed and delivered a portfolio of educational courses.

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