By Christopher J. Young, Marc A. Gladman
This research consultant addresses the main often encountered themes from the final 10 years of examinations. It is helping surgical trainees organise their experiences and optimise their functionality in what's apparently some of the most rigorous postgraduate assessments. the final surgical procedure fellowship assessments medical knowledge, judgement, perception and secure perform, and Examination Surgery’s training fabric appropriately displays what you are going to come upon within the examination.
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Extra resources for Examination Surgery: A Guide to Passing the Fellowship Examination in General Surgery
G. marijuana). NB: you don’t need to list all in the actual exam — any three drugs will do). g. bronchial carcinoma) • decreased oestrogen clearance such as in cirrhosis, haemochromatosis and Wilson’s disease • decreased testosterone production such as in Klinefelter’s syndrome, mumps, orchitis, bilateral cryptorchidism, or acquired testicular failure secondary to irradiation or hypopituitarism testicular feminisation syndrome. • • Idiopathic (25%): no other cause found. 2. What 35 36 Examination Surgery 3.
G. famcyclovoir/gancyclovoir) indicated in the immunocompromised. • Parasitic • Amoebic dysentery: Entamoeba histolytica infection. Treat with metronidazole for 10 days. • Giardia lamblia (flagellated protozoan). Treat with metronidazole 5 days. • Cryptosporidium (protozoan). Treatment: nitaxzoxanide. • Schistosomiasis (fluke). Treatment: praziquantel. 2. 2 Common written examination spot test questions: model answers Non-infective • Inflammatory bowel disease: • ulcerative colitis • Crohn’s disease • indeterminate colitis (≈10%) • treat with anti-inflammatory (5ASA/steroids) or anti-TNF agents.
This task is made substantially easier by structuring the answer using an appropriate system or classification. Commonly employed and successful methods include: a. most common to least common b. an anatomical approach, such as pre-hepatic, hepatic and post-hepatic causes of jaundice or anterior abdominal wall, intraperitoneal, retroperitoneal, back structures to stratify causes of abdominal pain/masses c. use of a surgical sieve approach using acronyms such as TIN CAN BED (traumatic, inflammatory/infective, neoplastic [primary/secondary], connective tissue, arteriovenous, nutritional, biochemical, endocrine, degenerative/drugs) or VITAMIN C (vascular, inflammatory, traumatic, autoimmune, metabolic, infective, neoplastic, congenital) d.
Examination Surgery: A Guide to Passing the Fellowship Examination in General Surgery by Christopher J. Young, Marc A. Gladman