By Christopher J. Young, Marc A. Gladman
This research advisor addresses the main often encountered themes from the final 10 years of examinations. It is helping surgical trainees organise their reports and optimise their functionality in what's seemingly the most rigorous postgraduate tests. the final surgical procedure fellowship exams medical knowledge, judgement, perception and secure perform, and Examination Surgery’s education fabric appropriately displays what you'll stumble upon within the examination.
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Kein operatives Fachgebiet ist zur Zeit aktueller als die plastisch-? sthetische Chirurgie. Der Autor gibt erstmals aus seinem 20-j? hrigen Erfahrungsschatz pers? nliche Tipps und methods weiter. S? mtliche wichtigen "Sch? nheitsoperationen" stellt er kurz, kompetent und ? bersichtlich dar und gibt so allen interessierten ?
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Extra info for Examination Surgery: A Guide to Passing the Fellowship Examination in General Surgery
1. What is the diagnosis? • Bilateral gynaecomastia, probably physiological, with enlargement of ductal and stromal tissue. are the causes? Physiological (20%): high serum oestradiol to testosterone ratio, seen in neo• nates, at puberty and in the elderly. g. 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.
The extent of investigation and urgency of treatment will depend on the clinical context (guided by history and examination, assessing for vital signs, signs of peritonism). If the patient is unwell and has generalised peritonism then an urgent laparotomy without further investigation is indicated. About one-third of patients believed to have mechanical LBO on clinical and x-ray findings have no obstruction and one-fifth of patients suspected of having pseudo-obstruction have mechanical LBO. (Computed tomography in the assessment of suspected large bowel obstruction.
It is important to appreciate that not every intervention is indicated in every case, but this list will serve as an aide-memoire to prevent you forgetting fundamental components to the answers in the written papers (and vivas). g. 2 Common written examination spot test questions: model answers By identifying the most frequently encountered topics in recent years, we have been able to provide examples of typical images and questions encountered in this section of the examination. In the following pages, we will present images depicting pertinent pathology/abnormalities together with a series of questions and sample answers to help you appreciate the nature and style of questions encountered in this section of the exam.