Crash Course : SBAs and EMQs in Medicine and Surgery

189 Pages·2009·5.38 MB·English

by  Daniel Horton-Szar, Anne Ballinger, Marc A Gladman

Self-Assessment
IN Medicine
AND Surgery
Series editor
Daniel Horton-Szar
Self-Assessment BSc (Hons), MBBS (Hons), MRCGP
General Practitioner,
Northgate Medical Practice,
IN Medicine Canterbury, UK
Faculty advisor (Medicine)
Anne Ballinger
AND Surgery MD, MRCP
Consultant Gastroenterologist
and General Physician Queen
Elizabeth the Queen Mother
Hospital, Margate, Kent, UK
Faculty advisor (Surgery)
Marc Gladman
PhD, MRCOG, FRCS (Gen Surg)
Centre for Academic Surgery,
Barts and The London School of
Medicine & Dentistry, University
of London, London, UK
Neel Sharma
BSc (Hons), MBChB
Foundation Year One Doctor,
The Royal London Hospital,
Barts and the London NHS Trust, London, UK
Edinburgh • London • New York • Oxford • Philadelphia • St Louis • Sydney • Toronto 2009
This page intentionally left blank
Commissioning Editor: Alison Taylor
Development Editor: Fiona Conn
Project Manager: Elouise Ball
Page design: Sarah Russell
Icon illustrations: Geo Parkin
Cover design: Stewart Larking
© 2009, Elsevier Limited. All rights reserved.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted
in any form or by any means, electronic, mechanical, photocopying, recording or
otherwise, without the prior permission of the Publishers. Permissions may be sought
directly from Elsevier’s Health Sciences Rights Department, 1600 John F. Kennedy
Boulevard, Suite 1800, Philadelphia, PA 19103-2899, USA: phone: [phone];
fax: [phone]; or, e-mail:
Preface
Preface
As a recent medical graduate I understand all too well the pressures faced during
medical school. Lectures, tutorials, never ending ward rounds, outpatient clinics,
course work assignments and, of course, let us not forget the gruelling end-of-year
exams. Trying to retain, and more importantly, understand all the common (and not so
c ommon) clinical diseases and presentations truly seems an impossible task.
With the advent of the Universities Medical Assessment Partnership (UMAP)
there has now been a move away from testing specific clinical facts to an a ssessment
focused on preparing yourself as a foundation doctor and the knowledge such a
trainee needs on a day to day basis. Currently fourteen UK medical schools are part
of UMAP and their exams now require candidates to decide for example what would
be the most appropriate initial investigation or what management plan they would
instigate first when faced with a clinical problem. Hardly an easy task based on the
little experience one gains as an undergraduate in such decisions.
This self-assessment book is designed to help students tackle both the new form
of assessment as well as the traditional style of examination. Questions covering all
common medical and surgical presentations are included as MCQ and EMQ formats
with relevant, concise explanations as answers.
I sincerely hope that this book is of use in preparing for your forthcoming examina-
tions and wish you all the success in your future medical careers.
Neel Sharma
“Education and work are the levers to uplift a people. Work alone will not do it
unless inspired by the right ideals and guided by intelligence.”
W E B Du Bois 1868–1963
v
Preface
Medicine never stands still, and the work of keeping this series relevant for
today’s students is an ongoing process. These new self-assessment titles build upon
the success of the preceding books and represent a great deal of brand new exam
p reparation material, keeping the series up to date with the latest examination formats
that face today’s medical students.
As always, we listen to feedback from the thousands of students who use the
Crash Course revision titles, and have gathered information on current examination
practices from medical schools across the UK. This self-assessment book provides
a comprehensive range of questions covering the medical and surgical curricula,
divided into chapters by topic to help you focus your revision. Questions cover both
the common Single Best Answer (SBA) and Extended Matching Question (EMQ)
f ormats.
Despite fully revising the series on a regular basis, and adding new titles, we hold
fast to the principles on which we first developed the series: Crash Course will always
bring you all the information you need to revise in compact, manageable volumes
that integrate pathology and therapeutics with best clinical practice, and now we are
expanding our range of self-assessment titles. The books still maintain the balance
between clarity and conciseness, and providing sufficient depth for those aiming at
distinction. The authors are junior doctors who have recent experience of the exams
you are now facing, and the accuracy of the material is checked by senior clinicians
and faculty members from across the UK.
I wish you all the best for your future careers!
Dan Horton-Szar
Series Editor
vi
Acknowledgements
I would like to acknowledge Dr Anne Ballinger and Mr Marc Gladman for their most
valuable input during the development of this volume.
vii
This page intentionally left blank
B978-0-7234-3461-0.00001-4, 00001
Dedication
I would like to dedicate this book to my parents,
Ravi and Anita, and my sister Ravnita.
Without their continued support and
encouragement none of this would
have been truly possible.
ix