MEDICAL EDUCATION Fully updated, this new edition of the successful Get ahead! SURGERY 100 EMQs for Finals provides invaluable revision for all medical students preparing for their final examinations. surger y • Completely updated according to the current curriculum • Questions are written in the style of the Universities Medical Assessment Partnership (UMAP) bank • Enhanced answer explanations ensure thorough learning • Also suitable for PLAB and MRCS candidates Co-written by Saran Shantikumar, series editor for the Get ahead! series, this book covers the entire syllabus in a clear and 100 EMQs for Finals comprehensive style, building on the strengths of the first edition to provide reliable and effective revision practice to help achieve success in final exams. Second edition Authors: James Wigley MBBS BSc MRCS AFHEA, University Hospital Southampton, Southampton, UK Saran Shantikumar MRCS, BHF Clinical Fellow, Bristol Heart Institute, Bristol, UK James Wigley Saran Shantikumar Visit www.examdoctor.co.uk for online exam revision for trainee doctors Series Editor: Practise your way to exam success Saran Shantikumar K17554 ISBN-13: 978-1-4441-8180-7 90000 9 781444 181807 K17554_Cover.indd All Pages 8/21/14 11:44 AM surgery 100 EMQs for Finals Second edition surger y 100 EMQs for Finals Second edition James Wigley MBBS BSc MRCS AFHEA University Hospital Southampton, Southampton, UK Saran Shantikumar MRCS, BHF Clinical Fellow Bristol HeartJ Inasmtituetes, BWrisitgoll,e UyK Saran Shantikumar surger y 100 EMQs for Finals Second edition James Wigley MBBS BSc MRCS AFHEA University Hospital Southampton, Southampton, UK Saran Shantikumar MRCS, BHF Clinical Fellow Bristol HeartJ Inasmtituetes, BWrisitgoll,e UyK Saran Shantikumar CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2015 by James Wigley, Saran Shantikumar CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20140826 International Standard Book Number-13: 978-1-4441-8181-4 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. 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Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com s nt e nt o C Contents Preface ix Introduction to Get ahead! xi Practice Paper 1: Questions 1 Theme 1: Investigation of abdominal pain 1 Theme 2: Burns 2 Theme 3: Back pain 2 Theme 4: Intestinal obstruction 3 Theme 5: Ulcers 4 Theme 6: Management of hernias 5 Theme 7: Diagnosis of breast disease 5 Theme 8: Management of testicular conditions 6 Theme 9: Hypersensitivity reactions 7 Theme 10: Neck lumps 7 Theme 11: Classification of jaundice 8 Theme 12: Shoulder disorders 9 Theme 13: Thyroid disease 9 Theme 14: Diagnosis of chest trauma 10 Theme 15: Abdominal incisions 11 Theme 16: Groin lumps 12 Theme 17: Management of venous disease 13 Practice Paper 1: Answers 15 Practice Paper 2: Questions 43 Theme 1: Haematuria 43 Theme 2: Arterial blood gases 44 Theme 3: Lower limb nerve lesions 44 Theme 4: Investigation of gastrointestinal bleeding 45 Theme 5: Diagnosis of breast disease 46 Theme 6: Local anaesthetic agents 47 Theme 7: Diagnosis of jaundice 47 Theme 8: Thyroid disease 48 Theme 9: Management of skin conditions 49 Theme 10: Neck lumps 50 Theme 11: Paediatric orthopaedic conditions 51 Theme 12: Gastrointestinal polyps 52 Theme 13: Femoral neck fractures 52 Theme 14: Diagnosis of groin lumps 53 Theme 15: Classification of hernias 54 Theme 16: Investigation of vascular disease 54 v Practice Paper 2: Answers 57 s nt Practice Paper 3: Questions 81 e nt Theme 1: Upper gastrointestinal haemorrhage 81 o C Theme 2: Airway management 82 Theme 3: Pancreatic tumours 82 Theme 4: Endocrine disorders 83 Theme 5: Management of abdominal pain 84 Theme 6: Skin lesions 85 Theme 7: Conditions of the nose 86 Theme 8: Paediatric orthopaedic conditions 87 Theme 9: Management of prostate disease 88 Theme 10: Statistics 88 Theme 11: Knee injuries 89 Theme 12: Management of anorectal conditions 90 Theme 13: Upper limb nerve lesions 90 Theme 14: Anatomy of hernias 91 Theme 15: Management of common fractures 92 Theme 16: Diagnosis of vascular disease 92 Practice Paper 3: Answers 95 Practice Paper 4: Questions 123 Theme 1: Diagnosis of dysphagia 123 Theme 2: Shock 124 Theme 3: Management of chest trauma 124 Theme 4: Diagnosis of abdominal pain 125 Theme 5: Hand disorders 126 Theme 6: Diagnosis of biliary tract disease 127 Theme 7: Investigation of urological disease 128 Theme 8: Lower gastrointestinal haemorrhage 129 Theme 9: Tumour markers 130 Theme 10: Investigation of breast disease 130 Theme 11: Penile conditions 131 Theme 12: Cutaneous malignancies 132 Theme 13: Management of endocrine disease 132 Theme 14: Eye disease 133 Theme 15: Preoperative morbidity 134 Theme 16: Bone tumours 135 Theme 17: Management of arterial disease 135 Practice Paper 4: Answers 137 Practice Paper 5: Questions 165 Theme 1: Glasgow coma scale 165 Theme 2: Diagnosis of hernias 166 Theme 3: Management of urological disease 166 Theme 4: Diagnosis of hepatomegaly 167 Theme 5: Diagnosis of the swollen limb 168 Theme 6: Eponymous fractures and classifications 169 vi Theme 7: Investigation of abdominal pain 169 Theme 8: Nipple discharge 170 s nt Theme 9: Skin lesions 171 e Theme 10: Diagnosis of anorectal disease 172 ont C Theme 11: Intravenous fluids 173 Theme 12: Management of paediatric surgical conditions 173 Theme 13: Ear disease 174 Theme 14: Knee conditions 175 Theme 15: Diagnosis of vascular disease 176 Theme 16: Investigation of dysphagia 177 Theme 17: Upper limb nerve lesions 178 Practice Paper 5: Answers 179 Practice Paper 6: Questions 205 Theme 1: Diagnosis of hernias 205 Theme 2: Spinal cord lesions 206 Theme 3: Management of biliary tract disease 206 Theme 4: Ulcers 207 Theme 5: Consent 208 Theme 6: Colorectal operations 209 Theme 7: Management of breast cancer 209 Theme 8: Tumour staging systems 210 Theme 9: Investigation of endocrine disease 211 Theme 10: Diagnosis of dysphagia 212 Theme 11: Management of urinary retention 212 Theme 12: Diagnosis of paediatric surgical conditions 213 Theme 13: Diagnosis of foot disorders 214 Theme 14: Diagnosis of abdominal pain 215 Theme 15: Management of head injury 216 Theme 16: Urological conditions 216 Theme 17: Management of abdominal aortic aneurysms 217 Practice Paper 6: Answers 219 vii
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