MCQs and EMQs in Surgery: A Bailey & Love Companion Guide PDF
Preview MCQs and EMQs in Surgery: A Bailey & Love Companion Guide
B&L A Bailey & Love A Bailey & Love M C R E V I S I O N G U I D E Q R E V I S I O N G U I D E s a n With over 1000 essential questions, MCQs and EMQs in Surgery, 2nd edition is the ideal d MCQs and EMQs self-assessment companion guide to Bailey & Love’s Short Practice in Surgery, 26th edition. E The book assists trainee surgeons as they prepare for examinations and enables them to test their M knowledge of the principles and practice of surgery as outlined in Bailey & Love. Q Divided into 13 subject-specific sections and written by expert contributors, the MCQs and EMQs s provide comprehensive coverage of the current surgical curriculum as well as the core learning points i in Surgery n as set out in Bailey & Love. The book is ideally suited for the MRCS exam as well as for the first part S of the FRCS (General Surgery) and the new Intercollegiate FRCS (International) exams. u r The book emphasises the importance of self-assessment within effective clinical examination and g soundly based surgical principles while taking into account the latest developments in practice. This e r new edition includes many new contributors and enhanced chapters with answers provided in much y SECOND EDITION greater detail. ES While the book is closely aligned with the content of the celebrated Bailey & Love, it also performs DE IC well as a standalone self-test guide and may be used independently. MCQs and EMQs in Surgery TO I ON provides an invaluable revision tool for all candidates studying for the MRCS and FRCS exams. ND About the editors Pradip K Datta, MBE, MS, FRCS (Ed), FRCS (Eng), FRCS (Ire), FRCS (Glas), Honorary Consultant Surgeon, Caithness General Hospital, Wick, Scotland, UK D a Christopher J K Bulstrode, MCh, FRCS (Orth), Emeritus Professor, University of Oxford, Oxford, UK t t a Iain J Nixon, MBChB, FRCS (ORL-HNS), PhD, Consultant Head and Neck Oncological Surgeon, East Kent University Hospitals NHS Foundation Trust, Canterbury, UK B u l s t r o d e N One of the world’s pre-eminent medical textbooks beloved by ix generations of surgeons. o n To find out more visit www.baileyandlove.com Edited by K23682 ISBN: 978-1-4822-4862-3 Pradip K Datta, Christopher J K Bulstrode, Iain J Nixon 90000 9 781482 248623 K23682_Cover.indd All Pages 12/9/14 10:55 AM A Bailey & Love R E V I S I O N G U I D E MCQs and EMQs in Surgery SECOND EDITION Pradip K Datta MBE, MS, FRCS (Ed, Eng, Irel, Glasg), Honorary Consultant Surgeon, Caithness General Hospital, Wick, Member of Council and College Tutor, Royal College of Surgeons of Edinburgh Christopher J K Bulstrode MCh, FRCS (Orth), Professor and Honorary Consultant Trauma and Orthopaedic Surgeon, University of Oxford, Member of Council, Royal College of Surgeons of Edinburgh Iain J Nixon MBChB, FRCS (ORL-HNS), PhD, Consultant Head and Neck Oncological Surgeon, East Kent University Hospitals NHS Foundation Trust, Canterbury, United Kingdom K23682_Book.indb 1 20/12/14 3:35 AM K23682_FM.indd 2 12/15/14 10:27 AM CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2015 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20141208 International Standard Book Number-13: 978-1-4822-4863-0 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guide- lines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. 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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 Contents Preface to First Edition ix Preface to Second Edition x Acknowledgments x Contributors xi PART 1: PRINCIPLES 1 1 Metabolic response to trauma 3 ■■Pradip K Datta 2 Shock and blood transfusion 9 ■■Pradip K Datta 3 Wounds, tissue repair and scars 18 ■■Pradip K Datta 4 Basic surgical skills and anastomoses 25 ■■Pradip K Datta 5 Surgical infection 29 ■■Pradip K Datta 6 Surgery in the tropics 37 ■■Pawanindra Lal and Sanjay De Bakshi 7 Principles of laparoscopic and robotic surgery 64 ■■CR Selvasekar 8 Principles of paediatric surgery 69 ■■Pradip K Datta 9 Principles of oncology 80 ■■Pradip K Datta 10 Surgical audit and clinical research 86 ■■CR Selvasekar 11 Surgical ethics and the law 91 ■■Pradip K Datta 12 Patient safety 94 ■■Iain J Nixon iii K23682_Book.indb 3 20/12/14 3:35 AM s PART 2: INVESTIGATION AND DIAGNOSIS 101 t n e nt 13 Diagnostic imaging 103 o C ■■Pradip K Datta 14 Gastrointestinal endoscopy 110 ■■CR Selvasekar 15 Tissue diagnosis 116 ■■Pradip K Datta PART 3: PERIOPERATIVE CARE 121 16 Preoperative preparation 123 ■■Ian Leeuwenberg 17 Anaesthesia and pain relief 128 ■■Ian Leeuwenberg 18 Care in the operating room 136 ■■Ian Leeuwenberg 19 Perioperative management of the high-risk surgical patient 139 ■■Ian Leeuwenberg 20 Nutrition and fluid therapy 142 ■■Nandini Rao 21 Postoperative care 148 ■■Tessa Housden 22 Day case surgery 159 ■■Sarah M Lloyd PART 4: TRAUMA 163 23 Introduction to trauma 165 ■■Andrew D Duckworth 24 Early assessment and management of trauma 169 ■■Andrew D Duckworth 25 Emergency neurosurgery 173 ■■Harry Bulstrode 26 Neck and spine 181 ■■Christopher JK Bulstrode iv K23682_Book.indb 4 20/12/14 3:35 AM 27 Maxillofacial trauma 186 s t n ■■Andrew Hobkirk e t n 28 Torso trauma 191 o C ■■Pradip K Datta 29 Extremity trauma 201 ■■Andrew D Duckworth 30 Burns 212 ■■Stuart Enoch 31 Plastic and reconstructive surgery 227 ■■Stuart Enoch 32 Disaster surgery 237 ■■Christopher JK Bulstrode PART 5: ELECTIVE ORTHOPAEDICS 245 33 History taking and clinical examination in musculoskeletal disease 247 ■■Andrew D Duckworth 34 Sports medicine and sports injuries 255 ■■Andrew D Duckworth 35 The spine 263 ■■Andrew D Duckworth 36 Upper limb 271 ■■Andrew D Duckworth 37 Hip and knee 281 ■■Andrew D Duckworth 38 Foot and ankle 288 ■■Andrew D Duckworth 39 Musculoskeletal tumours 295 ■■Andrew D Duckworth 40 Infection of the bones and joints 302 ■■Andrew D Duckworth 41 Paediatric orthopaedics 309 ■■Andrew D Duckworth v K23682_Book.indb 5 20/12/14 3:35 AM s PART 6: SKIN AND SUBCUTANEOUS TISSUE 319 t n e nt 42 Skin and subcutaneous tissue 321 o C ■■Stuart Enoch PART 7: HEAD AND NECK 335 43 Elective neurosurgery 337 ■■Harry Bulstrode 44 The eye and orbit 346 ■■Brian W Fleck 45 Cleft lip and palate: Developmental abnormalities of the face, mouth and jaws 356 ■■KS Krishna Kumar, Pratap Nadar and Ajit Kumar Pati 46 The nose and paranasal sinuses 371 ■■Shamim Toma and Iain J Nixon 47 The ear 379 ■■Shamim Toma and Iain J Nixon 48 Pharynx, larynx and neck 388 ■■Shamim Toma and Iain J Nixon 49 Oral/Oropharyngeal cancer 398 ■■Iain J Nixon 50 Disorders of the salivary glands 406 ■■Iain J Nixon PART 8: BREAST AND ENDOCRINE GLANDS 417 51 The thyroid and parathyroid glands 419 ■■Iain J Nixon, Nandini Rao and Pradip K Datta 52 The adrenal glands and other abdominal endocrine disorders 439 ■■Nandini Rao 53 The breast 448 ■■Selvi Radhakrishna and P Raghu Ram PART 9: CARDIOTHORACIC 465 54 Cardiac surgery 467 ■■Dumbor L Ngaage vi K23682_Book.indb 6 20/12/14 3:35 AM 55 The thorax 475 s t n ■■Dumbor L Ngaage e t n o PART 10: VASCULAR 481 C 56 Arterial disorders 483 ■■ Pradip K Datta 57 Venous disorders 500 ■■Pradip K Datta 58 Lymphatic disorders 511 ■■Pradip K Datta PART 11: ABDOMINAL 517 59 History and examination of the abdomen 519 ■■Pradip K Datta 60 Abdominal wall, hernia and umbilicus 526 ■■Stephen J Nixon 61 The peritoneum, omentum, mesentery and retroperitoneal space 533 ■■Pradip K Datta 62 The oesophagus 543 ■■Pradip K Datta 63 Stomach and duodenum 553 ■■BV Praveen and Pradip K Datta 64 Bariatric surgery 567 ■■Pawanindra Lal 65 The liver 573 ■■Pradip K Datta 66 The spleen 584 ■■Pradip K Datta 67 The gall bladder and bile ducts 590 ■■BV Praveen and Pradip K Datta 68 The pancreas 611 ■■Pradip K Datta vii K23682_Book.indb 7 20/12/14 3:35 AM s 69 The small and large intestines 623 t n e ■■CR Selvasekar and Pradip K Datta t n o 70 Intestinal obstruction 661 C ■■BV Praveen and Pradip K Datta 71 The vermiform appendix 676 ■■Pradip K Datta 72 The rectum 683 ■■CR Selvasekar and Pradip K Datta 73 The anus and anal canal 692 ■■BV Praveen and Pradip K Datta PART 12: GENITOURINARY 703 74 Urinary symptoms and investigations 705 ■■Pradip K Datta 75 The kidneys and ureters 713 ■■Pradip K Datta 76 The urinary bladder 732 ■■Pradip K Datta 77 The prostate and seminal vesicles 744 ■■Pradip K Datta 78 Urethra and penis 754 ■■Pradip K Datta 79 Testis and scrotum 762 ■■Pradip K Datta 80 Gynaecology 771 ■■S Vyjayanthi and Pranathi Reddy PART 13: TRANSPLANTATION 781 81 Transplantation 783 ■■Benjamin M Stutchfield APPENDIX: Common instruments used in general surgery 789 ■■Pradip K Datta Index 797 viii K23682_Book.indb 8 20/12/14 3:35 AM Preface to First Edition First published in 1932, Bailey & Love’s Short Practice of Surgery has stood the test of time. Perhaps this is an understatement, considering all three of us have used the book as medical students. This book has been the result of good foresight on the part of Hodder Arnold to keep up with the changing trends in the pattern of surgical examinations, at both undergraduate and postgraduate levels. The publishers should be congratulated on bringing out this book—converting the original Silver Jubilee (25th) edition—all 77 chapters of it—as Multiple Choice Questions (MCQs) and Extended Matching Questions (EMQs). The book is aptly titled as a companion to Bailey & Love. We would therefore hope that the reader, specifically preparing for a written examination, would use this book as the major reading material and refer to the original for detailed elucidation of a particular point or operative detail. Most of the contributors are different from Bailey & Love’s Short Practice of Surgery except for chapters 5, 25, the section on orthopae- dics, and part of trauma. Thus while retaining the essence of the original material, this book has been seasoned by different authors, giving it a fresh flavour without losing any of its original ingredients. We are grateful to all the contributors for their prompt response in spite of the pressures of work in the National Health Service. The images and pictures are mostly different than those in the original book, giving this tome an added attraction. While the MCQs test knowl- edge, the EMQs with the illustrations give a good format for a self-assess- ment exercise. The chapters are specifically geared toward helping the reader with preparation for the written papers of the MRCS and FRCS(Gen) examinations. The undergraduate will also find this book equally stimulat- ing for the same reasons. In surgical examinations in the English-speaking world, where essays have been replaced by short answer questions (short notes of yesteryear), the reader will find the EMQs ideal preparation. Any book must be dynamic, much more so a new venture such as this. It was said in the preface of the parent book, ‘Whereas the past informs the present, it must never enslave the future.’ As authors of this very exciting project, we can stay true to the spirit of this statement only with help from you—our readers. Therefore, we look forward to your suggestions and constructive criticisms for the next edition. Pradip K Datta Christopher JK Bulstrode BV Praveen November 2009 ix K23682_Book.indb 9 20/12/14 3:35 AM
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