Single Best Answers in Surgery, Second Edition PDF
Preview Single Best Answers in Surgery, Second Edition
LP EA DARREN K PATTEN, DAVID M LAYFIELD, SHOBHIT ARYA, FT FT aE DANIEL R LEFF and PARASKEVAS A PARASKEVA The second edition of Single Best Answers in Surgery continues to provide invaluable nN guidance to this widely used question format, written by authors who understand that d P, L EDITORIAL ADVISOR: ARA DARZI AA detailed explanations accompanying each answer are the key to a successful revision aid. RY AF This book presents over 500 SBA questions arranged into topic areas as well as a section SIE KL of random questions for self-testing under examination conditions. A clear discussion of how ED the correct answer was reached and other options ruled out for every question is given V, AA at the end of each section, making this book an excellent learning aid for all stages of R Y undergraduate surgical studies, and particularly during revision for final examinations. A , Key features: • Over 500 questions comprehensively cover all aspects of surgical SS knowledge required by students in • Divided into sections for targeted study and revision Ug l • New to this second edition – ‘Applied anatomy’ and ‘Surgical critical care’, e RB and extended ‘Practice exam’ e • Written in a clear, consistent and authoritative style s Gt • With a Foreword by Professor the Lord Darzi of Denham A n E s The authors: w Single Best R e Darren K Patten BSc(Hons) MBBS MRCS(Eng) Wellcome Trust Clinical Research Fellow r and Specialist Trainee in General Surgery (London Deanery), Department of Surgery Ys in Answers in and Cancer, The Imperial Centre for Translational and Experimental Medicine, Imperial College, London, UK David M Layfield BSc(Hons) MBBS MRCS(Eng) CRUK Clinical Research Fellow and Specialist ES Trainee in General Surgery (Yorkshire and Humber Deanery), University of Southampton, UK DE SURGERY C Shobhit Arya BSc(Hons) MBBS MRCS(Eng) Clinical Research Fellow, Department of ITO Biosurgery and Surgical technology, QEQM, St Mary’s Hospital, Imperial College, London, UK I O N Daniel R Leff MBBS PhD FRCS(Gen Surg) Clinical Lecturer in Surgery, Hamlyn Centre for ND Robotic Surgery, Imperial College, London, UK Paraskeva A Paraskevas MBBS(Hons) PhD FRCS(Gen Surg) Reader in Surgery and SECOND EDITION Consultant Colorectal Surgeon, St Mary’s Hospital, Imperial College Healthcare NHS Trust, London, UK The editorial advisor: Professor the Lord Darzi of Denham KBE HonFREng FMedSci Professor of Surgery and Head of Department, Paul Hamlyn Chair of Surgery, Department of Biosurgery and Surgical Technology, Division of Surgery, Oncology, Reproductive Biology and Anaesthetics, Faculty of Medicine, Imperial College, London, UK K17436 ISBN-13: 978-1-4441-7597-4 90000 9 781444 175974 Single Best Answers in SURGERY Second edition K17436_C000.indd 1 9/25/14 6:45 PM K17436_Book.indb 2 9/25/14 11:46 AM Single Best Answers in SURGERY Second edition Darren K Patten BSc(Hons) MBBS MRCS(Eng) Wellcome Trust Clinical Research Fellow and Specialist Trainee in General Surgery (London Deanery), Department of Surgery and Cancer, The Imperial Centre for Translational and Experimental Medicine, Imperial College, London, UK David M Layfield BSc(Hons) MBBS MRCS(Eng) CRUK Clinical Research Fellow and Specialist Trainee in General Surgery (Yorkshire and Humber Deanery), University of Southampton, UK Shobhit Arya BSc(Hons) MBBS MRCS(Eng) Clinical Research Fellow, Department of Biosurgery and Surgical technology, QEQM , St Mary’s Hospital, Imperial College, London, UK Daniel R Leff MBBS PhD FRCS(Gen Surg) Clinical Lecturer in Surgery, Hamlyn Centre for Robotic Surgery, Imperial College, London, UK Paraskeva A Paraskevas MBBS(Hons) PhD FRCS(Gen Surg) Reader in Surgery and Consultant Colorectal Surgeon, St Mary’s Hospital, Imperial College Healthcare NHS Trust, London, UK Editorial Advisor Professor the Lord Darzi of Denham KBE HonFREng FMedSci Professor of Surgery and Head of Department, Paul Hamlyn Chair of Surgery, Department of Biosurgery and Surgical Technology, Division of Surgery, Oncology, Reproductive Biology and Anaesthetics, Faculty of Medicine, Imperial College, London, UK K17436_C000.indd 3 25/09/14 11:23 PM 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: 20140911 International Standard Book Number-13: 978-1-4441-7598-1 (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 neces- sarily 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 guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies’ printed instructions, and their websites, before administering any of the drugs recommended in this book. This book does not indicate whether a particular treatment is appropriate or suit- able for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permis- sion to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including pho- tocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http:// www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com To my Mother, Father (June 1948–February 1994) and Brother for their everlasting support. Darren K Patten 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 Printed on acid-free paper Version Date: 20140911 International Standard Book Number-13: 978-1-4441-7597-4 (Paperback) 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 neces- sarily 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 guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies’ printed instructions, and their websites, before administering any of the drugs recommended in this book. This book does not indicate whether a particular treatment is appropriate or suit- able for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permis- sion to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including pho- tocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http:// www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com K17436_Book.indb 5 9/25/14 11:46 AM K17436_Book.indb 6 9/25/14 11:46 AM Contents Contributors ix Foreword xi Preface xiii Acknowledgements xv How to approach an SBA exam xvii Abbreviations xix Common reference intervals xxi SECTION 1: APPLIED ANATOMY 1 Questions 2 Answers 9 SECTION 2: PRE- AND POSTOPERATIVE MANAGEMENT 19 Questions 20 Answers 29 SECTION 3: FLUID BALANCE AND NUTRITION 39 Questions 40 Answers 47 SECTION 4: ANAESTHETICS AND SURGICAL CRITICAL CARE 55 Questions 56 Answers 64 SECTION 5: TRAUMA 75 Questions 77 Answers 86 SECTION 6: ABDOMEN: UPPER GASTROINTESTINAL AND HEPATOBILIARY SURGERY 101 Questions 103 Answers 112 SECTION 7: ABDOMEN: LOWER GASTROINTESTINAL SURGERY 131 Questions 133 Answers 141 SECTION 8: ABDOMEN: THE ACUTE ABDOMEN 157 Questions 159 Answers 168 K17436_Book.indb 7 9/25/14 11:46 AM viii Contents SECTION 9: BREAST SURGERY AND ENDOCRINE DISEASE 183 Questions 184 Answers 192 SECTION 10: VASCULAR SURGERY 203 Questions 204 Answers 212 SECTION 11: UROLOGY 227 Questions 229 Answers 238 SECTION 12: ORTHOPAEDICS 257 Questions 259 Answers 267 SECTION 13: NEUROSURGERY 281 Questions 282 Answers 289 SECTION 14: ENT SURGERY 303 Questions 304 Answers 311 SECTION 15: OPHTHALMIC SURGERY 317 Questions 318 Answers 325 SECTION 16: LUMPS, BUMPS, SKIN AND HERNIAS 333 Questions 334 Answers 340 SECTION 17: PRACTICE EXAM 351 Questions 354 Answers 384 Index 431 K17436_Book.indb 8 9/25/14 11:46 AM Contributors Authors Mr Darren K Patten BSc(Hons) MBBS MRCS(Eng), Wellcome Trust Clinical Research Fellow and Specialist Trainee in General Surgery (London Deanery), Department of Surgery and Cancer, The Imperial Centre for Translational and Experimental Medicine, Imperial College London, UK Mr David M Layfield BSc(Hons) MBBS MRCS(Eng), CRUK Clinical Research Fellow and Specialist Trainee in General Surgery (Yorkshire and Humber Deanery), University of Southampton, UK Mr Shobit Arya BSc(Hons) MBBS MRCS(Eng), Clinical Research Fellow, Department of Biosurgery and Surgical Technology, QEQM, St Mary's Hospital, Imperial College, London, UK Mr Daniel R Leff MBBS PhD FRCS(Gen Surg), Clinical Lecturer in Surgery, Hamlyn Centre for Robotic Surgery, Imperial College, London, UK Mr Paraskevas A Paraskeva MBBS(Hons) PhD FRCS(Gen Surg), Reader in Surgery and Consultant Colorectal Surgeon, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK Editorial Advisor Professor the Lord Darzi of Denham KBE HonFREng FMedSci, Professor of Surgery and Head of Department, Paul Hamlyn Chair of Surgery, Department of Biosurgery and Surgical Technology, Division of Surgery, Oncology, Reproductive Biology and Anaesthetics, Faculty of Medicine, Imperial College, London, UK K17436_Book.indb 9 9/25/14 11:46 AM
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