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MCQs and EMQs in Surgery: A Bailey & Love Companion Guide

I S B N 978-0-340-99067-49 780340 990674 Pradip K Datta, Christopher J K Bulstrode, B V PraveenMCQs & EMQsin SurgeryWith over 1000 questions, MCQs and EMQs in Surgeryis the ideal self-assessmentcompanion Guide to Bailey & Love s Short Practice in surgery . The book assists readers in theirpreparation for examinations and enables them to test their knowledge of the principles andpractice of surgery as outlined within Bailey & into 13 subject-specific sections, both MCQs and EMQs provide a comprehensivecoverage of the surgical curriculum as well as the core learning points as set out in Bailey & section emphasises the importance of self-assessment within effective clinicalexamination and soundly based surgical principles, whilst taking into account the latestdevelopments in surgical and EMQs in surgery is an excellent Companion to Bailey & Loveand provides avaluable revision tool for those studying for the authorsPradip K DattaMBE, MS, FRCS (Ed, Eng, Irel, Glas)

Head and Neck Surgery, West of Scotland Rotation. Clinical Research Fellow, Memorial Sloan Kettering Cancer Center, New York, USA Charles S Perkins FDSRCS, FFDRCSI, FRCS Consultant Oral and Maxillofacial Surgeon, Gloucestershire Royal and Cheltenham General Hospitals, Gloucestershire Nandini P Rao, MRCP, Msc

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Transcription of MCQs and EMQs in Surgery: A Bailey & Love Companion Guide

1 I S B N 978-0-340-99067-49 780340 990674 Pradip K Datta, Christopher J K Bulstrode, B V PraveenMCQs & EMQsin SurgeryWith over 1000 questions, MCQs and EMQs in Surgeryis the ideal self-assessmentcompanion Guide to Bailey & Love s Short Practice in surgery . The book assists readers in theirpreparation for examinations and enables them to test their knowledge of the principles andpractice of surgery as outlined within Bailey & into 13 subject-specific sections, both MCQs and EMQs provide a comprehensivecoverage of the surgical curriculum as well as the core learning points as set out in Bailey & section emphasises the importance of self-assessment within effective clinicalexamination and soundly based surgical principles, whilst taking into account the latestdevelopments in surgical and EMQs in surgery is an excellent Companion to Bailey & Loveand provides avaluable revision tool for those studying for the authorsPradip K DattaMBE, MS, FRCS (Ed, Eng, Irel, Glas)

2 Is Honorary Consultant Surgeon, CaithnessGeneral Hospital, Wick, Member of Council and College Tutor, Royal College of Surgeons J K BulstrodeMCh, FRCS (Orth)is Professor and Honorary Consultant Traumaand Orthopaedic Surgeon, University of Oxford, Member of Council, Royal College ofSurgeons of V PraveenMS, FRCS (Ed, Eng, Glas, Irel, Gen)is Consultant Surgeon and Associate Director ofMedical Education, Southend University Hospital, Honorary Senior Lecturer, Queen Mary,University of of the world's pre-eminent medical textbooks beloved bygenerations of find out more & EMQs in SurgeryDatta Bulstrode PraveenCOMPANION GUIDEB ailey & LoveCOMPANION GUIDEB ailey & LoveB&L990674_MCQ_As_Surgery_CV_3_ARNOLD 22/04/2010 15:21 Page 1 MCQs and EMQs in SurgeryBailey & LoveCOMPANION GUIDEP radip 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 EdinburghChristopher 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 EdinburghB V Praveen MS, FRCS (Ed, Eng, Glasg, Irel, Gen), Consultant Surgeon and Associate Director of Medical Education, Southend University Hospital, Honorary Senior Lecturer, Queen Mary, University of i4/14/2010 2:31:03 PM4/14/2010 2:31.

3 03 PMCRC PressTaylor & Francis Group6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 2010 by Taylor & Francis Group, LLCCRC Press is an imprint of Taylor & Francis Group, an Informa businessNo claim to original Government worksVersion Date: 20121026 International Standard Book Number-13: 978-1-4441-2829-1 (eBook - PDF)This book contains information obtained from authentic and highly regarded sources. Reasonable efforts have been made to publish reliable data and information, but the author and publisher cannot assume responsibility for the validity of all materials or the consequences of their use. The authors and publishers have attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained.

4 If any copyright material has not been acknowledged please write and let us know so we may rectify in any future as permitted under 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 photocopying, microfilming, and recording, or in any information stor-age or retrieval system, without written permission from the permission to photocopy or use material electronically from this work, please access ( ) 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 pro-vides licenses and registration for a variety of users. For organizations that have been granted a pho-tocopy license by the CCC, a separate system of payment has been Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to the Taylor & Francis Web site the CRC Press Web site ixContributors xPreface xiAcknowledgements xiiList of Abbreviations Used xiiiIntroduction xviPART 1.

5 PRINCIPLES 1 1 The metabolic response to injury 3 Pradip Datta 2 Shock and blood transfusion 8 Bandipalyam Praveen 3 Wounds, tissue repair and scars 16 Bandipalyam Praveen 4 Surgical infection 22 Bandipalyam Praveen 5 Tropical surgery 31 Pawanindra Lal, Sanjay De Bakshi 6 Paediatric surgery 75 Pradip Datta 7 Oncology 84 Bandipalyam Praveen 8 Surgical audit and research 90 Bandipalyam Praveen 9 Surgical ethics 94 Pradip Datta 10 Diagnostic imaging 96 Pradip DattaPART 2: INVESTIGATION AND DIAGNOSIS 101 11 Gastrointestinal endoscopy 103 Bandipalyam Praveen iii4/14/2010 2:31:04 PM4/14/2010 2:31:04 PMCONTENTSiv 12 Tissue diagnosis 107 Pradip DattaPART 3: PERIOPERATIVE CARE 111 13 Preoperative preparation 113 Bandipalyam Praveen 14 Anaesthesia and pain relief 118 Nigel Webster 15 Care in the operating room 122 Pradip Datta 16 The high-risk surgical patient 124 Bandipalyam Praveen 17 Nutrition and fluid therapy 127 Nandini Rao 18 Basic surgical skills and anastomosis 135 Pradip Datta 19 Laparoscopic and robotic surgery 137 Bandipalyam Praveen 20 Postoperative care 144 Pradip DattaPART 4: TRAUMA 151 21 Introduction to trauma 153 Pradip Datta 22 Trauma epidemiology 156 Christopher Bulstrode 23 Head injury 160 Lynn Myles 24 Neck and spine 166 Christopher Bulstrode 25 Trauma to the face and mouth 171 Charles Perkins 26 Trauma to the chest and abdomen 176 Pradip iv4/14/2010 2:31:04 PM4/14/2010 2:31.

6 04 PMCONTENTSv 27 Extremity trauma 185 Christopher Bulstrode 28 Burns 195 John McGregor 29 Plastic and reconstructive surgery 205 John McGregor 30 Disaster surgery 212 Christopher BulstrodePART 5: ELECTIVE ORTHOPAEDICS 217 31 Elective orthopaedics: musculoskeletal examination 219 Christopher Bulstrode 32 Sports medicine 224 Christopher Bulstrode 33 The spine 233 Christopher Bulstrode 34 The upper limb 238 Christopher Bulstrode 35 The hip and knee 246 Christopher Bulstrode 36 The foot and ankle 252 Christopher Bulstrode 37 Infection and tumours 257 Christopher Bulstrode 38 Paediatric orthopaedics 264 Christopher BulstrodePART 6: SKIN AND SUBCUTANEOUS TISSUE 271 39 Skin and subcutaneous tissue 273 Pradip DattaPART 7: HEAD AND NECK 281 40 Elective neurosurgery 283 Lynn v4/14/2010 2:31:04 PM4/14/2010 2:31:04 PMCONTENTSvi 41 The eye and orbit 292 Brian Fleck 42 Cleft lip and palate: developmental abnormalities of face, mouth and jaws 302 John McGregor 43 The nose and sinuses 309 Iain J Nixon 44 The ear 319 Iain J Nixon 45 Pharynx, larynx and neck 330 Iain J Nixon 46 Oropharyngeal cancer 341 Iain J Nixon 47 Disorders of the salivary glands 351 Iain J NixonPART 8: BREAST AND ENDOCRINE 361 48 Thyroid and the parathyroid gland 363 Nandini Rao 49 Adrenal glands and other endocrine disorders 375 Nandini Rao 50 The breast 385 Pradip DattaPART 9: CARDIOTHORACIC 389 51 Cardiac surgery 391 Dumbor Ngaage 52 The thorax 397 Dumbor NgaagePART 10.

7 VASCULAR 403 53 Arterial disorders 405 Peter McCollum 54 Venous disorders 411 Peter vi4/14/2010 2:31:04 PM4/14/2010 2:31:04 PMCONTENTSvii 55 Lymphatic disorders 416 Peter McCollumPART 11: ABDOMINAL 421 56 History and examination of the abdomen 423 Pradip Datta 57 Hernia, umbilicus and abdominal wall 425 Bandipalyam Praveen 58 The peritoneum, omentum, mesentery and retroperitoneal space 432 Pradip Datta 59 The oesophagus 437 Pradip Datta 60 Stomach and duodenum 441 Bandipalyam Praveen 61 The liver 451 Pradip Datta 62 The spleen 458 Pradip Datta 63 The gall bladder and bile ducts 461 Bandipalyam Praveen 64 The pancreas 468 Pradip Datta 65 The small and large intestines 474 Pradip Datta 66 Intestinal obstruction 488 Bandipalyam Praveen 67 The vermiform appendix 495 Pradip Datta 68 The rectum 499 Pradip Datta 69 The anus and anal canal 504 Bandipalyam vii4/14/2010 2:31:04 PM4/14/2010 2:31:04 PMCONTENTS viiiPART 12.

8 GENITOURINARY 513 70 Urinary symptoms and investigations 515 Pradip Datta 71 The kidneys and ureters 521 Pradip Datta 72 The urinary bladder 533 Pradip Datta 73 The prostate and seminal vesicles 541 Pradip Datta 74 The urethra and penis 546 Pradip Datta 75 The testis and scrotum 549 Pradip Datta 76 Gynaecology 554 Pradip DattaPART 13: TRANSPLANTATION 559 77 Transplantation 561 Bandipalyam PraveenIndex viii4/14/2010 2:31:04 PM4/14/2010 2:31:04 PMixForewordThis innovative Companion volume will certainly be considered as an essential complement to Bailey & Love s Short Practice of surgery . The authors and contributors have recognised the fundamental changes that have occurred in surgical training and assessment where greater knowledge must be acquired in a shorter period of time, not only to ensure success in examinations but also to provide the comprehensive foundations on which to build clinical expertise.

9 The Silver Jubilee edition of Bailey & Love in 2008 emphasised its enduring importance for generations of surgeons internationally. MCQs and EMQs in surgery will define the indispensable elements for today s surgical D Orr, FRCS (Ed) ix4/14/2010 2:31:04 PM4/14/2010 2:31:04 PMxContributorsSanjay De Bakshi MS FRCS (Eng & Ed)Consultant Surgeon, Calcutta Medical Research Institute (CMRI), Kolkata, IndiaBrian W Fleck FRCS (Ed), MD Consultant Ophthalmic Surgeon, Princess Alexandra Eye Pavilion and Royal Hospital for Sick Children, Edinburgh Professor Pawanindra Lal MS DNB MNAMS FRCS (Ed & Eng)Professor of surgery , Maulana Azad Medical College, New Delhi, IndiaProfessor Peter McCollum MCh, FRCS (Ed), FRCSIP rofessor of Vascular surgery , Hull/York Medical SchoolJohn C McGregor BSc (Hons) MBChB (with commendation) FRCS, FRCS (Edin)Former Consultant in Plastic, Reconstructive and Cosmetic surgery , St John s Hospital, West LothianLynn Myles BSc (Hons), MB ChB, MD, FRCS (SN)

10 Consultant Neurosurgeon, Department of ClinicalNeurosciences, Western General Hospital, EdinburghDumbor L Ngaage MB BS FRCS (Ed), FWACS, FRCS (C-Th), FETCS (Cardiovascular), FETCS (Thoracic), MSSpecialist Registrar in Cardiothoracic surgery , Castle Hill Hospital, Clinical Tutor, Hull York Medical School, Universities of Hull & YorkIain J. Nixon MBChB FRCS (Edin.) Specialist Registrar in Otolaryngology Head and Neck surgery , West of Scotland Rotation. Clinical Research Fellow, Memorial Sloan Kettering Cancer Center, New York, USAC harles S Perkins FDSRCS, FFDRCSI, FRCS Consultant Oral and maxillofacial Surgeon, Gloucestershire Royal and Cheltenham General Hospitals, GloucestershireNandini P Rao, MRCP, MscSpecialist Registrar in Chemical Pathology/Metabolic Medicine, Royal Free Hospital, London Professor N R Webster MB ChB PhD FRCA FRCP FRCSI nstitute of Medical Sciences, Foresterhill, x4/14/2010 2:31:04 PM4/14/2010 2:31:04 PMxiPrefaceFirst published in 1932, Bailey & Love s Short Practice of surgery has stood the test of time.


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