Operative Surgery Vivas for the MRCS

Cover......Page 1
Half-title......Page 3
Dedication......Page 4
Title......Page 5
Copyright......Page 6
Contents......Page 7
Preface......Page 11
2 What pre-operative measures should be taken?......Page 13
3 How do you perform an open repair of an AAA?......Page 14
6 What is the mortality for elective AAA repairs?......Page 15
8 What is the significance of the artery of Adamkiewicz?......Page 16
3 What is the venous drainage of the adrenal glands?......Page 17
6 List some of the complications of adrenalectomy......Page 18
7 When is a conventional open adrenalectomy preferred to a laparoscopic procedure?......Page 19
2 What types of lower limb amputation do you know?......Page 21
5 How do you perform a BKA?......Page 22
7 What contraindications are there to a BKA?......Page 23
3 What is the usual organism responsible?......Page 25
5 How would you perform an incision and drainage of an anorectal abscess?......Page 26
7 What is Goodsall’s law?......Page 27
10 What is a pilonidal sinus?......Page 28
1 What is the differential diagnosis of acute appendicitis?......Page 29
6 What pre-operative measures should be taken for an appendicectomy?......Page 30
7 How do you perform an appendicectomy?......Page 31
8 What are the complications of an appendicectomy?......Page 32
2 What factors are important in bowel anastomotic healing?......Page 33
5 What are the advantages and disadvantages of the stapled technique?......Page 34
2 What is the arterial blood supply to the breast?......Page 35
5 What are the three levels of axillary lymph nodes?......Page 36
7 List some of the specific complications of breast surgery......Page 37
8 Name two methods commonly used in breast reconstruction following mastectomy......Page 38
2 What are the clinical presentations of ischaemia of the carotid and the vertebro-basilar circulations?......Page 39
4 How do you perform a carotid endarterectomy?......Page 40
7 Which nerves are at risk during carotid surgery?......Page 41
9 What techniques are available for monitoring cerebral function during carotid endarterectomy?......Page 42
3 What non-surgical options are there in the treatment of CTS?......Page 43
5 What structures pass under the flexor retinaculum?......Page 44
7 What other complications will you mention to the patient during consent?......Page 45
2 What different routes can be chosen for central vein access?......Page 47
5 Describe the technique of inserting a central line via the subclavian route......Page 48
6 Describe the technique of inserting a central line via the internal jugular route......Page 49
7 What are the possible complications of central venous cannulation?......Page 50
2 What are the advantages of laparoscopic surgery?......Page 51
5 What is Calot’s triangle?......Page 52
7 What are the specific complications of a laparoscopic cholecystectomy?......Page 53
3 How do you perform a circumcision?......Page 55
4 How do you manage a patient with early post-circumcision bleeding?......Page 56
2 What are the five characteristic features of a Colles’ fracture?......Page 57
5 What are the options for maintaining the reduction in distal radial fractures?......Page 58
6 What are the complications of distal radial fractures?......Page 59
2 What is the initial management of a patient with a compound fracture?......Page 61
4 What are the principles of managing open fractures when in theatre?......Page 62
6 What tetanus prophylaxis would you chose to give?......Page 63
3 What other associated clinical manifestations of Dupuytren’s disease do you know?......Page 65
5 Briefly discuss how you would perform a Dupuytren’s excision......Page 66
7 Who was Dupuytren?......Page 67
2 What is the anatomical reason for AVN in intra-capsular fractures?......Page 69
5 How do you perform internal fixation of a femoral neck fracture using the DHS?......Page 70
6 What are the complications of a DHS?......Page 71
2 What are the clinical features of compartment syndrome?......Page 73
5 Name the compartments of the lower leg and list their contents......Page 74
7 What are the compartments of the thigh?......Page 75
8 What are the compartments of the forearm?......Page 76
2 What pre-operative measures should be taken?......Page 77
4 What are the complications specific to a femoral embolectomy?......Page 78
6 What is the surface marking of the femoral artery?......Page 79
2 Name the borders of the femoral ring and the contents of the femoral canal......Page 81
6 What surgical options do you know for the repair of a femoral hernia?......Page 82
7 How do you perform a repair of a strangulated femoral hernia?......Page 83
8 What are the specific complications of surgery?......Page 84
3 How are haemorrhoids classified?......Page 85
7 When is a haemorrhoidectomy required?......Page 86
9 What are the complications specific to a haemorrhoidectomy?......Page 87
2 Name three common approaches to the hip joint......Page 89
4 How do you approach the hip via the Hardinge approach?......Page 90
6 Discuss the advantages and the disadvantages of the Hardinge approach......Page 91
7 What are the specific complications of a total hip replacement?......Page 92
2 What pre-operative measures must be taken?......Page 93
5 What layers are traversed when approaching the testes through the scrotum?......Page 94
7 What specific complications of this procedure do you know?......Page 95
2 What is the difference between an obstructed and a strangulated hernia?......Page 97
4 How would you perform the open repair of an inguinal hernia?......Page 98
5 What are the specific complications associated with the repair of an inguinal hernia?......Page 99
1 On the sketch of the abdomen below label some of the common abdominal incisions and list their common indication.......Page 101
2 How do you perform a diagnostic laparotomy?......Page 102
5 What are the important complications specific to a laparotomy?......Page 103
2 What is an OGD and what are the advantages compared to contrast imaging?......Page 105
4 Describe the steps undertaken in performing an OGD for a bleeding peptic ulcer......Page 106
6 Describe ERCP (endoscopic retrograde cholangiopancreatography)......Page 107
7 What are the complications of ERCP?......Page 108
3 How does the above knowledge dictate the approach for orchidectomy for a testicular tumour?......Page 109
5 Briefly describe how you would perform an orchidectomy for testicular tumour......Page 110
7 What other indications of orchidectomy do you know?......Page 111
2 What different types of parotidectomy do you know? When are they performed?......Page 113
4 How do you perform a parotidectomy?......Page 114
5 List the anatomical features that help you identify the facial nerve in the above procedure......Page 115
7 What is the anatomical basis of Frey’s syndrome? How can it be treated?......Page 116
2 What pre-operative measures must be undertaken in the management of a patient with a perforated peptic ulcer?......Page 117
4 What if there is a perforated gastric ulcer?......Page 118
2 What is the biochemical abnormality in an infant with pyloric stenosis?......Page 119
5 Describe the steps taken in performing a Ramstedt’s pyloromyotomy......Page 120
6 What are the complications specific to a pyloromyotomy?......Page 121
2 How do you perform a right hemicolectomy?......Page 123
4 What specific complications are associated with a right hemicolectomy?......Page 124
2 What are the two main types of skin graft? What are the advantages and disadvantages of each?......Page 127
3 What are the causes of skin graft failure and what measures are undertaken to counteract them?......Page 128
5 What do you understand by a free flap? Give an example......Page 129
1 What are the common surgical approaches to the spine?......Page 131
4 At what spinal level should an lumbar puncture (LP) be performed? What is the surface marking of this level?......Page 132
5 Describe how you would perform an LP......Page 133
6 What are the complications of LP?......Page 134
2 Which vaccination or antibiotic prophylaxis do you consider for a patient undergoing an elective splenectomy?......Page 135
4 How do you perform an open splenectomy?......Page 136
6 What are the complications of splenectomy?......Page 137
7 What particular infections are post-splenectomy patients at risk of?......Page 138
3 Where should the stoma be sited?......Page 139
7 Describe the formation of an ileostomy......Page 140
8 What complications arise from stomas?......Page 142
2 How do you perform an excision of the submandibular gland?......Page 143
3 Why must the skin incision be placed well below the inferior margin of the mandible?......Page 144
5 What structures are at risk during submandibular gland excision?......Page 145
2 Describe the different zones of flexor tendon injuries in the hand......Page 147
3 Describe a technique for repair of a tendon......Page 148
2 What surface makings help in deciding the site of chest drain insertion?......Page 149
4 Describe how you would insert an intercostal chest drain......Page 150
6 Describe how you would remove a chest drain......Page 152
2 Describe the median sternotomy approach......Page 153
3 List the possible conduits used as coronary artery bypass grafts......Page 154
4 Describe the posterolateral thoracotomy approach......Page 155
5 What is an emergency thoracotomy and when should it be performed?......Page 156
2 What specific pre-operative measures are taken prior to a thyroidectomy for thyrotoxicosis?......Page 157
5 How does one perform a thyroidectomy?......Page 158
6 What are the specific complications of this procedure?......Page 159
7 What does the recurrent laryngeal nerve supply and what is the consequence of its division?......Page 160
2 What different types of tracheostomy do you know?......Page 161
3 How would you perform an open surgical tracheostomy?......Page 162
6 What are the complications of a tracheostomy?......Page 163
7 What different types of tracheostomy tubes are there?......Page 164
2 How would you insert a male urethral catheter?......Page 165
3 How do you insert a suprapubic catheter?......Page 166
6 What are the complications of TURP?......Page 167
8 What are the limits of resection in a TURP and why?......Page 168
2 What are the common sites of venous incompetence?......Page 169
5 Describe the steps taken in performing varicose vein surgery in a patient with sapheno-femoral incompetence and LSV varicosities......Page 170
6 What are the complications specific to varicose vein surgery?......Page 171
7 What are thread veins and how are they managed?......Page 172
2 How do you perform a vasectomy?......Page 173
4 What properties of sperm or semen are taken into account during semen analysis? What are the minimum acceptable levels?......Page 174
3 What is Zadik’s procedure and how do you perform it?......Page 175