Final Med Surgery Exam March 14 2008 (fun was had by most)

So for all you keener's who want to know what the final surgery exam was like today, this post is for you.

Let me start off by saying that the multiple choice questions were TOTALLY representative of the course (insert sarcasm and four letter words here). The person writing the exam had a complete fetish for tumors of the parotid gland... it was uncomfortable to say the least. I have since taken a shower and still feel dirty. The questions on the written paper which lasted 2 and a half hours were very specific. There was no room for bloviating so, all you folks who like to couch you answer in 3 tons of horse puckey were shit out of luck.

Also, the exam started a half hour late because there was a "printing problem." Pretty hilarious, 2.5 hours out of an entire year (365 days) and it cant start on time. sooooooo with out further ado (insert 70's skin flick music here)...

The Short Notes
Question 1:
What are the indications for thyroid surgery? what are the complications of a thyroidectomy? what is the management of these complications?

Question 2:
Describe the symptoms, investigations and management of low rectal carcinoma.

Question 3:
Describe the classification of neck of femur fractures. Describe the management of these injuries. Who is at risk of developing these fractures?

Question 4:
Describe the presenting features assessment and initial management of acute lower limb ischaemia.

Question 5:
Describe the epidemiology and aetiology of gastric carcinoma.What does he t stage indicate in gastric carcinoma and how is it defined?

Question 6:
List the complications of enteral and parenteral nutrition. What factors influence your choice of supplemental nutrition.

Question 7:
What is a full or partial thickness burn? Describe the difference between full and partial thickness burns. Classify the causes of burns. List the complications of burns listed under the classification of immediate early and late.

Question 8:
List the indications and complications of ERCP. Itemize the steps you would take to prepare the patient for an ERCP as an intern.

Question 9:
Describe the presentation, diagnosis and treatment options of prostate cancer.

Question 10:
List the indications, methods used and contraindications of sentinel lymph node biopsy.

Long Case:
It was a short history of an epidural haematoma. They wanted to know:
1)assessment management of the case in the A&E.
2)Prognostic indicators of traumatic brain injury.
3)The managent post operation in the ICU.

Thats it. Leave me alone. Boozin.

BJM