PreviousExamquestions

ACADEMICVIVA
Impactfactor
Levelsofevidence
Basicstats

GENERALVIVA
Ingrowntoenail!
CriteriaforDaysurgery
Difficultcholecystectomy
Splenectomy(indications,vaccinationsetc)

SUBSPECIALTYVIVA
BarrettsOesophagusmanagementofhighgradedysplasia
Choledochalcystpresentation,classification,management
Gastrooesophagealrefluxdisease

EMERGENCYVIVA
FemoralHerniaandsmallbowelobstruction
Abdominalcompartmentsyndrome
AssessmentofpatientpostopHartmannsfordiverticularperforation
TerminalilealCrohnsidentifiedatlaparoscopyforpresumedappendicitiswhethertoperform
appendicectomy

CRITICALCARE

SwollenlegpostopDVT
Insertionofacentralline
Renalfailure
Definitionofsepsis/SIRS

GENERALCLINICAL
Incisionalhernia
Shortsaphenousvaricoseveins
Epigastrichernia
Divaricaitonoftherecti(!)
Biliarycolic
Informedconsentforlaparoscopiccholecystectomy

SUBSPECIALTYCLINICAL
Squamouscarcinomaofoesophagus
Benignoesophagealstricture
Pancreaticcarcinomaproblemswithpreoperativebileductstenting
Cholangiocarcinoma
CommonbileductstoneshowtodoalapCBDexploration
Bileleakpostlaparoscopiccholecystectomy

SUBSPECIALTYVIVA
pseudocystmanagementwandw/opensurg/endoscopy;
livertraumaclassification/management(incembolisation)/packingetc;

gallbladdercancerstaging/management.

GENERALVIVA
pilonidalabscess
varicoseveins
persononlongtermtpn

CLINICAL(notreallyhistorytaking,moreofaptcentereddiscussion).
ptpostituadmissionforpancreatitis.woundproblems/nutrition/diabetes
takeahistoryoffapatientwithjaundice,initialbloodtests(basicallymedstudentstuff)
surgicalmanagementofreflux/hiatushernia.
effectsofchemotherapypreliverresectionforcolorectallivermets(oxalaplatinspecifically)
stagingofoesphagealcancertheyseemedreallykeenonpetandeus.

CRITICALCARE

Facialinjuryairwaymanagement,cricothyroidotomy
Tensionpneumothoraxmanagement/pathophysiology
Chestdraininsertion
Renalfailure/poorurineoutputsenario
Hepatorenalsyndromemechanism/treatment

EMERGENCYSURGERY

Femoralherniarepairtechnique
Postophipreplacement/abdodistension(discussdifferential,managementofpseudoobstruction)
Radiationsmallbowelinjury(mechanism,features,changesacuteandchronic,surgicaltreatment,
consequencesB12def,bacterialovergrowth)

GENERALSURGERY

Ixofirondeficiencyanaemia
Colonoscopywhatisthemisrate
Splenectomyindicationsandtechnique
Pyloricstenosisinchildrenandadults,Differential,Surgicalmanagement,ABGchangesandwhyurine
acidicinchildren

UPPERGI/HPB

Lapcholebileductinjury
Managementofpostopbileleak
Managementofrightposteriorsectorialductinjury
Bariatricsurgery
Preop/Postopmanagementofsleepapnoea
Eppworthscoreriskofsleepapnoea

CLINICALGENERAL

Breastlump/screendetectedlookatmammograms,Ix,andbreastexamination(postop)with
lymphoedemaandradiotherapymarks
ColovesicalfistulahistorytakinganddiscussiononIxandmanagement
Incisionalherniaexaminationanddiscussiononwhentooperate
VaricoseveinspostopwithskinchangesandpreviousDVT
IvorLewispatientwithcarpaltunnelexaminethemediannerve!

UPPERGI/HPBCLINICAL

Metastaticcarcinoidsyndrometoliver!
(readtheBSGguidelinesonneuroendocrinetumours)discussiononoctreotideandmanagement
options
Pancreaticcahistory,resectabilityonCT
ERCPpictureswithCBDstones
PostopIvorLewiswithacutediaphragmaticherniahistory,plainxrays,surgicalmanagement
PreopstagingofoesophagealcancerhistoryfrompatientandreviewofEUS/CTpicturesand
managementdiscussion

ACADEMIC

TwopapersbothfromtheBJSlastfewmonths

RTCpreopantibioticsinvaricoseveinsurgeryfromHull

Retrospectivereviewofchemoradiotherapy,preopchemoandsurgeryaloneinoesophagealcancer
fromCardiff

Impactfactorwhatisit,howcalculated
Whataretheimpactfactorsofjournals,suchasBMJ/Lancet/othersurgicaljournals
Prosandconsoftheresearch
Clinicalrelevanceofthepaperswouldtheychanceyourpractice
Emergsurg
femherniainunfitpatient,
Cdiffcolitis,
pseudoobstruction

Critcare
oliguricpatientpostop,
chestandfacialtrauma,
septicpatientpostHartmanns

General
inguinalhernia,
diverticdisease,
coeliacdisease,
IBS!!

UpperGI
HGD,
bileleak,
colorectallivermets

Clingen
goitre,

variveins,
inghernia,
incishernia,
aaa,popaneurysm.
patientwithhx.ofneoadj.CRTpriottoantresection.

ClinUGI
StricturepostWhipple,
bleedpostWhipple,
hereditaryspherocytosishx.andMXwithhypersplenism,
dysphagiahxachalasia.

Formorequestionssee

www.thedukesclub.org

http://www.wmsurgeons.com/education/index.html