Questions from the VIVA
Colorectal and General Surgery Section
Management of anaemia in term of investigation and causes read the BSG guidelines. Also other causes of IDA like thal minor etc
Oesophageal stricture in a 75 years old diagnosis. A bit about achalsia and causes of it. Management of stricture how to rule out malignancy and then dilatation procedures how frequent etc type of balloon etc
Management of fistula: SNAP post op leak of SB contentment from the midline following incision hernia repair. When to reoperation when to sit tight, Indication to IFU transfer
Rectal Cancer: low rectal cancer radio therapy MRI and role of EUA in staging. CRM stuff and when to radiate
Perianal Crohns in a 20 year old girl diagnosis and management seton less is more policy
Rectal Prolapse: Operate when? and which method
ITU and Emergency Surgery
Blood transfusion: know it in and out. Indication to transfusion major transfusion policy. What is in the shock pack ? How octaplex work use of Calcium . Patient is in DIC post AAA you cannot close him what will u do pack and leave open
Renal Failure: indication to dialysis types of dialysis complication of Cather transplant only indications
Post Op MI: ABC etc PE versus MI how to manage > PE use of thrombolysis? Indication for pulmonary embolectomy
Ischemic Bowel: showed me a photo how to manage etc stoma all the way cannot close abdomen boggoto bag etc
GS Pancreatitis: from clinical presentation to management neops paper!!
Prioritisation of surgery patient: hernia in a diabetic, abscess, appendix in a kid sick, 75 yrs with free air under diagram. Examine all first.
Start fluid resus on the perforation. Get the kid done by the reg. Fine another theatre for the hernia as on examining it turned out to be nec fas. Stop an elective list the examiner liked that answer and who do you speak too. The CD !!
CLINICAL
Colorectal
UC girl counselling make sure you do this well everything fertility pouch etc
Fissure A-Z management
Splenic Flexure tumour how to operate spleenectomy indications and vaccine also very popular questions spleenectomy indications ITP etc and vaccination etc
Rectal cancer join or not my indication pelvic floor performance rectal compliance
Diverticular disease: ACP position statement will u operate
Screening Colorectal cancer had to counsel a chap know the family history guidelines and also NBCSP
General
Epigastric hernia primary repair
Neuroma of fore arm redo operation
Post phelbelic limb describe and manage
Large incision hernia 6 laparotmies do not operate
Gilmore groin? Operate or no waste of time money making exercise how to manage chronic groin pain get an MRI to see for hernia and the spine but no surgery
Examine abdomen had rectus sheath hematoma? Ask question warfarin etc
Guy had a roof top chest scar and neck scar make the connection 3 stage oesphpagectomy