MRCS Syllabus Outline for part 1 of exam

Discussion in 'MRCS Forum' started by surgeonrac, Jan 14, 2006.

  1. surgeonrac

    surgeonrac Guest

    MRCS Syllabus Outline for part 1 of exam

    Paper 1:


    Thorax & Abdomen
    Development, organs and structures, surface and imaging anatomy of the:
    • Thorax
    • Abdomen, pelvis and perineum
    Upper limb, lower limb & nervous system
    Development, organs and structures, surface and imaging anatomy of the:
    • Upper limb and breast
    • Lower limb
    • Nervous system (central, peripheral and autonomic)

    Head, neck & spine
    Development, organs and structures, surface and imaging anatomy of the:
    • Head, neck and spine
    General Physiology
    • Homeostasis
    • Thermoregulation
    • Metabolic pathways
    • Sepsis and septic shock
    • Fluid balance and fluid replacement therapy
    • Metabolic abnormalities

    System Specific Physiology
    • Respiratory
    • Cardiovascular system
    • Gastrointestinal system
    • Renal system
    • Endocrine system
    • Central nervous system
    • Thyroid and parathyroid
    • Glucose homeostasis

    General Pathology
    • Inflammation
    • Wound healing
    • Scars and contractures
    • Cellular injury
    • Vascular disorders
    • Disorders of growth, differentiation and morphogenesis
    • Tumours
    • Surgical immunology
    • Surgical haematology

    Haematological Problems in Surgery
    • Surgical aspects of disordered haemopoiesis
    • Haemolytic disorders
    • Disorders of bleeding and coagulation

    Blood Transfusion
    • Preparation and components of blood products
    • Indications for blood product transfusion
    • Complications associated with blood transfusion
    • Alternatives to blood transfusion

    Surgical Microbiology
    • Sources of surgical infection
    • Surgically important microorganisms
    • Pathophysiology of sepsis

    Modern Antibiotic Usage
    • Commonly used antibiotics
    • Selecting the right antibiotic
    • Antibiotic resistance

    Surgery in Hepatitis and HIV Carriers
    • Blood-borne viruses
    • Immunisation
    • Management of sharps injuries

    Pathophysiology of Trauma
    • Shock and cardiovascular physiology
    • Metabolic response to injury
    • Adult respiratory distress syndrome (ARDS)

    Principles of Carcinogenesis
    • Normal cell replication
    • Disordered cell replication
    • Behaviour of cancer cells

    The Molecular Biology of Cancer
    • The cell cycle and the human genome
    • Mechanisms and pathways of tumour genesis
    • Tumour markers
    • Cellular mechanisms of invasion and metastasis

    System Specific Pathology
    • Nervous system
    • Musculoskeletal system
    • Respiratory system
    • Breast disorders
    • Cardiovascular system
    • Endocrine system
    • Genito-urinary system
    • Gastrointestinal system
    • Respiratory failure*
    • Acute renal failure*
    • Systemic inflammatory response syndrome (SIRS)*
    • Multiple organ dysfunction syndrome (MODS)*
    *Relate to postoperative management

    Perioperative Care

    Assessment of Fitness for Surgery
    • Preoperative assessment and risk scoring systems
    • Laboratory testing an imaging

    Management of Associated Medical Conditions
    • Organ specific diseases
    • Issues related to medications
    • General factors

    Preparation for Surgery
    • Informed consent
    • Pre-medication
    • Risk management

    Principles of Anaesthesia
    • General anaesthetic
    • Local anaesthetic
    • Regional anaesthetic

    Monitoring of the Anaesthetised Patient
    • Non-invasive monitoring
    • Invasive monitoring

    Care of the Patient Under Anaesthesia
    • Positioning of the patient in surgery
    • Avoidance of nerve injuries

    Postoperative Management and Critical Care

    Anaesthetic Management
    • Postoperative monitoring
    • Ventilatory support
    • Pain control
    • Intravenous drug delivery

    Metabolic and Nutritional Support
    • Fluid & electrolyte management
    • Nutrition in the surgical patient

    Postoperative Complications
    • General surgical complications

    Surgical Technique & Technology

    Surgical Wounds
    • Classification of surgical wounds
    • Principles of wound management

    Surgical Technique
    • Principles of safe surgery
    • Incisions and wound closure
    • Diathermy, laser, principles of cryosurgery
    • Sutures and ligature materials
    • Basic surgical instruments

    Surgical Procedures
    • Minor surgical procedures
    • Day care surgery
    • Principles of anastomosis
    • Endoscopic surgery and laparoscopy

    Tourniquets in the Operating Theatre
    • Indications for tourniquet use
    • Tourniquet application
    • Effects and complications of tourniquets

    Prevention of Infection
    • Principles of asepsis and antisepsis
    • Sterilisation

    Surgery in Hepatitis and HIV Carriers
    • Universal precautions
    • Surgical precautions

    Management and Legal Issues in Surgery
    Evidence Based Surgical Practice
    • Decision making in surgery
    • Statistics
    • Principles of research and clinical trials
    • Critical evaluations of surgical innovations

    Management Aspects of Surgical Practice
    • Clinical Audit
    • Clinical Governance
    • Medico-legal aspects of surgery

    Medical Litigation
    • Avoidance and management of errors
    • Ethics and medical negligence

    Emergency Medicine and Management of Trauma
    Initial Assessment of the Trauma Patient
    • Principles of pre-hospital care
    • Major incident triage
    • Clinical assessment and scoring systems
    • Resuscitation after trauma

    Management of the Unconscious Patient
    • Brain injuries
    • Assessment and resuscitation of the comatose patient
    Traumatic Oedema and Compartment Syndrome
    • Pathogenesis and Physiology
    • Diagnosis and treatment

    Environmental Emergencies
    • Hypothermia
    • Heat exhaustion
    • Management of radiation incident

    • Acute loss of vision
    • Red eye
    • Hepatitis B and HIV/Aids

    Pathophysiology of Trauma
    • Shock and cardiovascular physiology
    • Metabolic response to injury
    • Adult respiratory distress syndrome (ARDS)

    Principles of Surgical Oncology

    Epidemiology of Common Cancers
    • Epidemiology studies and cancer registration
    • Common cancers

    Screening Programmes
    • Screening for cancer: breast, cervical, prostate, colorectal and skin
    Clinical-Pathological Staging of Cancer
    • Staging and grading cancer
    • Clinical staging
    • Pathological staging

    Principles of Cancer Treatment
    • The role of surgery – block dissections
    • Radiotherapy
    • Chemotherapy
    • Hormone therapy
    • Immunotherapy

    Palliative Care
    • The palliative care team
    • Pain and other symptoms

    [size=18][b]Paper 2: [/b][/size]
    Cardiothoracic Surgery

    Haemodynamic Control
    • Haemodynamic principles
    • Cardiovascular homestasis
    • Pharmocological haemodynamic control

    Cardiac Surgery
    • Surgical disorders of the heart vessels and heart valves
    • Cardio-pulmonary bypass

    Thoracic Trauma
    • Pathophysiology of thoracic trauma
    • Presentation, assessment and management
    • Specific thoracic injuries

    Thoracotomy and Chest Drainage
    • Assessment and preparation
    • Indications for thoracotomy
    • Chest drainage and pericardiocentesis

    Surgical Disorders of the Lung
    • Lung Cancer
    • Other indications for lung resection

    Complications of Thoracic Operations
    • General complications
    • Specific complications

    Pneumothorax and Empyema Thoracis

    General Surgery

    The Abdomen

    Abdominal Trauma
    • Penetrating abdominal trauma
    • Blunt abdominal trauma
    • Assessment and management of abdominal trauma
    • Specific organ injuries

    Common Abdominal Problems
    • Abdominal pain
    • Abdominal masses
    • The acute abdomen

    Abdominal Emergencies
    • Intestinal obstruction
    • Perionitis and abdominal and pelvic abcess
    • Gastrointestinal haemorrhage

    Abdominal Hernia
    • Inguinal hernia
    • Femoral hernia
    • Incisional hernia
    • Rare hernias

    Intestinal Fistulas
    • Classification of intestinal fistulas
    • Assessment and management

    Gastrointestinal Stomas
    • Formation and management
    • Other stomas
    • Gastrostomy
    • Ileostomy
    • Colostomy

    Surgery of the Spleen
    • Splenic disease and injury
    • Treatment of splenic disease and injury
    • Post-splenectomy sepsis

    Upper Gastrointestinal Surgery
    • Diagnosis of oesophageal disorders
    • Specific oesophageal disorders (including gastro-oesophageal reflux disease, motility disorders, oesophageal carcinoma, oesophageal diverticulum and oesophageal foreign body)
    • Peptic ulcer disease
    • Carcinoma of the stomach

    Endocrine Disorders of the Pancreas
    • Insulinoma
    • Gastrinoma
    • Neuroendocrine tumours
    • Other rare endocrine tumours

    Hepatobiliary and Pancreatic Surgery
    • Jaundice
    • Gall stones and gall bladder disease
    • Acute pancreatitis
    • Chronic pancreatitis
    • Carcinoma of the pancreas
    • Benign and malignant biliary strictures
    • Portal hypertension and ascites

    Colorectal Surgery
    • Clinical presentation of colorectal and anal disease
    • Surgical disorders of the colon and rectum
    o Ulcerative colitis and Crohn’s disease
    o Colorectal cancer
    o Diverticular disease
    o Faecal incontinence
    o Rectal prolapse
    • Surgical disorders of the anus and perineum
    o Pruritus ani
    o Fissure-in-ano
    o Haemorroids
    o Fistula-in-ano
    o Anorectal abscess
    o Carcinoma of the anus
    o Pilonidal sinus and abscess

    Breast and Endocrine Surgery
    Common Breast Disorders
    • Breast lumps
    • Breast pain
    • Breast cysts
    • Nipple discharge
    • Gynaecomastia

    Breast Carcinoma
    • Risk factors
    • Pathology
    • Diagnosis
    • Treatment
    • Breast reconstruction

    Surgery of the Thyroid Gland
    • Indications for surgery in thyroid disease
    • Thyroid cancer (types and management)
    • Complications of thyroidectomy

    Parathyroid Disorders
    • Calcium metabolism
    • Clinical presentation of hypercalcaemia
    • Investigation of hyperparathyroidism
    • Management of hyperparathyroidism

    Adrenal Disorders and Secondary Hypertension
    • Causes of hypertension
    • Conn’s syndrome
    • Phaeochromocytoma

    Vascular Surgery
    Arterial Surgery
    • Peripheral vascular disease and limb ischaemia
    • Arterial embolism and acute limb ischaemia
    • Arterial aneurysms
    • Cartoid disease
    • Renovascular disease
    • Arterial trauma

    Venous Disorders of the Lower Limb
    • Venous insufficiency and varicose veins
    • Venous ulceration
    • Deep venous thrombosis and pulmonary embolism


    Organ Transplantation
    • Basic principles of transplant immunology
    • Clinical organ transplantation
    • Organ donation and procurement
    • Immunosuppression and prevention of rejection

    Otorhinolarygology, Head & Neck Surgery

    Ear, Nose & Throat Disorders
    • Inflammatory disorders of the ear, nose and throat
    • Foreign bodies in the ear, nose and throat
    Common neck swellings
    • Congenital and rare swellings
    • Inflammatory swellings
    • Head & neck cancer

    Salivary Gland Disorders
    • Infections and inflammation of the salivary glands
    • Tumours of the salivary glands
    • Stones of the salivary glands
    • Miscellaneous conditions

    Eye Surgery
    • Trauma to the eye
    • Common eye infections

    Oral and Maxillo-Facial Surgery
    Maxillo-facial Trauma
    • Classification of facial fractures
    • Presentation of maxillo-facial fractures
    • Assessment and investigation
    • Treatment of facial fractures

    Common conditions of the Face, Mouth & Jaws

    Principles of Soft Tissue Repair of Mouth, Face, Head & Neck

    Paediatric Surgery

    Principles of Neo-natal & Paediatric Surgery
    • History and physical examination of the neonate and child
    • Maintenance of body temperature
    • Assessment of respiratory and cardiovascular function
    • Metabolic status
    • Fluids, electrolytes and the metabolic response
    • Vascular access

    Correctable Congenital Abnormalities
    • Congenital abnormalities of GI tract
    • Congenital heart disease
    • Abdominal wall defects
    • Diaphragmatic hernia
    • Neural tube defects
    • Urological abnormalities

    Common Paediatrics Surgical Disorders
    • Pyloric stenosis
    • Intussusception
    • Inguinal hernia and hydrocele
    • Undescended testes
    • Torsion of the testes

    Orthopaedic Disorders of Infancy and Childhood
    • Gait disorders
    • Hip problems
    • Knee disorders
    • Foot disorders

    Plastic & Reconstructive Surgery

    • Classification and pathophysiology
    • Initial assessment and management
    • Treatment including secondary surgery
    • Burns of special areas (i.e. face, eyes, hands, perineum)

    Soft Tissue Infections

    Principles of Hand Trauma (tendon , nerve, nail bed)

    Hand Disorders
    • Dupytren’s Disease
    • Carpal Tunnel Syndrome

    Benign Skin Lesions

    Malignant Skin Lesions (Basal Cell Carcinoma, Squamous Cell Carcinoma, Malignant Melanoma)

    Principles of Skin Cover
    • Split skin grafts
    • Full thickness skin grafts
    • Local flaps
    • Distant flaps
    • Free transfer flaps

    Principles of Microvascular Surgery
    Wound Healing
    Traumatic Wounds
    • Principles of management
    • Gunshot and blast injuries
    • Stab wounds
    • Human and animal bites

    Management of Skin Loss
    • The wound
    • Skin grafts
    • Skin flaps


    Neurological Trauma
    • Head injuries
    • Spinal cord injuries
    • Paralytic disorders
    • Nerve disorders

    Surgical Disorders of the Brain
    • Clinical presentation of the intracranial mass
    • Tumours of the nervous system
    • Epilepsy
    • Congenital and developmental problems

    Intracranial Haemorrhage (Subarachnoid, Intracerebral and Subdural)

    Brain Stem Death
    • Diagnosis and testing for brain stem death
    • Principles of organ donation

    Surgical Aspects of Meningitis
    • General features of meningitis
    • Surgical considerations

    • The rehabilitation team
    • Pain management
    • Rehabilitation

    Trauma & Orthopaedic Surgery

    Skeletal Fractures

    Pathophysiology of fracture healing
    • Classification of fractures
    • Principles of management of fractures
    • Complications of fractures
    • Management of joint injuries
    • Common fractures and joint injuries
    o Upper limb
    o Lower limb
    o Trunk, pelvis and vertebral column

    Soft Tissues Injuries and Disorders
    • Nature and mechanism of soft tissue injury
    • Management of soft tissue injuries
    Common Disorders of the Extremities
    • Disorders of the hand
    • Disorders of the foot
    Degenerative and Rheumatoid Arthritis
    • Osteoarthritis
    • Rheumatoid arthritis
    • Other inflammatory conditions
    • Surgical treatment of joint diseases

    Infections of Bones and Joints
    • Osteomyelitis
    • Other bone infections

    Locomotor pain
    • Low back pain and sciatica
    • Pain in the neck and upper limb

    Bone Tumours and Amputations
    • Primary bone tumours
    • Metastatic bone tumours
    • Amputations

    • Imaging techniques
    • Neurophysiological investigations


    Urological Trauma
    • Renal, ureteric, bladder, urethral, penile and scrotal trauma
    Urinary Tract Infections and Calculi

    • Classification, aetiology and assessment
    • Tumours of the genito-urinary tract
    Urinary Tract Obstruction
    • Urinary retention
    • Disorders of the prostate

    Pain and Swelling in the Scrotum
    • Scrotal skin conditions
    • Non malignant testicular swellings
    • Inflammatory conditions
    • Testicular torsion
    • Testicular tumours

    Chronic Renal Failure
    • Dialysis
    • Principles of transplantation

    Aspects of Pelvic Surgery
    • Gynaecological causes of acute abdominal pain
    • Pelvic inflammatory disease
    • Disorders of urinary continence
  2. Guest

    Guest Guest


    good notes

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