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How to study Surgery(for medical students)

How to Study Surgery

• Badr and Shaheen: Orthopedic
• Montreid
• Sheets: For Urology & neurosurgery
• Surgical recall: is a great book esp. in the ward before the Dr. comeS or if you are waiting for some one.- I loved fluid & electrolytes-

• Same as medicine, but there are few points which are different.
• The key point to pass with a happy heart is to study from the 2nd day.
• DO NOT waste any minute cuz it’s a long course in a short time.

• Concentrate on GENERAL …then …SUB SPECIALITY
• Examination … MAINLY are just Few :
1. Thyroid. 2. Hernia
3. vascular. 4. Abdominal
5. Breast 6. Orthopedic.

• Some have a special Hx:
1. Jaundice 2. breast
3. D.M foot 4. Upper & lower GIT bleeding
5. Thyroid. 6. Lump, Ulcer, discharge
7. Orthopedic

• For Ortho: - Finish a topic every week e.g. 1st week: Upper limb, 2nd w: lower..
- every thing which has a name is important e.g (smith, colles #).
- management: you DO NOT need to know details EXCEPT dislocations

• For Uro: you just need 3 days Max. it's very simple & easy ( Prof. Farsi & Dr. Mosli will teach you ALL you need in their sessions ). The sheets are more than enough. Open your ears in dr. Mosli's sessions –essays-

For the written exam:
• Its better to study from sheets (Aljelsy & Al3mda)
• Montried: V. nice for short topics OR when you don’t have time. many Mcqs came from it!!
• Browse: it's an excellent examination book & their tables are more than great.
• MCQs from the previous groups, in addition to a big sheet in Al-Andalus BUT watch out there are many mistakes & unsolved Mcqs!!
• Management you will be asked about it but not in detail; just the main points.
• If your EOP is after taking The Pediatric or malignancy lectures, you might get Mcqs or even essays on that…so watch out! But don’t worry,There is your essays will come ONLY from the lectures you took.
• Regarding: surgical infections - metabolic response to injury- fluid & electrolytes they came as Mcqs in our Final…I think 5 or 6.

For the clinical exam:
• Most of the sessions are either Ortho or Urology & few general…BUT still General is More Important!!

• Doctors usually don’t care much about Hx & for those who already took medicine, Hx will be a piece of cake.
• For Ex: most of the pt. will be post-op so Ex .is not that big deal with few exceptions “the special Ex I mentioned before”

• Surgery: The girls who had a good basic knowledge but were not that good in Ex. got relatively high marks in their clinical exam BUT girls who were great in Ex & not that good in the basic knowledge got relatively low marks! SO…try to read as much as you can in your 5 weeks.

• There are few special doctors you MUST have a session with them :
1. Prof. Farsi (Uro)
2. Dr. Zahrani(Vascular)
3. Dr. Abbass (ortho)
4. Dr. Addas (Neuro)
5. Dr. Zohour (general)
6. Dr.Fatmah Al-thebity..No mater how much I say about her it won't be enough …she is v. kind & she loves to help ALL the students whether females or males. SO try to go with her in a round or ask her to give your Gr. a revision before your EOP.

• You MUST learn about:
? Instruments (catheters, tubes, drains etc): indications & complications.
? Fluids: what does half normal saline mean? 5% dextrose? etc.
? X-rays: mainly: air under diaphragm, pneumothorax, ERCP, Gall bladder, Metastases, retrosternal thyroid , Urological stones.
? Post-Op complications (1st, 2nd, 3rd, 5th day, week): imp. ones & what should you do about it in points only.

• Only 10 % of the students will get in their exam an Orthopedic or Urological Case. SO it depends on your Luck.

• Do NOT underestimate the small subjects. you may get appendicitis in your exam!!

Last year EOP:

1-DD of solitary thyroid nodule
2- presentation of undescended testis
age of correction.

1-a 60 yr old male came to ER complaining of Dysuria, hesitency, weak stream, bone pain. a) what are routs of infections to the Urinary tract ? b)classify prostitis
2-40 yr old male came to ER with epigastric pain & vomiting what is your D.Dx? b) What investigation you will order?

1. A patient brought to the ER after a car accident complaining form pain in his left hip. Clinical examination and x-ray findings was sugesting posterior hip dislocation.
a. Mention the deformity he is presenting with.
b. Give 5 complications for posteroir hip dislocation.

2. What are the prognostic factors for acute pancreatitis and what are the comlications?

1- discuss DD of dysphagia in a 35 year old female and investigations.
2- short notes on types , prsentation, manegment of renal stones.

(osce surgey):-
You should be able to obtain a focused medical history to these topics:

- Neck swelling - Hemoptysis - Unilateral chest pain
- dysphagia - Breast disease - Abdominal pain
- Abdominal mass - Abdominal distension - Nausea and vomiting
- Jaundice - Hematemesis - Melena and Hematochezia
- Hernia - Anorectal Disease - Peripheral arterial disease
- Varicose Veins - Leg Ulcers - Superficial masses
- Acute surgical infection - Post-operative complications

Physical examination skills
(List will be derived from the above list)

Investigation ordering / interpretation of results of investigation skills
(List will be derived from the above list)


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