Basic Science for the MRCS

A revision guide for surgical trainees

4th Edition - April 7, 2022
Authors: Michael S. Delbridge, Wissam Al-Jundi
Language: English
Paperback ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 5 4 0 - 6
eBook ISBN:
9 7 8 - 0 - 7 0 2 0 - 8 5 4 1 - 3

A concise revision guide to the core basic sciences for all surgical trainees preparing for Part A of the Intercollegiate MRCS examination. Covering the essential facts for an… Read more

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A concise revision guide to the core basic sciences for all surgical trainees preparing for Part A of the Intercollegiate MRCS examination. Covering the essential facts for anatomy, physiology and pathology, with indications of both their clinical relevance and importance. Focusing on the recurring examination themes for initial surgical training, this title is designed for the basic surgical trainee as well as proving useful for those in higher surgical training and for the surgically-inclined, well-motivated student.

Cover image
Title page
Table of Contents
Any screen, Any time, Anywhere
Copyright
Preface
Acknowledgements
Section I: Anatomy
1. The Thorax
Development
Thoracic Cage
Trachea (Fig. 1.6)
Bronchi (Fig. 1.6)
The Lungs
Bronchopulmonary Segments (Fig. 1.7)
Pleura
The Diaphragm (Fig. 1.8)
Anatomy of Respiration
The Heart (Fig. 1.9)
Pericardium
Mediastinum (Fig. 1.11)
OSCE Scenarios
2. The Abdomen, Pelvis and Perineum
Development
Anterior Abdominal Wall
The Anatomy of Abdominal Incisions
Inguinal Canal
Femoral Canal
Peritoneal Cavity
Subphrenic Spaces
Posterior Abdominal Wall
Abdominal Aorta (Fig. 2.11)
Pelvic Floor and Wall
Perineum
Urethra
Scrotum
Testis and Epididymis
Abdominal Viscera
OSCE Scenarios
3. The Upper Limb and Breast
The Pectoral Girdle
The Bones of the Upper Limb
Joints of the Upper Limb
Veins of the Upper Limb
Arteries of the Upper Limb (Fig. 3.9)
Brachial Plexus (Fig. 3.10)
Anatomy of Nerve Lesions
Spaces of the Hand
Specialized Areas of the Arm
Lymphatics of the Upper Limb
The Breast
OSCE Scenarios
4. The Lower Limb
The Pelvic Girdle
Joints and Ligaments of the Pelvis (Figs. 4.3 and 4.4)
Gluteal Region (Fig. 4.5)
Bones of the Leg and Foot
Femoral Triangle (Fig. 4.9)
Arteries of the Lower Limb (Figs. 4.11 and 4.12)
The Veins Of The Lower Limb
Leg Compartments
Lumbar Plexus (Fig. 4.13)
Sacral Plexus (Fig. 4.14)
Nerve Injuries
Joints
Arches of the Foot
OSCE Scenarios
5. The Head, Neck and Spine
Development
Head
Cranial Cavity
Orbit And Eyeball
The Contents Of The Orbit
Orbital Muscles
The Ear
The Nose And Paranasal Air Sinuses
Paranasal Air Sinuses
The Muscles Of Mastication
Temporomandibular Joint
Floor of the Mouth and Tongue (Fig. 5.20)
The Tongue
Salivary Glands
The Neck
The Triangles of the Neck (Fig. 5.21)
The Thyroid Gland
Parathyroid Glands
The Larynx (Fig. 5.24 and 5.25)
Pharynx (Fig. 5.25)
Cervical Plexus (Fig. 5.27)
Root of Neck (Fig. 5.28)
Lymph Nodes Of The Head And Neck
Spine
OSCE Scenarios
6. The Nervous System
The Brain
Spinal Cord
The Meninges
Cranial Nerves
Peripheral Nervous System
Upper and Lower Motor Neurons
Autonomic Nervous System
OSCE Scenarios
Section II: Physiology
7. General Physiology
Homeostasis
Fluid Balance and Fluid Replacement Therapy
Diuresis
Water Balance
Disturbances of Total Body Water Content
Electrolyte Disorders
Acid–Base Balance
Fluid Balance and Fluid Replacement Therapy
Colloid and Crystalloid Solutions
Oedema and Lymphatic Function
OSCE Scenarios
8. Respiratory System
Introduction
Mechanics Of Ventilation
Pulmonary Blood Flow
OSCE Scenarios
9. Cardiovascular System
Cardiac Muscle
OSCE Scenarios
10. Gastrointestinal System
Functions
Stomach
Small Intestine
Pancreas
Liver and Gall Bladder
Nutrition
OSCE Scenarios
11. Urinary System
Components
Renal Blood Supply
Regulation Of Na+ And Water Reabsorption
Osce Scenarios
12. Endocrine System
Introduction
Pituitary And Hypothalamic Function
Thyroid Function
Calcium and Phosphate Regulation
Adrenal Function
Endocrine Function of the Pancreas
Osce Scenarios
13. Nervous and Locomotor Systems
Introduction
Central Nervous System
Brainstem Death
Space-Occupying Lesions and Raised Intracranial Pressure
Peripheral Nervous System (PNS)
Autonomic Nervous System (ANS) (Fig. 13.8)
Locomotor System
Locomotion
Bone Physiology
OSCE Scenarios
Section III: Pathology
14. Cellular Injury
Mechanisms of Cellular Injury
Cell Death
The Process of Healing
Injuries to Specific Tissues
Injury Due to Ionizing Radiation
OSCE Scenarios
15. Disorders of Growth, Morphogenesis and Differentiation
Growth
Differentiation
Morphogenesis
OSCE Scenarios
16. Inflammation
Classification
Special Types of Inflammation
Chronic Inflammation
Granulomatous Disease
OSCE Scenarios
17. Thrombosis, Embolism and Infarction
Thrombosis
Embolism
Ischaemia, Infarction and Gangrene
OSCE Scenarios
18. Neoplasia
Classification Of Tumours
Nomenclature Of Tumours
Tumour Growth Patterns
Carcinogenesis
Host Factors and Carcinogenesis
Premalignant Disease
Behaviour Of Tumours
Clinical Effects of Tumours
Tumour Dependency
Prognosis of Tumours
Screening
Osce Scenarios
19. Immunology
Immunity
Humoral Immunity
The Structure of the Immune System
Complement
Immune Deficiency
Hypersensitivity Reactions
Autoimmunity
Organ Transplantation
Immunosuppression
Osce Scenarios
20. Haemopoietic and Lymphoreticular System
Haemopoiesis
Anaemia
White Blood Cells (Leucocytes)
Haemostasis
Disorders of Haemostasis
Lymphoid System
Lymphatic System
Spleen
Thymus
Blood Groups
Blood Products (Fig. 20.4)
OSCE Scenarios
21. Basic Microbiology
Sources of Surgical Infection
Surgically Important Microorganisms
Pathophysiology of Sepsis
Surgical Sepsis
Surgical Site Infection (SSI)
Prevention of Infection
Disinfection
Sterilization
Modern Antibiotic Usage
OSCE Scenarios
22. System-Specific Pathology
Nervous System
Intracranial Haemorrhage
Raised Intracranial Pressure
Cerebral Abscess
Tumours of the Nervous System
Spinal Cord Injuries
Peripheral Nerve Injuries
Musculoskeletal System
Pathological Fractures
Arthritis
Bone Tumours
Metabolic Bone Disease
Lung Tumours
Lung Infections
Empyema
Breast Disorders
Cardiovascular System
Ischaemic Heart Disease
Aneurysms
Endocrine System
Genitourinary System
Gastrointestinal System
OSCE Scenarios
IV: Appendix
Appendix. Osce Scenario Answers
Osce Scenario Answer 1.1
Osce Scenario Answer 1.2
Osce Scenario Answer 1.3
Osce Scenario Answer 1.4
Osce Scenario Answer 1.5
Osce Scenario Answer 2.1
Osce Scenario Answer 2.2
Osce Scenario Answer 2.3
Osce Scenario Answer 2.4
Osce Scenario Answer 2.5
Osce Scenario Answer 3.1
Osce Scenario Answer 3.2
Osce Scenario Answer 3.3
Osce Scenario Answer 3.4
Osce Scenario Answer 3.5
Osce Scenario Answer 4.1
Osce Scenario Answer 4.2
Osce Scenario Answer 4.3
Osce Scenario Answer 4.4
Osce Scenario Answer 4.5
Osce Scenario Answer 5.1
Osce Scenario Answer 5.2
Osce Scenario Answer 5.3
Osce Scenario Answer 5.4
Osce Scenario Answer 5.5
Osce Scenario Answer 6.1
Osce Scenario Answer 6.2
Osce Scenario Answer 6.3
Osce Scenario Answer 6.4
Osce Scenario Answer 6.5
Osce Scenario Answer 7.1
Osce Scenario Answer 7.2
Osce Scenario Answer 7.3
Osce Scenario Answer 7.4
Osce Scenario Answer 7.5
Osce Scenario Answer 8.1
Osce Scenario Answer 8.2
Osce Scenario Answer 8.3
Osce Scenario Answer 8.4
Osce Scenario Answer 8.5
Osce Scenario Answer 9.1
Osce Scenario Answer 9.2
Osce Scenario Answer 9.3
Osce Scenario Answer 9.4
Osce Scenario Answer 9.5
Osce Scenario Answer 10.1
Osce Scenario Answer 10.2
Osce Scenario Answer 10.3
Osce Scenario Answer 10.4
Osce Scenario Answer 10.5
Osce Scenario Answer 11.1
Osce Scenario Answer 11.2
Osce Scenario Answer 11.3
Osce Scenario Answer 11.4
Osce Scenario Answer 11.5
Osce Scenario Answer 12.1
Osce Scenario Answer 12.2
Osce Scenario Answer 12.3
Osce Scenario Answer 12.4
Osce Scenario Answer 12.5
Osce Scenario Answer 13.1
Osce Scenario Answer 13.2
Osce Scenario Answer 13.3
Osce Scenario Answer 13.4
Osce Scenario Answer 13.5
Osce Scenario Answer 14.1
Osce Scenario Answer 14.2
Osce Scenario Answer 14.3
Osce Scenario Answer 14.4
Osce Scenario Answer 14.5
Osce Scenario Answer 15.1
Osce Scenario Answer 15.2
Osce Scenario Answer 15.3
Osce Scenario Answer 15.4
Osce Scenario Answer 15.5
Osce Scenario Answer 16.1
Osce Scenario Answer 16.2
Osce Scenario Answer 16.3
Osce Scenario Answer 16.4
Osce Scenario Answer 16.5
Osce Scenario Answer 17.1
Osce Scenario Answer 17.2
Osce Scenario Answer 17.3
Osce Scenario Answer 17.4
Osce Scenario Answer 17.5
Osce Scenario Answer 18.1
Osce Scenario Answer 18.2
Osce Scenario Answer 18.3
Osce Scenario Answer 18.4
Osce Scenario Answer 18.5
Osce Scenario Answer 19.1
Osce Scenario Answer 19.2
Osce Scenario Answer 19.3
Osce Scenario Answer 19.4
Osce Scenario Answer 19.5
Osce Scenario Answer 20.1
Osce Scenario Answer 20.2
Osce Scenario Answer 20.3
Osce Scenario Answer 20.4
Osce Scenario Answer 20.5
Osce Scenario Answer 21.1
Osce Scenario Answer 21.2
Osce Scenario Answer 21.3
Osce Scenario Answer 21.4
Osce Scenario Answer 21.5
Osce Scenario Answer 22.1
Osce Scenario Answer 22.2
Osce Scenario Answer 22.3
Osce Scenario Answer 22.4
Osce Scenario Answer 22.5
Osce Scenario Answer 22.6
Osce Scenario Answer 22.7
Osce Scenario Answer 22.8
Osce Scenario Answer 22.9
Osce Scenario Answer 22.11
Index

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Michael S. Delbridge

Wissam Al-Jundi