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SpecialtiesGen SurgSAQs

General Surgery

Gen Surg saqs

FEX-style staged written scenarios with keyed decision points and model answers.

44Units

9Chapters

Search this index

Chapters · 9

breast7
surgical-critical-care11
trauma9
endocrine4
endoscopy2
vascular6
applied-science2
transplantation2
skin-soft-tissue1

01

breast

7 entries

Adult-onset bilateral enlargement on spironolactone — cause hunt, drug review and selective imaging
Concordant fibroadenoma in a young woman — surveillance, excision triggers and the phyllodes check
Extensive high-grade DCIS on core biopsy — upgrade consent, 2 mm margins, sentinel-node choice, radiotherapy and endocrine plan
Lactational abscess at six weeks — aspiration-first plan, MRSA-aware cover and feeding through treatment
Mastectomy with planned radiotherapy plus nipple-sparing request — technique choice, timing and envelope safety
Node-positive cancer downstaged by chemotherapy — clipped-node targeted dissection, ultrasound triage and omission numbers
Screen-recalled calcifications with low-grade DCIS on core biopsy — consent, BI-RADS, upgrade rule and surveillance-versus-surgery choice

02

surgical-critical-care

11 entries

ARDS on day 2 after laparotomy — define by Berlin, set the ventilator, prone and dry
Bleeding after damage-control laparotomy — activate, ratio, TXA, fibrinogen and calcium
Bleeding laparotomy with consumption — SIC screen, JAAM-2 start, transfuse and time TXA
Blunt polytrauma with hypotension and hypocalcaemia — activate, ratio, clock, calcium and whole-blood choice
Day-1 post-hemiarthroplasty confusion — screen, bundle, drugs and prognosis
Day-2 post-laparotomy desaturation with basal collapse, transfused overnight and an epidural running — split the forks, defend the ventilation, rescue with evidence
Day-2 post-laparotomy multiorgan failure — score it, untangle crosstalk, sequence support
Day-2 post-laparotomy oliguria — stage, bundle, fluids and dialysis triggers
Post-laparotomy shock gut with AKI and falling phosphate — dose, route, protein, refeeding and glucose
Postoperative sepsis — POD-5 fever after anterior resection: leak hunt, CRP timing, and the urgent source-control clock
Shock after trauma laparotomy — classify the category, defend the fluids, start the right pressor

03

trauma

9 entries

ATLS primary survey — tranexamic acid and the exsanguinating patient
Belted blunt trauma with free fluid and an equivocal bowel scan — seat-belt reading, FAST/CT limits, scores, child rules and antibiotic stop
Blown-pupil subdural with contusion — flap choice, TXA timing, pressure ladder and 24-month counsel
Exsanguinating blunt polytrauma with liver and destructive colon injury — abbreviate, resuscitate, pack, time the return
Flail chest with contusion on the ventilator and an occult pneumothorax — EAST doctrine, fixation trials, observation consent and rib analgesia
Garage-fire burn with soot-stained airway and 35 ml/hr urine output — TBSA method, resuscitation endpoints, and inhalation grading
Rail bombing with 30 casualties and two theatres — primary sieve choice, secondary Sort limits, and the index operation boundary
Stable zone II stab with hoarseness and crepitus — signs-first triage, CTA selection, and the gullet second test
Unstable open-book pelvis with shock and a perineal wound — binder, pack-versus-plug with clocks, and the open-fracture second killing

04

endocrine

4 entries

Bethesda V nodule with NIFTP correction and molecular rescue, microcarcinoma surveillance by contract, and central-neck indication arithmetic
Imaging verdicts with washout traps, blockade arithmetic, and Conn cure counselling
Small pancreatic tumour verdicts, insulinoma localisation ladders, and gastrinoma cure operations
Storm resuscitation sequences, operating through thyrotoxicosis, and haematoma vigilance arithmetic

05

endoscopy

2 entries

Bleed stratification with transfusion thresholds, Forrest-stigma therapy, and failure escalation
Proving the stone, protecting the pancreas, and staging duct plus gallbladder

06

vascular

6 entries

Claudication metres, the infrapopliteal strategy split, and the post-revascularisation prescription
Fistula-first choice with conversion arithmetic, maturation pricing with anaesthesia lever, and steal graded to DRIL
Non-removable offloading with adherence proof, probe-plus-X-ray osteomyelitis workup with duration ladder, and WIfI-quartile revascularisation with amputation honesty
Screening invitation, small-AAA calendar and the ruptured night — intervals, thresholds and strategy
Trunk choice by CLASS, ulcer healing versus recurrence, and tributary timing with nerve honesty
Wells-gated diagnosis with PERC and D-dimer honesty, DOAC-duration arithmetic, and filter-plus-lysis restraint

07

applied-science

2 entries

Critical view arithmetic, groin vessels and nerves, thyroid preservation, and watershed discipline
Thresholds, risk scores, trial choice, and lifelong follow-up

08

transplantation

2 entries

Naming rejection, crossing barriers, and spending drugs frugally
Selecting HCC, listing failure, and rescuing artery and duct

09

skin-soft-tissue

1 entry

Scoring suspicion, timing debridement, and refusing routine adjuncts