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Gen Surg
Vivas
General Surgery
Gen Surg vivas
Structured oral examination scripts mapped to examiner dimensions.
34
Units
5
Chapters
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Chapters · 5
endocrine
1
vascular
6
surgical-critical-care
11
trauma
9
breast
7
01
endocrine
1 entry
1.5 cm Bethesda III nodule in a 50-year-old — pattern, correction, rescue, extent and follow-up
02
vascular
6 entries
58-year-old requesting foam for GSV reflux with distal SSV disease — occlusion honesty, durability discounting, and the nerve plan
66-year-old infected ischaemic foot at WIfI 3 — infection-first sequencing, quartile counselling, and level selection
72-year-old starting dialysis on a catheter — attempt, configuration, surveillance and cannulation counselling
Infrapopliteal CLTI without usable vein — endo-first strategy, the BEST-CLI/BASIL-2 split, and rivaroxaban counselling
Intermediate-risk PE with RV strain and a bleeding history — systemic lysis versus catheter versus anticoagulation, consent, and the long-term picture
Ruptured AAA at 2am — endovascular-first strategy, the 8-year crossover and the female threshold gap
03
surgical-critical-care
11 entries
ARDS in the surgical patient — define, ventilate, rescue with the trials
Damage control resuscitation in the bleeding trauma patient — ratio, clock, calcium, whole blood and limits
DIC at the bedside — phenotype, scores, products and the anticoagulant distinction
ICU nutrition in the shocked, starved surgical patient — dose, route, protein, refeeding and glucose
Massive transfusion in the bleeding surgical patient — trigger, ratio, TXA, fibrinogen and calcium
Multiorgan dysfunction — Sepsis-3, resuscitation targets, support verdicts and the year after
Post-laparotomy desaturation with basal collapse and overnight transfusion — forks, ventilation, reversal, analgesia and NIV timing
Postoperative AKI — staging, bundle, fluids, dialysis timing and limits
Postoperative delirium — depth controversy, drug verdicts and the hip-fracture bundle
Postoperative sepsis — from ward fever to ICU rescue: scoring, timing wars, and the urgent-versus-crash call
Shock in the surgical patient — classify, resuscitate, defend the trials
04
trauma
9 entries
ATLS primary survey — the unstable blunt polytrauma patient
Bleeding neck with stridor — balloon, signs, CTA boundary, carotid repair and the gullet that needs scoping
Exsanguinating polytrauma listed for damage control — abbreviation, ratios, clock, packs, closure
Hoarse garage-fire burn with adequate urine output, elderly scald, and chemical splash — inhalation grades, depth lethality, and irrigation choice
Left-sided tension, blood in the chest, bruise on the heart — decompress, drain, screen, sequence
Shock with a shattered ring — bind, transfuse, pack the venous bleed, plug the blush on a clock
Sort-negative adult, grey teenager, bleeding first arrival — sieve numbers, paediatric splits, and what the index operation may contain
Stable thoracoabdominal stab with possible diaphragm breach and colonic injury — select, scope, repair, divert
Warfarin fall with thin subdural, young extradural, and refractory pressure — reversal, millimetres, and rescue
05
breast
7 entries
Axillary de-escalation — B-32 staging, micrometastatic omission, radiotherapy swap and clipped-node triage
Breast reconstruction choice — options, timing under radiotherapy, implant versus DIEP trade-offs, nipple safety and BREAST-Q
Dense breasts with a normal mammogram — supplemental MRI, ultrasound, notification and the USPSTF honesty clause
Gynaecomastia triage — pubertal reassurance, adult cause hunt, selective imaging and persistent-disease surgery
Inflamed breast — lactational triage, aspiration fences, fistula ducts and granulomatous restraint
New breast lump — triple assessment, fibroadenoma versus phyllodes, papilloma split and atypia counsel
New DCIS on core biopsy — upgrade, margins, radiation, axilla, endocrine choice and the patient who wants surveillance