The question list has changed from last year!!

State examination questions in surgery 08/09
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1a Local anaesthesia – local anaesthetic agents
1b Nodular thyroid disease – diagnosis, surgical therapy
1c Obstruction of the small intestine – mechanical and simple obstruction, strangulation, intussusception, volvulus
1d Major trauma (polytrauma), multiple trauma – definition, primary survey management ABCDE
1e Tetralogy of Fallot

2a Infections of the hand and fingers
2b Pleural empyema – aetiology, types, diagnosis, surgical therapy
2c Acute abdominal pain
2d Fractures and their classification
2e Myocardial protection during open-heart surgery

3a Asepsis, antisepsis, sterilisation, disinfection
3b Neoplasms of thyroid gland – thyroid lobectomy, sub-total thyroidectomy, indications, complications
3c Acute pancreatitis
3d Soft tissue injuries, surgical wound classification and necrotizing fasciitis
3e Ventricular septal defects

4a Antibiotics in surgery
4b Operative procedures of thyroid gland
4c Diffuse purulent peritonitis – symptoms, investigations, therapy
4d Trauma of joints
4e Extracranial cerebrovascular disease

5a Anaerobic infections – diagnosis, treatment
5b Parathyroid glands – disease, surgical therapy
5c Ileus – types, diagnosis, differential diagnosis
5d Diaphragm trauma – signs, diagnosis, surgical therapy
5e Aortic valve surgery

6a Wound infection – classification, prevention, therapy
6b Pancreas neoplasms – symptoms, investigation, localization, therapy
6c Acute appendicitis
6d Dislocation of shoulder joint
6e Tricuspid valve surgery

7a Fluid and electrolyte management
7b Carcinoid tumours
7c Complications of appendicitis
7d Fractures of the scapula and clavicle
7e Vascular injuries

8a Unconsciousness – types, diagnosis, treatment
8b Multiple endocrine neoplasia syndrome
8c Division of acute abdomen
8d Fractures of humerus
8e Atrial septal defects

9a First aid treatment, structure and steps, roles
9b Mediastinal tumours
9c Positions of appendix, atypical appendicitis
9d Traumatic pneumothorax – first aid, diagnosis, treatment
9e Pulmonary embolism

10a Decubitus
10b Breast cancer and clinical breast examination
10c Acute appendicitis in pregnancy and in childhood
10d Fractures of distal humerus
10e Transposition of great arteries

11a Types of wound - treatment
11b Breast cancer – mammography, ultrasonography and MRI, screening for breast cancer and its frequency
11c Acute abdomen – objective symptoms
11d Fracture of the olecranon
11e Thromboembolic disease

12a Healing of the wounds – timing and technical point of view
12b Hiatus hernia, achalasia, gastro-oesophageal reflux, gastro-oesophageal reflux disease – surgical treatment
12c Right upper quadrant pain
12d Forearm fractures – classification, treatment options, Monteggi and Galeazzi fractures
12e Mechanical and biological valve prostheses

13a Surgical infection – host defence barrier, resident microbial flora, exotoxins
13b Oesophageal neoplasms – symptoms, diagnosis, surgical therapy
13c Syndrome of the epigastrium
13d Distal radial fractures – Colles and Smith fractures, classification, treatment options, complications
13e Congenital malformations of the thoracic aorta

14a Sepsis – MOF, SIRS
14b Neoplasms of the lung – symptoms. Preoperative evaluation of operative risk. Therapy of left lower quadrant pain
14c Fractures of distal ulna – diagnosis and therapy
14d Mechanical heart support

15a Treatment of surgical inflammation
15b Inguinal hernia
15c Acute gastrointestinal bleeding
15d Fractures of the carpus
15e Pericardial disease

16a General responses to injury and acute illness
16b Acute pancreatitis – symptoms, diagnosis, intensive and surgical therapy
16c Blunt trauma, haemoperitoneum – diagnosis and therapy
16d Tracheal and tracheo-bronchial injuries – symptoms, diagnosis and surgical therapy
16e Surgery of cerebrovascular insufficiency – asymptomatic stenosis of carotid artery

17a Nutrition in surgical patients
17b Chronic pancreatitis – symptoms, diagnosis, surgical therapy
17c Strangulated external hernia
17d Ankle sprain – anatomy of ankle, classification, diagnostics, treatment, complications
17e Surgery of cardiac arrhythmias

18a Investigation in surgery
18b Pancreas neoplasms – symptoms, diagnosis, surgical therapy
18c Vascular ileus
18d Fractures of pelvis
18e Arteriovenous fistulae

19a Preoperative care, risk assessment
19b Spleen – indications for splenectomy
19c Acute intestinal obstruction
19d Fractures of proximal femur
19e Ischaemia of visceral arteries – symptoms, diagnosis, treatment

20a General anaesthesia
20b Liver cysts and abscess
20c Acute abdomen – subjective symptoms
20d Fractures of shaft of femur
20e Aorto-iliac atherosclerotic occlusive disease

21a Basics of operating techniques – knots, sutures, abdominal and chest drains
21b Portal hypertension – symptoms, diagnosis, surgical therapy
21c Diffuse purulent peritonitis – symptoms, investigations, diagnosis, therapy
21d Injuries of knee ligaments
21e Vascular access for haemodialysis (arterial, a-v fistulas)

22a Postoperative care
22b Cholelithiasis – symptoms, diagnostics, therapy
22c Mesenteric lymphadenitis
22d Fractures of proximal tibia
22e Cardiac tamponade

23a Thromboembolic disease
23b Operation on gallbladder and bile ducts
23c Acute abdomen – differential diagnosis
23d Fractures of shaft of tibia
23e Surgery of ischaemic heart disease

24a Respiratory complications after operation
24b Gastric peptic ulcer – symptoms, diagnosis, surgical therapy
24c Ileus - classification
24d Ankle sprain – anatomy of ankle, classification, diagnostics, treatment, complications
24e Heart tumours

25a Tracheostomy – indication, complications
25b Gastric neoplasms
25c Acute cholecystitis, hydrops and empyema – symptoms, investigations, surgical strategy, indications for laparoscopic and laparotomy operations
25d Fractures of os calcis
25e Vascular complications of diabetes mellitus – surgical therapy

26a Pulmonary embolism – symptoms, diagnosis, therapy, prevention
26b Operation on stomach (type I, type II)
26c Haematemesis, melena – definition, investigation, therapy
26d Ankle ligaments injury
26e Heart transplantation

27a Postoperative local complications
27b Duodenal disease
27c Acute appendicitis
27d Fractures of the metatarsals
27e Arterial aneurysms – clinical signs and treatment

28a Transfusion of blood – ABO and Rh antigens, pretransfusion testing, acute transfusion reactions, symptoms, therapy
28b Small intestine – inflammation diseases, injuries
28c Volvulus – definition, symptoms, diagnosis, therapy
28d Fracture of spine – first aid, classification, therapy
28e Patent ductus arteriosus

29a Septic shock – definition, key points, intensive therapy
29b Breast cancer – epidemiology, types of breast cancer, screening
29c Ulcerative colitis – symptoms, complications, urgent surgical therapy
29d Lung contusion – pathophysiology, classification, diagnosis, therapy
29e Chronic venous insufficiency – pathophysiology, symptoms, therapy

30a Shock – definition, pathophysiology, types, intensive therapy
30b Colorectal operations – hemicolectomy, colectomy, proctocolectomy, adominoperineal amputation, colostomy
30c Invagination
30d Polytrauma – definition, rules, strategy and intensive surgical therapy
30e Clinical examination of vascular system

31a Left lower quadrant pain
31b Inflammatory bowel disease
31c Fluid, electrolyte and acid base balance
31d Pneumothorax – types, first aid, diagnosis, therapy
31e Abdominal aortic aneurysms – clinical, therapy

32a Warfare injuries
32b Colorectal neoplasms
32c Preoperative care of high-risk patients
32d Haemothorax – definition, symptoms, diagnosis, therapy (drainage, thoracotomy, thoracoscopy)
32e Thoracic outlet syndrome

33a Burns – definition, 9 Wallace rule, complications (local and general)
33b Haemorrhoids – types, localization, surgical therapy
33c Portal hypertension and variceal bleeding – early evaluation and treatment
33d Rib fractures, multiple fractures, flail chest - therapy
33e Extracorporal circulation (heart and lung machine)

34a Crush syndrome – pathophysiology, investigation, intensive therapy
34b Haemoperitoneum
34c Mediastinal tumours – anatomy of mediastinum, localization and types of tumours, diagnosis and surgical therapy
34d Acute arterial occlusions (emboli, thrombi)

35a Principles of surgical oncology – contemporary imaging, serum biochemical markers, appropriate biopsy techniques, staging – TNM classification
35b Malignant pleural effusions – symptoms, diagnosis, surgical therapy
35c Ileus – symptoms, types, diagnosis, therapy
35d Fractures – complications of healing
35e Evaluation of patients with vascular disease

36a Enterorrhagia, melena – definition, investigation, initial therapy
36b Chronic pancreatitis – aetiology, symptoms, nonsurgical and surgical therapy
36c Emphysema bullosum – aetiology, types, complications, surgical therapy
36d Flail chest – pathophysiology, surgical therapy (stabilization)
36e Dissection of thoracic aorta

37a Nasogastric tube, gastrostomy, jejunostomy – definition and indication
37b Chest injuries – thoracic wall, lung, thoracotomy, thoracoscopy
37c Pneumoperitoneum – aetiology, diagnosis, therapy
37d Indication for splenectomy (traumatic and non-traumatic)
37e Surgery of the mitral valve

38a Bacteraemia and septicaemia – definition, microbial diagnosis of infection
38b Inguinal hernia – surgical anatomy, direct, indirect, complications, surgical therapy (classic, laparoscopic)
38c Ulcerative colitis, toxic megacolon – surgical therapy
38d Massive haemothorax – definition. Flail chest – diagnosis and therapy
38e Exudative pericarditis – aetiology, symptoms, investigations, therapy

39a Haemoptysis – definition, investigation, therapy
39b Ventral hernias
39c Acute mediastinitis – aetiology, diagnosis, surgical therapy
39d Gunshot injuries – pathophysiology, surgical strategy
39e Basic principles in vascular surgery, types of prostheses