SURGERY has gotten a bit more unpredictable during the last few years but even if you just

do the
predictable elements, its still quite passable. This guideline is to allow you to successfully pass the
subject with a safety margin.

Dogar books are the mainstay of the surgery. For the last few years they have become much better and
encompass majority if not all of the things you need to do for surgery. Phir bi surgery kahin se bi
questions atey hain exam me … so is possibility ke liye bi tyar rhein.

Another important thing for final year in general > har cheez blindly yaad nai karna start kr deni. Try to
correlate whats written in the book with actual physical conditions that you see in the ward. An
important way to do the same is to go through the past papers and see how they frame their questions.
Us ke lehaz se you need to study the book in the appropriate manner. Don’t just blindly start
memorizing everything. Try and build an understanding of the disease and its various aspects in your
mind. Etiology, pathophysiology, important Clinical features, Signs and symptoms, Treatments. These
are the major heading for example under which you can learn any disease. This is more relatable for
medicine but it works everywhere else in the medical field as well.

For general surgery > the rule is > Do DOGAR and all the tables from the general portion of bailey.

The whole dogar is important. Do it all except chapters 8. Surgical audit , 15. Acid base diaorders, 20.
Surgical anatomy. Skip these.

Chapter 1 > Read for understanding . not usually directly asked in written. Vivas me pucha ja sakta hai.

Chapter 2 > Read for conceptual understanding. By the end you should know the preop preparation of
patients for surgery.

Chapter 3 > read whole … vv important for mcqs and even small seqs.

Chapter 4 > read for concept. Must know TIVA and RSI (Total IV Anesthesia, and Rapid Sequence
Intubation.

Chapter 5 > vv important for mcqs and viva. Know all sutures and their uses. You can do this table from
bailey as well if you like that one. Infact that one is better. Ive included its number at the end.

Chapter 6 > read for concept. (read for concept means is ko is tarah parhain ke kabi viva me pucha jay ya
written me bi is se related question aye to aap kuch na kuch concept dey sakein.

Chapter 7 > do complete , especially wound complications.

Chapter 8 > skip

Chapter 9 > Whole chapter is important from A to Z. you can do this chapter from bailey as well.

Chapter 10 > whole chapter is vv important. Lethal six and hidden six are always in the exams in some
form or the other.

Chapter 11 > not very important. Read for concept.

Chapter 12 > very important > do complete.

Chapter 13 > very important > do complete > must know how to calculate total body surface area
involved. Resucitation principles. Can do this chapter from bailey as well.

Chapter 14 > do whole , type of grafts, flaps important.

Chapter 15 > skip

Chapter 16 > read whole. Has not been asked recently , but is potentially important.

Chapter 17 > do whole, very important to know.

Chapter18 > read whole , should know the complications of transfusion.

Chapter 19 > important. Should know how to calculate nutrition of a patient. Various types of nutrition
and their drawbacks.

Chapter 20 > read whole , we got a question on tumor markers.

Chapter 21 > read for concept

Chapter 22 > v important , do whole , especially types of wounds ,types of healing, ulcers.

Chapter 23 > very important , do whole especially SSIs, common infections etc.

Chapter 24 > vvv important, every single topic is important in chapter 24, 25 ,26

Chapter 25 > as above

Chapter 26 > as above

Chapter 27 > v important > do complete.

Chapter 28 > read for concept.

Also go through the tables from the general surgery portion of bailey. Just read the tables, skip the rest.
Most of them will already be covered from dogar.
Some of the most important tables are: summary box (sb), tables (tb)

Summary boxes 2.1, 2.3, 3.1, 3.2, 3.3, 3.4, 3.5, 3.6, 3.7, 5.1, 5.2, 5.4, 5.5, 5.7, 5.8, 5.9, 5.10, 5.11, 5.12,
5.13, 5.14 7.1 7.2 7.3 7.4 , 7.5 7.6 8.1 8.2 8.3 8.4 10.1 10.3 10.5 14.4 14.5 14.6 14.7 14.8 14.9 14.10 14.11
14.12 14.13 16.2 16.3 16.4 16.11, All summary boxes and tables of chp 17 (except table 17.7) , chap 18,
chap 19, chap 20, chap 21, All summary boxes and tables from chap 23, 24, 25 , 27, 28 , 29 , 33.2 33.3
33.4 33.5 33.6 , all boxes and tables from chap 34, 35 , 38 , 40, 41, 48, 49.

Tables 2.1, 2.2, 2.3, 2.6, 2.7, 3.1, 3.2, 5.2, 5.3, 5.4, 7.2 (just do silk, polypropylene, catgut, polyglactin) ,
10.1 10.2 10.4 10.6 13.1 13.5 22.2 33.1 33.2 33.3 33.4 33.5

Systemic surgery

DOGAR is enough for this, but you have to do it thoroughly.

Orthopedic surgery > Chapter 1 2 3 4 5 9 are to be read for the general portion of the paper even though
they are in the systemic potion. Skip the rest.

GIT > All chapters from 10 to 21 are to be done in their entirety for GIT as they occupy a high weightage
in TOS.

Urology > The urology portion (chapter 22 to 26 ) is tricky as it is only worth one seq and yet spreads out
over 60 pages. Is ka guide karna bi mushkil hai kyu ke kahin se bi question asakta hai is may. Lehaza is
portion ko end pe parhney ke liye chor dein aur baki portions ke baad isko read karein. Poora hi karna
parey ga kyu ke question kahin se bi ajata hai but important topics are renal and ureteric injuries,
hydronephrosis, renal and ureteric stones, BPH , prostatic CA, cryptorchidism, testicular torsion,
hydrocoele, varicocele, testicular tumors.

Endocrine surgery portion me bs chapter 27 and 29 are to be done.

Thoracic surgery > chapter 32 and 33

Breast surgery > complete

Neurosurgery > skip

Head and neck > chap 38, 39, 40, 42, 43.

Some general tips >

Surgery portion of the exam is a bit unpredictable so try to prepare for it accordingly. Look at the Table
of specifications as well as the past papers as well and then determine your study pattern. The TOS will
be shared shortly.

In our exam we had a few questions directly from the slides of the class lectures and they weren’t in any
undergraduate surgery book either. So do try to acquire the lecture slides from your teachers or from
the KEMU website and read those as well.

Do buy the Dogar OSCE book as well. it helps you prepare for ward exams and physical examination
methods that go a long way. You will need it for your OSCE exam during the ward tests and final proff
vivas as well. Do go through the whole book on your own and try to familiarize yourself with all the
concepts discussed therein. Try to examine patients according to the order written in the book and also
try to present the case to each other. These practices go a long way if you start making yourself
comfortable with them now.

The OSCE stands for Objective Structured Clinical Examination. It is similar to the same small station
based rapid question answer schemes that we have been going through since our first year anatomy.
The OSCE is actually an internationally recognized examination technique that is employed by medical
schools throughout the world. Khair wo alehda baat hai. The thing is you will have several stations which
will have different questions ranging from diagnosing a patient based on a scenario to identifying
pathologies on radiographs, to identifying and then explaining the use of various surgical instruments. It
is all quite doable. All you have to do to prepare for it is go through the few previously made files of
materials that will also be shared with you by Qais.