SURGERY: HIGH YIELD FOR NEETPG!

GENERAL SURGERY:
● Wound healing : stages, keloid vs hypertrophic scar
● Burns : Wallace 9's , degree of burns (images) , IV fluids formula (ATLS,
Parkland)
● Surgical site infection: classf (clean, contaminated,dirty)
● Grafts & flaps: split skin vs full thickness
● Suture: knots images , suturing technique images , absorbable vs non absorbable
suture examples with time.
● Cleft lip and palate: timing of surgery
● Blood transfusion: uses of diff. blood components, transfusion reactions (patho
overlap)
● Transplant: types of rejection, Graft vs host disease (patho overlap), brain dead
organ donor, transplant: kidney, liver , pancreas ; Wisconsin solution.
● Shock: all types , hemorrhagic shock : Classification. Septic shock.

TRAUMA :
● Triage, ATLS Guidelines - ABCDE
● GCS
● Cardiac tamponade, flail chest, pneumothorax
● Abdominal trauma : blunt/perforation; FAST/Diagnostic peritoneal lavage,
SPLEEN, KIDNEY, INTESTINE.
● HEAD : EDH/SDH/SAH, lucid interval, reanastomosis of amputated limb, Le
forts Maxilla #

BREAST:
● Surgical anatomy
● Benign : Fibroadenoma, phylloides, fibrocystadenosis, duct papilloma, ectasia ,
monders.
 ● Malignancy: staging, treatment (Sx, chemo, radio,) , metastasis, symptoms.;
Molecular classification (luminal a/b etc patho overlap)

THYROID:
● Surgical anatomy
● Hashimotos, Multinodular goitre, Graves.
● Solitary thyroid nodule Investigation protocol
● Malignancy: All (papillary, follicular, medullary) - risk factors, Genes, classic
features (ophan Annie/amyloid etc.)
● Parathyroid: hyper parathyroid
● Adrenal: Pheochromocytoma and MEN syn (all)

VESSELS:
● VEIN: Varicose veins and DVT
● ARTERIES: Intermittent claudication, Ix(Doppler), basic Rx: bypass,
sympathectomy, amputation. ; Burgers disease, Subclavian steal, Raynauds ;
AORTIC DISSECTION (Debakey, Stanford images and Rx) , thoracic outlet
Syn (tests images)

HERNIA :
● Surgical anatomy
● Classification: Gilbert, NYHUS, European
● Various repairs (images) , complications (clinical vignette), special (epigastric H,
umbilical, incisional, lumbar etc) Omphalocele vs Gastroschisis , laparoscopy (
Triangle of doom/pain.)

ORAL CAVITY:
● Premalignant: leukoplakia, Erythroplakia, OSF
● Malignancy: Pleomorphic adenoma, warthin , mucoepidermoid, adenoid cystic
CA ; basic TNM staging and Sx treatment.
 ● Ranula , Frey syndrome.

UROLOGY:
● Surgical anatomy, Investigations : IVP, Retrograde urethrogram , MCU (images)
● Renal TB
● Congenital: horse shoe kidney, ureter duplication, ureterocele,retrocaval ureter ,
PUJ obstruction, Ectopia vesica, hypospadiasis, posterior urethral valve.
● Trauma : bladder rupture , urethra rupture (vvimp!!)
● Hydronephrosis
● Renal stones: types, crystal images, treatment modalities
● Schistosomiasis
● Prostate: BPH - everything.
● Testes: undescended , torsion, varicocele, hydrocele,
● Malignancy: Wilms , RCC, bladder Ca, Prostate Ca( GLEASON !!!) , Testicular
Ca.

GIT :
● Surgical anatomy: Esophagus, stomach, rectum & anal canal , liver , pancreas
(development), gall bladder, blood supply: Celiac trunk , SMA , IMA , branches
of Ant & posterior division of internal iliac A.
● Esophagus: TEF , Boerhave vs Mallory Weiss, zenkers , GERD & Barrett's ,
Hiatus hernia , Achalasia , Ca Esophagus (types of Sx).
● Stomach: CHPS , Peptic ulcer , UGI bleed, Ca stomach, GIST(Criteria for Sx) ,
bariatric Sx(images).
● Liver : Abscess, Hydatid, Child Pugh score , variceal bleed Rx , Ca: hepatocellular
Ca, benign tumors (gross and radio images )
● Gall bladder: Gall stones, cholecystitis , CBD stones, biliary atresia , PBC vs PSC.
● PANCREAS: Acute (scores, complications) vs Chronic pancreatitis (treatment
modalities) , pseudocyst , Ca (whipples Sx) , benign: insulinoma , rest gross
images dekhlo benign ke.
 ● Appendix
● Colon & rectum : volvulus , IBD , FAP, HNPCC , Ca colon- everything
(adenoma Ca sequence imp!!),[ Rectal prolapse - INICET 22 .], Hemorrhoids,
anal fistula , meckels , intususception , intestinal obstruction.

Important Staging to be revised one day prior to exam ! ( In this order !) :

1. Breast
2. Prostate
3. Colorectal
4. Oral cavity (it's common for all)
5. Bladder
6. Renal Ca