This course is designed to provide you with a comprehensive understanding of the complex anatomy of the head and neck, a critical focus area for the MRCS Part B exam. You will explore the intricate structures of the skull, facial muscles, cranial nerves, and vascular systems, along with common pathologies and clinical cases relevant to this region. STATION 1: STATION 2:

This course provides an in-depth exploration of the autonomic nervous system and spinal anatomy, both of which are crucial yet challenging areas for the MRCS Part B exam. You will gain a comprehensive understanding of the sympathetic and parasympathetic nervous systems, spinal cord anatomy, and associated pathologies. The course also covers clinical correlations and surgical relevance, ensuring you are well-prepared to tackle these topics in the exam. STATION 1: STATION 2:

This comprehensive course is designed to help candidates master the key concepts and clinical correlations essential for success in the MRCS Part B examination. You will delve into the structures of the abdominal organs, blood supply, and innervation, as well as explore common surgical pathologies and clinical scenarios relevant to this region. STATION 1: STATION 2:

Welcome to the MRCS Part B Online Course on Thorax Anatomy and Pathology. This comprehensive course is designed to help candidates master the key concepts and clinical correlations essential for success in the MRCS Part B examination. Covering the detailed anatomy of the shoulder, arm, forearm, and hand, along with the associated neurovascular structures, this course also explores common pathologies and clinical cases relevant to surgical practice. STATION 1: STATION 2:

This comprehensive course is designed to help candidates master the key concepts and clinical correlations essential for success in the MRCS Part B examination. You'll explore the intricate anatomy of the hip, knee, ankle, and foot, along with associated nerves, vessels, and muscles. In addition, the course delves into common pathologies and surgical scenarios you may encounter. STATION 1: STATION 2:

This comprehensive course is designed to help candidates master the key concepts and clinical correlations essential for success in the MRCS Part B examination. Focusing on the thorax, this course covers the detailed anatomy, including the lungs, heart, and mediastinum, as well as common pathologies encountered in surgical practice. STATION 1: STATION 2:

Doctor Instruction: This is a procedural station. You have been asked to perform debridement of a contaminated wound. Please collect the appropriate equipment and perform the task safely within the time available. Key Tips:

Doctor Instruction: This is a procedural station. Your task is to perform an abscess drainage on a 45-year-old gentleman's back. Please gather the appropriate equipment and perform the task safely within the time available. Equipment Required:

Doctor Instruction: You are a junior doctor working in surgery. Your consultant asked you to arrange the order of the theatre list for tomorrow. Please review and arrange the theatre list and then, discuss this with your consultant. No. Patient Name Hospital ID Age Gender Operation Notes 1 Adam Smith A12345678 50 Male Left Inguinal Hernia Repair due to Strangulation COPD, pacemaker 2 Bobby Lee B12345678 45 Male Laparotomy for Diverticular Abscess Drainage Type 1 Diabetes on I

Doctor Instruction: This is a procedural station. You are tasked to perform a chest drain insertion on this 46-year-old man with pleural effusion. Collect the appropriate equipment and perform the task safely within the time available. Equipment required:

Doctor Instruction: Mrs Smith, 73-year-old lady with a background of COPD, presented with perforated vicus and has now gone into acute renal failure. Blood results showed: K 2.5 (3.5), and Creatinine 200 (65). Her ABG showed metabolic acidosis with a high lactate with a negative base excess. Hb also dropped by 2 units. She was brought in by her daughter in the emergency department for being 'under the weather', unremarkable until she ate food and suddenly developed severe abd

Doctor Instruction: Mrs Smith, a 52-year-old lady, underwent laparoscopic cholecystectomy. Post-operative day 4, the operation was uneventful - 2 clips were applied to the common bile duct and 2 clips were applied to the cystic artery. Since yesterday, Mrs Smith complained of worsening generalised abdominal pain. Ultrasound showed free fluid in the abdomen with no common bile duct dilatation. She has tachycardia, jaundice and pyrexia. Today there is bile in the abdominal drai

Doctor Instruction: A 78-year-old woman, called Mrs Jane Smith, with a history of COPD and mild LVF, underwent mastectomy and axillary lymph node clearance for breast cancer. On postoperative day 2, she experienced axillary discomfort, swelling, and shortness of breath. Despite the planned discharge for the next day, her daughter, who has just arrived at the hospital, is adamant about taking her home this afternoon to a house 60 miles away. The patient, although eager to retu

Doctor Instruction: During a road traffic accident, a 21-year-old male motorbiker was injured during a hit-and-run incident. He was unconscious initially with a GCS of 15 on arrival. Ultrasound showed free fluid in the paracolic gutter. X-ray and examination showed left open tibia and fibula fracture. His left limb has gone cold and pulseless. Blood investigations on admission were all normal, except for raised CRP and WBC. You are given a preparation station prior to this st

Doctor Instruction: A patient requires an elective hip replacement under Mr Smith due to osteoarthritis. This has been cancelled twice before and now again due to an emergency case. As the surgical doctor working under Mr Smith, you have been asked to inform the patient about the cancellation. The patient works a post-man, and cannot work due to his hip pain. Key Tips:

Doctor Instruction: You have been asked by your consultant to consent Mr Smith, a 60-year-old male, for a colonoscopy. When you read the clinical notes, Mr Smith has suffered from PR bleeding and weight loss for the past 3 months. The patient is on aspirin and blood pressure medication. Key Tips:

Doctor Instruction: A young child is in theatre with a ruptured spleen requiring splenectomy. The father already approved the operation. The mother turns up and appears to be crying. She demands to speak to the consultant and find out what is going on. You are the only surgical doctor at the scene, please speak to the mother. Key Tips:

Doctor Instruction: A 59-year-old man with a history of smoking and alcohol consumption presents with dysphagia. When the consultant has gone off for a meeting, you have been asked to consent this patient for oesophagogastroduodenoscopy (OGD), biopsy, and dilatation under general anaesthesia. Barium swallow showed narrowing of the oesophagus. Key Tips:

Doctor Instruction: A patient with splenic hematoma was admitted and received observation for 24-48 hours. Planned by the consultant for further observation and if the hematoma ruptures, the patient will have a splenectomy. The patient would like to self-discharge due to an important interview tomorrow. He is facing financial difficulties and his wife has a new diagnosis of cancer. You are the only surgical doctor in the ward, you have been bleeped to see this patient. Key Ti

Practice this case based on how you are assessed in your OSCEs, and use the relevant sections for general revision. 🤓 Doctor Instruction: You are currently a senior surgical doctor on call. Your next patient is Can Yaman, a 34-year-old gentleman presenting with abdominal pain. Please take a history and perform an appropriate examination. Patient History: Can Yaman, 34 years old – unemployed. You started having tummy pain a few days ago, and it has been worsening. The pain is