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syllabus for mrcs 1

Author: humera, Posted on Saturday, January 14 @ 00:01:26 IST by RxPG  

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MRCS Part 1

here is the syllabus for mrcs part 1.
hope it helps alot.
good luck

MRCS Outline Syllabus
Paper 1:
Thorax & Abdomen
Development, organs and structures, surface and imaging anatomy of the:
• Thorax
• Abdomen, pelvis and perineum
Upper limb, lower limb & nervous system
Development, organs and structures, surface and imaging anatomy of the:
• Upper limb and breast
• Lower limb
• Nervous system (central, peripheral and autonomic)
Head, neck & spine
Development, organs and structures, surface and imaging anatomy of the:
• Head, neck and spine
General Physiology
• Homeostasis
• Thermoregulation
• Metabolic pathways
• Sepsis and septic shock
• Fluid balance and fluid replacement therapy
• Metabolic abnormalities
System Specific Physiology
• Respiratory
• Cardiovascular system
• Gastrointestinal system
• Renal system
• Endocrine system
• Central nervous system
• Thyroid and parathyroid
• Glucose homeostasis
General Pathology
• Inflammation
• Wound healing
• Scars and contractures
• Cellular injury
• Vascular disorders
• Disorders of growth, differentiation and morphogenesis
• Tumours
• Surgical immunology
• Surgical haematology
Haematological Problems in Surgery
• Surgical aspects of disordered haemopoiesis
• Haemolytic disorders
• Disorders of bleeding and coagulation
Blood Transfusion
• Preparation and components of blood products
• Indications for blood product transfusion
• Complications associated with blood transfusion
• Alternatives to blood transfusion
Surgical Microbiology
• Sources of surgical infection
• Surgically important microorganisms
• Pathophysiology of sepsis
Modern Antibiotic Usage
• Commonly used antibiotics
• Selecting the right antibiotic
• Antibiotic resistance
Surgery in Hepatitis and HIV Carriers
• Blood-borne viruses
• Immunisation
• Management of sharps injuries
Pathophysiology of Trauma
• Shock and cardiovascular physiology
• Metabolic response to injury
• Adult respiratory distress syndrome (ARDS)
Principles of Carcinogenesis
• Normal cell replication
• Disordered cell replication
• Behaviour of cancer cells
The Molecular Biology of Cancer
• The cell cycle and the human genome
• Mechanisms and pathways of tumour genesis
• Tumour markers
• Cellular mechanisms of invasion and metastasis
System Specific Pathology
• Nervous system
• Musculoskeletal system
• Respiratory system
• Breast disorders
• Cardiovascular system
• Endocrine system
• Genito-urinary system
• Gastrointestinal system
• Respiratory failure*
• Acute renal failure*
• Systemic inflammatory response syndrome (SIRS)*
• Multiple organ dysfunction syndrome (MODS)*
*Relate to postoperative management
Perioperative Care
Assessment of Fitness for Surgery
• Preoperative assessment and risk scoring systems
• Laboratory testing an imaging
Management of Associated Medical Conditions
• Organ specific diseases
• Issues related to medications
• General factors
Preparation for Surgery
• Informed consent
• Pre-medication
• Risk management
Principles of Anaesthesia
• General anaesthetic
• Local anaesthetic
• Regional anaesthetic
Monitoring of the Anaesthetised Patient
• Non-invasive monitoring
• Invasive monitoring
Care of the Patient Under Anaesthesia
• Positioning of the patient in surgery
• Avoidance of nerve injuries
Postoperative Management and Critical Care
Anaesthetic Management
• Postoperative monitoring
• Ventilatory support
• Pain control
• Intravenous drug delivery
Metabolic and Nutritional Support
• Fluid & electrolyte management
• Nutrition in the surgical patient
Postoperative Complications
• General surgical complications
Surgical Technique & Technology
Surgical Wounds
• Classification of surgical wounds
• Principles of wound management
Surgical Technique
• Principles of safe surgery
• Incisions and wound closure
• Diathermy, laser, principles of cryosurgery
• Sutures and ligature materials
• Basic surgical instruments
Surgical Procedures
• Minor surgical procedures
• Day care surgery
• Principles of anastomosis
• Endoscopic surgery and laparoscopy
Tourniquets in the Operating Theatre
• Indications for tourniquet use
• Tourniquet application
• Effects and complications of tourniquets
Prevention of Infection
• Principles of asepsis and antisepsis
• Sterilisation
Surgery in Hepatitis and HIV Carriers
• Universal precautions
• Surgical precautions
Management and Legal Issues in Surgery
Evidence Based Surgical Practice
• Decision making in surgery
• Statistics
• Principles of research and clinical trials
• Critical evaluations of surgical innovations
Management Aspects of Surgical Practice
• Clinical Audit
• Clinical Governance
• Medico-legal aspects of surgery
Medical Litigation
• Avoidance and management of errors
• Ethics and medical negligence
Emergency Medicine and Management of Trauma
Initial Assessment of the Trauma Patient
• Principles of pre-hospital care
• Major incident triage
• Clinical assessment and scoring systems
• Resuscitation after trauma
Management of the Unconscious Patient
• Brain injuries
• Assessment and resuscitation of the comatose patient
Traumatic Oedema and Compartment Syndrome
• Pathogenesis and Physiology
• Diagnosis and treatment
Environmental Emergencies
• Hypothermia
• Heat exhaustion
• Management of radiation incident
• Acute loss of vision
• Red eye
• Hepatitis B and HIV/Aids
Pathophysiology of Trauma
• Shock and cardiovascular physiology
• Metabolic response to injury
• Adult respiratory distress syndrome (ARDS)
Principles of Surgical Oncology
Epidemiology of Common Cancers
• Epidemiology studies and cancer registration
• Common cancers
Screening Programmes
• Screening for cancer: breast, cervical, prostate, colorectal and skin
Clinical-Pathological Staging of Cancer
• Staging and grading cancer
• Clinical staging
• Pathological staging
Principles of Cancer Treatment
• The role of surgery – block dissections
• Radiotherapy
• Chemotherapy
• Hormone therapy
• Immunotherapy
Palliative Care
• The palliative care team
• Pain and other symptoms

Paper 2:
Cardiothoracic Surgery
Haemodynamic Control
• Haemodynamic principles
• Cardiovascular homestasis
• Pharmocological haemodynamic control
Cardiac Surgery
• Surgical disorders of the heart vessels and heart valves
• Cardio-pulmonary bypass
Thoracic Trauma
• Pathophysiology of thoracic trauma
• Presentation, assessment and management
• Specific thoracic injuries
Thoracotomy and Chest Drainage
• Assessment and preparation
• Indications for thoracotomy
• Chest drainage and pericardiocentesis
Surgical Disorders of the Lung
• Lung Cancer
• Other indications for lung resection
Complications of Thoracic Operations
• General complications
• Specific complications
Pneumothorax and Empyema Thoracis
General Surgery
The Abdomen
Abdominal Trauma
• Penetrating abdominal trauma
• Blunt abdominal trauma
• Assessment and management of abdominal trauma
• Specific organ injuries
Common Abdominal Problems
• Abdominal pain
• Abdominal masses
• The acute abdomen
Abdominal Emergencies
• Intestinal obstruction
• Perionitis and abdominal and pelvic abcess
• Gastrointestinal haemorrhage
Abdominal Hernia
• Inguinal hernia
• Femoral hernia
• Incisional hernia
• Rare hernias
Intestinal Fistulas
• Classification of intestinal fistulas
• Assessment and management
Gastrointestinal Stomas
• Formation and management
• Other stomas
• Gastrostomy
• Ileostomy
• Colostomy
Surgery of the Spleen
• Splenic disease and injury
• Treatment of splenic disease and injury
• Post-splenectomy sepsis
Upper Gastrointestinal Surgery
• Diagnosis of oesophageal disorders
• Specific oesophageal disorders (including gastro-oesophageal reflux disease, motility disorders, oesophageal carcinoma, oesophageal diverticulum and oesophageal foreign body)
• Peptic ulcer disease
• Carcinoma of the stomach
Endocrine Disorders of the Pancreas
• Insulinoma
• Gastrinoma
• Neuroendocrine tumours
• Other rare endocrine tumours
Hepatobiliary and Pancreatic Surgery
• Jaundice
• Gall stones and gall bladder disease
• Acute pancreatitis
• Chronic pancreatitis
• Carcinoma of the pancreas
• Benign and malignant biliary strictures
• Portal hypertension and ascites
Colorectal Surgery
• Clinical presentation of colorectal and anal disease
• Surgical disorders of the colon and rectum
o Ulcerative colitis and Crohn’s disease
o Colorectal cancer
o Diverticular disease
o Faecal incontinence
o Rectal prolapse
• Surgical disorders of the anus and perineum
o Pruritus ani
o Fissure-in-ano
o Haemorroids
o Fistula-in-ano
o Anorectal abscess
o Carcinoma of the anus
o Pilonidal sinus and abscess
Breast and Endocrine Surgery
Common Breast Disorders
• Breast lumps
• Breast pain
• Breast cysts
• Nipple discharge
• Gynaecomastia
Breast Carcinoma
• Risk factors
• Pathology
• Diagnosis
• Treatment
• Breast reconstruction
Surgery of the Thyroid Gland
• Indications for surgery in thyroid disease
• Thyroid cancer (types and management)
• Complications of thyroidectomy
Parathyroid Disorders
• Calcium metabolism
• Clinical presentation of hypercalcaemia
• Investigation of hyperparathyroidism
• Management of hyperparathyroidism
Adrenal Disorders and Secondary Hypertension
• Causes of hypertension
• Conn’s syndrome
• Phaeochromocytoma
Vascular Surgery
Arterial Surgery
• Peripheral vascular disease and limb ischaemia
• Arterial embolism and acute limb ischaemia
• Arterial aneurysms
• Cartoid disease
• Renovascular disease
• Arterial trauma
Venous Disorders of the Lower Limb
• Venous insufficiency and varicose veins
• Venous ulceration
• Deep venous thrombosis and pulmonary embolism
Organ Transplantation
• Basic principles of transplant immunology
• Clinical organ transplantation
• Organ donation and procurement
• Immunosuppression and prevention of rejection
Otorhinolarygology, Head & Neck Surgery
Ear, Nose & Throat Disorders
• Inflammatory disorders of the ear, nose and throat
• Foreign bodies in the ear, nose and throat
Common neck swellings
• Congenital and rare swellings
• Inflammatory swellings
• Head & neck cancer
Salivary Gland Disorders
• Infections and inflammation of the salivary glands
• Tumours of the salivary glands
• Stones of the salivary glands
• Miscellaneous conditions
Eye Surgery
• Trauma to the eye
• Common eye infections
Oral and Maxillo-Facial Surgery
Maxillo-facial Trauma
• Classification of facial fractures
• Presentation of maxillo-facial fractures
• Assessment and investigation
• Treatment of facial fractures
Common conditions of the Face, Mouth & Jaws
Principles of Soft Tissue Repair of Mouth, Face, Head & Neck
Paediatric Surgery
Principles of Neo-natal & Paediatric Surgery
• History and physical examination of the neonate and child
• Maintenance of body temperature
• Assessment of respiratory and cardiovascular function
• Metabolic status
• Fluids, electrolytes and the metabolic response
• Vascular access
Correctable Congenital Abnormalities
• Congenital abnormalities of GI tract
• Congenital heart disease
• Abdominal wall defects
• Diaphragmatic hernia
• Neural tube defects
• Urological abnormalities
Common Paediatrics Surgical Disorders
• Pyloric stenosis
• Intussusception
• Inguinal hernia and hydrocele
• Undescended testes
• Torsion of the testes
Orthopaedic Disorders of Infancy and Childhood
• Gait disorders
• Hip problems
• Knee disorders
• Foot disorders
Plastic & Reconstructive Surgery
• Classification and pathophysiology
• Initial assessment and management
• Treatment including secondary surgery
• Burns of special areas (i.e. face, eyes, hands, perineum)
Soft Tissue Infections
Principles of Hand Trauma (tendon , nerve, nail bed)
Hand Disorders
• Dupytren’s Disease
• Carpal Tunnel Syndrome
Benign Skin Lesions
Malignant Skin Lesions (Basal Cell Carcinoma, Squamous Cell Carcinoma, Malignant Melanoma)
Principles of Skin Cover
• Split skin grafts
• Full thickness skin grafts
• Local flaps
• Distant flaps
• Free transfer flaps
Principles of Microvascular Surgery
Wound Healing
Traumatic Wounds
• Principles of management
• Gunshot and blast injuries
• Stab wounds
• Human and animal bites
Management of Skin Loss
• The wound
• Skin grafts
• Skin flaps
Neurological Trauma
• Head injuries
• Spinal cord injuries
• Paralytic disorders
• Nerve disorders
Surgical Disorders of the Brain
• Clinical presentation of the intracranial mass
• Tumours of the nervous system
• Epilepsy
• Congenital and developmental problems
Intracranial Haemorrhage (Subarachnoid, Intracerebral and Subdural)
Brain Stem Death
• Diagnosis and testing for brain stem death
• Principles of organ donation
Surgical Aspects of Meningitis
• General features of meningitis
• Surgical considerations
• The rehabilitation team
• Pain management
• Rehabilitation
Trauma & Orthopaedic Surgery
Skeletal Fractures
Pathophysiology of fracture healing
• Classification of fractures
• Principles of management of fractures
• Complications of fractures
• Management of joint injuries
• Common fractures and joint injuries
o Upper limb
o Lower limb
o Trunk, pelvis and vertebral column
Soft Tissues Injuries and Disorders
• Nature and mechanism of soft tissue injury
• Management of soft tissue injuries
Common Disorders of the Extremities
• Disorders of the hand
• Disorders of the foot
Degenerative and Rheumatoid Arthritis
• Osteoarthritis
• Rheumatoid arthritis
• Other inflammatory conditions
• Surgical treatment of joint diseases
Infections of Bones and Joints
• Osteomyelitis
• Other bone infections
Locomotor pain
• Low back pain and sciatica
• Pain in the neck and upper limb
Bone Tumours and Amputations
• Primary bone tumours
• Metastatic bone tumours
• Amputations
• Imaging techniques
• Neurophysiological investigations
Urological Trauma
• Renal, ureteric, bladder, urethral, penile and scrotal trauma
Urinary Tract Infections and Calculi
• Classification, aetiology and assessment
• Tumours of the genito-urinary tract
Urinary Tract Obstruction
• Urinary retention
• Disorders of the prostate
Pain and Swelling in the Scrotum
• Scrotal skin conditions
• Non malignant testicular swellings
• Inflammatory conditions
• Testicular torsion
• Testicular tumours
Chronic Renal Failure
• Dialysis
• Principles of transplantation
Aspects of Pelvic Surgery
• Gynaecological causes of acute abdominal pain
• Pelvic inflammatory disease
• Disorders of urinary continence

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