DNB FAQs
Topics organized by the papers they appeared in (2011–2024). Frequency data based on author analysis.
Paper I covers the applied basic sciences - anatomy, physiology, pathology, perioperative care, trauma, critical care, and research methodology. Research & audit topics appear in nearly every session and are the highest-yield category.
Must-Study Topics - Paper I
Detailed Topic List - Paper I
20 sessions - highest yield topic in Paper I
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Surgical audit - definition, conduct, role in SSI reduction Asked 20+×Jun 2022, Aug 2021, Jun 2019, Dec 2013, Jun 2013, Undated B, + more
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Levels of evidence & grades of recommendation Asked 10+×Dec 2023, Dec 2019, Jun 2018, Dec 2015, Jun 2014, Undated B, + more
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Study designs - RCT, cohort, case-control, meta-analysis, systematic review Asked 12+×Dec 2024, Dec 2023, Jun 2023, Aug 2021, Dec 2020, Jun 2018, + more
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Sample size calculation & statistical concepts (p value, SD, CI, randomisation) Asked 8×Dec 2024, Jun 2024, Jun 2023, Jun 2018, Jun 2017, Jun 2014, Dec 2014, Undated B
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WHO surgical safety checklist - Sign-In, Time-Out, Sign-Out Asked 4×Dec 2024, Jun 2023, Dec 2018, Undated B
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CONSORT statement; Research vs audit vs service evaluation Asked 5×Dec 2023, Jun 2023, Jun 2015, Jun 2014, Undated C
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Surgical ethics - informed consent, medicolegal implications Asked 7×Dec 2023, Dec 2020, Jun 2019, Jun 2017, Dec 2013, Jun 2013, Undated B
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Bias in clinical research; Lead-time and length bias Asked 5×Dec 2022, Jun 2018, Dec 2015, Jun 2014, Jun 2013
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Clavien–Dindo classification of postoperative complicationsUndated C
16 sessions each
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Phases of wound healing & factors affecting Asked 10×Dec 2024, Dec 2023, Jun 2023, Dec 2022, Dec 2020, Aug 2021, Dec 2018, Jun 2018, Jun 2014, Dec 2015
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NPWT (negative pressure wound therapy) - mechanism & uses Asked 4×Dec 2024, Dec 2020, Jun 2019, Undated C
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Keloid vs hypertrophic scar Asked 3×Aug 2021, Dec 2020, Undated B
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Surgical site infections - definition, risk factors, prevention Asked 9×Dec 2024, Dec 2023, Dec 2022, Jun 2022, Jun 2019, Jun 2018, Dec 2018, Undated B, Undated C
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Necrotising fasciitis / Fournier’s gangrene - etiopathogenesis, management Asked 11×Dec 2024, Dec 2023, Dec 2020, Jun 2019, Jun 2018, Dec 2018, Jun 2015, Dec 2013, Dec 2012, Undated B, Undated C
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Antibiotic prophylaxis in surgery Asked 6+×Dec 2023, Dec 2022, Jun 2019, Jun 2018, Dec 2018, Undated A, + more
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Gas gangrene - bacteriology, clinical features, management Asked 3×Jun 2018, Jun 2015, Jun 2012
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Wound debridement principlesDec 2020
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CDC wound classification Asked 5×Dec 2023, Dec 2022, Jun 2019, Jun 2014, Undated C
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Biofilm & chronic wounds; Non-healing wound evaluationUndated C
16 sessions
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ATLS - primary survey, secondary survey, FAST, extended FAST Asked 11×Dec 2024, Dec 2023, Jun 2022, Dec 2020, Jun 2020, Jun 2019, Dec 2019, Jun 2018, Dec 2012, Undated B, Undated C
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Damage control surgery & resuscitation (DCR) - lethal triad, MTP Asked 12×Dec 2024, Dec 2023, Jun 2023, Jun 2022, Aug 2021, Jun 2020, Jun 2019, Dec 2019, Jun 2018, Dec 2018, Dec 2015, Undated A
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Flail chest - pathophysiology & management Asked 4×Dec 2024, Jun 2017, Jun 2015, Dec 2013
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Head injury - pathophysiology, GCS, raised ICP, extradural haematoma Asked 6×Dec 2020, Jun 2020, Dec 2019, Jun 2018, Dec 2014, Jun 2013
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Burns - classification, Lund & Browder, Parkland formula, management Asked 6×Dec 2022, Jun 2022, Jun 2019, Jun 2014, Dec 2015, Dec 2012
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Pelvic fracture - classification, associated injuries, haemorrhage management Asked 3×Jun 2020, Jun 2023, Jun 2014
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Penetrating neck injury - surgical anatomy & managementJun 2023
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Pancreatic injury following blunt traumaJun 2019
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Triage & disaster management Asked 5×Dec 2024, Dec 2023, Dec 2018, Dec 2012, Undated B
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Trauma severity scores Asked 3×Aug 2021, Dec 2019, Undated B
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Early total care vs damage control surgeryAug 2021
13 sessions
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Classification & management of shock (all types) Asked 13×Dec 2024, Dec 2023, Jun 2024, Dec 2022, Aug 2021, Dec 2020, Jun 2022, Jun 2020, Jun 2019, Dec 2019, Jun 2018, Undated A, Undated B
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Metabolic response to injury - Ebb & Flow phases, mediators, SIRS, MODS Asked 6×Dec 2024, Dec 2023, Dec 2022, Dec 2019, Jun 2018, Jun 2017
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Surviving Sepsis Campaign bundles - fluids, vasopressors, antibiotics Asked 4×Dec 2023, Dec 2022, Jun 2019, Dec 2018
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ARDS - Berlin definition, pathophysiology, managementDec 2020
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Abdominal compartment syndrome - IAP measurement, grades, management Asked 2×Dec 2023, Dec 2015
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Massive blood transfusion - complications, coagulopathy management, MTP Asked 9×Dec 2024, Dec 2023, Dec 2020, Aug 2021, Jun 2022, Dec 2022, Jun 2019, Dec 2014, Undated B
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Postoperative fever - causes and management Asked 6×Jun 2024, Dec 2022, Aug 2021, Dec 2020, Jun 2019, Jun 2018
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Balanced crystalloids vs normal saline - hyperchloraemic acidosisJun 2024
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DVT prophylaxis in surgical patients Asked 3×Jun 2024, Jun 2018, Dec 2013
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ICU scoring systems Asked 3×Dec 2019, Jun 2018, Undated B
9 sessions
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Enteral vs parenteral nutrition - indications, routes, complications Asked 9×Jun 2024, Dec 2022, Aug 2021, Jun 2022, Jun 2019, Jun 2018, Dec 2018, Dec 2014, Undated C
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MUST tool & nutritional assessment of surgical patient Asked 3×Aug 2021, Dec 2022, Undated C
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Short bowel syndrome - nutritional management Asked 2×Jun 2019, Dec 2014
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Nutritional consequences of bariatric surgery Asked 2×Dec 2018, Jun 2024
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Calorie & protein requirements in postoperative periodJun 2018
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Refeeding syndromeUndated C
15 sessions
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Tumour markers - types, role in malignancy management Asked 5×Jun 2022, Dec 2018, Dec 2015, Jun 2013, Undated C
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Cancer screening - principles, ideal attributes, lead-time & length bias Asked 5×Dec 2020, Jun 2019, Jun 2018, Dec 2015, Undated C
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Oncology principles - chemotherapy, immunotherapy, targeted therapy Asked 8×Dec 2024, Dec 2022, Dec 2020, Jun 2022, Aug 2021, Jun 2019, Jun 2018, Dec 2018
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PET-CT scan - principles, role in surgical oncology Asked 2×Dec 2019, Undated C
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Gompertzian growth; RECIST criteria Asked 3×Aug 2021, Dec 2017, Undated C
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MEN syndromes; RET proto-oncogene Asked 3×Dec 2018, Jun 2015, Dec 2014
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BRCA genes & breast cancer susceptibilityDec 2018
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Cancer cachexia Asked 3×Jun 2022, Aug 2021, Dec 2018
9 sessions
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IV fluids - types, indications, complications of prolonged use Asked 8×Jun 2024, Dec 2022, Dec 2020, Jun 2020, Jun 2018, Jun 2014, Dec 2013, Dec 2019
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Hyperkalaemia - classification & management Asked 2×Dec 2024, Jun 2022
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Metabolic acidosis types; lactic acidaemia Asked 3×Jun 2024, Jun 2020, Jun 2018
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ABG analysis & interpretation Asked 2×Jun 2024, Jun 2018
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Electrolyte disturbances in gastric outlet obstruction Asked 3×Dec 2022, Dec 2018, Dec 2013
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DIC - pathophysiology & management Asked 3×Jun 2023, Jun 2022, Dec 2018
11 sessions
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Electrosurgery - principles, types, complications Asked 7×Jun 2024, Dec 2023, Dec 2022, Dec 2018, Dec 2015, Dec 2013, Undated C
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Surgical staplers - types, uses in GI surgery Asked 2×Jun 2024, Jun 2022
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Suture classification & properties Asked 10×Jun 2024, Jun 2023, Jun 2022, Dec 2022, Jun 2018, Dec 2018, Jun 2014, Dec 2013, Dec 2015, Undated C
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Laparoscopic surgery - principles, ergonomics, pneumoperitoneum Asked 12×Dec 2024, Jun 2024, Dec 2023, Jun 2023, Dec 2022, Jun 2022, Jun 2020, Dec 2020, Dec 2018, Jun 2017, Undated A, Undated C
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Advanced bipolar devices & energy sources Asked 2×Dec 2018, Dec 2015
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Sterilisation methods Asked 2×Jun 2020, Undated A
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Indocyanine green (ICG) dye usesJun 2022
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AI in surgery; robotic surgery advantages Asked 2×Aug 2021, Dec 2018
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Hyperbaric oxygen therapyUndated A
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Radiation safety for surgeonsUndated B
7 sessions
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Day care surgery - selection criteria, discharge criteria Asked 5×Jun 2022, Dec 2020, Dec 2015, Jun 2014, Undated A
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Pain management - WHO ladder, patient-controlled analgesia, regional anaesthesia Asked 5×Jun 2023, Jun 2022, Jun 2019, Jun 2018, Undated A
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Thromboprophylaxis - indications, management Asked 2×Jun 2017, Jun 2024
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ERAS - components, implementation, barriers Asked 3×Dec 2024, Dec 2018, Dec 2015
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Postoperative respiratory complicationsDec 2020
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High dependency unit scoring Asked 2×Dec 2019, Jun 2018
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Abdominal wall anatomy & ventral hernia relevanceJun 2020
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Subphrenic spaces anatomy Asked 2×Dec 2015, Undated C
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Oesophageal motility physiology & achalasiaJun 2020
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Pelvic floor muscles & nerves - relevance to LAR for rectal CaJun 2019
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Surgical anatomy of thyroid glandDec 2024
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Liver anatomy - Couinaud classificationDec 2019
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Radionuclide imaging principles & applicationsJun 2020
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MRI in surgical practiceDec 2023
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Interventional radiology in surgical diseasesDec 2019
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Parasitology - Ascaris, Echinococcus, Taenia Asked 3×Dec 2023, Jun 2013, Dec 2023
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Abdominal tuberculosis - classification & management Asked 3×Dec 2023, Jun 2020, Jun 2015
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Typhoid ileal perforationDec 2023
Paper II covers Elective Orthopaedics, Skin & Soft Tissue, Head & Neck, and Breast & Endocrine surgery. Head & Neck appears in every single Paper II session. Orthopaedics is unique to DNB and has no equivalent in MS exams.
Must-Study Topics - Paper II
Detailed Topic List - Paper II
23 sessions - appears in EVERY Paper II
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Superficial parotidectomy - steps, facial nerve identification, why enucleation contraindicated Asked 12×Jun 2024, Dec 2023, Jun 2023, Dec 2022, Jun 2022, Aug 2021, Dec 2020, Jun 2019, Jun 2018, Jun 2015, Jun 2014, Dec 2012
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Neck dissection - radical vs modified, classification of levels, selective dissections Asked 15×Dec 2024, Jun 2024, Dec 2023, Jun 2022, Aug 2021, Dec 2020, Jun 2020, Jun 2019, Jun 2018, Jun 2017, Dec 2015, Dec 2014, Dec 2012, Undated A, Undated B
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Head injury - pathophysiology, GCS, raised ICP, extradural haematoma, decompressive craniectomy Asked 6×Dec 2024, Jun 2023, Aug 2021, Jun 2020, Dec 2019, Dec 2015
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Brain stem death - criteria, apnea test, organ donation Asked 2×Jun 2023, Dec 2024
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Thyroglossal cyst - Sistrunk procedure, embryology Asked 4×Dec 2024, Dec 2019, Jun 2015, Dec 2014
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Branchial cyst - embryology, surgical management Asked 5×Jun 2024, Dec 2019, Jun 2014, Dec 2013, Undated C
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Cystic hygroma Asked 3×Dec 2024, Dec 2014, Undated C
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Submandibular gland - anatomy, sialadenitis management, calculus disease Asked 5×Jun 2024, Dec 2014, Jun 2012, Dec 2015, Undated C
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Ludwig’s angina - presentation & management Asked 2×Jun 2023, Dec 2022
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Tracheostomy - types, indications, complications Asked 3×Jun 2017, Dec 2014, Jun 2013
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Carotid body tumour / chemodectoma Asked 3×Dec 2019, Dec 2013, Jun 2015
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Salivary gland tumours - classification, mucoepidermoid management Asked 9×Jun 2024, Dec 2023, Jun 2023, Dec 2022, Jun 2022, Aug 2021, Dec 2020, Jun 2019, Jun 2018
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Pharyngeal pouch / Zenker’s diverticulum Asked 2×Dec 2022, Jun 2019
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Oral cavity cancer - premalignant lesions, staging, supra-omohyoid dissection Asked 4×Jun 2018, Jun 2017, Jun 2015, Dec 2011
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Cervical lymphadenopathy - differential, tubercular, unknown primary Asked 3×Jun 2023, Dec 2020, Jun 2020
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Ranula / plunging ranula Asked 3×Jun 2019, Jun 2014, Undated C
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Cleft lip - LAHSHAL, principles of repair, timing Asked 7×Dec 2024, Dec 2015, Jun 2015, Jun 2014, Dec 2013, Jun 2013, Undated C
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Thymoma & myasthenia gravis managementDec 2024
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Thoracic outlet syndromeDec 2024
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Collar stud abscess Asked 2×Dec 2024, Jun 2015
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Psoas abscess Asked 2×Jun 2019, Dec 2014
19 sessions
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Total thyroidectomy - steps, complications (RLN, hypocalcaemia) Asked 13×Dec 2024, Dec 2023, Jun 2023, Jun 2022, Aug 2021, Dec 2020, Jun 2020, Jun 2019, Jun 2018, Jun 2017, Dec 2015, Jun 2015, Dec 2013
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Solitary thyroid nodule - Bethesda system, TIRADS, diagnostic algorithm Asked 10×Jun 2024, Dec 2023, Jun 2023, Dec 2022, Dec 2020, Dec 2019, Jun 2018, Dec 2015, Jun 2015, Undated B
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Thyrotoxicosis / Graves’ disease - management, preoperative preparation Asked 6×Aug 2021, Jun 2020, Jun 2019, Jun 2018, Jun 2017, Dec 2013
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Hyperparathyroidism - classification, clinical features, management Asked 13×Dec 2024, Jun 2024, Dec 2023, Jun 2022, Dec 2022, Aug 2021, Dec 2020, Jun 2020, Jun 2018, Jun 2017, Dec 2015, Jun 2014, Undated B
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Thyroid cancer - differentiated, medullary, staging, central node dissection Asked 10×Jun 2024, Jun 2023, Dec 2022, Jun 2022, Jun 2019, Jun 2018, Dec 2015, Jun 2015, Jun 2012, Undated B
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Adrenal incidentaloma - definition, management Asked 6×Dec 2023, Jun 2023, Jun 2020, Jun 2017, Jun 2015, Undated B
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Pheochromocytoma - investigation, preop prep, intraop management Asked 12×Dec 2023, Jun 2022, Aug 2021, Dec 2020, Jun 2020, Jun 2019, Jun 2018, Jun 2017, Dec 2015, Dec 2014, Dec 2012, Undated A
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Pancreatic neuroendocrine tumours - insulinoma, gastrinoma, Zollinger-Ellison Asked 9×Dec 2024, Jun 2024, Dec 2023, Dec 2022, Aug 2021, Dec 2020, Dec 2019, Jun 2019, Jun 2018
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Adrenalectomy - surgical anatomy, indications, laparoscopic technique Asked 3×Jun 2020, Jun 2015, Undated B
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Post-thyroidectomy hypocalcaemia - etiopathogenesis & management Asked 2×Jun 2023, Dec 2023
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MEN syndromes - classification, components, surgical implications Asked 3×Jun 2015, Dec 2018, Undated B
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Von Hippel-Lindau disease; Neuroblastoma Asked 2×Dec 2023, Jun 2024
18 sessions
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Breast cancer management - cT2N1M0, locally advanced, inflammatory, early Asked 16×Dec 2024, Jun 2024, Dec 2023, Jun 2023, Aug 2021, Dec 2020, Jun 2020, Jun 2019, Jun 2018, Jun 2017, Dec 2015, Jun 2015, Dec 2013, Jun 2013, Undated A, Undated B
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BCS - indications, contraindications, oncoplastic surgery Asked 10×Jun 2024, Dec 2023, Aug 2021, Dec 2020, Jun 2022, Jun 2020, Jun 2019, Dec 2013, Dec 2012, Undated A
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Sentinel lymph node biopsy - current status, ICG-guided, ACOSOG Z0011 Asked 4×Jun 2022, Dec 2015, Jun 2015, Undated B
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Nipple discharge - classification, diagnosis, surgical management Asked 4×Jun 2023, Jun 2022, Jun 2019, Jun 2014
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Benign breast disease - ANDI classification, fibroadenoma, phyllodes Asked 7×Dec 2023, Aug 2021, Dec 2020, Jun 2022, Dec 2019, Undated A, Undated B
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Breast cancer staging - TNM, molecular subtypes, prognostic factors Asked 5×Jun 2024, Jun 2022, Dec 2020, Jun 2019, Undated B
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Radiotherapy indications in breast cancer; HER2+ tumour management Asked 2×Jun 2024, Dec 2022
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Genetic testing (BRCA1/2), risk management in mutation carriersDec 2022
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Hormonal therapy; Neoadjuvant chemotherapy Asked 3×Dec 2023, Dec 2015, Jun 2022
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BIRADS classification Asked 2×Jun 2024, Aug 2021
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Reconstruction after mastectomy - options, DIEP flap Asked 3×Dec 2024, Dec 2023, Jun 2014
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Image-guided biopsy techniques; PET scan in breast Ca Asked 4×Jun 2024, Dec 2022, Jun 2014, Undated A
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Gynaecomastia - causes, management Asked 3×Jun 2012, Dec 2014, Undated C
19 sessions
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Malignant melanoma - classification, staging (Clark/Breslow), management Asked 8×Jun 2024, Dec 2023, Jun 2023, Dec 2022, Dec 2020, Jun 2020, Jun 2018, Dec 2014
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Basal cell carcinoma - types, management Asked 7×Dec 2024, Jun 2020, Jun 2018, Jun 2017, Dec 2015, Dec 2012, Undated C
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Squamous cell carcinoma skin - premalignant lesions, management Asked 4×Jun 2024, Jun 2020, Dec 2013, Undated C
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Premalignant lesions of skin - leukoplakia, Bowen’s, etc. Asked 5×Jun 2022, Aug 2021, Jun 2020, Jun 2018, Dec 2015
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Skin grafts - partial vs full thickness, principles, indications Asked 3×Jun 2024, Dec 2022, Dec 2013
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Skin flaps - classification, axial flaps, local, musculocutaneous, DIEP Asked 10×Dec 2024, Jun 2023, Dec 2022, Jun 2022, Jun 2017, Dec 2015, Jun 2014, Dec 2013, Undated B, Undated C
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Hidradenitis suppurativa - stages, management Asked 4×Dec 2024, Jun 2022, Jun 2015, Undated C
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Burns - resuscitation, wound care, reconstruction Asked 3×Jun 2023, Aug 2021, Undated C
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Marjolin’s ulcer; Lupus vulgaris Asked 2×Jun 2024, Jun 2023
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Decubitus ulcers - grading, prevention, treatment Asked 3×Jun 2019, Undated A, Undated C
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Fournier’s gangrene / Synergistic gangrene Asked 3×Jun 2023, Jun 2022, Jun 2013
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Dermatofibrosarcoma protuberans Asked 2×Dec 2024, Jun 2024
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Soft tissue sarcomas; Kaposi’s sarcomaDec 2022
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Neck & H&N reconstruction - principles, flaps after hemimandibulectomy Asked 2×Jun 2020, Jun 2014
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VAAC (vacuum assisted closure) / wound care advances Asked 3×Aug 2021, Jun 2022, Jun 2019
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Ingrown toenail; Paronychia Asked 3×Jun 2020, Aug 2021, Dec 2014
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Mycetoma; Leprosy cutaneous manifestations Asked 2×Jun 2023, Undated C
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Pilonidal sinus - management; recurring Asked 3×Jun 2012, Jun 2015, Jun 2014
13 sessions - unique to DNB, not in MS exams
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Compartment syndrome - pathophysiology, fasciotomy, escharotomy, crush syndrome Asked 4×Jun 2023, Jun 2020, Jun 2014, Undated C
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Bone tumours - Ewing’s sarcoma (rib), osteochondroma, osteomyelitis of ribs Asked 4×Dec 2024, Jun 2024, Jun 2022, Jun 2018
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Osteomyelitis - acute/chronic, Brodie’s abscess, management Asked 3×Dec 2020, Jun 2018, Undated B
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Fractures - long bone techniques, advantages & disadvantages Asked 2×Dec 2023, Jun 2024
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Achilles tendon rupture; Fracture neck femurDec 2023
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Non-union of fracture - causes Asked 2×Jun 2023, Aug 2021
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Pathological fracture - causes, management (esp. carcinoma breast)Dec 2022
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Paraplegia following spinal injury - diagnosis & managementDec 2022
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Septic arthritis managementUndated C
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AO classification & intra-articular fracturesJun 2014
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Crush syndrome - pathophysiology, prevention of compartment syndrome Asked 2×Jun 2014, Undated C
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Carpal tunnel syndrome; Dupuytren’s contracture Asked 4×Jun 2023, Jun 2019, Aug 2021, Undated A
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Club foot management in 6-year-oldJun 2024
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Dinner fork deformity; Malunion Asked 2×Dec 2024, Jun 2024
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Brachial plexus injury Asked 2×Jun 2023, Undated C
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Metastatic bone disease - lumbar vertebrae (prostate Ca) Asked 2×Jun 2018, Undated C
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Soft tissue sarcomas of extremityDec 2022
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Amputations - lower limb, BKA, types, indicationsUndated B
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Hand infections; Parona’s space; Bell’s palsy; Warthin’s tumour Asked 2×Jun 2017, Undated B
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VATS - indications, thoracolaparoscopic oesophagectomy Asked 3×Jun 2019, Jun 2018, Dec 2024
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Pleural infection, chronic empyema, decorticationJun 2019
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AAA managementJun 2020
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Acute limb ischaemia managementJun 2020
Paper III covers abdominal surgery (GI and hepatobiliary), vascular surgery, and hernia repairs. Obstructive jaundice, varicose veins, GERD, and inguinal hernia are the highest-yield topics.
Must-Study Topics - Paper III
Detailed Topic List - Paper III
17 sessions
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Varicose veins - CEAP, venous anatomy, EVLT, surgical options, venous ulcer Asked 15×Dec 2024, Jun 2024, Dec 2023, Dec 2022, Dec 2020, Jun 2020, Jun 2019, Jun 2018, Jun 2017, Dec 2017, Dec 2015, Jun 2015, Dec 2014, Jun 2014, Jun 2013
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Acute mesenteric ischaemia - types, diagnosis, operative management Asked 6×Dec 2024, Dec 2023, Jun 2023, Dec 2022, Jun 2019, Jun 2022
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Peripheral arterial disease / CLI - claudication, ABI, Buerger’s, revascularisation Asked 9×Dec 2024, Jun 2024, Dec 2023, Jun 2023, Dec 2020, Jun 2020, Dec 2019, Jun 2015, Dec 2014
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DVT - pathology, Virchow’s triad, complications, treatment, prophylaxis Asked 5×Dec 2024, Jun 2024, Dec 2023, Dec 2019, Jun 2013
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AAA - risk factors, EVAR vs open repair, ruptured AAA Asked 4×Jun 2022, Dec 2020, Dec 2019, Jun 2019
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Lymphoedema - classification, filariasis, management Asked 7×Dec 2024, Jun 2020, Dec 2023, Jun 2022, Aug 2021, Dec 2022, Jun 2014
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Diabetic foot - pathophysiology, debridement, revascularisation Asked 2×Dec 2022, Dec 2013
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AV fistula - clinical features, investigation, principles Asked 2×Dec 2022, Jun 2017
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Acute embolic occlusion - embolectomy, Fogarty catheter Asked 2×Dec 2023, Dec 2017
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Lumbar sympathectomy - anatomy, indications, techniqueJun 2022
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Vascular injuries of extremities - principles of arterial repair Asked 2×Jun 2020, Dec 2019
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Raynaud’s disease - investigations & treatmentDec 2014
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Thrombophlebitis; Dissecting aortic aneurysmJun 2023
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Capillary haemangiomas; Congenital vascular lesions Asked 2×Jun 2019, Jun 2020
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Trauma - blunt abdominal trauma, splenic injury, DCS Asked 3×Dec 2020, Jun 2022, Jun 2015
18 sessions
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Obstructive jaundice - causes, LFT pattern, MRCP/ERCP, Courvoisier law, preop prep Asked 12×Dec 2024, Dec 2023, Dec 2022, Jun 2022, Dec 2020, Jun 2020, Jun 2018, Jun 2017, Dec 2015, Jun 2015, Dec 2013, Dec 2011
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Whipple’s / PPPD - indications, essential steps, reconstruction, complications Asked 5×Dec 2024, Jun 2020, Jun 2018, Jun 2015, Dec 2013
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Laparoscopic cholecystectomy - critical view of safety, difficult LC, bail-out Asked 4×Jun 2024, Jun 2023, Dec 2022, Dec 2023
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CBD injury - Strasberg classification, management, Roux-en-Y hepaticojejunostomy Asked 5×Jun 2023, Jun 2022, Jun 2020, Jun 2018, Jun 2015
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Gallbladder carcinoma - TNM, T-stage management, incidental GBC after LC Asked 4×Jun 2023, Jun 2020, Jun 2017, Dec 2024
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Acute pancreatitis - BISAP, CTSI/Balthazar, step-up approach, necrosectomy Asked 7×Dec 2024, Jun 2022, Aug 2021, Dec 2020, Dec 2017, Jun 2015, Dec 2015
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Chronic pancreatitis - surgical options (Puestow, Frey, Beger) Asked 2×Jun 2022, Jun 2017
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Pancreatic pseudocyst - cystogastrostomy, cystojejunostomy, endoscopic drainage Asked 3×Jun 2018, Dec 2017, Jun 2017
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Hydatid cyst liver - surgery, scolicidal agents, cyst-biliary communication Asked 3×Jun 2024, Dec 2022, Jun 2017
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Choledochal cyst - classification, excision, biliary reconstruction Asked 3×Jun 2024, Jun 2019, Jun 2013
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Choledocholithiasis - ERCP, laparoscopic CBD exploration Asked 3×Aug 2021, Dec 2019, Dec 2015
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HCC - BCLC staging, resection vs ablation vs transplantDec 2020
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Colorectal liver metastases - synchronous vs metachronousJun 2022
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Liver resections - types, Pringle manoeuvre, haemostasis, liver trauma Asked 4×Jun 2022, Dec 2017, Jun 2015, Jun 2015
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Amoebic liver abscess - pathology, management Asked 2×Jun 2018, Dec 2014
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Splenectomy - indications, technique, OPSI, complications Asked 5×Dec 2023, Jun 2022, Aug 2021, Jun 2015, Dec 2014
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Mirizzi’s syndrome; Portal hypertension; Hepatic adenoma Asked 3×Jun 2019, Dec 2017, Jun 2017
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Carcinoid tumour; Endocrine pancreas (gastrinoma in Paper III context) Asked 2×Jun 2024, Dec 2017
16 sessions
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Inguinal hernia - anatomy, Lichtenstein, TAPP, TEP, sliding, obstructed/strangulated Asked 9×Dec 2024, Jun 2024, Dec 2023, Aug 2021, Dec 2017, Jun 2018, Jun 2015, Dec 2014, Dec 2013
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Ventral/incisional hernia - EHS classification, component separation, loss of domain Asked 7×Jun 2024, Dec 2023, Jun 2022, Aug 2021, Jun 2020, Jun 2019, Undated A
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Myopectineal orifice of Fruchaud - surgical anatomy Asked 2×Jun 2024, Dec 2024
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Mesh classification - types, composite mesh, biological mesh Asked 2×Jun 2024, Jun 2020
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Femoral hernia - anatomy, Lockwood/McEvedy/Lotheisen repairs Asked 2×Jun 2022, Dec 2013
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Diaphragmatic hernia - traumatic, Bochdalek, Morgagni Asked 3×Jun 2020, Jun 2024, Jun 2013
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Internal hernias; Umbilical hernia adults Asked 2×Dec 2019, Jun 2018
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Peritoneal adhesions - pathophysiology, prevention, management Asked 2×Jun 2014, Jun 2020
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Abdominal wall repair methodsDec 2019
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ERAS in colorectal and HPB surgeryDec 2024
14 sessions
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GERD - investigation, indications for surgery, fundoplication, LINX, TIF, Stretta Asked 9×Jun 2024, Jun 2023, Dec 2023, Dec 2020, Jun 2020, Jun 2019, Jun 2018, Jun 2017, Dec 2013
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Achalasia cardia - Heller’s myotomy, POEM, comparison Asked 4×Jun 2024, Aug 2021, Jun 2018, Dec 2013
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Carcinoma oesophagus - staging, transhiatal oesophagectomy, Ivor Lewis, conduit comparison Asked 4×Dec 2022, Jun 2020, Jun 2017, Dec 2015
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Barrett’s oesophagus management Asked 2×Dec 2023, Dec 2017
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Perforated duodenal ulcer - Graham’s patch, omental plug, laparoscopic approachJun 2024
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Carcinoma stomach - staging, D2 gastrectomy, lymph node stations, reconstruction Asked 3×Jun 2018, Dec 2017, Dec 2014
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Upper GI bleeding - variceal and non-variceal, resuscitation Asked 3×Jun 2022, Jun 2017, Dec 2014
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Bariatric surgery - options, metabolic basis, complications Asked 3×Jun 2018, Aug 2021, Jun 2014
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Gastric GIST; Carcinoid tumour; Short bowel syndrome Asked 3×Jun 2024, Jun 2019, Dec 2015
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Enterocutaneous fistula - SNAP approach, classificationJun 2023
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Dumping syndrome; Gastric outlet obstruction Asked 2×Dec 2017, Dec 2019
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Superior mesenteric artery syndrome Asked 2×Aug 2021, Dec 2024
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Intestinal obstruction - adhesive, closed loop, LBO Asked 2×Dec 2024, Jun 2019
16 sessions
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Total mesorectal excision - planes, nerve preservation, TaTME Asked 4×Dec 2024, Dec 2023, Aug 2021, Jun 2023
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Colorectal cancer - TNM, caecal Ca, work-up, laparoscopic, adjuvant Asked 5×Dec 2024, Jun 2023, Dec 2020, Jun 2019, Dec 2023
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Rectal prolapse - types, Delorme, Altemeier, Ripstein operations Asked 3×Dec 2023, Jun 2023, Jun 2015
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Fistula-in-ano - Parks classification, LIFT, VAAFT, seton, advancement flap Asked 4×Aug 2021, Jun 2020, Jun 2019, Jun 2018
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Haemorrhoids - Milligan-Morgan haemorrhoidectomy, stapled haemorrhoidopexy Asked 2×Jun 2020, Dec 2014
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Pilonidal sinus - rhomboid flap, Bascom, pit-picking Asked 2×Jun 2020, Jun 2014
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Ulcerative colitis - clinical features, surgical treatment, pouch Asked 4×Jun 2019, Jun 2018, Jun 2022, Jun 2015
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FAP - clinical features, screening, management Asked 2×Jun 2022, Jun 2019
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Sigmoid volvulus - endoscopic vs surgical management Asked 3×Aug 2021, Jun 2022, Jun 2017
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Carcinoma anal canal - etiology, diagnosis, managementDec 2023
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Anorectal malformations - classification, managementJun 2023
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Anastomotic leak; Wound dehiscence; Colonic anastomotic leak Asked 2×Jun 2023, Dec 2013
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Intestinal tuberculosis - types, management Asked 3×Dec 2020, Dec 2019, Jun 2017
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Colorectal screening methods; Abdominal tuberculosis Asked 3×Dec 2023, Dec 2015, Dec 2013
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HIPEC - principles, indicationsDec 2022
6 sessions
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Intussusception - ileo-ileal management in 7-month-old Asked 2×Dec 2024, Dec 2022
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Duodenal atresia - double bubble sign, managementDec 2024
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Malrotation & midgut volvulus Asked 2×Aug 2021, Jun 2013
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Hirschsprung’s diseaseJun 2018
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Upper GI obstruction in newbornsJun 2013
Paper IV focuses on urology, transplantation, paediatric surgery, neurosurgery, cardiothoracic surgery, and recent advances/technology. Urology and transplantation are the dominant sections.
Must-Study Topics - Paper IV
Detailed Topic List - Paper IV
20 sessions - highest yield in Paper IV
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Renal transplantation - full work-up, rejection types, triple immunosuppression, DCD Asked 14×Dec 2024, Jun 2024, Dec 2023, Jun 2023, Dec 2022, Jun 2022, Jun 2021, Dec 2020, Jun 2019, Jun 2018, Dec 2017, Jun 2017, Dec 2015, Jun 2014
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Undescended testis - embryology, consequences, orchidopexy timing, adult UDT Asked 8×Dec 2024, Jun 2024, Jun 2020, Jun 2019, Jun 2018, Dec 2017, Jun 2014, Dec 2013
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Hydronephrosis / PUJ obstruction - causes, radioisotope scan, pyeloplasty Asked 7×Dec 2024, Jun 2024, Jun 2023, Dec 2017, Jun 2015, Dec 2014, Jun 2013
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Prostate - BPH management (medical/surgical/newer MIS) + carcinoma prostate staging & management Asked 11×Jun 2024, Dec 2024, Jun 2023, Jun 2021, Dec 2020, Dec 2019, Jun 2018, Dec 2017, Jun 2017, Dec 2015, Dec 2014
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Urinary stones - types, ESWL, RIRS, PCNL, calculus anuria, VUJ stone Asked 12×Jun 2024, Dec 2024, Dec 2023, Jun 2023, Jun 2021, Jun 2020, Jun 2018, Dec 2017, Jun 2015, Dec 2014, Jun 2014, Dec 2013
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Bladder carcinoma - NMIBC vs MIBC, radical cystectomy, urinary diversion Asked 7×Jun 2023, Dec 2022, Jun 2022, Jun 2021, Jun 2021, Jun 2020, Jun 2018
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Carcinoma penis - staging, premalignant lesions, inguinal node management Asked 4×Jun 2021, Dec 2017, Jun 2015, Jun 2014
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Hydrocele & acute scrotum - classification, primary vs secondary, differential Asked 5×Jun 2024, Jun 2023, Jun 2021, Jun 2018, Dec 2017
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Testicular torsion - etiology, diagnosis, salvage vs orchidectomy Asked 6×Jun 2021, Dec 2023, Dec 2017, Jun 2017, Dec 2014, Dec 2013
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RCC - staging, radical nephrectomy, IVC thrombus management Asked 4×Dec 2023, Jun 2023, Dec 2017, Jun 2015
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Kidney anomalies - horseshoe kidney, ADPKD, renal TB Asked 5×Jun 2024, Dec 2023, Jun 2019, Dec 2017, Dec 2013
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Urethral stricture / injury - etiology, investigations, urethroplasty Asked 8×Dec 2024, Jun 2023, Dec 2023, Dec 2022, Jun 2018, Dec 2017, Jun 2015, Dec 2013
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Testicular tumours - classification, staging, seminoma vs NSGCT, RPLND Asked 5×Jun 2021, Dec 2023, Dec 2017, Jun 2017, Dec 2014
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Urinary diversion - ileal conduit, ureteroileostomy, metabolic complications Asked 5×Jun 2024, Dec 2017, Jun 2017, Dec 2014, Dec 2013
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Neurogenic bladder; LUTS; Urodynamics Asked 4×Dec 2024, Jun 2024, Jun 2020, Dec 2013
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Varicocele; Vasectomy; Paediatric urology (posterior urethral valves, bladder exstrophy) Asked 3×Dec 2017, Dec 2013, Jun 2021
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Renal trauma - classification, managementDec 2015
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Renal hypertensionJun 2013
17 sessions
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Renal transplantation - indications, contraindications, perioperative management Asked 14×Dec 2024, Jun 2024, Dec 2023, Jun 2023, Dec 2022, Jun 2022, Jun 2021, Dec 2020, Jun 2019, Jun 2018, Dec 2017, Jun 2017, Dec 2015, Jun 2014
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Types of graft rejection - hyperacute, acute, chronic; management Asked 8×Dec 2024, Jun 2023, Dec 2022, Jun 2021, Jun 2019, Jun 2018, Dec 2017, Jun 2014
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Immunosuppressive agents - triple immunosuppression, cyclosporine, tacrolimus Asked 9×Dec 2024, Jun 2022, Dec 2022, Jun 2021, Dec 2020, Jun 2019, Jun 2018, Dec 2017, Jun 2014
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Liver transplantation - indications, King’s/Milan criteria, living donor, postop care Asked 8×Dec 2024, Jun 2024, Dec 2023, Jun 2023, Jun 2022, Jun 2019, Jun 2018, Jun 2015
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Brain stem death - criteria, testing, organ donation Asked 3×Dec 2024, Jun 2022, Dec 2013
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Warm & cold ischaemia time; DCD (donation after circulatory death) Asked 4×Dec 2024, Jun 2024, Dec 2023, Dec 2022
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HLA antigens; Immunological basis of allograft rejection Asked 2×Dec 2022, Jun 2014
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Graft vs Host Disease (GVHD)Jun 2024
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Pancreas transplant; Small bowel / intestinal transplant Asked 3×Dec 2019, Jun 2019, Dec 2014
17 sessions
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Robotic surgery - principles, 3D vision, haptics, advantages, disadvantages, vs laparoscopy Asked 12×Dec 2024, Jun 2024, Jun 2022, Jun 2021, Jun 2019, Jun 2018, Dec 2017, Dec 2015, Jun 2015, Jun 2014, Aug 2021, Dec 2013
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ICG / fluorescence surgery - biliary, perfusion, SLNB, oncological use Asked 4×Jun 2024, Dec 2024, Jun 2021, Jun 2022
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AI in surgery; Computer-aided surgeryJun 2024
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Narrow Band Imaging (NBI) - principle, GI & ENT oncology Asked 2×Jun 2024, Jun 2021
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Ventral hernia recent advances - eTEP, component separation, biological mesh Asked 8×Dec 2024, Jun 2024, Jun 2023, Dec 2022, Jun 2022, Jun 2021, Dec 2020, Jun 2019
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Fistula-in-ano advances - VAAFT, EPSiT, recent management Asked 2×Jun 2022, Dec 2020
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Rectal cancer MIS - TaTME, TAMIS, minimally invasive options Asked 4×Jun 2022, Jun 2021, Jun 2019, Jun 2018
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LASER surgery - principles, types, applications (BPH, bladder outlet) Asked 2×Jun 2022, Jun 2015
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Energy devices - electrosurgery principles, cutting & coagulation Asked 2×Jun 2020, Jun 2014
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Targeted therapy - HER2, VEGF, EGFR inhibitors, checkpoint inhibitors Asked 2×Jun 2015, Jun 2022
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Newer meshes & biological meshes in hernia surgery Asked 2×Dec 2020, Jun 2019
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Drug delivery systems for cancerDec 2020
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Topical haemostatic agentsJun 2023
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ERCP advances; RFA for thyroid nodulesDec 2024
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Imaging systems in laparoscopy; Intraperitoneal adhesion prevention Asked 2×Jun 2021, Jun 2020
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Alternatives to sutures for skin closure Asked 2×Jun 2022, Jun 2021
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HIPEC - what is it, indications, complicationsJun 2017
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POEM for achalasiaJun 2024
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Microvascular surgery role in current practiceDec 2024
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Endoscopic resection for early gastric carcinomaDec 2024
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Radiofrequency ablation - liver metastases, solid organsJun 2023
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EUS - indications, role in GI and abdominal pathologiesJun 2019
12 sessions
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Malrotation - embryological principles, presentation, management (Ladd’s) Asked 4×Jun 2024, Dec 2023, Dec 2020, Jun 2013
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Cleft lip - LAHSHAL classification, principles of surgeryJun 2023
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Posterior urethral valves; Bladder exstrophy Asked 3×Jun 2023, Dec 2013, Jun 2021
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Intussusception - infant managementDec 2022
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IHPS (infantile hypertrophic pyloric stenosis) Asked 2×Jun 2021, Jun 2019
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Tracheo-oesophageal fistula classificationJun 2024
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Hydrocephalus - classification, clinical features, management Asked 3×Jun 2019, Dec 2017, Jun 2022
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Spina bifida; Neural tube defects; Neural tube management Asked 2×Dec 2017, Jun 2017
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Extradural haematoma in child; GCS paediatricJun 2015
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Congenital cystic diseases of kidney; Horseshoe kidney embryologyDec 2019
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Anorectal malformations; ARM Peña procedureJun 2023
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Upper GI obstruction newborns (duodenal atresia, malrotation)Dec 2024
12 + 11 sessions
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Head injury - pathophysiology, GCS, raised ICP, decompressive craniectomy Asked 12×Dec 2024, Jun 2024, Dec 2023, Dec 2022, Jun 2022, Jun 2021, Dec 2020, Dec 2019, Dec 2017, Jun 2017, Jun 2015, Jun 2013
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Chronic subdural haematoma; Extradural haematoma Asked 2×Dec 2022, Jun 2015
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Raised ICP management; Stereotactic surgeryDec 2020
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Brain tumour classification; Neural tube defectsDec 2017
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Cardiopulmonary bypass - indications; Patent ductus arteriosus management Asked 5×Jun 2024, Dec 2023, Jun 2020, Dec 2017, Jun 2017
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Bronchopleural fistula - risk factors, diagnosis, managementDec 2022
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Recurrent spontaneous pneumothorax managementJun 2024
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Chylothorax - causes, diagnosis, management Asked 2×Dec 2015, Jun 2017
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Decortication - indications, complicationsJun 2017
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VATS - indicationsJun 2020
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Lung cancer histological classificationDec 2017
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Surgical pleural infection managementDec 2023
9 sessions
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Bariatric procedures - sleeve, bypass, band; Metabolic basis; Selection criteria; Complications Asked 9×Jun 2024, Jun 2023, Dec 2022, Jun 2022, Jun 2021, Dec 2019, Jun 2019, Jun 2018, Dec 2017
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Metabolic surgery - physiological basis, risksDec 2017
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Nutritional consequences of weight loss surgeryJun 2020
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BPH newer minimally invasive proceduresJun 2021
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Venous drainage of lower limb; Surgical anatomy of peritoneumJun 2013
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Stapler types & uses in surgery Asked 2×Jun 2014, Dec 2014
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WHO surgical safety checklist Asked 2×Jun 2020, Dec 2024
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DVT prophylaxis for major surgical proceduresDec 2024
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Universal precautions & HIV PEPJun 2013
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Short bowel syndrome & intestinal transplantationJun 2020
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Pressure sores - sites, staging, managementJun 2013
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Postoperative ileus; Intraperitoneal adhesions Asked 2×Jun 2013, Jun 2020
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Regional anaesthesia - epidural complicationsDec 2013
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Haematological topics - blood components, clinical useJun 2014
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Genomic studies in medullary Ca thyroid; RECISTDec 2022
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Retained surgical sponge - prevention & managementJun 2023
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Cancer screening; Principles of cancerJun 2020
Topics ranked by total session appearances across all four DNB papers. If a topic appears in the top 50 here, make it fully exam-ready before the exam.
| # | Topic | Paper |
|---|---|---|
| 1 | Research, Audit & Ethics (includes statistical concepts, WHO checklist, informed consent)20+ sessions | I |
| 2 | Breast cancer management - staging, BCS, oncoplastic surgery, MDT16 sessions | II |
| 3 | Neck dissection - radical vs modified, levels I–VI, complications15 sessions | II |
| 4 | Renal transplantation - full work-up, rejection, immunosuppression14 sessions | IV |
| 5 | Wound healing phases & factors affecting healing13 sessions | I |
| 6 | Shock - classification, pathophysiology, management13 sessions | I |
| 7 | Total thyroidectomy - steps & complications (RLN, hypocalcaemia)13 sessions | II |
| 8 | Hyperparathyroidism - classification, diagnosis, management13 sessions | II |
| 9 | Superficial parotidectomy - steps & facial nerve identification12 sessions | II |
| 10 | Varicose veins - CEAP, EVLT, surgical treatment, venous ulcer12+ sessions | III |
| 11 | Trauma & Damage Control Surgery - ATLS, DCS, lethal triad12+ sessions | I |
| 12 | Pheochromocytoma - investigation, preoperative prep, intraoperative management12 sessions | II |
| 13 | Robotic surgery - principles, advantages, disadvantages, vs laparoscopy12 sessions | IV |
| 14 | Obstructive jaundice - causes, MRCP/ERCP, Courvoisier law, preop prep12 sessions | III |
| 15 | Urinary stones - ESWL, RIRS, PCNL, calculus anuria12 sessions | IV |
| 16 | Head injury - pathophysiology, GCS, raised ICP, extradural haematoma12 sessions | II / IV |
| 17 | Laparoscopy basics - pneumoperitoneum, ergonomics, port placement12 sessions | I |
| 18 | Surgical site infections - definition, risk factors, prevention11 sessions | I |
| 19 | Urology - prostate (BPH + carcinoma)11 sessions | IV |
| 20 | Necrotising fasciitis / Fournier’s gangrene11 sessions | I / II |
| 21 | Solitary thyroid nodule - Bethesda system, diagnostic algorithm10 sessions | II |
| 22 | Graft rejection types & immunosuppressive agents10 sessions | IV |
| 23 | Skin flaps - classification, principles, head & neck reconstruction10 sessions | II |
| 24 | Thyroid cancer - differentiated, medullary, central node dissection10 sessions | II |
| 25 | Suture classification & properties10 sessions | I |
| 26 | Laparoscopic cholecystectomy - critical view of safety, bail-out, difficult LC9 sessions | III |
| 27 | GERD - indications for surgery, fundoplication, newer techniques9 sessions | III |
| 28 | Inguinal hernia - anatomy, Lichtenstein, TAPP, TEP, strangulated9 sessions | III |
| 29 | Peripheral arterial disease / CLI - claudication, revascularisation9 sessions | III |
| 30 | Electrosurgery - principles, types, complications9 sessions | I |
| 31 | DVT - pathology, treatment, prophylaxis9 sessions | I / III |
| 32 | Pancreatic neuroendocrine tumours - insulinoma, gastrinoma9 sessions | II / III |
| 33 | Ventral hernia - EHS classification, eTEP, component separation, loss of domain9 sessions | III / IV |
| 34 | Bariatric surgery - selection, procedures, complications9 sessions | III / IV |
| 35 | Undescended testis - embryology, consequences, orchidopexy8 sessions | IV |
| 36 | Compartment syndrome - fasciotomy, escharotomy, crush syndrome8 sessions | II |
| 37 | Whipple’s operation - steps, reconstruction, complications8 sessions | III |
| 38 | Acute pancreatitis - BISAP, CTSI, step-up approach, necrosectomy8 sessions | III |
| 39 | Malrotation / intussusception - paediatric8 sessions | III / IV |
| 40 | CBD injury - Strasberg classification, Roux-en-Y hepaticojejunostomy8 sessions | III |
| 41 | Liver transplantation - King’s/Milan criteria, living donor8 sessions | IV |
| 42 | Colorectal cancer - staging, TME, laparoscopic surgery8 sessions | III |
| 43 | Malignant melanoma - classification, staging, management8 sessions | II |
| 44 | Burns - classification, resuscitation, Parkland formula8 sessions | I / II |
| 45 | Hydronephrosis / PUJ obstruction - causes, pyeloplasty7 sessions | IV |
| 46 | Bladder carcinoma - NMIBC vs MIBC, radical cystectomy, diversion7 sessions | IV |
| 47 | Sentinel lymph node biopsy - current status in breast & melanoma7 sessions | II |
| 48 | Gallbladder carcinoma - TNM, incidental GBC, radical resection7 sessions | III |
| 49 | ICG fluorescence - biliary anatomy, perfusion, SLNB, oncological use7 sessions | IV |
| 50 | Carcinoma penis - staging, inguinal node management6 sessions | IV |