@PrepMedico

An advanced E-learning platform by doctors for doctors to help seamlessly progress in their careers through mentorship-led guidance.

 London, England
prepmedico.com/
Joined April 2023
  • Tweets782
  • Following178
  • Followers135
647Media
Week 02 | 14th FRCS General Surgery Section 2 Course 28 Oct: Critical Care & Emergency Surgery 30 Oct: Trauma Surgery 1 Nov: Radiology for FRCS, Part I Viva: 31 Oct & 1 Nov (3 CPD points) You can still join: prepmedico.com/frcs-general-… #FRCS #PrepMedico
1
13
@Mani_TxSurgeon @ACPGBI @asgbi @herricksociety @Dukes_Club @roux_group @GrabTheFRCS @ASiTofficial @bariatricBOMSS @RCSEd @RouleauxClub
4
FRCS SBA of the day 23-year-old man, renal transplant 8 months ago (induction; tacrolimus, MMF, prednisolone). Fever, weight loss, generalised lymphadenopathy; CT: extensive lymphadenopathy and extranodal bowel-wall lesions.
1
1
89
more replies
Correct answer: D — Epstein–Barr virus. PTLD is strongly associated with EBV-driven B-cell proliferation, especially in EBV-seronegative recipients with primary EBV infection after transplant; immunosuppression reduces T-cell surveillance.
1
7
Closest distractor: A — CMV: major post-transplant morbidity, but EBV, not CMV, is classically linked to PTLD. EBV → PTLD. CMV → opportunistic infection. BK virus → renal allograft nephropathy.
7
FRCS SBA of the day 86-year-old man, incidental 6.8-cm infrarenal AAA. CTA: short, severely angulated 14-mm neck, extensive calcification, small tortuous iliacs. Standard EVAR not anatomically suitable.
1
1
55
more replies
Correct answer: D — Specialist vascular assessment + shared decision-making; conservative management likely if risks of repair outweigh benefit. 6.8 cm meets the size criterion, but NICE weighs anatomy, age, life expectancy, fitness and comorbidity against rupture risk.
1
1
14
Closest distractor: C — Complex EVAR. Tempting with hostile anatomy, but benefit vs conservative care is uncertain if unfit for open repair. Why not E? A frail patient with a 6.8-cm AAA still needs specialist review. AAA >5.5 cm → consider repair, not automatic repair.
9
FRCS SBA of the day An 82-year-old man has 4 days of RUQ pain, fever and vomiting. CT: markedly distended, thick-walled gallbladder with inflammatory change and an impacted stone in the gallbladder neck. No CBD dilatation.
1
43
more replies
Correct answer: C — Percutaneous cholecystostomy. Early lap chole is usually preferred (NICE: within 1 week), but he has ongoing gallbladder sepsis despite treatment and is unfit for GA. Cholecystostomy gives source control without immediate GA.
1
19
Closest distractor: A — antibiotics alone don't drain an infected, obstructed gallbladder. Why not ERCP? No CBD obstruction or cholangitis; ERCP won't drain a gallbladder with an occluded cystic duct. Once fit, reconsider lap chole (NICE CG188).
13
FRCS SBA of the day A 72-year-old man with diabetes and CKD has 2 days of worsening left-foot pain. Forefoot swollen and red, great toe black, foot cool beyond midfoot. No pedal pulses or Doppler signal; femoral pulse present.
1
36
more replies
Correct answer: D — Discuss urgently with the receiving vascular service and transfer for immediate vascular assessment. This is a threatened ischaemic limb until proven otherwise: no pedal Doppler signal, tissue loss and a cool foot make perfusion the priority.
1
12
Closest distractor: A — Foot X-ray. Part of assessing an infected/necrotic diabetic foot, but it must not delay urgent vascular assessment. FRCS learning point: threatened limb → vascular assessment/revascularisation first. Don't let secondary tests delay time-critical care.
3
Make your final preparation count with a focused, one-to-one mock viva. FRCOphth Part 2 & FRCS Ophthalmology Part 3 | 1-to-1 Mock Viva Enrol now. linke.to/EszQJ @Mani_TxSurgeon @rcpsglasgow @OphthTimes @OPHTHALMOLOGIST @ESO_UAE @ASiTofficial @EPOMECUAE @AiosOffice
25
The 14th FRCS General Surgery Section 2 Course begins this week! Week 1 starts with course orientation, followed by two General Surgery viva sessions. Enrol: linke.to/ai88F @Mani_TxSurgeon @ACPGBI @asgbi @herricksociety @Dukes_Club @ASiTofficial @bariatricBOMSS @RCSEd
33
Load more