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Cambridge University Press 978-0-521-18471-7 - Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth) Edited by Kesavan Sri-Ram Frontmatter More information

Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth)

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Cambridge University Press 978-0-521-18471-7 - Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth) Edited by Kesavan Sri-Ram Frontmatter More information

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Cambridge University Press 978-0-521-18471-7 - Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth) Edited by Kesavan Sri-Ram Frontmatter More information

Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth)

Edited by Kesavan Sri-Ram, BSc, MRCS (Eng), FRCS (Tr & Orth)

Senior Arthroplasty Fellow, Royal National Orthopaedic Hospital and Wycombe Hospital, UK

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Cambridge University Press 978-0-521-18471-7 - Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth) Edited by Kesavan Sri-Ram Frontmatter More information

CAMBRIDGE UNIVERSITY PRESS

Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo, Delhi, Tokyo, Mexico City Cambridge University Press The Edinburgh Building, Cambridge CB2 8RU, UK Published in the United States of America by Cambridge University Press, New York www.cambridge.org Information on this title: www.cambridge.org/9780521184717 # Cambridge University Press 2012 This publication is in copyright. Subject to statutory exception and to the provisions of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press. First published 2012 Printed in the United Kingdom at the University Press, Cambridge A catalogue record for this publication is available from the British Library Library of Congress Cataloging-in-Publication Data Postgraduate orthopaedics : MCQS and EMQS for the FRCS (Tr & Orth) / edited by Kesavan Sri-Ram. p. ; cm. Includes bibliographical references and index. ISBN 978-0-521-18471-7 (Paperback) I. Sri-Ram, Kesavan. [DNLM: 1. Orthopedic Procedures­Examination Questions. WE 18.2] LC classification not assigned 6170 .9076­dc23 2011029387 ISBN 978-0-521-18471-7 Paperback Cambridge University Press has no responsibility for the persistence or accuracy of URLs for external or third-party internet websites referred to in this publication, and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. Every effort has been made in preparing this book to provide accurate and up-to-date information which is in accord with accepted standards and practice at the time of publication. Although case histories are drawn from actual cases, every effort has been made to disguise the identities of the individuals involved. Nevertheless, the authors, editors and publishers can make no warranties that the information contained herein is totally free from error, not least because clinical standards are constantly changing through research and regulation. The authors, editors and publishers therefore disclaim all liability for direct or consequential damages resulting from the use of material contained in this book. Readers are strongly advised to pay careful attention to information provided by the manufacturer of any drugs or equipment that they plan to use.

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Cambridge University Press 978-0-521-18471-7 - Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth) Edited by Kesavan Sri-Ram Frontmatter More information

For Sharmili

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Cambridge University Press 978-0-521-18471-7 - Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth) Edited by Kesavan Sri-Ram Frontmatter More information

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Cambridge University Press 978-0-521-18471-7 - Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth) Edited by Kesavan Sri-Ram Frontmatter More information

Contents

List of contributors page viii Foreword Mr Barry Ferris x Preface xi Acknowledgements xii

1 2

Introduction 1 Kesavan Sri-Ram Hand and wrist 4 Maxim Horwitz and Elliot Sorene Questions 4 Answers 17 Shoulder and elbow 25 Deborah S. Higgs and Simon Lambert Questions 25 Answers 38 Spine 47 Zaher Dannawi and Rajiv A. Bajekal Questions 47 Answers 60 Hip and pelvis 71 Nashat Siddiqui and Phil Kerr Questions 71 Answers 83 Knee 93 Kesavan Sri-Ram and Howard Ware Questions 93 Answers 106

7

Foot and ankle 119 Kesavan Sri-Ram and Andrew Robinson Questions 119 Answers 132 Pathology 144 Danyal H. Nawabi and Tim W.R. Briggs Questions 144 Answers 158 Paediatric orthopaedics 172 Russell Hawkins and Deborah M. Eastwood Questions 172 Answers 184

8

3

9

4

5

10 Trauma 198 Paul Whittingham-Jones, Kesavan Sri-Ram and Dennis Edwards Questions 198 Answers 211 11 Basic science 223 Ben Rudge and John A. Skinner Questions 223 Answers 235 Index 246

6

vii

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Cambridge University Press 978-0-521-18471-7 - Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth) Edited by Kesavan Sri-Ram Frontmatter More information

Contributors

Mr Rajiv A. Bajekal, MS (Orth), ChM (Orth), FRCS (Orth) Consultant Orthopaedic Surgeon, Barnet Hospital, London Professor Tim W.R. Briggs, MD (Res), MCh (Orth), FRCS Professor of Orthopaedic Surgery and Orthopaedic Oncology, Royal National Orthopaedic Hospital, Stanmore Mr Zaher Dannawi, FRCS (Tr & Orth) Spinal Fellow, Royal National Orthopaedic Hospital, Stanmore Miss Deborah M. Eastwood FRCS Consultant Orthopaedic Surgeon, Royal National Orthopaedic Hospital, Stanmore Mr Dennis Edwards, FRCS (Orth) Consultant Orthopaedic Surgeon, Cambridge University NHS Trust, Cambridge Mr Russell Hawkins, FRCS (Tr & Orth) Specialist Registrar in Trauma and Orthopaedic Surgery, Royal National Orthopaedic Hospital, Stanmore Miss Deborah S. Higgs, MBBS, FRCS (Tr & Orth) Consultant Shoulder and Elbow Surgeon, Royal National Orthopaedic Hospital, Stanmore Mr Maxim Horwitz, FRCS (Tr & Orth) Locum Consultant Orthopaedic and Hand Surgeon, St Mary's Hospital, Imperial College Healthcare NHS Trust, London Mr Phil Kerr, FRCS Consultant Orthopaedic Surgeon, Lister Hospital, Stevenage Mr Simon Lambert, BSc, FRCS, FRCS Ed (Orth) Consultant Shoulder and Elbow Surgeon, Royal National Orthopaedic Hospital, Stanmore Mr Danyal H. Nawabi, BM, MA, MRCS (Eng), FRCS (Tr & Orth) Specialist Registrar in Trauma and Orthopaedic Surgery, Royal National Orthopaedic Hospital, Stanmore Mr Andrew `Fred' Robinson, BSc, FRCS (Orth) Consultant Foot and Ankle Surgeon, Cambridge University NHS Trust, Cambridge Mr Ben Rudge, FRCS (Tr & Orth) Specialist Registrar in Trauma and Orthopaedic Surgery, Whittington Hospital, London Mr Nashat Ahmad Siddiqui, FRCS (Tr & Orth) Specialist Registrar in Trauma and Orthopaedic Surgery, Royal Free Hospital, London Mr John A. Skinner, FRCS (Orth) Consultant Orthopaedic Surgeon, Royal National Orthopaedic Hospital, Stanmore Mr Elliot Sorene, MBBS, FRCS (Tr & Orth), EDHS Consultant Orthopaedic and Hand Surgeon, University College London Hospital, London Mr Kesavan Sri-Ram, BSc, MRCS (Eng), FRCS (Tr & Orth) Senior Arthroplasty Fellow, Wycombe Hospital, Wycombe and Royal National Orthopaedic Hospital, Stanmore

viii

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Cambridge University Press 978-0-521-18471-7 - Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth) Edited by Kesavan Sri-Ram Frontmatter More information

List of contributors

Mr Howard Ware, FRCS (Orth) Consultant Orthopaedic Surgeon, Wellington Knee Surgery Unit, London and Chase Farm Hospital, Enfield

Mr Paul Whittingham-Jones, FRCS (Tr & Orth) Specialist Registrar in Trauma and Orthopaedic Surgery, Royal National Orthopaedic Hospital, Stanmore

ix

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Cambridge University Press 978-0-521-18471-7 - Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth) Edited by Kesavan Sri-Ram Frontmatter More information

Foreword

The biggest hurdle for the modern orthopaedic trainee is passing the FRCS (Tr & Orth) exit examination. Practice is necessary when preparing for any examination, and the written component of the FRCS (Tr & Orth) is no exception. However, this does need to be focused. So why another book? These MCQs and EMQs are divided according to subspecialty so the questions can easily be used as part of a revision plan. Detailed explanations are given in the answers making this a revision guide by topic as well as practice with the question-and-answer format. Written by surgeons with recent examination experience, this book features both styles of exam questions and covers the topics in the FRCS (Tr & Orth) syllabus. Mr Barry Ferris MS FRCS Consultant Orthopaedic Surgeon Barnet Hospital, London

x

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Cambridge University Press 978-0-521-18471-7 - Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth) Edited by Kesavan Sri-Ram Frontmatter More information

Preface

Examinations are always a nuisance, especially as you enter more mature years. Studying becomes less natural and more tedious. Thankfully, the FRCS (Tr & Orth) examination is just about orthopaedics, and so some of the knowledge required would hopefully be second nature. However, MCQ and EMQ examinations always tend to ask about less obvious topics, which do not always feature in routine practice, and this is no different with the FRCS (Tr & Orth). When many of the authors were preparing for their examination, there was a distinct shortage of practice questions. The vast majority related to American examinations, and our experience was that these are very different to the questions in the British examination. The aim of this book, therefore, is to provide the candidate with a feel of the standard of questions in the examination. Divided into subspecialty chapters, the book contains both MCQs and EMQs in the same format as the FRCS (Tr & Orth), with many of the topics encountered in the actual examination by the authors. Each chapter is complete with explanations to provide the required knowledge and selected references for further reading. Although a great deal of work is required to pass this examination, it is hoped that this book provides not only knowledge, but also some reassurance that the process will go smoothly. Kesavan Sri-Ram

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Cambridge University Press 978-0-521-18471-7 - Postgraduate Orthopaedics: MCQs and EMQs for the FRCS (Tr & Orth) Edited by Kesavan Sri-Ram Frontmatter More information

Acknowledgements

I'm very grateful for all the authors who have found time in busy schedules to write the chapters and keep to the deadlines (ish!). Many of the authors were part of my `study group', and were instrumental in me getting through the FRCS. I am also grateful for the training experiences with every consultant I have had the privilege to work for and be trained by; these, without exception, have been excellent. I would like to thank Nick and Joanna at Cambridge University Press for all their help during the entire process of composing this book, right from the initial proposal through to the final editing. My appreciation for the support from friends and family, especially my parents, goes without saying, but my biggest thank you is to my wife, Sharmili, and girls, Alisha, Riya and Shrina, who allowed me enough time in my `office' to put this book together.

xii

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