About:

This four-part interactive teaching series will provide attendees with a thorough revision of the core topics that mainly make up the 'knowledge' component of the MRCS OSCE. Delivered via Zoom, it is specifically designed for candidates appearing for the exam in May 2022. The teaching will be structured and delivered by Professor Stuart Enoch, convenor and chair of faculty of the highly regarded and well-established Cardiff MRCS Courses.

Attendees can choose to attend whichever session(s) they feel will be beneficial to their revision.

Delegates who register for all four sessions will also receive a 10-day complementary access to the MRCS OSCE Online Revision Resource
(https://courses.doctorsacademy.org.uk/MRCSBonline/Home.aspx) before the exam.

Reviews

Session 1:

Tuesday 3^rd May 2022
1330 - 1730 hours BST
Skull Base, Head, Scalp, Face and Neck; Thyroid Pathologies, Melanoma, Skin Cancers.

Topics Covered:

• Cranial fossa
• Sutures and foramina of the skull
• Courses of the cranial nerves
• Cranial nerve lesions
• Dural venous sinuses
• Circle of Willis
• Strokes
• Scalp pathologies
• Pterygopalatine fossa and structures
• Infratemporal fossa and mandible
• CSF and flow of CSF
• Hydrocephalus – types and management
• Head injuries and neurophysiology
• Submandibular and parotid glands
• Salivary gland tumours
• Triangles of the neck and structures
• Swellings and pathologies in the neck
• Larynx and pharynx
• Thyroid and parathyroid
• Thyroid pathologies and cancers
• Lymphatic drainage of the head and neck
• Diagnosis and management of malignant melanoma
• Diagnosis and management of common skin cancers

Session 2:

Wednesday 4^th May 2022
0830 - 1230 hours BST
Thorax and Upper Limb - Anatomy, Pathology and Surgery including Cancers (Oesophageal and Breast) and Nerve Injuries; Burns, Electrolytes and Fluid Physiology, Renal Physiology and Inotropes.

Topics Covered:

• Thoracic skeleton
• Angle of Louis
• Mediastinum - boundaries and contents
• Lungs - hilum, fissures, lobes, relations
• Heart - parts, coronary circulation, conduction system
• Major vessels and branches
• Dysphagia, GORD and Barrett’s oesophagus
• Oesophagus - structure, blood supply, management of cancers
• Breast - structure, blood supply, lymphatic drainage, management of breast cancers
• Brachial plexus
• Blood supply to the upper limb
• Course of major nerves in the arm
• Antecubital fossa, carpal tunnel, ASB, hand
• Shoulder pathologies
• Upper limb fractures
• Upper limb nerve injuries
• Assessment of large TBSA burns
• Emergency management of burns
• Fluid resuscitation in burns
• Inhalation burns
• Escharotomy
• Transfer criteria for burns
• Electrolytes and fluids
• Renin-angiotensin mechanism
• Functions of the nephron and counter-current multiplier
• Inotropes and mechanism of action

Session 3:

Wednesday 4^th May 2022
1330 - 1730 hours BST
Abdomen and Pelvis - Anatomy, Pathology, Surgery including Cancers (Bowel, Carcinoid, Testicular); IBD; Cushing's, Addison's and MEN Syndromes.

Topics Covered:

• Diaphragm
• Anterior abdominal wall
• Abdominal wall hernias
• Inguinal region and swellings
• Scrotum, scrotal lumps and testicular cancers
• Blood supply to the abdominal organs
• Major and minor branches of the abdominal aorta
• Small and large bowel
• Greater, lesser sacs; Greater, lesser omentum
• Porta hepatis
• Stomach, GB, liver, pancreas
• Ligaments of the liver and the spleen
• Splenic injuries and management
• Pelvis and perineum
• Urinary bladder, ureters and urethra
• Prostate, BPH and prostate cancer
• Fascia of the perineum
• Lymphatic drainage of the GI tract
• Haemorrhoids
• Inflammatory bowel diseases
• Diverticulosis and diverticulitis
• Cancers of the bowel, colectomies and stomas
• Carcinoid tumour and syndrome
• Adrenal glands
• Pheochromocytoma
• HPA axis and ACTH
• Investigation of adrenal disorders
• Cushing's disease and Cushing's syndrome
• Addison's disease
• MEN syndromes

Session 4:

Thursday 5^th May 2022
1330 - 1730 hours BST
Lower Limb, Nerve Injuries, Trauma, Compartment Syndrome; Spine, Spinal Cord, Spinal Cord Injuries, Lumbar Puncture, Autonomic Nervous System;Vascular Surgery; Sutures, LA, Principles of Surgery; Wound Healing and Reconstruction.

Topics Covered:

• Lumbar and lumbosacral plexus
• Femoral triangle
• Course of major nerves in the lower limb
• Greater and lesser sciatic foramina
• Pelvic and lower limb trauma, and management
• Approaches to the hip joint and nerve injuries
• Management of fracture neck of femur
• Adductor canal
• Popliteal fossa
• Knee joint and injuries
• Compartments of the lower leg and contents
• Compartment syndrome and its management
• Great and short saphenous veins, and their clinical relevance
• Ankle joint and their injuries
• Blood supply of the spinal cord
• Spinal cord tracts
• Spinal cord injuries
• Lumbar puncture
• Autonomic nervous system
• Splanchnic, superior and inferior hypogastric plexuses
• Management of peripheral arterial disease
• Vascular bypass and stents
• Screening for AAA, EVAR and open repair of aneurysms
• Wound healing - phases and types
• Reconstructive ladder in plastic surgery
• Grafts and flaps – indications and contraindications
• Sutures and suture materials
• Local anaesthesia
• General principles of surgery