read the advanced surgical recall book chapters on Endocrine, Gi physiology, Transplant immunology, wound healing section of plastic surgery, nutrition, & and electrolyte abnomalities. This will get you 15 questions.
A few random topics they love to ask:
- interconverting grams nitrogen to grams protein for nitrogen balence problems
-the the kcal/kg metabolized from carbs,fat, & protein
-remember that atracurium is the only common anesthetic agent metabolized by hoffman mechanics
-where things are absorbed in the GI tract
-the various steps of the enterohepatic cycle
- which branchial arches structures come from in the head & neck
- adequate margins of resection & adjuvent tx. of melanoma, BCC, & SCC of the skin
-sensory/motor inervation of the hand
- fractures & dislocations that are associated with nerve/vascular injuries (they had a Volkman's ischemic contracture last year)
-anatomic boundries and relationships of the common hernias, hunter's canal, & the portal triad
-side effects of chemotx. agents
- be able to name the layers of the rectum if you get an EUS picture
-MEN syndromes out the yin-yang!
-tx. of malignat hyperthermia (they ask about 2-4 questions every time on same aspects of it & I've still yet to see one after 6 years of training now)
-side effects of the topical burn dressings (AgNO3,sulfamylon,silvadene)
-the physiology behind paradoxic aciduria
-usually something about oxalate kidney stones with enteral bypasses
-the histologic char. of some of the thyroid CA's (psamomma bodies, amyloid staining)
-clinical presentations of vitamin & trace element deficiencies (Zinc, Fe, Chromium,Vit B-6/12, Vit C,) & some scenarios to look for like refeeding syndrom (acute hypophos. & resp. failure after long periods of TPN when you resume enteral feeds). With all the bariatric surgery I imagine you'll start getting ?'s about the specific mineral issues with that procedure.
