Questions for State Rigorous Exam in Surgery – General Medicine
prof. MUDr. Josef Vodička, Ph.D.
Annotation
Surgery - history and future. Asepsis, anti-sepsis, disinfection, sterilisation. Wounds - classification, healing, healing disorders, temporary and definite treatment. Strategy for diagnostics and therapy of infections in surgery. Sepsis. Anaerobic and mixed infections. Purulent infections of skin, subcutaneous tissue and skin adnexa. Panaritia and purulent infections in the hand. Nosocomial infections. Pathophysiological changes caused by surgery and trauma. Metabolism disorders in surgical patients and their correction. Nutritional issues and intensive care in surgery. Basic algorithm for diagnostics of surgical disorders. General basis of surgical therapy. Preparation of a patient for surgery. Surgical procedure - general rules, terminology of basic surgeries, instrumentation. Basic surgical procedures of a general nature. Basics of plastic and reconstructive surgery. Basic rules for post-operation care. Complications in the surgical wound. Post-operation gastrointestinal complications. Post-operation respiratory complications. Post-operation circulatory and thrombembolic complications. Post-operation urinary, allergic and neurological complications. Blood transfusion. Shock. Basic procedures in first aid and pre-hospital life support. Heat injury. Crush syndrome, reperfusion syndrome, blast syndrome. Basic characteristics of war surgery. General issues of oncological surgery. Transplantology.
Surgery of the thyroid gland. Surgery of parathyroid glands. Pleural syndromes. Primary and secondary lung tumours. Injury to the chest. Mediastinal inflammation and tumours. Breast inflammation and tumours. External and internal hernias. Non-neoplastic oesophageal disorders. Gastroduodenal ulcer. Tumours of the oesophagus and stomach. Crohn’s disease. Inflammatory disorders of the large bowel. Non-neoplastic disorders of the anorectum. Colorectal carcinoma. Benign and malignant disorders of the liver. Injuries to the liver and spleen. Cholecystolithiasis and its complications. Differential diagnostic of obstructive icterus. Pancreatic tumours. Bleeding to the gastrointestinal tract. Acute appendicitis. Inflammatory acute abdomen. Ileous acute abdomen. Peripheral vascular disorder of the lower limbs. Diabetic foot. Aneurysm of aorta and peripheral arteries. Acute limb ischemia. Organ transplantation. The most frequent surgical disorders in paediatrics.
Diagnostic procedures, methods of treatment and perioperative care in neurosurgery. Intracranial hypertension. Surgery of congenital and developmental disorders of nervous system. Head and brain trauma. Spinal trauma with spinal cord and spinal roots trauma. Intracranial expansive lesions (tumorous and nontumorous expansions, vascular lesions, inflammatory lesions). Expansions in spinal channel, spinal cord tumorous lesions, spinal cord compressive syndromes. Surgery of peripheral nerves. Functional neurosurgery (treatment of pain, epilepsy and movement disorders, lesional functional neurosurgery). Surgery of brain ischaemia (carotid endarterectomy, EC-IC bypass, decompressive craniectomy). Haemorrhagic vascular diseases (aneurysms, AVM, cavernomas, hypertonic haematomas). Benign intracranials tumours. Malignant intracranials tumours. Degenerative diseases of cervical and lumbar spine. Hydrocephalus.
Basic principles of cardiopulmonary bypass systems. Basic principles and examples of cardiac assist devices. Surgical tretament of coronary artery disease. Complications of coronary artery disease and their surgical treatment. Acquired valve diseases and their surgical treatment. Surgical treatment of atrial fibrillation. Frequent congenital valve diseases and basics of their surgical treatment. Diagnosis and treatment of ascending aorta and aortic arch diseases. Acute aortic dissection (diagnosis and treatment). Heart transplant. Postoperative care in cardiac surgery. Nonpenetrating cardiac injuries. Penentrating cardiac injuries. Cardiac tamponade (diagnosis and treatment). Frequent cardiac tumors (diagnosis and treatment).
Last update: Vodička Josef, prof. MUDr., Ph.D. (02.09.2013)
Course completion requirements
The Final State Exam in Surgery is both oral and taken in personal attendance. During the exam, the student draws 3 questions, one each from general surgery, special surgery and alternatively from neurosurgery or cardiac surgery.
Last update: Vodička Josef, prof. MUDr., Ph.D. (29.08.2023)
Literature
Valenta J., Gral T. et al. Introduction to Surgery. Praha, Galén Karolinum, 2002. Garden O.J., Bradbury A.W., Forsythe J.L.R., Parks R.W. Principles & Practice of Surgery. 5th Edition. Philadelphia, Churchill Livingstone Elsevier, 2007. Henry M.M., Thompson J.N. Clinical Surgery. 3rd Edition. Philadelphia, Saunders Elsevier, 2012.
Last update: Vodička Josef, prof. MUDr., Ph.D. (05.09.2013)
Requirements to the exam
The attendance and the credit.
Last update: Vodička Josef, prof. MUDr., Ph.D. (26.09.2020)
Syllabus
Surgery - history and future. Asepsis, anti-sepsis, disinfection, sterilisation. Wounds - classification, healing, healing disorders, temporary and definite treatment. Strategy for diagnostics and therapy of infections in surgery. Sepsis. Anaerobic and mixed infections. Purulent infections of skin, subcutaneous tissue and skin adnexa. Panaritia and purulent infections in the hand. Nosocomial infections. Pathophysiological changes caused by surgery and trauma. Metabolism disorders in surgical patients and their correction. Nutritional issues and intensive care in surgery. Basic algorithm for diagnostics of surgical disorders. General basis of surgical therapy. Preparation of a patient for surgery. Surgical procedure - general rules, terminology of basic surgeries, instrumentation. Basic surgical procedures of a general nature. Basics of plastic and reconstructive surgery. Basic rules for post-operation care. Complications in the surgical wound. Post-operation gastrointestinal complications. Post-operation respiratory complications. Post-operation circulatory and thrombembolic complications. Post-operation urinary, allergic and neurological complications. Blood transfusion. Shock. Basic procedures in first aid and pre-hospital life support. Heat injury. Crush syndrome, reperfusion syndrome, blast syndrome. Basic characteristics of war surgery. General issues of oncological surgery. Transplantology. Surgery of the thyroid gland. Surgery of parathyroid glands. Pleural syndromes. Primary and secondary lung tumours. Injury to the chest. Mediastinal inflammation and tumours. Breast inflammation and tumours. External and internal hernias. Non-neoplastic oesophageal disorders. Gastroduodenal ulcer. Tumours of the oesophagus and stomach. Crohn’s disease. Inflammatory disorders of the large bowel. Non-neoplastic disorders of the anorectum. Colorectal carcinoma. Benign and malignant disorders of the liver. Injuries to the liver and spleen. Cholecystolithiasis and its complications. Differential diagnostic of obstructive icterus. Pancreatic tumours. Bleeding to the gastrointestinal tract. Acute appendicitis. Inflammatory acute abdomen. Ileous acute abdomen. Peripheral vascular disorder of the lower limbs. Diabetic foot. Aneurysm of aorta and peripheral arteries. Acute limb ischemia. Organ transplantation. The most frequent surgical disorders in paediatrics. Diagnostic procedures, methods of treatment and perioperative care in neurosurgery. Intracranial hypertension. Surgery of congenital and developmental disorders of nervous system. Head and brain trauma. Spinal trauma with spinal cord and spinal roots trauma. Intracranial expansive lesions (tumorous and nontumorous expansions, vascular lesions, inflammatory lesions). Expansions in spinal channel, spinal cord tumorous lesions, spinal cord compressive syndromes. Surgery of peripheral nerves. Functional neurosurgery (treatment of pain, epilepsy and movement disorders, lesional functional neurosurgery). Surgery of brain ischaemia (carotid endarterectomy, EC-IC bypass, decompressive craniectomy). Haemorrhagic vascular diseases (aneurysms, AVM, cavernomas, hypertonic haematomas). Benign intracranials tumours. Malignant intracranials tumours. Degenerative diseases of cervical and lumbar spine. Hydrocephalus. Basic principles of cardiopulmonary bypass systems. Basic principles and examples of cardiac assist devices. Surgical tretament of coronary artery disease. Complications of coronary artery disease and their surgical treatment. Acquired valve diseases and their surgical treatment. Surgical treatment of atrial fibrillation. Frequent congenital valve diseases and basics of their surgical treatment. Diagnosis and treatment of ascending aorta and aortic arch diseases. Acute aortic dissection (diagnosis and treatment). Heart transplant. Postoperative care in cardiac surgery. Nonpenetrating cardiac injuries. Penentrating cardiac injuries. Cardiac tamponade (diagnosis and treatment). Frequent cardiac tumors (diagnosis and treatment).
Last update: Vodička Josef, prof. MUDr., Ph.D. (02.09.2013)