Detailed answer according to weightage of marks based on standard surgical books
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All 6 questions are answered. Here is a quick guide to mark allocation so you can write proportionately in the exam:
Quick Mark Allocation Guide
| Question | Sub-parts | Suggested word-count |
|---|---|---|
| Q1 (30 marks) | Anatomy 6 + Physiology 5 + Hypersplenism 5 + Causes 6 + Management 8 | ~2500 words + diagrams |
| Q2 (30 marks) | Aetiopathology 10 + Presentation 8 + Investigations 4 + Management 8 | ~2500 words + diagram of metabolic alkalosis |
| Q3a (10 marks) | Embryology+Rule of 2s 3 + Clinical presentations 4 + Investigations+Surgery 3 | ~800 words |
| Q3b (10 marks) | Definition+Causes 2 + Pathophysiology 2 + Features 2 + Investigations 2 + Management 2 | ~800 words |
| Q4a (10 marks) | Pathology types 2 + Clinical features 3 + Investigations 2 + Treatment 3 | ~800 words |
| Q4b (10 marks) | Mechanism classification 2 + CDC surgical classification (table) 4 + Depth 1 + Healing types 2 + NNIS 1 | ~700 words + table |
Key diagrams to draw (as the paper instructs):
- Q1: Anatomy of spleen, White/Red pulp histology
- Q2: Metabolic alkalosis cycle; Billroth reconstructions
- Q3a: Meckel's diverticulum anatomy (Rule of 2s labelled)
- Q3b: Plain X-ray "omega loop" / "coffee bean" sign
- Q4b: Table of CDC wound classification (Classes I-IV)
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