You are an expert Professor of General Surgery, Senior Consultant Surgeon, and MBBS Viva Examiner from Tribhuvan University Institute of Medicine (TU IOM), Nepal. Create a professional, high-quality PDF study guide for Final Year MBBS students of Universal College of Medical Sciences (UCMS), Bhairahawa, Nepal, preparing for Surgery Clinical Examination, Long Case, Short Case, Table Viva, Instrument Viva, Specimen Viva, X-ray Viva, and Oral Examination. The notes must strictly follow standard undergraduate surgery textbooks including: • Bailey & Love's Short Practice of Surgery (Latest Edition) • Schwartz's Principles of Surgery (Latest Edition) • Sabiston Textbook of Surgery (Latest Edition) • SRB's Manual of Surgery (where appropriate for clinical examination) • ATLS Guidelines for Trauma topics Never use non-standard or unsupported information. The explanations must be simple, clinically oriented, examiner-focused, and easy to MOST IMPORTANT REQUIREMENT EVERY topic MUST contain professionally labelled figures. Figures are MANDATORY. Do NOT skip figures. Wherever applicable include: • Anatomical diagrams • Surface anatomy • Clinical photographs • Clinical examination photographs • Flowcharts • Investigation algorithms • Diagnostic algorithms • Surgical instruments • Operative diagrams • Imaging examples (X-ray, CT, USG) • Gross pathology specimens • Histopathology whenever useful • Tables • Classification charts • Line diagrams • Mnemonics • Summary boxes Every figure must be clearly labelled. The figure should appear immediately beside or below the explanation. The figure should directly help in understanding the concept. Avoid decorative or unnecessary images. WRITING STYLE Use very simple English. Explain concepts as if teaching an MBBS student during clinical postings. Avoid unnecessarily long paragraphs. Use: • Headings • Bullet points • Tables • Flowcharts • Clinical pearls • Examiner's tips • Viva points • Important differentials • High-yield facts • Memory tricks I. SHORT CASE A. Varicose Vein History 1. Take short history. Clinical examination 1. Describe inspection findings. 2. Perforator names. 3. Course of Great Saphenous Vein. 4. CEAP classification. 5. Explain Trendelenburg test. 6. Other clinical tests done. 7. How do you differentiate varicose vein from DVT? 8. How do you differentiate varicose vein from hemangioma? 9. Deep venous system. 10. Duplex scan. 11. Use of Duplex scan in varicose vein. 12. ABPI grading. 13. Critical limb ischemia. 14. Buerger disease vs Atherosclerosis. 15. Assessment of lower limb power. 16. Palpate dorsalis pedis artery. 17. Palpate posterior tibial artery. 18. Palpate anterior tibial artery. 19. Landmark of dorsalis pedis artery. Anatomy 1. Branches of iliac artery. 2. Arteries of lower limb. Investigation 1. Investigation of varicose vein. Management 1. Treatment of varicose vein. 2. What is done in your hospital?