Surgical Handicraft

Surgical Handicraft Surgical Handicraft βœ‚οΈπŸ“š
Where surgical knowledge meets craftsmanship. We are not affiliated with the Royal Colleges of Surgeons or any official MRCS body.

Surgical Handicraft
Where surgical knowledge meets craftsmanship.

πŸ”Ή Educational discussions - MRCS
πŸ”Ή Revision tips & clinical pearls
πŸ”Ή Academic resources crafted for clarity
πŸ”Ή Motivation for the surgical journey This page is dedicated to supporting MRCS aspirants, surgical trainees, and lifelong learners with:
πŸ”Ή Educational discussions
πŸ”Ή Revision tips & clinical pearls
πŸ”Ή Academic resources craf

ted for clarity
πŸ”Ή Motivation for the surgical journey

⚠️ Disclaimer: This is an independent educational platform. All content is for academic purposes only.

πŸ‘¨β€βš•οΈ Curated by Dr Shahriar
πŸ“© For queries & updates: surgicalhandicraft@gmail.com

19/04/2026

πŸ“˜ EXPANDED SURGERY – BROAD SYLLABUS COVERAGE
πŸ”΄ 1. PRINCIPLES OF SURGERY
Asepsis & antisepsis
Sterilisation & disinfection methods
Wound healing (phases, factors affecting)
Acute & chronic inflammation
Surgical infections (cellulitis, abscess, necrotising infections)
Sinus, fistula, ulcer (classification & principles)
Shock (types, pathophysiology, management)
Fluid, electrolyte & acid-base balance
Blood transfusion (indications, reactions, complications)
Nutrition in surgery (enteral, parenteral, malnutrition, refeeding)
πŸ”΅ 2. PERIOPERATIVE CARE & ANAESTHESIA
Preoperative assessment & optimisation
Risk stratification (ASA grading)
Preoperative investigations (routine vs selective)
Postoperative complications (early & late)
Pain management
DVT prophylaxis
Basics of anaesthesia (GA, regional, local)
🟒 3. GASTROINTESTINAL SURGERY
Upper GI
Dysphagia (approach & causes)
Dyspepsia & alarm symptoms
Peptic ulcer disease
Gastric outlet obstruction
Gastric carcinoma
Lower GI
Acute abdomen
Intestinal obstruction
Appendicitis
Colorectal carcinoma
Inflammatory bowel disease
GI Bleeding
Upper vs lower GI bleed
Causes, evaluation, initial management
🟑 4. HEPATOBILIARY & PANCREAS
Jaundice (types & evaluation)
Obstructive jaundice
Gallstone disease
Cholecystitis
Pancreatitis (acute & chronic)
Hepatobiliary imaging (USG, CT, MRCP, ERCP)
🟣 5. BREAST SURGERY
Breast lump (benign vs malignant)
Carcinoma breast (risk factors, staging, management)
Infections (mastitis, abscess)
Screening principles
🟠 6. ENDOCRINE SURGERY
Thyroid disorders (goitre, nodules, malignancy)
Thyroid investigations (TFT, FNAC, imaging)
Thyroid surgery (types & complications)
Adrenal tumours (including functional tumours)
⚫ 7. VASCULAR SURGERY
Peripheral arterial disease
Venous diseases (varicose veins, DVT)
Ischaemic ulcers vs venous ulcers
Amputation principles
πŸ”Ά 8. UROLOGY
Urinary retention
Urolithiasis
Prostate enlargement
Haematuria
Basic urological investigations
πŸ”· 9. PAEDIATRIC SURGERY
Congenital anomalies (cleft lip/palate, pyloric stenosis)
Undescended te**is
Intestinal obstruction in children
Paediatric surgical infections
πŸŸ₯ 10. ORTHOPAEDICS & TRAUMA
Fractures
General principles (classification, healing)
Common fractures (hip, wrist, long bones)
Joint Disorders
Osteoarthritis
Rheumatoid arthritis
Spine
Low back pain
Disc prolapse
Bone Infection
Osteomyelitis
🟫 11. TRAUMA & EMERGENCY SURGERY
Primary survey (ABCDE approach)
Head injury (concussion, extradural haemorrhage)
Chest trauma (including tamponade)
Abdominal trauma
Burns (classification & management)
βšͺ 12. RADIOLOGY & DIAGNOSTICS (BASICS)
X-ray interpretation basics
Ultrasound indications
CT scan role
Endoscopy basics
Interventional procedures (e.g., ERCP)

MRCS Debatable Q Question 200 :@ J23@ Vascular TraumaA 32-year-old trauma patient presents following a road traffic acci...
13/03/2026

MRCS Debatable Q
Question 200 :@ J23@ Vascular Trauma

A 32-year-old trauma patient presents following a road traffic accident with a severe injury to the knee. Examination shows extensive bruising around the knee joint, but no haemarthrosis is present. The leg distal to the injury appears cold and pale, although a femoral pulse is still palpable.
Which of the following injuries is most likely responsible for this presentation?
A) Knee dislocation
B) Supracondylar femur fracture
C) Popliteal artery injury
D) Tibial plateau fracture
E) Tibial shaft fracture

Ans A or C ??

MRCS @ Question 79 :@ J-23 @ Physiology – Renal PharmacologyFCPS @ Q 87 Frusemide primarily acts on which part of the re...
11/03/2026

MRCS @ Question 79 :@ J-23 @ Physiology – Renal Pharmacology
FCPS @ Q 87

Frusemide primarily acts on which part of the renal nephron?

A) Glomerulus
B) Proximal Convoluted Tubule
C) Ascending Limb Of The Loop Of Henle
D) Distal Convoluted Tubule
E) Collecting Duct

MRCS recall Jan 2026 from our Previous Recalls .....
13/02/2026

MRCS recall Jan 2026 from our Previous Recalls .....

A well explained MRCS recall with 99% accurate answer + cross checked with NICE Guidelines as well as Illustrated where ...
03/02/2026

A well explained MRCS recall with 99% accurate answer + cross checked with NICE Guidelines as well as Illustrated where necessary ..GRAB your Jan 2026 SET fast !!!

MRCS Question 29 :@ S-25 @ OrthopaedicsFollowing tourniquet release during orthopaedic surgery, a patient develops sever...
30/01/2026

MRCS Question 29 :@ S-25 @ Orthopaedics

Following tourniquet release during orthopaedic surgery, a patient develops severe pain and numbness in the affected limb. What is the most likely cause?

A) Nerve Injury
B) Ischaemia–Reperfusion Injury
C) Infection
D) Haematoma Formation
E) Compartment Syndrome

MRCS Question 28 :@ S-25 @ Breast and Endocrine SurgeryA 45-year-old woman presents with a 3 cm mobile breast lump assoc...
29/01/2026

MRCS Question 28 :@ S-25 @ Breast and Endocrine Surgery

A 45-year-old woman presents with a 3 cm mobile breast lump associated with mild discomfort. Fine-needle aspiration cytology (FNAC) demonstrates benign cells. What is the most appropriate management?

A) Wide Local Excision
B) Core Biopsy
C) Observation with Follow-up
D) Mastectomy
E) Discharge with No Follow-up

MRCS Question 24 :@ S-25 @ Thoracic SurgeryA patient is scheduled for thoracic surgery and requires regional anaesthesia...
28/01/2026

MRCS Question 24 :@ S-25 @ Thoracic Surgery

A patient is scheduled for thoracic surgery and requires regional anaesthesia for postoperative pain control. Which nerve block using 0.25% bupivacaine would be most appropriate?

A) Intercostal Block
B) Paravertebral Block
C) Erector Spinae Plane (ESP) Block
D) Serratus Anterior Block
E) Local Infiltration

MRCS Recalls A 56-year-old man is admitted with muscle cramps and perioral tingling. He has a history of chronic alcohol...
27/01/2026

MRCS Recalls

A 56-year-old man is admitted with muscle cramps and perioral tingling. He has a history of chronic alcoholism and poor nutritional intake. Blood tests reveal hypocalcaemia. Despite intravenous calcium gluconate, his serum calcium remains persistently low. Which of the following abnormalities is the most likely underlying cause of his hypocalcaemia?

A) Reduced intestinal calcium absorption due to low dietary intake
B) End-organ resistance to vitamin D
C) Decreased parathyroid hormone secretion secondary to hypomagnesaemia
D) Increased renal phosphate excretion
E) Excessive calcitonin secretion from the thyroid gland

Question 1 :@ J-26 @ Colorectal SurgeryWhich of the following statements regarding the ascending colon is most accurate?...
26/01/2026

Question 1 :@ J-26 @ Colorectal Surgery
Which of the following statements regarding the ascending colon is most accurate?
A) It Is Mainly Supplied By The Ileocolic Artery
B) It Is A Retroperitoneal Structure
C) The Second Part Of The Duodenum Lies Posterior To It
D) It Is Suspended By A Long Mesocolon
E) It Drains Venous Blood Directly Into The Portal Vein

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