Pdf | Frcs Companion Cases For The Intercollegiate Exam In General Surgery

Introduction

How to use: Do not just read it. Visualize the patient. If using the PDF on a tablet, use the annotation tools to highlight key "buzzwords" (e.g., tender mass, previous surgery, C-reactive protein levels).

Best for: High-yield, exam-familiar scenarios.
How to use: Each scenario is formatted exactly as an examiner would ask it. It includes "Examiner’s pitfalls" and "Model answers."
PDF Availability: Officially sold as an eBook (through Amazon Kindle or Wiley). No legal free PDF exists, but the eBook replicates the pagination of a print PDF.

Stem: 85-year-old, 48h of diffuse abdominal pain, rigid abdomen, septic.
Companion 1: Your diagnosis? (Perforated viscus). However, chest X-ray shows no free air. Does that rule it out? (No – 20% false negative).
Companion 2: CT shows sigmoid perforation with feculent peritonitis. What is the Mannheim Peritonitis Index? (Calculate risk of death).
Companion 3: Family asks for "no surgery." What do you do? (Best interest meeting, IV antibiotics, peritoneal drainage if appropriate).

Once you have access to companion cases: Introduction