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Paediatric Spine – Case of the week – March 2019 FRCS Tr&Orth

A 3 year old patient was brought in by ambulance following a road traffic collision.  He was placed on spine board and the neck was immobilised.

Describe what you see?

If a paediatric spine board was not available, how else would suggest the child could be positioned?

8 year old boy presenting with an acute torticollis after an injury to the neck sustained whilst play fighting with siblings.

X-rays and CT scan were performed. Tell me what you see.

Which anatomical structures provide atlantoaxial stability?

Are you aware of any classifications for this type of injury?

What are your management options?


Answers to this weeks case of the week can be found within the viva questions bank here.

Welcome to the FRCSOrtho site. Each week we release a case from our question bank to help you prepare for your FRCS Tr and Orth exam.  The question bank continues to grow and we now have over 350 questions.  Please also look at our sample questions.

We hope you have enjoyed this question. Please register to FRCS Tr & Orth Viva Question Bank Access to discover the answer to these questions, and many more questions.  We hope you enjoy the largest FRCS Tr & Orth question bank and we wish you every success in your FRCS Orth exam!

Good Luck!

FRCS Ortho Team

Case of the week – Bone Tumour

This is a radiograph of an 11 year old following twisting her ankle. Describe what you see

She twisted her ankle whilst playing football and has pain on the distal lateral aspect of her fibula. How do you proceed?

In which patients is the fracture risk high?

Would you perform an MRI on this lesion?

 


Answers to this weeks case of the week can be found within the viva questions bank here.

Welcome to the FRCSOrtho site. Each week we release a case from our question bank to help you prepare for your FRCS Tr and Orth exam.  The question bank continues to grow and we now have over 350 questions.  Please also look at our sample questions.

We hope you have enjoyed this question. Please register to FRCS Tr & Orth Viva Question Bank Access to discover the answer to these questions, and many more questions.  We hope you enjoy the largest FRCS Tr & Orth question bank and we wish you every success in your FRCS Orth exam!

Good Luck!

FRCS Ortho Team

Recent Part 1 Experience – MCQ / EMQ – FRCS Tr & Orth

Dear All,

I am writing to give you all a heads up about the FRCS (Tr & Ortho) Exam. I am sure you would be aware of what is required but felt it may be useful to give you my own account of the whole process leading up to Part 1 (can’t speak about Part 2 yet).

Having a study buddy greatly helps with the preparation to motivate each other to revise and not to loose focus (helps for Part 1 as well from my own experience).

The Part 1 exam is very much different to all the available resources. UKITE come closest but I personally felt the exam was more difficult and vague compared to UKITE.

During the actual exam time is very critical. You need to complete the exam in the allocated time, which sometimes can be demanding. Hence the more you practise the better you get.

Feb 2019 Sitting.

  • The MCQs were a bit tough but manageable.
  • However the EMQs were a different ball game. Majority of the EMQs were very vague with minimal clinical information requiring one to make a reasonable judgement of the answer – which basically relies very much of background clinical knowledge.
  • The exam itself is taxing (in spite of all the practise you have done) – half way through the EMQs I was feeling very tired and definitely exhausted after the exam – few others who sat the exam in Feb felt the same.
  • Anatomy was the key for the Feb 2019 Part 1 sitting. Not sure if this was the case previously. These were all applied anatomy questions assessing anatomical relations etc – all the questions required to go through at least 2 hurdles to get to the answer.

General advice

  • Know you anatomy well – read a good book. Miller’s textbook has a good synopsis of anatomy but I know it is difficult to read.
  • Millers audio lectures / podcast are good to listen whilst driving – 40hrs of lectures covers the whole breadth of orthopaedics. It’s a bit dated (2006-7) but still good place to start off.
  • Orthobullets is good resource for background knowledge but my feeling is that it didn’t help much for the exam, as the questioning style for FRCS is very different. It give you the background knowledge but you still need to practise FRCS style questions.
  • The exam tests your background knowledge, which you would have gained from different clinical situations with a majority of questions testing applied clinical knowledge. So learn and take in as much information as you go along through training.

Resources: the below are the resources which I felt are good for Part 1.

The exam requires a significant amount of preparation so please don’t take the exam lightly. You may have heard some previous trainees say they prepared for 1-2 month before the exam and still passed – I would suggest don’t leave this to luck unless you are already well prepared.

It is better to be over prepared than under prepared for the exam. The Doctors mess at Oswestry has this quote – ‘FAIL TO PREPARE = PREPARE TO FAIL’ which sums up everything I wanted to say (The Oswestry training programme has been talked about as having the best teaching programme).

I understand that some of you may be considering sitting the Part 1 in Nov 2019 so plan your preparation.  Hopefully I have been able to give you my thoughts about the Part 1. I will give you all an update following my Part 2 exam. If you have any questions please don’t hesitate to contact me.

Best wishes

K H Sunil Kumar MBBS  MRCSEd MCh Ortho DipSEM (UK&I) FEBOT
ST7 Trauma & Orthopaedics
East of England T&O Training Programme

BOTA Members Receive 50% Discount!

We are pleased to announce that we have teamed up with the British Orthopaedic Trainees Association (BOTA) to provide members with a 50% discount to the website.

FRCS Ortho It is a one-stop shop to help you pass the FRCS Ortho Viva Exam.

It has the largest online resource of FRCS Ortho viva questions and also includes relevant FRCS courses.

Plus information on how to apply for the exam and a letter to help you claim the tax back from your exam afterwards.

BOTA members will be given a 50% discount.

Once you access the site there are a huge range of VIVA questions to help you practice and learn for part 2. These are separated by sub-specialty and basic science.

There is also a section on surgical approaches and a section to mix up your learning with videos that successful candidates found useful in their preparation.

If you are having difficulty redeeming the discount please contact us with your BOTA membership number via email.

Yours sincerely,

FRCS Ortho

Question of the Week – Trauma – 3rd March 2019

12 year old boy with ongoing lower leg pain

Describe what you see

How would you manage this patient?

This is a stress fracture of the tibia. How would you treat it?

This is a 22 year old man, who has been treated nonoperatively with protected weighbearing for 8 weeks. How would you manage him? He is otherwise fit and well and a non smoker.

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Answers to this weeks case of the week can be found within the viva questions bank here. Welcome to the FRCSOrtho site. Each week we release a case from our question bank to help you prepare for your FRCS Tr and Orth exam.  The question bank continues to grow and we now have over 350 questions.  Please also look at our sample questions. We hope you have enjoyed this question. Please register to FRCS Tr & Orth Viva Question Bank Access to discover the answer to these questions, and many more questions.  We hope you enjoy the largest FRCS Tr & Orth question bank and we wish you every success in your FRCS Orth exam! Good Luck! FRCS Ortho Team

Oswestry Clinical Examination Course for the FRCS Tr & Orth April 2019

Intensive Courses in Clinical Examination for FRCS (Orth) are held in January, April and October. The courses may well be full so please do not pay for these courses without contacting Sian Jones first.   For further information contact [email protected]

https://www.orthopaedic-institute.org/courses

PROGRAMME

08.00-08.15 Registration and coffee – Institute of Orthopaedics Foyer

08.15-08.30 Introduction

08.30-09.30 Spine Examination – lecture

09.30-10.30 Upper Limb Examination (hand, plexus, shoulder and elbow) demonstration and lecture

09.30-09.55 Wrist and hands

09.55-10.30 Shoulder and elbow

10.30-10.45 Tea/Coffee – Institute of Orthopaedics Foyer

10.45–11.45 Lower Limb Examination (hip / knee) demonstration and lecture

10.45-11.05 Foot and Ankle

11.05-11.25 Hip

11.25-11.45 Knee

11.45-12.30 Paediatric examination – lecture

12.30-13.25 Lunch in Denbighs Restaurant 13.30 – 17.45

UPPER LIMB SHORT CASES

Venues: Childrens OPD and Lecture Theatre Lecture Theatre (Hands / Wrists) Childrens OPD (Shoulder / Elbow / Plexus) Candidates – 2 groups of 9 split into 3s. 13.30–1530 Group 1: Lecture Theatre / Group 2: Childrens OPD

15.30-15.45 Tea/Coffee – Institute of Orthopaedics Foyer

15.45-17.45 Group 1: Childrens OPD / Group 2: Lecture Theatre

TUESDAY 08.15-08.30 Tea/Coffee – Institute of Orthopaedics Foyer

08.30 – 12.45 LOWER LIMB SHORT CASES

Venue: Conference Centre Foot and Ankle Exam session and Hip and Knee Exam session Candidates – 2 groups of 9 split into 3s

08.30-10.30 Group 1: Conference Centre / Group 2: Conference Centre

10.30-10.45 Tea/Coffee Break – Institute of Orthopaedics Foyer

10.45-12.45 Group 1: Conference Centre / Group 2: Conference Centre

12.45-13.25 Lunch in Denbighs Restaurant

13.30 – 17.30 EXAMINATION SESSION

Venue: Conference Centre

13.00 – 13.30 Examiners to meet in Conference Centre

13.25 – 13.30 Delegates to assemble in Institute of Orthopaedics ready to be collected to go to Conference Centre

16.10-16.40 Review of cases

16.45-17.15 Feedback – Lecture Theatre

Luton FRCS (Orth) Clinical and Viva Revision Course

Luton FRCS (Orth) Clinical and Viva Revision Course

FRCS orth Flyer 05 01 2019

 

Date: Saturday, 5th January 2019

Venue:

Main Lecture Theatre, Comet Centre

Luton & Dunstable University Hospital NHS Trust

 Luton, Bedfordshire

LU4 0DZ

An intensive revision course aimed at candidates taking the FRCS orth exams

Course to cover

  • Tips & Tricks
  • Hot seat for Paediatrics/Spine
  • Mock viva sessions
  • Clinical cases
  • FRCS Orth Examiners and experienced faculty
  • Course Fee – FREE

Course Organisers and Contacts

Mr Sanjiv Manjure: [email protected]

Mr Amit Sharma: [email protected]

                                 

This Course is supported by Consultant Orthopaedic Surgeons and Comet Postgraduate Centre, Luton and Dunstable University Hospital and NHS Foundation Trust.

FRCS orth Flyer 05 01 2019

Paeds – Case of the Week – 29th May 2018

  • Describe XR, what is the diagnosis, tell me about the condition.
  • What is aetiology/pathog?
  • Name a classification for acute slips
  • What is chronic slip?
  • What is treatment of acute slips?
  • What are the complications?
  • What is option for chronic slips?
  • What is the risk of Dunn osteotomy?

  • What has happened to this  SUFE?
  • What is differential for this XR excluding SUFE?
  • What is the management

 

 

 

 

 


Answers to this weeks case of the week can be found within the viva questions bank here.

Welcome to the FRCSOrtho site. Each week we release a case from our question bank to help you prepare for your FRCS Tr and Orth exam.  The question bank continues to grow and we now have over 350 questions.  Please also look at our sample questions.

We hope you have enjoyed this question. Please register to FRCS Tr & Orth Viva Question Bank Access to discover the answer to these questions, and many more questions.  We hope you enjoy the largest FRCS Tr & Orth question bank and we wish you every success in your FRCS Orth exam!

Good Luck!

FRCS Ortho Team

Hands – Case of the Week – 10th May 2018

 

  • What does this clinical photograph show?
  • Differential diagnosis
  • Management options

 

 

 


Answers to this weeks case of the week can be found within the viva questions bank here.

Welcome to the FRCSOrtho site. Each week we release a case from our question bank to help you prepare for your FRCS Tr and Orth exam.  The question bank continues to grow and we now have over 350 questions.  Please also look at our sample questions.

We hope you have enjoyed this question. Please register to FRCS Tr & Orth Viva Question Bank Access to discover the answer to these questions, and many more questions.  We hope you enjoy the largest FRCS Tr & Orth question bank and we wish you every success in your FRCS Orth exam!

Good Luck!

FRCS Ortho Team

Shoulder – Case of the Week – 6th April 2018

Question

35yrs, female with severe pain in the shoulder

 

Describe the xray

How would you treat this patient acutely in A&E?

How would you treat them in the long term?

 

 

Answers to this weeks case of the week can be found within the viva questions bank here.

Welcome to the FRCSOrtho site. Each week we release a case from our question bank to help you prepare for your FRCS Tr and Orth exam.  The question bank continues to grow and we now have over 350 questions.  Please also look at our sample questions.

We hope you have enjoyed this question. Please register to FRCS Tr & Orth Viva Question Bank Access to discover the answer to these questions, and many more questions.  We hope you enjoy the largest FRCS Tr & Orth question bank and we wish you every success in your FRCS Orth exam!

Good Luck!

FRCS Ortho Team