© 2011 <strong>PasTest</strong> LtdKnutsford Cheshire WA16 8DXTelephone: 01565 752000All rights reserved. No part of this publication may be reproduced, stored in aretrieval system, or transmitted, in any form or by any means, electronic, mechanical,photocopying, recording or o<strong>the</strong>rwise, without <strong>the</strong> prior permission of <strong>the</strong> copyrightowner.First published 1996Second edition 2003Reprinted 2005, 2009Third edition 2011ISBN 1 905635 71 0ISBN 978 1 905635 71 9A catalogue record for this book is available from <strong>the</strong> British Library.The information contained within this book was obtained by <strong>the</strong> authors fromreliable sources. However, while every effort has been made to ensure its accuracy, noresponsibility for loss, damage or injury occasioned to any person acting or refrainingfrom action as a result of information contained herein can be accepted by <strong>the</strong>publishers or authors.<strong>PasTest</strong> Revision Books, Intensive Courses and Online Revision<strong>PasTest</strong> has been established in <strong>the</strong> field of undergraduate and postgraduatemedical education since 1972, providing revision books, intensive study coursesand online revision for doctors preparing for <strong>the</strong>ir professional examinations.Books and courses are available for:Medical undergraduates, MRCGP, MRCP Parts 1 and 2, MRCPCH Parts 1 and 2, MRCS,MRCOG Parts 1 and 2, DRCOG, DCH, FRCA, Dentistry.For fur<strong>the</strong>r details contact:<strong>PasTest</strong>, Freepost, Knutsford, Cheshire WA16 7BRTel: 01565 752000 Fax: 01565 650264www.pastest.co.ukenquiries@pastest.co.ukTypeset by Carnegie Book Production, LancasterPrinted and bound in <strong>the</strong> UK by CPI Anthony Rowe
CO N T E N T SPREFACEINTRODUCTIONSYLLABUS CHECKLISTABBREVIATIONSSection 1 – General points 1viiviiiixxvii1 The clinical: examiners, patients and preparation 32 The OSLER/long case 73 The OSCEs/short cases 124 Frequently asked questions and <strong>the</strong> viva 155 The day of <strong>the</strong> examination 21Section 2 – History and examination of typical cases 236 General examination and pain 25FAQs and Popular Viva Questions 28Answers 297 Swellings and ulcers 40FAQs and Popular Viva Questions 57Answers 578 Neck swellings and thyroid lumps 58FAQs and Popular Viva Questions 79Answers 809 The breast 82FAQs and Popular Viva Questions 93Answers 9410 The gastrointestinal tract 96FAQs and Popular Viva Questions 117Answers 11811 Lump in <strong>the</strong> groin 124FAQs and Popular Viva Questions 135Answers 13612 Urology/Scrotal and Inguinal Swellings 138FAQs and Popular Viva Questions 146Answers 147v