RACS names the GSSE topics but does not specify them. Anatomy and physiology have a syllabus document; pathology has none. GSSEPrep built a four-level syllabus covering all three disciplines and mapped all 16,324 questions in the bank to it.
What RACS publishes
Examination questions are drawn wholly from the subject matter set out in the syllabus.4 This is that syllabus, in full.
| Discipline | Questions | Published topics | Syllabus document |
|---|---|---|---|
| Anatomy | 80 | Abdomen, CNS, developmental, head and neck, histology, lower limb, pelvis, thorax, upper limb | Core Surgical Anatomy syllabus5 |
| Physiology | 60 | Cardiovascular, endocrine, gastrointestinal, metabolism and nutrition, neurophysiology, physiology of blood, respiratory, urinary tract | Physiology Syllabus6 |
| Pathology | 65 | Antibiotics, general pathology phenomena, immunology, infection, neoplasia, pathology of blood, pharmacology, statistics, tissue response to injury | None |
The problem
Anatomy gets a syllabus document. Physiology gets a syllabus document. Pathology, which carries roughly a quarter of the marks, gets nine words. That list above is not a summary of the pathology syllabus. It is the pathology syllabus.
The rest of it is not much better specified. Abdomen is one word standing in for 80 anatomy questions worth of examinable material. It names a region. It does not say which structures, which relationships, or to what depth. Two candidates can both cover the syllabus and study entirely different things.
Nor does the list tell you what carries marks. Read on its own, developmental and histology sit alongside abdomen and thorax as equals. The distribution showing they are worth two MCQs each against nine is published on a different page.3
Which leaves you with nothing to measure revision against. A nine-item list cannot tell you what you have not opened yet, or where you are weakest.
The Solution? The GSSE Prep Syllabus
We took the RACS disciplines and topics where they are defined, specified the levels beneath them where they are not, and gave every question in the bank an address inside it.
| Level | Example |
|---|---|
| 1. Discipline | Anatomy |
| 2. Region or system | Abdomen |
| 3. Tissue class | Solid viscera |
| 4. Named topic | Histology of liver and kidney |
The physiology level matches the eight topics RACS publishes exactly.2 Pathology maps onto the nine published topics. Anatomy follows the published regions, with head and neck separated and the back and spine specified.
| Discipline | Questions mapped | Second-level categories |
|---|---|---|
| Anatomy | 9,753 | 11 |
| Physiology | 4,170 | 8 |
| Pathology | 2,401 | 9 |
Abdomen alone opens into solid viscera, hollow viscera, nerves, veins, ligaments and fascia, spaces and foramina, arteries, surface anatomy, muscles and lymphatics, each with its own question count.
Which means you finish a session knowing something more useful than a general sense that abdomen is probably fine. You can see the topics you have not opened, and the ones where your accuracy is worst, at the level of the individual topic rather than the discipline.
Anatomy9,454
Abdomen1,692
Arteries135
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Bones26
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Hollow viscera245
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Ligaments/fascia151
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Lymphatics105
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Muscles116
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Nerves174
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Others4
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Solid viscera264
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Spaces & foramina149
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Surface anatomy136
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Veins151
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Viscera1
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Back & Spine492
Arteries40
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Bones59
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Contents of vertebral canal58
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Joints75
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Ligaments/fascia103
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Muscles117
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Nerves0
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Veins37
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Central Nervous System764
Arteries101
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Brain164
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Brainstem122
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Cerebellum1
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Meninges59
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Other1
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Pituitary gland23
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Spinal cord102
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Surface anatomy30
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The cerebellum22
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Venous sinuses36
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Ventricular system & csf4
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Ventricular system & csf circulation92
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Head984
Arteries144
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Bones78
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Joints15
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Ligaments/fascia29
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Lymphatics13
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Muscles123
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Nerves221
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Other100
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Regions & foramina154
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Surface anatomy30
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Veins33
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Viscera37
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Head (excluding CNS)33
Arteries3
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Bones6
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Joints1
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Ligaments/fascia1
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Muscles0
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Nerves16
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Other1
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Regions & Foramen4
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Veins0
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Viscera1
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Lower Limb938
Arteries99
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Bones137
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- Hip1
Joints107
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Ligaments/fascia211
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Lymphatics20
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Muscles138
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Nerves95
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Other32
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Regions & Foramen3
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Regions & foramina62
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Veins23
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Neck835
Arteries110
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Bones26
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Fascia74
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Lymphatics63
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Muscle5
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Muscles84
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Nerves126
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Other9
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Region & Spaces9
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Regions & spaces29
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Surface anatomy41
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Veins31
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Viscera220
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Neck (excluding spine)50
Arteries9
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Fascia5
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Muscles5
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Nerves6
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Other6
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Regions & spaces1
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Surface anatomy1
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Veins2
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Viscera15
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Pelvis1,037
Arteries116
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Bones81
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Joints53
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Ligaments40
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Lymphatics15
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Muscles80
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Nerves181
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other4
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Spaces & foramina6
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Spaces and foramina111
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Surface anatomy18
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Veins31
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Viscera274
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Thorax1,357
Arteries260
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Bones76
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Breast65
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Hollow viscera55
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Joints52
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Ligaments44
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Lymphatics44
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Muscles120
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Nerves162
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Other6
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Others8
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Solid viscera98
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Spaces63
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Surface anatomy79
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Veins182
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Upper Limb1,272
Acromioclavicular ligament7
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Arteries134
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Bones90
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Joints114
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Ligaments/fascia162
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Lymphatics35
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Muscles390
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Nerves143
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other35
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Palmar aponeurosis13
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Regions & Foramen8
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Regions & foramina96
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Veins24
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Pathology2,271
Genetics and Molecular Biology198
Alterations of growth, differentiation and function5
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Biochemical mechanisms of disease5
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Cell cycle and generation of genetic abnormalities12
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Cell injury, adaptation and death5
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Chromosomal abnormalities21
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Clinical application of genetic principles12
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Cytogenetics and laboratory techniques11
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Degenerations: atherosclerosis, pigmentation, calculus formation4
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Epigenetics11
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Gene expression and regulation11
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Genetic basis of disease12
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Major organ failure, shock, sepsis, DIC5
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Mendelian genetics25
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Molecular diagnostics11
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Mutations and DNA repair mechanisms15
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Non-coding DNA and gene regulation11
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Structure and function of DNA and RNA18
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Tissue response to injury4
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Haematology and Transfusion72
Anaemias (blood loss, haemolysis, deficiency)22
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Bleeding disorders14
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Haematopoiesis12
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Leukocyte disorders and lymphomas23
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Miscellaneous: NSAIDs, stone dissolution1
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Immunology199
Complement system20
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Diagnostic immunology (basic principles)9
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Hypersensitivity, autoimmunity, immunodeficiency25
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Immune cells: functions, interactions, markers16
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Immunity to bacteria, viruses, fungi, protozoa20
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Immunoglobulins, interleukins, secretory products26
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Immunology1
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Major histocompatibility complex21
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Non-specific defence mechanisms24
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Normal immune response: activation and control17
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Transplantation immunology20
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Microbiology130
Antimicrobial therapy and prophylaxis29
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Immunity to bacteria, viruses, fungi, protozoa2
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Laboratory aspects of infection12
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Non-specific defence mechanisms1
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Normal flora and disease11
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Pathogenesis of infection37
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Pathogenesis of infection / Pulmonary infections2
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Pulmonary Infections1
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Sterilisation and disinfection8
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Surgically relevant infections27
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Neoplasia166
Application to common cancers23
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Carcinogenesis mechanisms24
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Diagnostic pathological features15
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Growth and host interaction25
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Invasion and metastasis22
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Molecular biology and genetics16
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Origin and components of neoplasia16
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Population and environmental factors14
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Therapeutic implications11
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Pharmacology119
Antibiotics (interactions, clearance)8
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Cardiovascular: antihypertensives, antianginals, etc.15
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CNS: opiates, tranquillisers, anticonvulsants12
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Endocrine: corticosteroids, thyroid, diabetes12
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GIT: antiulcer, antiemetics, laxatives10
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Haemopoietic: anticoagulants, EPO, fibrinolytics9
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Miscellaneous: NSAIDs, stone dissolution12
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Oncology and transplantation12
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Pharmacodynamics and pharmacokinetics12
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Respiratory: asthma, COPD9
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Special populations: neonates, elderly, pregnancy8
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Statistics28
Clinical decision making6
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Clinical trial design and interpretation8
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Parametric and non-parametric tests7
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Population statistics7
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Systemic Pathology1,234
Blood Vessels ‚ Aneurysms and Dissections12
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Blood Vessels ‚ Arteriosclerosis11
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Blood Vessels ‚ Atherosclerosis13
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Blood Vessels ‚ Congenital Anomalies10
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Blood Vessels ‚ Hyperreactivity11
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Blood Vessels ‚ Hypertensive Disease10
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Blood Vessels ‚ Regulation11
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Blood Vessels ‚ Structure and Function11
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Blood Vessels ‚ Tumors11
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Blood Vessels ‚ Vascular Injury Response10
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Blood Vessels ‚ Vascular Intervention12
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Blood Vessels ‚ Vasculitis7
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Blood Vessels ‚ Veins and Lymphatics10
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Bones, Joints, and Soft Tissue Tumors ‚ Bone18
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Bones, Joints, and Soft Tissue Tumors ‚ Joints11
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Bones, Joints, and Soft Tissue Tumors ‚ Soft Tissue Tumors10
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Breast5
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Breast ‚ Breast7
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Central Nervous System ‚ Brain Edema and Herniation13
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Central Nervous System ‚ Cerebrovascular Disease11
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Central Nervous System ‚ CNS Trauma11
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Central Nervous System ‚ Congenital and Perinatal11
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Central Nervous System ‚ Infections12
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Central Nervous System ‚ Metabolic Disorders11
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Central Nervous System ‚ Myelin Disorders11
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Central Nervous System ‚ Neurodegenerative Diseases11
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Central Nervous System ‚ Tumors14
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Endocrine System ‚ Adrenal Cortex12
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Endocrine System ‚ Adrenal Medulla12
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Endocrine System ‚ Endocrine Pancreas11
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Endocrine System ‚ MEN Syndromes11
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Endocrine System ‚ Parathyroid Glands13
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Endocrine System ‚ Pituitary12
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Endocrine System ‚ Thyroid16
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Epidemiology of Hypertension; Hypertensive Vascular Disease; Mechanisms of Essential Hypertension1
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Female Genital System ‚ Cervix10
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Female Genital System ‚ Fallopian Tubes10
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Female Genital System ‚ Ovaries13
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Female Genital System ‚ Pregnancy12
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Female Genital System ‚ Tumors10
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Female Genital System ‚ Uterus17
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Female Genital System ‚ Vagina11
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Female Genital System ‚ Vulva10
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GI Tract ‚ Abdominal Wall Disorders13
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GI Tract ‚ Appendix8
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GI Tract ‚ Colonic Polyps14
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GI Tract ‚ Diarrheal Disease10
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GI Tract ‚ Esophagus11
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GI Tract ‚ Inflammatory Bowel Disease11
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GI Tract ‚ Intestinal Obstruction11
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GI Tract ‚ Odontogenic Tumors8
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GI Tract ‚ Oral Cavity11
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GI Tract ‚ Salivary Glands10
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GI Tract ‚ Small and Large Intestines11
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GI Tract ‚ Stomach14
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GI Tract ‚ Vascular Disorders12
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Heart ‚ Arrhythmias11
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Heart ‚ Cardiac Tumors11
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Heart ‚ Cardiomyopathies10
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Heart ‚ Congenital Heart Disease11
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Heart ‚ Heart Failure11
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Heart ‚ Hypertensive Heart Disease10
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Heart ‚ Ischemic Heart Disease11
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Heart ‚ Myocarditis11
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Heart ‚ Overview11
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Heart ‚ Pericardial Disease10
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Heart ‚ Transplantation10
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Heart ‚ Valvular Heart Disease11
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Kidney4
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Kidney ‚ Chronic Kidney Disease12
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Kidney ‚ Clinical Manifestations12
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Kidney ‚ Congenital Anomalies11
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Kidney ‚ Cystic Diseases11
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Kidney ‚ Glomerular Diseases9
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Kidney ‚ Neoplasms13
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Kidney ‚ Tubular and Interstitial Diseases10
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Kidney ‚ Urinary Obstruction12
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Kidney ‚ Vascular Diseases11
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Liver and Gallbladder3
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- Liver and Gallbladder ‚ Cholestasis and Jaundice12
Liver and Gallbladder ‚ Circulatory Disorders14
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Liver and Gallbladder ‚ Gallbladder11
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Liver and Gallbladder ‚ Liver and Bile Ducts17
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Liver and Gallbladder ‚ Metabolic Liver Disease10
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Liver and Gallbladder ‚ Nodules and Tumors8
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Lung ‚ General Disorders11
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Lung ‚ Interstitial Lung Diseases12
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Lung ‚ Obstructive Lung Diseases11
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Lung ‚ Pleura11
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Lung ‚ Pulmonary Disease Classification10
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Lung ‚ Pulmonary Infections12
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Lung ‚ Tumors11
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Lung ‚ Upper Respiratory Tract10
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Lung ‚ Vascular Lung Diseases15
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Lymph Nodes ‚ Infections1
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Male Genital & Urinary Tract ‚ Penis10
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Male Genital & Urinary Tract ‚ Prostate13
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Male Genital & Urinary Tract ‚ Scrotum & Testis11
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Male Genital & Urinary Tract ‚ STDs12
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Male Genital & Urinary Tract ‚ Urinary Tract11
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Pancreas ‚ Congenital Anomalies8
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Pancreas ‚ Pancreatic Neoplasms15
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Pancreas ‚ Pancreatitis10
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Peripheral Nerves and Muscles ‚ Neuromuscular Junction11
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Peripheral Nerves and Muscles ‚ Peripheral Nerve Sheath Tumors11
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Peripheral Nerves and Muscles ‚ Peripheral Nerves11
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Peripheral Nerves and Muscles ‚ Skeletal Muscle11
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Skin ‚ Acute Inflammatory Dermatoses11
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Skin ‚ Blistering Disorders10
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Skin ‚ Chronic Inflammatory Dermatoses11
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Skin ‚ Infectious Dermatoses11
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Skin ‚ Skin Tumors21
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Thyroid4
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Tissue Response to Injury125
Alterations of growth, differentiation and function12
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Biochemical mechanisms of disease12
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Cell injury, adaptation and death26
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Degenerations: atherosclerosis, pigmentation, calculus formation20
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Major organ failure, shock, sepsis, DIC15
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Tissue response to injury40
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Physiology3,982
Cardiovascular System374
Anatomy and haemodynamics of the circulatory system122
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Assessment and management of fluid balance in the perioperative period32
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Cardiac Pathophysiology13
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Cardiac Physiology14
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Electrical activity of the heart126
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Function of the heart as a pump67
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Endocrine System507
Basic concepts of endocrine regulation358
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Pathophysiological conditions of the endocrine system128
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Principles of management of disorders of the endocrine systems21
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Gastrointestinal System795
Application to disease104
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Application to surgical disease128
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Gastrointestinal physiology and motility172
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Ingestion/swallowing mechanisms and regulation29
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Physiological functions of the liver53
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Regulation of digestion and absorption126
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Secretory function and regulation183
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Metabolism & Nutrition349
Nutrition control and maintenance87
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Principles of metabolism262
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Neurophysiology587
Autonomic nervous system50
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Basic nerve and muscle physiology121
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CNS physiology216
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Hypothalamic-pituitary axis32
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Reflexes and tone73
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Special senses95
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Physiology of blood275
Blood components35
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Coagulation disorders33
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Drug effects33
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Fluid resuscitation22
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Haemopoiesis33
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Haemostasis33
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Haemostatic testing28
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Transfusion medicine34
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Transfusion reactions24
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Respiratory System607
Age-related differences31
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Gas exchange and pH109
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Pathophysiology214
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Pulmonary ventilation119
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Respiratory control70
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Respiratory function testing33
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Upper respiratory tract31
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Urinary Tract488
Fluid homeostasis150
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Physiological anatomy and function138
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Renal anatomy and function3
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Renal impairment55
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Renal regulation142
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The syllabus tells you what is examinable. For what RACS says to read against it, see the official reading list.
References
- Royal Australasian College of Surgeons. The GSSE syllabus. Available at: https://www.surgeons.org/Examinations/generic-surgical-sciences-examination-gsse/gsse-preparation/the-gsse-syllabus
- Royal Australasian College of Surgeons. Exam topics. Available at: https://www.surgeons.org/Examinations/generic-surgical-sciences-examination-gsse/gsse-preparation/exam-topics
- Royal Australasian College of Surgeons. Exam structure. Available at: https://www.surgeons.org/Examinations/generic-surgical-sciences-examination-gsse/gsse-preparation/exam-structure
- Royal Australasian College of Surgeons. What does the GSSE test?. Available at: https://www.surgeons.org/en/Examinations/generic-surgical-sciences-examination-gsse/gsse-general-information/what-does-the-gsse-test
- Royal Australasian College of Surgeons. Core Surgical Anatomy syllabus (PDF). Available at: https://www.surgeons.org/-/media/Project/RACS/surgeons-org/files/exams/gsse/cur_2011-08-09_anatomy_syllabus_final_for_web.pdf
- Royal Australasian College of Surgeons. Physiology Syllabus (PDF). Available at: https://www.surgeons.org/-/media/Project/RACS/surgeons-org/files/exams/specialty-exams/Physiology-Syllabus.pdf
GSSEPrep is an independent educational platform and is not affiliated with or endorsed by the Royal Australasian College of Surgeons.