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.
Anatomy9,753
Abdomen1,787
Arteries143
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Bones26
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Hollow viscera259
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Ligaments/fascia157
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Lymphatics114
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Muscles127
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Nerves191
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Others5
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Solid viscera273
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Spaces & foramina154
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Surface anatomy142
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Veins160
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Viscera1
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Back & Spine504
Arteries40
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Bones61
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Contents of vertebral canal57
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Joints79
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Ligaments/fascia107
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Muscles120
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Nerves0
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Veins37
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Central Nervous System780
Arteries103
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Brain166
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Brainstem127
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Cerebellum7
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Meninges61
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Other1
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Pituitary gland22
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Spinal cord102
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Surface anatomy29
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The cerebellum22
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Venous sinuses35
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Ventricular system & csf4
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Ventricular system & csf circulation94
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Head1,009
Arteries148
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Bones78
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Joints16
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Ligaments/fascia31
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Lymphatics13
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Muscles127
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Nerves224
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Other105
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Regions & foramina158
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Surface anatomy31
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Veins34
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Viscera37
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Head (excluding CNS)38
Arteries3
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Bones8
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Joints1
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Ligaments/fascia1
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Muscles0
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Nerves13
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Other3
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Regions & Foramen5
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Veins1
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Viscera3
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Lower Limb980
Arteries104
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Bones147
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- Hip1
Joints109
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Ligaments/fascia221
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Lymphatics22
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Muscles144
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Nerves100
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Other33
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Regions & Foramen3
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Regions & foramina63
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Veins23
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Neck863
Arteries113
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Bones26
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Fascia78
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Lymphatics63
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Muscle5
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Muscles85
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Nerves131
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Other10
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Region & Spaces9
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Regions & spaces30
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Surface anatomy44
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Veins33
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Viscera228
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Neck (excluding spine)53
Arteries10
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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 & spaces2
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Surface anatomy1
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Veins2
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Viscera16
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Pelvis1,053
Arteries116
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Bones81
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Joints54
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Ligaments42
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Lymphatics16
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Muscles82
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Nerves183
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other4
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Spaces & foramina8
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Spaces and foramina112
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Surface anatomy18
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Veins31
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Viscera279
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Thorax1,392
Arteries264
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Bones78
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Breast65
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Hollow viscera56
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Joints54
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Ligaments49
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Lymphatics44
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Muscles117
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Nerves164
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Other4
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Others11
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Solid viscera104
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Spaces71
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Surface anatomy80
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Veins188
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Upper Limb1,294
Acromioclavicular ligament7
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Arteries134
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Bones92
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Joints116
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Ligaments/fascia170
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Lymphatics35
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Muscles394
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Nerves146
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other36
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Palmar aponeurosis13
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Regions & Foramen8
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Regions & foramina97
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Veins25
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Pathology2,401
Genetics and Molecular Biology203
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 techniques13
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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 diagnostics12
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Mutations and DNA repair mechanisms17
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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 Transfusion79
Anaemias (blood loss, haemolysis, deficiency)24
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Bleeding disorders15
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Haematopoiesis15
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Leukocyte disorders and lymphomas24
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Miscellaneous: NSAIDs, stone dissolution1
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Immunology211
Complement system21
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Diagnostic immunology (basic principles)15
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Hypersensitivity, autoimmunity, immunodeficiency27
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Immune cells: functions, interactions, markers15
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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 complex22
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Non-specific defence mechanisms24
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Normal immune response: activation and control19
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Transplantation immunology21
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Microbiology145
Antimicrobial therapy and prophylaxis34
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Immunity to bacteria, viruses, fungi, protozoa2
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Laboratory aspects of infection14
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Non-specific defence mechanisms1
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Normal flora and disease12
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Pathogenesis of infection37
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Pathogenesis of infection / Pulmonary infections1
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Pulmonary Infections2
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Sterilisation and disinfection14
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Surgically relevant infections28
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Neoplasia172
Application to common cancers23
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Carcinogenesis mechanisms24
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Diagnostic pathological features15
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Growth and host interaction27
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Invasion and metastasis25
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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 implications12
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Pharmacology139
Antibiotics (interactions, clearance)11
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Cardiovascular: antihypertensives, antianginals, etc.15
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CNS: opiates, tranquillisers, anticonvulsants15
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Endocrine: corticosteroids, thyroid, diabetes13
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GIT: antiulcer, antiemetics, laxatives11
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Haemopoietic: anticoagulants, EPO, fibrinolytics10
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Miscellaneous: NSAIDs, stone dissolution13
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Oncology and transplantation16
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Pharmacodynamics and pharmacokinetics13
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Respiratory: asthma, COPD11
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Special populations: neonates, elderly, pregnancy11
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Statistics51
Clinical decision making14
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Clinical trial design and interpretation13
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Parametric and non-parametric tests12
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Population statistics12
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Systemic Pathology1,270
Blood Vessels ‚ Aneurysms and Dissections13
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Blood Vessels ‚ Arteriosclerosis12
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Blood Vessels ‚ Atherosclerosis13
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Blood Vessels ‚ Congenital Anomalies11
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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 Response11
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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 Tumors11
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Breast5
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Breast ‚ Breast8
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Central Nervous System ‚ Brain Edema and Herniation13
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Central Nervous System ‚ Cerebrovascular Disease12
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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 ‚ Infections13
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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 Cortex13
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Endocrine System ‚ Adrenal Medulla12
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Endocrine System ‚ Endocrine Pancreas11
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Endocrine System ‚ MEN Syndromes12
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Endocrine System ‚ Parathyroid Glands13
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Endocrine System ‚ Pituitary12
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Endocrine System ‚ Thyroid19
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Epidemiology of Hypertension; Hypertensive Vascular Disease; Mechanisms of Essential Hypertension1
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Female Genital System ‚ Cervix11
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Female Genital System ‚ Fallopian Tubes11
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Female Genital System ‚ Ovaries14
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Female Genital System ‚ Pregnancy13
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Female Genital System ‚ Tumors10
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Female Genital System ‚ Uterus16
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Female Genital System ‚ Vagina11
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Female Genital System ‚ Vulva11
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GI Tract ‚ Abdominal Wall Disorders13
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GI Tract ‚ Appendix11
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GI Tract ‚ Colonic Polyps16
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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 Tumors10
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GI Tract ‚ Oral Cavity11
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GI Tract ‚ Salivary Glands11
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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 Ducts19
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Liver and Gallbladder ‚ Metabolic Liver Disease10
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Liver and Gallbladder ‚ Nodules and Tumors10
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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 Tract12
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Pancreas ‚ Congenital Anomalies11
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Pancreas ‚ Pancreatic Neoplasms15
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Pancreas ‚ Pancreatitis11
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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 Disorders11
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Skin ‚ Chronic Inflammatory Dermatoses11
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Skin ‚ Infectious Dermatoses11
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Skin ‚ Skin Tumors22
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Thyroid4
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Tissue Response to Injury131
Alterations of growth, differentiation and function13
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Biochemical mechanisms of disease13
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Cell injury, adaptation and death27
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Degenerations: atherosclerosis, pigmentation, calculus formation20
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Major organ failure, shock, sepsis, DIC18
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Tissue response to injury40
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Physiology4,170
Cardiovascular System388
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 Pathophysiology15
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Cardiac Physiology15
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Electrical activity of the heart132
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Function of the heart as a pump72
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Endocrine System529
Basic concepts of endocrine regulation368
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Pathophysiological conditions of the endocrine system133
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Principles of management of disorders of the endocrine systems28
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Gastrointestinal System817
Application to disease106
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Application to surgical disease132
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Gastrointestinal physiology and motility182
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Ingestion/swallowing mechanisms and regulation31
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Physiological functions of the liver57
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Regulation of digestion and absorption130
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Secretory function and regulation179
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Metabolism & Nutrition389
Nutrition control and maintenance106
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Principles of metabolism283
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Neurophysiology621
Autonomic nervous system52
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Basic nerve and muscle physiology131
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CNS physiology230
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Hypothalamic-pituitary axis32
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Reflexes and tone76
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Special senses100
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Physiology of blood289
Blood components34
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Coagulation disorders34
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Drug effects34
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Fluid resuscitation30
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Haemopoiesis33
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Haemostasis33
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Haemostatic testing29
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Transfusion medicine36
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Transfusion reactions26
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Respiratory System620
Age-related differences32
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Gas exchange and pH110
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Pathophysiology222
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Pulmonary ventilation121
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Respiratory control70
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Respiratory function testing34
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Upper respiratory tract31
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Urinary Tract517
Fluid homeostasis153
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Physiological anatomy and function142
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Renal anatomy and function3
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Renal impairment69
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Renal regulation150
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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.