Surgery1 UKMLA question
Fitness to practise — UKMLA Revision Notes
Fitness to practise is an important clinical condition in Surgery that is tested in the UKMLA Applied Knowledge Test (AKT). Medical students and doctors preparing for the UKMLA or PLAB 1 must understand the pathophysiology, clinical presentation, investigations, and evidence-based management of Fitness to practise as outlined in current NICE guidelines.
Key Facts
- Fitness to practise is a key condition on the GMC UKMLA Content Map
- Commonly tested in the Surgery section of the UKMLA Applied Knowledge Test
- Understand the pathophysiology, clinical features, investigations, and management
- NICE guidelines provide the evidence base for management decisions
- Consider differential diagnoses and red flag symptoms in clinical scenarios
Investigations
- FBC, U&E, LFTs, clotting
- CT abdomen/pelvis
- Erect CXR (perforation)
- USS abdomen
- AXR
- Surgical review
Management
- Resuscitation (IV fluids, analgesia)
- NBM and NG tube if obstruction
- Surgical consent and WHO checklist
- Prophylactic antibiotics and VTE prophylaxis
- Post-operative monitoring
- Surgical outpatient follow-up