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The 10 Most High-Yield Topics in MRCS Part B Surgical Pathology

May 2026 · 6 min read · Dr. Ali Heidari

Not all pathology topics carry equal weight in the MRCS Part B. Based on past paper analysis and the RCS examination blueprints, certain topics appear consistently across sittings. Here are the ten you cannot afford to underprep.

1. Cell injury and death

The foundation of all pathology. Necrosis versus apoptosis, reversible versus irreversible injury. You cannot understand infarction, tumour biology, or wound healing without mastering this first.

2. Inflammation — acute and chronic

Mediators, cellular sequence, systemic inflammatory response. Know the specific granulomatous conditions — TB, sarcoidosis, Crohn's — in detail.

3. Wound healing and repair

Primary versus secondary intention, growth factors, collagen synthesis, and factors that impair healing. Directly relevant to surgical practice.

Examiner Favourite

Wound healing questions almost always involve a clinical scenario. Know the systemic factors that impair healing: diabetes, malnutrition, immunosuppression, ischaemia, infection, and radiation.

4–10. Neoplasia, Colorectal, Haematology, Breast, Microbiology, Skin, Vascular

The hallmarks of cancer, the adenoma-carcinoma sequence, coagulation cascade, breast pathology staging, surgical site infection classification, Breslow thickness for melanoma, and the pathogenesis of atherosclerosis — all examined regularly across sittings. All covered in depth with visual illustrations at surgatlas.com.

Written by
Dr. Ali Heidari
Physician · Surgical Educator · Founder of SurgAtlas
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