The is a mythical creature. If you find a version from 2023 or 2024 that has crowd-sourced annotations, it is an incredibly powerful, cost-effective tool to pass your Part 1/Part A exams.
| Feature | Buzzard PDF (Updated/Annotated) | Modern Qbanks (e.g., PasTest) | | :--- | :--- | :--- | | | Free (or very low) | High ($150–$300/year) | | Question Style | Classic, conceptual, "Know your basics" | Scenario-based, image heavy, modern | | Updates | User-generated (slow) | Automatic (Real-time) | | Best For | Building core foundation | Test simulation & timing | | Portability | Works offline on tablet | Requires internet |
For decades, surgical trainees across the globe have whispered two names in the same breath: Buzzard and The Boards . If you are preparing for the MRCS (Membership of the Royal College of Surgeons), the NBDE, the USMLE Step 2, or any rigorous basic science exam, you have likely heard of the legendary collection known as "Multiple Choice Questions in Basic Surgical Sciences."
This article serves as your complete roadmap. We will explore why this resource remains the gold standard, what the "updated" version entails, how to ethically source the material, and—most importantly—how to use it to guarantee success on your surgical exams. Before we dive into the specifics of the PDF format, let’s address the source. Originally authored by John S. P. Lumley and colleagues (affectionately nicknamed "Buzzard" after the cover art or previous authors in the series), this text is not just a random question bank. It is a curated surgical catechism. The Pedagogy of the Buzzard Unlike standard textbooks that promote passive reading, the Buzzard format forces active recall. Each multiple-choice question (MCQ) is designed to test not just recall, but application of anatomy, physiology, pathology, and pharmacology to clinical surgical scenarios.
Use the Buzzard PDF for the fundamental understanding of surgical science. Use a modern Qbank for the exam interface and timing . The Future of Surgical MCQs (Beyond the Buzzard) As of 2025, many Royal Colleges are moving away from pure MCQs to Single Best Answer (SBA) and Extended Matching Questions (EMQs) . The old Buzzard "True/False" format (Type A) is dying.