AMC MCQ General Surgery Principles 2

Question 1

A 60-year-old man develops a tender, erythematous wound with purulent discharge on postoperative day 5. Which type of surgical site infection is this?

Accepted Answer

Superficial incisional SSI

Answer

Deep incisional SSI

Answer

Organ/space SSI

Answer

Sterile inflammatory reaction

Question 2

What is the most appropriate timing for prophylactic antibiotic administration in clean-contaminated surgery?

Accepted Answer

At induction, within 60 minutes before incision

Answer

24 hours before surgery

Answer

Immediately after skin closure

Answer

Only if infection develops

Question 3

Which suture material is most appropriate for a contaminated abdominal wound closure?

Accepted Answer

Monofilament absorbable

Answer

Braided non-absorbable silk

Answer

Braided absorbable polyglactin

Answer

Stainless steel wire only

Question 4

A patient has a Glasgow Coma Scale of 8 after major trauma. What is the immediate airway priority?

Accepted Answer

Definitive airway via endotracheal intubation

Answer

Continue observation with oxygen

Answer

Insert a nasogastric tube

Answer

Arrange an urgent CT brain

Question 5

What does a rising serum lactate in a postoperative patient most strongly suggest?

Accepted Answer

Tissue hypoperfusion

Answer

Adequate oxygen delivery

Answer

Hypothermia alone

Answer

Normal recovery

Question 6

Which finding is most consistent with an anastomotic leak after colorectal surgery on day 5?

Accepted Answer

Fever, tachycardia and peritonism

Answer

Immediate brisk haematemesis

Answer

Painless jaundice

Answer

Isolated hyperkalaemia

Question 7

What is the primary goal of damage control surgery in an unstable trauma patient?

Accepted Answer

Control haemorrhage and contamination, then resuscitate

Answer

Complete definitive repair in one operation

Answer

Delay all surgery until stable

Answer

Perform reconstruction immediately