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

A superficial incisional SSI involves only skin and subcutaneous tissue within 30 days of surgery.

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

Prophylactic antibiotics are most effective when given within 60 minutes before incision to ensure adequate tissue levels.

Question 3

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

Accepted Answer

Monofilament absorbable

Answer

Monofilament absorbable sutures harbour fewer bacteria than braided material in contaminated fields.

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

A GCS of 8 or less indicates the patient cannot protect their airway and requires definitive intubation.

Question 5

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

Accepted Answer

Tissue hypoperfusion

Answer

Elevated lactate reflects anaerobic metabolism from tissue hypoperfusion and warrants resuscitation review.

AMC MCQ Practice Test

AMC MCQ Practice Test

AMC MCQ General Surgery Principles 2