General Surgery Board Review Practice Test

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You are seeing a patient in the emergency department who banged his head after falling while skiing. He lost consciousness, according to his buddies who were with him, and they brought him to the lodge while dialing 911. He "woke up" while traveling to the hospital and briefly appeared to be in good health, but he is now unresponsive once more.
Which vessel is typically at fault given the diagnosis you suspect?

<label class="wq_answerTxtCtr">Bridging veins</label>
<label class="wq_answerTxtCtr">Middle meningeal artery</label>
<label class="wq_answerTxtCtr">Posterior meningeal artery</label>
<label class="wq_answerTxtCtr">Anterior meningeal artery</label>
Correct! Wrong!

Explanation:
Epidural hematoma is most likely given the history of a head injury, loss of consciousness, lucidity, and subsequent decompensation. The middle meningeal artery is the vessel that is most frequently implicated in epidural hematomas, and hematoma evacuation is recommended. Because the blood lies between the dura and the skull, a biconvex-shaped hemorrhage is frequently seen on imaging. A deadly epidural hemorrhage can occur in up to 20% of cases. On imaging, subdural hematomas have a crescent-shaped appearance and hardly ever feature the typical epidural "lucid period." Instead, they experience agony and bewilderment that worsen with time. Bleeds from subdural hematomas are caused by the bridging veins.

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The inhaled anesthetic you intend to employ has an extremely high MAC. High minimum alveolar concentration (MAC) anesthetics typically:

<label class="wq_answerTxtCtr">Little of it is needed for adequate anesthesia</label>
<label class="wq_answerTxtCtr">Very slow onset</label>
<label class="wq_answerTxtCtr">Less lipid soluble</label>
<label class="wq_answerTxtCtr">More potent</label>
Correct! Wrong!

Explanation:
The MAC is the lowest amount of anesthetic vapor required to inhibit a physical response in 50% of patients to a common surgical stimulus. Less fat soluble, less powerful, yet faster onset with higher MAC. (xanax) More lipid soluble, more powerful, but longer onset, when MAC is lower. This little story, which goes, "When MAC is LOW he is FAT and SLOW," is a helpful method to memorize it. Typical MAC values include: 104 Nitrous oxide * Halothane - 0.75 * Chloroform - 0.5 * Methoxyflurane - 0.16 * Xenon - 72 * Desflurane - 6 * Ethyl Ether - 3.2 * Sevoflurane - 2 * Enflurane - 1.7 * Isoflurane - 1.2 *

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A 73-year-old man arrives at the hospital after falling while hanging Christmas lights on his roof. He claims to be experiencing right-side chest pain and shortness of breath. His right breath sounds have significantly decreased, according to a physical examination. The moment you insert a chest tube on the right, 850ml of blood start to flow back.
Which course of action in his management is best

<label class="wq_answerTxtCtr">Keep tube to suction, watch pressures and output</label>
<label class="wq_answerTxtCtr">Keep tube to gravity only, watch pressures and output</label>
<label class="wq_answerTxtCtr">OR for operative exploration</label>
<label class="wq_answerTxtCtr">Remove chest tube and place dressing</label>
Correct! Wrong!

Explanation:
Keep the tube suctioned while gauging the output. Hemothorax typically results in diminished ipsilateral breath sounds and muted percussion on that side. The pleural cavity of a typical adult male can retain 4 or more liters of blood, therefore exsanguination can happen even in the absence of any other outward signs of bleeding. The instantaneous return of 1500 ml would have been a sign of OR. Indications for exploratory surgery include bleeding with instability after all other causes of bleeding have been ruled out, output >250 mL/hour x 4 hours, or 2500 mL/24 hours.

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How many cases of the diagnostic depicted in the illustration involve the pancreatic head?

<img width="618" height="449" src="https://practicetestgeeks.com/wp-content/uploads/2026/04/board-review-q1-p1.png" class="attachment-full size-full" alt="" decoding="async" srcset="https://practicetestgeeks.com/wp-content/uploads/2026/04/board-review-q1-p1.png 618w, https://practicetestgeeks.com/wp-content/uploads/2026/04/board-review-q1-p1-300x218.png 300w" sizes="(max-width: 618px) 100vw, 618px">
<label class="wq_answerTxtCtr">1/4</label>
<label class="wq_answerTxtCtr">2/3</label>
<label class="wq_answerTxtCtr">1/2</label>
<label class="wq_answerTxtCtr">1/3</label>
Correct! Wrong!

Explanation:
The head of the pancreas hosts around one-third of the pancreatic pseudocysts, while the tail hosts two-thirds of them. The most frequent causes in adults are alcohol and gallstone pancreatitis, whereas the most frequent cause in children is trauma .

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The below-shown diagnosis's most frequent life-threatening consequence is?

<img width="263" height="374" src="https://practicetestgeeks.com/wp-content/uploads/2026/04/board-review-q2-p1.png" class="attachment-full size-full" alt="" decoding="async" srcset="https://practicetestgeeks.com/wp-content/uploads/2026/04/board-review-q2-p1.png 263w, https://practicetestgeeks.com/wp-content/uploads/2026/04/board-review-q2-p1-211x300.png 211w" sizes="(max-width: 263px) 100vw, 263px">
<label class="wq_answerTxtCtr">Squamous cell carcinoma</label>
<label class="wq_answerTxtCtr">Fistula formation</label>
<label class="wq_answerTxtCtr">Obstruction</label>
<label class="wq_answerTxtCtr">Aspiration</label>
Correct! Wrong!

Explanation:
This is a Zenker’s diverticulum. All of the options listed are possible life-threatening complications, but the most common is aspiration.

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You are visiting a patient in the SICU whose attempt to wean off the ventilator has been unsuccessful for the previous three days. The patient has a history of trauma, is tube-fed, and has been on a ventilator for ten days. In order to determine a respiratory quotient, you choose to order a metabolic cart (RQ). This patient has an RQ of 1.45. You advise the nutritionist that he requires:

<label class="wq_answerTxtCtr">Reduced amount of protein in tube feeds</label>
<label class="wq_answerTxtCtr">Reduced amount of fat in tube feeds</label>
<label class="wq_answerTxtCtr">Increased amount of tube feeds overall</label>
<label class="wq_answerTxtCtr">Reduced amount of tube feeds overall</label>
Correct! Wrong!

Explanation:
RQ=CO2/O2 By producing an overabundance of calories and carbs to be turned into fat, overfeeding might result in patients needing artificial breathing and intubation for a longer period of time. A RQ>1.0 would arise from this. This process results in an increase in CO2 generation, which must be offset by an increase in the patient's respiratory effort. As a result, the respiratory system might become so worn out that weaning becomes challenging or even impossible. Since oxygen consumption rises while the body is turning stored energy into sugar, starvation would result in an RQ 0.7. (breaking down glycogen, adipose tissues).

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You are looking at a 34-year-old, 100-pound patient who has just been admitted. Both of her arms and her entire back, from the neck to the buttocks, are burned.
What IV fluids will be prescribed in your entrance orders?

<label class="wq_answerTxtCtr">10.8 Liters of fluid, with 5.4L replaced in the first 12 hours from the time of burn and 5.4 over the next 12 hours.</label>
<label class="wq_answerTxtCtr">5.4Liters of fluid, with 2.7L replaced in first 12 hours from now and 2.7L over the next 12 hours.</label>
<label class="wq_answerTxtCtr">10.8 Liters of fluid, with 5.4L replaced in the first 8 hours from now and 5.4 over the next 16 hours.</label>
<label class="wq_answerTxtCtr">10.8 Liters of fluid, with 5.4L replaced in first 8hours from time of burn and 5.4 over the next 16 hours.</label>
Correct! Wrong!

Explanation:
The patient has burned 27% of her body (9% for arms, 9% for upper back , and 9% for lower back). Use the Parkland Formula (MEMORIZE THIS!!): 4mL x Weight in kg x % burned Replace fluid 4ml/kg x kg of pt x %burned, replace half over first 8 hours and the rest over the next 16. This should be calculated from time burned, not time of admission.

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General Surgery Board Review Practice Test Questions

Prepare for the General Surgery Board Review exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.

General Surgery Board Review MCQ
General Surgery Board Review Exam Questions covering MCQ. Master General Surgery Board Review Test concepts for certification prep.
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Free General Surgery Board Review Practice Test featuring Surgical Foundation. Improve your General Surgery Board Review Exam score with mock test prep.

General Surgery Board Review Questions and Answers

How many questions are on the General Surgery Board Exam?

The General Surgery Qualifying Exam (QE), which is the written part of the boards, consists of approximately 300 multiple-choice questions. It is administered in a single day over about eight hours, broken into several timed sections. Candidates preparing for the 2026 exam should focus on building the stamina required to maintain focus throughout this extensive test.

Is the General Surgery Board Review test hard?

Yes, the General Surgery Board Exam is notoriously challenging, designed to test the comprehensive knowledge and clinical judgment of a surgeon. Pass rates for first-time takers of the Qualifying Exam typically range from 85-90%. Success requires a dedicated, long-term study plan. Utilizing practice questions is crucial for preparing for the difficulty level of the 2026 exam.

How do you pass the General Surgery Board Exam on the first time?

To pass on your first attempt, start preparing early and use a multi-faceted approach. Combine a comprehensive question bank, like our free practice test, with a standard textbook (e.g., Cameron or Sabiston) and a review course. Consistently taking timed mock exams is key to mastering pacing and content. This structured preparation is the best strategy for passing the 2026 boards.

How much does the General Surgery Board Exam cost in 2026?

The fee for the General Surgery Qualifying Exam (QE) is set by the American Board of Surgery (ABS) and can change annually. As of recent years, the fee has been approximately $1,900. It is essential to check the official ABS website for the exact registration fee for the 2026 exam cycle, as this figure is subject to change.

Where can I find a FREE General Surgery Board Review practice test online?

You've found one right here! PracticeTestGeeks.com offers a high-quality, FREE General Surgery Board Review practice test with detailed questions and answers. Our online platform is designed to simulate the actual exam experience, helping you prepare effectively for your 2026 certification. It's an excellent tool for assessing your knowledge and identifying areas that require further study without any cost.

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