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. Practice with the free General Surgery Board Review practice test on PracticeTestGeeks (7 questions with answer explanations).

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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="board review q1 p1" 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="board review q2 p1" 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: upcoming dates and official changes
  • Updated Oct 22, 2026: Exam fee (Certifying Exam (GSCE)) is now $1,550 exam fee (previously $1,550 exam fee).
  • Updated Oct 22, 2026: Exam fee (QE/CE Admission Exam) is now $550 application fee (exam fee TBD) (previously $550 application fee (exam fee TBD)).
  • Updated Oct 22, 2026: Number of questions (Qualifying Exam (GSQE)) is now About 300 multiple-choice questions (previously About 300 multiple-choice questions).

Facts verified Oct 22, 2026 against American Board of Surgery. Dates that have passed are removed automatically.

  • The ABS General Surgery Qualifying Examination has about 300 multiple-choice questions. (American Board of Surgery)
  • The ABS General Surgery Certifying Examination has no preset pass/fail rate; the result is based on the combined evaluation of the six examiners. (American Board of Surgery)
  • The ABS General Surgery Certifying Examination fee is $1,550. (American Board of Surgery)
  • The ABS General Surgery QE/CE Admission Exam has a $550 application fee, with the exam fee still to be announced, and both must be paid to register. (American Board of Surgery)
  • After passing the GSQE, candidates get up to three attempts within three years to pass the ABS General Surgery Certifying Examination. (American Board of Surgery)
  • Approved applicants get up to four attempts within four years to pass the ABS General Surgery Qualifying Examination, which is offered once per academic year. (American Board of Surgery)
  • Candidates have no more than seven academic years after finishing residency to pass both ABS general surgery exams (GSQE and GSCE). (American Board of Surgery)
  • ABS Continuous Certification costs $285 a year, which covers one assessment every other year and access to its reference materials. (American Board of Surgery)
  • The ABS General Surgery Certifying Examination is a virtual oral exam taken over Zoom, with two examiners in each session. (American Board of Surgery)

Facts verified Oct 22, 2026 against American Board of Surgery. Dates that have passed are removed automatically.

General Surgery Board Review Exam at a Glance

ItemDetailOfficial source
Number of questions (Qualifying Exam (GSQE))About 300 multiple-choice questionsAmerican Board of Surgery
Passing score (Certifying Exam (GSCE))No preset pass rate; aggregate of 6 examinersAmerican Board of Surgery
Exam fee (Certifying Exam (GSCE))$1,550 exam feeAmerican Board of Surgery
Exam fee (QE/CE Admission Exam)$550 application fee (exam fee TBD)American Board of Surgery
Retake policy (Certifying Exam (GSCE))Up to 3 attempts in 3 yearsAmerican Board of Surgery
Retake policy (Qualifying Exam (GSQE))Up to 4 attempts in 4 years; once per yearAmerican Board of Surgery
Validity7 academic years after residency to certifyAmerican Board of Surgery
RenewalAssessment every 2 years; $285 annual feeAmerican Board of Surgery
Delivery (Certifying Exam (GSCE))Virtual oral examAmerican Board of Surgery
Delivery (Qualifying Exam (GSQE))Pearson VUE testing centerspearsonvue.com
Eligibility (Certifying Exam (GSCE))Pass GSQE + full unrestricted U.S./Canadian licenseAmerican Board of Surgery
Eligibility (Qualifying Exam (GSQE))Completed ACGME/RCPSC general surgery residencyAmerican Board of Surgery
Score release (Certifying Exam (GSCE))Within 10 business daysAmerican Board of Surgery
Score release (Qualifying Exam (GSQE))About 4–6 weeks after the examAmerican Board of Surgery

Facts verified Oct 22, 2026 against American Board of Surgery. Dates that have passed are removed automatically.

Free General Surgery Board Review Study Tools

Interactive General Surgery Board Review resources on PracticeTestGeeks, free to start:

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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.
General Surgery Board Review Surgical Foun...
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 Case Studies ...
General Surgery Board Review Mock Exam on Case Studies & Practical Application. General Surgery Board Review Study Guide questions to pass on your first try.
General Surgery Board Review Communication...
General Surgery Board Review Test Prep for Communication & Stakeholder Relations. Practice General Surgery Board Review Quiz questions and boost your score.
General Surgery Board Review Anatomy & Sur...
General Surgery Board Review Questions and Answers on General Surgery Board Review Anatomy & Surgical Procedures. Free General Surgery Board Review practice for exam readiness.
General Surgery Board Review Gastrointesti...
General Surgery Board Review Mock Test covering General Surgery Board Review Gastrointestinal Surgery. Online General Surgery Board Review Test practice with instant feedback.
General Surgery Board Review Perioperative...
Free General Surgery Board Review Quiz on General Surgery Board Review Perioperative Care & Complications. General Surgery Board Review Exam prep questions with detailed explanations.
General Surgery Board Review Professional ...
General Surgery Board Review Practice Questions for Professional Standards & Competencies. Build confidence for your General Surgery Board Review certification exam.
General Surgery Board Review Quality Contr...
General Surgery Board Review Test Online for Quality Control & Assurance. Free practice with instant results and feedback.
General Surgery Board Review Regulatory Fr...
General Surgery Board Review Study Material on Regulatory Frameworks & Compliance. Prepare effectively with real exam-style questions.
General Surgery Board Review Research & Ev...
Free General Surgery Board Review Test covering Research & Evidence-Based Practice. Practice and track your General Surgery Board Review exam readiness.
General Surgery Board Review Risk Assessme...
General Surgery Board Review Exam Questions covering Risk Assessment & Management. Master General Surgery Board Review Test concepts for certification prep.
General Surgery Board Review Technology & ...
Free General Surgery Board Review Practice Test featuring Technology & Digital Applications. Improve your General Surgery Board Review Exam score with mock test prep.

Pros

  • Validates your knowledge and skills objectively
  • Increases job market competitiveness
  • Provides structured learning goals
  • Networking opportunities with other certified professionals

Cons

  • Study materials can be expensive
  • Exam anxiety can affect performance
  • Requires dedicated preparation time
  • Retake fees apply if you don't pass

Pros and Cons at a Glance

ProsCons
Validates your knowledge and skills objectivelyStudy materials can be expensive
Increases job market competitivenessExam anxiety can affect performance
Provides structured learning goalsRequires dedicated preparation time
Networking opportunities with other certified professionalsRetake fees apply if you don't pass

Sample General Surgery Board Review Practice Questions

Try these questions from our free General Surgery Board Review practice tests. The correct answer and an explanation follow each question.

  1. CMS Conditions of Participation (CoPs) for hospitals require that surgical patients receive a pre-operative assessment documented by:

    • A. A licensed practitioner within 30 days before surgery, updated within 24 hours pre-operatively
    • B. A registered nurse within 48 hours of admission
    • C. An anesthesiologist at least 72 hours before any elective procedure
    • D. The operating surgeon on the day of surgery only

    Answer: A. A licensed practitioner within 30 days before surgery, updated within 24 hours pre-operatively

    CMS CoPs require a history and physical completed within 30 days prior to surgery, with an update performed within 24 hours before the procedure.

  2. A Richter hernia is defined as herniation of which portion of the bowel?

    • A. The entire bowel circumference
    • B. The antimesenteric wall only
    • C. The mesenteric wall only
    • D. A Meckel's diverticulum

    Answer: B. The antimesenteric wall only

    A Richter hernia involves only the antimesenteric portion of the bowel wall, so obstruction may be absent despite strangulation.

  3. The Health Care Quality Improvement Act (HCQIA) provides peer review immunity to hospitals when conducting professional review actions, provided the action is taken:

    • A. In the reasonable belief it furthers quality health care, with adequate notice and hearing procedures
    • B. Only after a formal malpractice verdict has been rendered
    • C. In response to a complaint filed with the state licensing board
    • D. Exclusively through a Joint Commission-accredited process

    Answer: A. In the reasonable belief it furthers quality health care, with adequate notice and hearing procedures

    HCQIA grants immunity for professional review actions that meet four criteria: reasonable belief the action furthers quality care, reasonable effort to obtain facts, adequate notice and hearing, and reasonable belief the action was warranted.

  4. The most common primary site of gastrointestinal stromal tumors (GISTs) is:

    • A. Small intestine
    • B. Colon
    • C. Stomach
    • D. Esophagus

    Answer: C. Stomach

    Approximately 60% of GISTs arise in the stomach; they originate from the interstitial cells of Cajal and are driven by KIT (CD117) or PDGFRA mutations.

Take the full General Surgery Board Review practice test

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. Using 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.

What is the passing score for the General Surgery Board Review?

The ABS General Surgery Certifying Examination has no preset pass/fail rate; the result is based on the combined evaluation of the six examiners. (Verified Oct 22, 2026 against American Board of Surgery.)
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