General Surgery Board Review General Surgery Board Review Anatomy & Surgical Procedures 2

Question 1

Which bowel anastomosis technique is preferred to minimize ischemia at the anastomotic line?

Accepted Answer

Interrupted single-layer technique

Answer

A single-layer interrupted technique preserves mucosal blood supply better than multi-layer or locked continuous techniques, reducing ischemia at the anastomosis.

Question 2

During inguinal hernia repair, the ilioinguinal nerve travels through which structure?

Accepted Answer

Inguinal canal

Answer

The ilioinguinal nerve traverses the inguinal canal and exits through the superficial inguinal ring, providing sensory innervation to the medial thigh and scrotum/labia.

Question 3

The Kocher maneuver (mobilization) provides surgical access to which structure?

Accepted Answer

Duodenum and head of pancreas

Answer

The Kocher maneuver involves mobilizing the duodenum and head of the pancreas by incising the lateral peritoneal reflection, providing access to the retroduodenal and retropancreatic areas.

Question 4

During a standard Whipple procedure (pancreaticoduodenectomy), which structure is NOT routinely resected?

Accepted Answer

Body and tail of pancreas

Answer

The standard Whipple removes the pancreatic head, duodenum, gallbladder, distal common bile duct, and sometimes the distal stomach; the body and tail of the pancreas are preserved.

Question 5

Which port placement is standard for the camera during laparoscopic appendectomy?

Accepted Answer

Umbilical

Answer

The camera port is placed at the umbilicus to provide a central view of the right lower quadrant; working ports are placed in the suprapubic and left lower quadrant positions.

General Surgery Board Review Practice Test

General Surgery Board Review Practice Test

General Surgery Board Review General Surgery Board Review Anatomy & Surgical Procedures 2