General Surgery Board Review General Surgery Board Review Gastrointestinal Surgery

Question 1

What is the standard surgical treatment for a stable patient with a perforated duodenal ulcer presenting within 6 hours of onset?

Accepted Answer

Omental patch repair (Graham patch)

Answer

Nonoperative management with IV antibiotics alone

Answer

Billroth II gastrojejunostomy

Answer

Total gastrectomy

Question 2

In the AJCC staging system for gastric cancer, which T stage indicates tumor invasion through the muscularis propria into the subserosa without penetrating the serosa?

Accepted Answer

T3

Answer

T1b

Answer

T2

Answer

T4a

Question 3

A patient with Barrett's esophagus and confirmed high-grade dysplasia should undergo which management?

Accepted Answer

Endoscopic eradication therapy such as radiofrequency ablation

Answer

Surveillance endoscopy every 6 months indefinitely

Answer

Immediate esophagectomy in all cases

Answer

High-dose PPI therapy alone without endoscopic intervention

Question 4

Which operation is the primary surgical treatment for achalasia to relieve lower esophageal sphincter obstruction?

Accepted Answer

Heller myotomy

Answer

Nissen fundoplication

Answer

Esophagectomy

Answer

Esophagogastrectomy

Question 5

The gold-standard confirmatory test for Zollinger-Ellison syndrome (gastrinoma) is:

Accepted Answer

Fasting serum gastrin >1000 pg/mL with positive secretin stimulation test

Answer

Upper GI series showing giant rugal folds

Answer

CT scan showing pancreatic head mass

Answer

Helicobacter pylori biopsy from antrum

Question 6

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

Accepted Answer

Stomach

Answer

Small intestine

Answer

Colon

Answer

Esophagus