General Surgery Board Review General Surgery Board Review MCQ 2

Question 1

A 55-year-old male presents with painless jaundice, weight loss, and a palpable gallbladder. Which of the following is the most likely diagnosis?

Accepted Answer

Pancreatic head carcinoma

Answer

Painless jaundice with a palpable, nontender gallbladder (Courvoisier's sign) in the setting of weight loss is classic for pancreatic head carcinoma obstructing the bile duct.

Question 2

Which artery is most commonly injured during laparoscopic cholecystectomy leading to a major vascular complication?

Accepted Answer

Right hepatic artery

Answer

The right hepatic artery is the most commonly injured major artery during laparoscopic cholecystectomy, often misidentified as the cystic artery in a short cystic duct scenario.

Question 3

A patient develops a wound infection 48 hours after bowel resection with fever, severe pain, and skin crepitus. What is the most appropriate next step?

Accepted Answer

Immediate surgical debridement

Answer

Crepitus with early onset fever and wound pain after bowel surgery indicates necrotizing fasciitis, which requires immediate surgical debridement — imaging should not delay treatment.

Question 4

In a trauma patient with a liver laceration and hemodynamic instability, which damage control surgery maneuver is most appropriate?

Accepted Answer

Perihepatic packing and abdominal closure

Answer

Damage control surgery for hemodynamically unstable liver trauma involves perihepatic packing to achieve temporary hemorrhage control, allowing resuscitation before definitive repair.

Question 5

A 70-year-old woman presents with a 6 cm abdominal aortic aneurysm that is symptomatic. What is the best management?

Accepted Answer

Prompt surgical or endovascular repair based on anatomy

Answer

A symptomatic AAA carries a high risk of rupture regardless of size and requires urgent repair; the approach (EVAR vs. open) depends on patient anatomy and comorbidities.

General Surgery Board Review Practice Test

General Surgery Board Review Practice Test

General Surgery Board Review General Surgery Board Review MCQ 2