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General Surgery Board Review VIP Certification Exam
General Surgery Board Review — This exam mirrors the American Board of Surgery (ABS) Written Qualifying Examination — a computer-based, multiple-choice exam of approximately 250 questions administered over a full day, covering all core general surgery domains required for ABS board certification.
28
Questions
90m
Time Limit
75.00%
To Pass
Question 1 of 28👑 VIP
A 52-year-old man presents to the ED with sudden-onset severe chest and back pain that began after a prolonged episode of vomiting. He is diaphoretic and in moderate distress. His temperature is 38.1°C, HR 112 bpm, and BP 100/68 mmHg. A chest X-ray shows a left pleural effusion and mediastinal widening. CT scan of the chest confirms air and fluid in the posterior mediastinum. He reports the pain began approximately 6 hours ago. Which of the following is the most appropriate next step in management?
Questions 2–28 and full explanations are VIP-exclusive.