Arab Board Surgery Final Written Practice Questions - Arab Board General Surgery Final Written Examination Exam - Arab Board Surgery Final Written Practice Questions - Arab Board General Surgery Final Written Examination Exam

Question 1

A 42-year-old woman presents with progressive dysphagia to both liquids and solids, regurgitation of undigested food, and a 5-kg weight loss over 8 months. High-resolution esophageal manometry confirms Type II achalasia with integrated relaxation pressure (IRP) of 28 mmHg and panesophageal pressurization. Which surgical intervention is the standard definitive treatment of choice?

Laparoscopic Heller myotomy with partial fundoplication (Dor or Toupet) Laparoscopic Nissen 360-degree total fundoplication alone Transhiatal esophagectomy with gastric conduit reconstruction Endoscopic balloon dilatation to 20 mm followed by chronic proton pump inhibitor therapy

Correct Answer:

Laparoscopic Heller myotomy with partial fundoplication (Dor or Toupet)

Question 2

A 61-year-old man with long-standing Barrett esophagus is diagnosed with a biopsy-proven distal esophageal adenocarcinoma. Endoscopic ultrasound (EUS) and CT of the chest and abdomen stage the lesion as cT3N1M0. What is the standard evidence-based curative-intent treatment strategy?

Immediate upfront Ivor Lewis esophagectomy without neoadjuvant therapy Neoadjuvant chemoradiation (CROSS regimen) followed by planned surgical esophagectomy Definitive chemoradiotherapy alone without surgical resection Endoscopic submucosal dissection (ESD) followed by surveillance endoscopy

Correct Answer:

Neoadjuvant chemoradiation (CROSS regimen) followed by planned surgical esophagectomy

Question 3

A 54-year-old man presents to the emergency department with severe retrosternal and epigastric pain following repeated violent emesis after heavy alcohol consumption. On examination, he is tachycardic, tachypneic, and subcutaneous crepitus is palpable in the suprasternal notch (Mackler triad). What is the most sensitive and initial diagnostic test of choice to confirm Boerhaave syndrome?

Rigid upper gastrointestinal endoscopy Contrast esophagography using water-soluble oral contrast (Gastrografin) or CT esophagography Barium swallow under fluoroscopy as the sole initial study Exploratory left thoracotomy without prior imaging

Correct Answer:

Contrast esophagography using water-soluble oral contrast (Gastrografin) or CT esophagography

Question 4

A 48-year-old man presents with sudden-onset diffuse severe peritonitis. An erect chest radiograph shows pneumoperitoneum under the right hemidiaphragm. At laparotomy 4 hours after symptom onset, a 6-mm perforated ulcer is identified on the anterior wall of the first part of the duodenum with mild local inflammation. What is the standard surgical repair of choice?

Primary suture closure reinforced with a vascularized omental pedicle patch (Graham patch) Antrectomy with Billroth II gastrojejunostomy and truncal vagotomy Total gastrectomy with Roux-en-Y reconstruction Simple tube duodenostomy without defect closure

Correct Answer:

Primary suture closure reinforced with a vascularized omental pedicle patch (Graham patch)

Question 5

A 58-year-old woman is diagnosed with a resectable adenocarcinoma of the gastric antrum (cT2N1M0). Which surgical resection and lymphadenectomy strategy is recommended to achieve optimal oncologic clearance according to international guidelines?

Subtotal (distal) gastrectomy with D2 lymphadenectomy achieving at least 4 cm proximal gross margins Total gastrectomy with D1 lymphadenectomy and routine splenectomy Wedge resection of the antrum with sentinel lymph node biopsy Gastrojejunostomy bypass alone without tumor resection

Correct Answer:

Subtotal (distal) gastrectomy with D2 lymphadenectomy achieving at least 4 cm proximal gross margins

Question 1

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Prepare with the Arab Board Surgery Final Written Practice Questions - Arab Board General Surgery Final Written Examination Exam practice quiz. This question bank includes 100 questions covering year-old, surgical, presents, woman, and reveals. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Arab Board Surgery Final Written Practice Questions - Arab Board General Surgery Final Written Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, surgical, presents, woman, and reveals. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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Arab Board Surgery Final Written Practice Questions - Arab Board General Surgery Final Written Examination Exam

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