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Question 1
A 24-year-old previously healthy male presents to the emergency department with a 14-hour history of periumbilical pain that has migrated to the right lower quadrant. He reports anorexia, low-grade fever (38.1°C), and localized tenderness with guarding at McBurney's point (Alvarado score 8). Laboratory tests show a white blood cell count of 14.5 × 10^9/L with 82% neutrophils and a CRP of 38 mg/L. Abdominal ultrasound demonstrates a non-compressible, blind-ending tubular structure in the right iliac fossa measuring 8.5 mm in outer diameter with surrounding hyperechoic fat stranding. What is the standard evidence-based management of choice?
Correct Answer:
Laparoscopic appendectomy within 24 hours of admission
Question 2
A 48-year-old female presents with a 6-day history of right lower quadrant abdominal pain, fever (38.8°C), and palpable right iliac fossa fullness. She is hemodynamically stable without diffuse peritonitis. Contrast-enhanced CT reveals a perforated retrocecal appendicitis with a well-defined 5.2 cm fluid collection (abscess) containing gas bubbles, walled off by the cecum and terminal ileum. What is the most appropriate initial management strategy according to WSES guidelines?
Correct Answer:
Percutaneous image-guided catheter drainage combined with intravenous broad-spectrum antibiotics, followed by optional interval appendectomy
Question 3
A 52-year-old woman presents to the emergency department with a 36-hour history of severe right upper quadrant colicky pain radiating to the right scapula, accompanied by nausea and fever (38.3°C). Physical examination reveals a positive Murphy's sign. Transabdominal ultrasound demonstrates gallstones, a thickened gallbladder wall (5 mm), and pericholecystic fluid. Laboratory tests show WBC 13.2 × 10^9/L, total bilirubin 18 µmol/L (normal
Correct Answer:
Early laparoscopic cholecystectomy during the index admission, ideally within 72 hours of symptom onset
Question 4
A 74-year-old male is admitted with a 24-hour history of severe right upper quadrant pain, high-spiking fevers with rigors (39.5°C), jaundice, confusion, and hypotension (blood pressure 82/50 mmHg, heart rate 124 bpm, refractory to fluid bolus). Laboratory evaluation reveals total bilirubin 95 µmol/L, alkaline phosphatase 420 U/L, WBC 22.0 × 10^9/L, and arterial lactate 4.1 mmol/L. Abdominal ultrasound shows common bile duct dilatation (14 mm) with an impacted stone at the distal choledochus. What is the most critical emergency intervention after initiating resuscitation and broad-spectrum antibiotics?
Correct Answer:
Urgent biliary decompression via Endoscopic Retrograde Cholangiopancreatography (ERCP) with sphincterotomy/stenting
Question 5
An 81-year-old woman with a history of recurrent biliary colic presents with vomiting, crampy abdominal pain, and abdominal distension. Abdominal CT demonstrates small bowel obstruction with dilated jejunal loops, air within the intrahepatic biliary tree (pneumobilia), and a 3.5 cm calcified intraluminal mass lodged in the terminal ileum. What is the most appropriate emergency operative procedure?
Correct Answer:
Enterolithotomy alone via longitudinal enterotomy proximal to the stone with transverse closure
Question 1
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Prepare with the Facharzt FMH Chirurgie Practice Questions - Facharzt FMH für Chirurgie Spécialiste FMH en chirurgie Exam practice quiz. This question bank includes 100 questions covering year-old, male, abdominal, management, 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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Facharzt FMH Chirurgie Practice Questions - Facharzt FMH für Chirurgie Spécialiste FMH en chirurgie Exam

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

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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