Question 1
A 24-year-old man is brought after a high-speed motor vehicle collision. He is moaning, has blood in the oropharynx, and withdraws to pain. Pulse is 122/min, blood pressure is 104/70 mm Hg, and oxygen saturation is 88% despite a nonrebreather mask. What is the next best step?
Correct Answer:
Rapid sequence intubation with cervical spine stabilization
Question 2
A 31-year-old man has a gunshot wound to the abdomen. He is confused, pulse is 138/min, blood pressure is 78/42 mm Hg, and the abdomen is rigid. Two large-bore IVs are placed and blood is requested. What is the most appropriate next step?
Correct Answer:
Immediate exploratory laparotomy
Question 3
A 22-year-old man is stabbed in the right chest. He is severely dyspneic with distended neck veins, tracheal deviation to the left, absent right breath sounds, and blood pressure of 82/50 mm Hg. What is the immediate treatment?
Correct Answer:
Needle or finger thoracostomy
Question 4
A 67-year-old man has multiple left rib fractures after a fall. A segment of chest wall moves inward during inspiration. He is alert but increasingly tachypneic, and oxygen saturation is 89% on high-flow oxygen. Chest x-ray shows pulmonary contusion. What is the best next step?
Correct Answer:
Early ventilatory support and aggressive analgesia
Question 5
A 19-year-old woman has left upper quadrant pain after a bicycle crash. Blood pressure is 118/74 mm Hg after 1 L crystalloid, pulse is 94/min, and CT shows a contained splenic laceration without contrast extravasation. What is the preferred management?
Correct Answer:
Nonoperative management with observation
Question 1
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Prepare with the Surgery Shelf Practice Questions - NBME Clinical Science Subject Examination in Surgery Exam practice quiz. This question bank includes 100 questions covering year-old, shows, pain, next, and step. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Surgery Shelf Practice Questions - NBME Clinical Science Subject Examination in Surgery Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, shows, pain, next, and step. 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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