ABS General Surgery Practice Questions - ABS General Surgery Qualifying Examination Exam - ABS General Surgery Practice Questions - ABS General Surgery Qualifying Examination Exam

Question 1

A 28-year-old otherwise healthy man presents with 18 hours of periumbilical pain that has migrated to the right lower quadrant, anorexia, and a temperature of 38.2 C. He has focal tenderness at McBurney point with involuntary guarding, WBC 14,200, and a CT confirms a 9 mm non-perforated appendix with periappendiceal fat stranding. What is the most appropriate next step?

Admit for IV antibiotics alone (non-operative management) with outpatient follow-up Laparoscopic appendectomy within 24 hours Percutaneous drainage by interventional radiology Colonoscopy to exclude an obstructing cecal mass

Correct Answer:

Laparoscopic appendectomy within 24 hours

Question 2

A 55-year-old woman presents with postprandial right upper quadrant pain, no fever, WBC 7,000, normal LFTs, and ultrasound shows cholelithiasis without wall thickening or pericholecystic fluid. She has had three similar episodes over the past six months. What is the best management?

Ursodeoxycholic acid for 12 months Elective laparoscopic cholecystectomy Extracorporeal shock wave lithotripsy Observation only

Correct Answer:

Elective laparoscopic cholecystectomy

Question 3

A 62-year-old man with gallstone pancreatitis has resolved abdominal pain, normalizing lipase, and mild improvement of LFTs on hospital day 3. MRCP shows no retained common bile duct stone. What is the most appropriate timing for cholecystectomy?

Interval cholecystectomy in 6 weeks Same admission, after clinical improvement Defer unless recurrence occurs Immediately, on admission day 1

Correct Answer:

Same admission, after clinical improvement

Question 4

During elective laparoscopic cholecystectomy, the surgeon identifies Calot triangle but the anatomy is unclear and the gallbladder is severely inflamed. Which action best minimizes the risk of common bile duct injury?

Continue blunt dissection until something tubular is identified, then clip Achieve the critical view of safety or convert to subtotal cholecystectomy / open Perform a routine transcystic common duct exploration Administer IV indocyanine green and rely on fluorescence alone without further dissection

Correct Answer:

Achieve the critical view of safety or convert to subtotal cholecystectomy / open

Question 5

A 48-year-old man with a prior midline laparotomy presents with 24 hours of crampy abdominal pain, bilious emesis, and obstipation. Abdomen is distended and tender without peritonitis. CT shows dilated small bowel loops to a transition point in the mid-abdomen with decompressed distal bowel, no pneumatosis or free air, and no closed loop. Lactate is normal. What is the most appropriate initial management?

NPO, NG decompression, IV fluids, and serial exams Immediate exploratory laparotomy Colonoscopic decompression Start TPN and await spontaneous resolution over 2 weeks

Correct Answer:

NPO, NG decompression, IV fluids, and serial exams

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About this Exam

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

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ABS General Surgery Practice Questions - ABS General Surgery Qualifying Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, shows, presents, right, and woman. 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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ABS General Surgery Practice Questions - ABS General Surgery Qualifying Examination Exam

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