CMSA Intermediate Surgery Practice Questions - FCS(SA) Intermediate Examination in Surgery Exam - CMSA Intermediate Surgery Practice Questions - FCS(SA) Intermediate Examination in Surgery Exam

Question 1

A 55-year-old postoperative male patient following an emergency laparotomy develops asymptomatic mild hyponatremia with a serum sodium level of 131 mmol/L on postoperative day 2. He is euvolemic on clinical examination. What is the most appropriate initial management?

Infusion of 3% hypertonic saline at 50 mL/h Restriction of hypotonic intravenous fluid administration and clinical monitoring Immediate administration of intravenous furosemide 40 mg Administration of oral sodium chloride tablets 2 g three times daily

Correct Answer:

Restriction of hypotonic intravenous fluid administration and clinical monitoring

Question 2

A 68-year-old female patient in the surgical ICU develops severe hyperkalemia with a serum potassium of 6.8 mmol/L following repair of a ruptured abdominal aortic aneurysm. Her ECG displays peaked T waves and widening of the QRS complex. What is the immediate first step in medical management?

Intravenous administration of 10 mL 10% calcium gluconate over 2 to 5 minutes Intravenous bolus of 10 units regular insulin with 50 mL 50% dextrose Nebulized salbutamol 10 mg Emergency hemodialysis

Correct Answer:

Intravenous administration of 10 mL 10% calcium gluconate over 2 to 5 minutes

Question 3

A 42-year-old female patient develops perioral numbness, carpopedal spasm, and a positive Chvostek sign 36 hours after total thyroidectomy for retrosternal multinodular goiter. Her corrected serum calcium is 1.72 mmol/L (normal 2.15–2.55 mmol/L). What is the most appropriate emergency therapy?

Oral calcium carbonate 1,500 mg daily plus oral calcitriol 0.5 mcg daily Slow intravenous infusion of 10 mL 10% calcium gluconate diluted in 100 mL 5% dextrose over 10 to 15 minutes Intravenous magnesium sulfate 2 g bolus over 1 hour Subcutaneous recombinant human parathyroid hormone (rhPTH)

Correct Answer:

Slow intravenous infusion of 10 mL 10% calcium gluconate diluted in 100 mL 5% dextrose over 10 to 15 minutes

Question 4

Arterial blood gas analysis of a 30-year-old polytrauma patient in hemorrhagic shock reveals: pH 7.22, PaCO2 30 mmHg, PaO2 92 mmHg, HCO3- 12 mmol/L, Base Excess -14 mmol/L, Na+ 138 mmol/L, Cl- 102 mmol/L. What is the primary acid-base disorder and calculated anion gap?

High anion gap metabolic acidosis; Anion gap = 24 mmol/L Normal anion gap (hyperchloremic) metabolic acidosis; Anion gap = 12 mmol/L Primary respiratory acidosis with metabolic compensation; Anion gap = 18 mmol/L Mixed metabolic acidosis and respiratory acidosis; Anion gap = 30 mmol/L

Correct Answer:

High anion gap metabolic acidosis; Anion gap = 24 mmol/L

Question 5

A 3-week-old male infant presents with non-bilious projectile vomiting, dehydration, and a palpable olive-shaped right upper quadrant mass. Which metabolic abnormality is classic for this condition?

Hypochloremic, hypokalemic metabolic alkalosis with paradoxical aciduria Hyperchloremic, hyperkalemic metabolic acidosis High anion gap metabolic acidosis with ketonuria Normochloremic metabolic alkalosis with hyperkalemia

Correct Answer:

Hypochloremic, hypokalemic metabolic alkalosis with paradoxical aciduria

Question 1

Exam overview

About this Exam

Prepare with the CMSA Intermediate Surgery Practice Questions - FCS(SA) Intermediate Examination in Surgery Exam practice quiz. This question bank includes 100 questions covering year-old, male, surgical, patient, and mmol. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

More details

Additional Information

CMSA Intermediate Surgery Practice Questions - FCS(SA) Intermediate Examination in Surgery Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, male, surgical, patient, and mmol. 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.

Quiz information

Frequently Asked Questions

The complete question count is available after full access is unlocked.

No fixed duration is currently configured for this quiz.

Question explanations are included where they are available in the quiz content, helping you review the reasoning after answering.

Yes. You can retake the practice test again as you continue studying during your available access period.

After your access is confirmed, you can continue into the complete practice exam from this quiz flow.

Unless explicitly stated otherwise, this page provides independent practice material for study and exam preparation and is not the official examination itself.

Keep studying

Correct Answer:

Correct Answer:

Correct Answer:

Correct Answer:

Correct Answer:

About this Exam

Additional Information

CMSA Intermediate Surgery Practice Questions - FCS(SA) Intermediate Examination in Surgery Exam

Frequently Asked Questions

Related Questions

3CX Intermediate Certification Practice Exam

Ultimate Architect Registration Examination ARE Practice Exam

AAPD Qualifying Examination QE Practice Exam

Objective Structured Clinical Examination (OSCE) Practice Exam

CDCA Objective Structured Clinical Examination (OSCE) Practice Exam

SCE) Practice ExCDCA Objective Structured Clinical Examination (Oam