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Question 1
A 45-year-old male is initiated on total parenteral nutrition (TPN) after a prolonged period of starvation due to severe small bowel obstruction. On day 3 of TPN, he develops muscle weakness, cardiac arrhythmias, and confusion. Laboratory studies reveal a serum phosphorus of 1.2 mg/dL. Which of the following is the most appropriate next step in management?
Correct Answer:
Administer aggressive intravenous phosphate replacement and reduce caloric intake
Question 2
A patient undergoing an elective laparoscopic cholecystectomy is scheduled for incision at 09:00. At what time should the prophylactic dose of cefazolin be administered to ensure maximum tissue concentrations?
Correct Answer:
Between 08:00 and 09:00 (within 60 minutes before incision)
Question 3
Six hours after receiving a transfusion of packed red blood cells, a 62-year-old female develops acute dyspnea, hypoxemia (SpO2 85%), and fever. Chest radiograph shows bilateral pulmonary infiltrates. Her pulmonary capillary wedge pressure (PCWP) is normal, and there are no signs of jugular venous distention or peripheral edema. Which of the following is the most likely diagnosis?
Correct Answer:
Transfusion-Related Acute Lung Injury (TRALI)
Question 4
A 55-year-old postoperative patient who has been receiving prophylactic unfractionated heparin develops a sudden drop in platelet count from 250,000 to 90,000/microL on postoperative day 7, accompanied by a new cold, painful left leg. What is the most appropriate next step in management?
Correct Answer:
Discontinue heparin and initiate a direct thrombin inhibitor (e.g., argatroban)
Question 5
Which of the following physiological changes is most commonly observed as a direct result of establishing carbon dioxide pneumoperitoneum during laparoscopic surgery?
Correct Answer:
Decreased cardiac output, increased systemic vascular resistance (SVR), and decreased renal blood flow
Question 1
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About this Exam

Prepare with the General Surgery Board Practice Questions - Saudi Board General Surgery Final Written Exam practice quiz. This question bank includes 100 questions covering year-old, patient, male, severe, and management. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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General Surgery Board Practice Questions - Saudi Board General Surgery Final Written Exam

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