Surgery Board Exam Started: Jul 13, 2026 11:02 Page 19 of 59 Attempt #2653 Overall: 0 / 295 questions answered Question 91 / 295 Not answered At a multidisciplinary case conference: a 79-year-old woman presents with abdominal distension with vomiting. Relevant risk context includes prior abdominal surgery. What is the most likely diagnosis? A. Acute appendicitis B. Small bowel obstruction C. Postoperative surgical site infection D. Acute calculous cholecystitis E. Perforated peptic ulcer Show Answer & Explanation Correct Answer: D Explanation: The pattern of abdominal distension with vomiting with risk factors such as prior abdominal surgery is most consistent with Acute calculous cholecystitis. This answer best matches the expected diagnostic framework for Surgery. Reference: ATLS Principles; Surgery topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 92 / 295 Not answered A 25-year-old with right lower quadrant pain and rebound tenderness has elevated WBC and imaging suggesting appendicitis. Most appropriate therapy: A. Antibiotics alone B. Appendectomy C. Observation and monitoring D. Colonoscopy E. Repeat imaging in 1 week Show Answer & Explanation Correct Answer: B Explanation: Appendectomy is the definitive treatment for acute appendicitis to prevent perforation and peritonitis. Reference: American College of Surgeons Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 93 / 295 Not answered In an emergency department assessment: a 73-year-old man is evaluated for sudden severe epigastric pain with peritonism in the context of diabetes. Which is the most appropriate next investigation? A. Erect chest imaging for free air B. Lactate and perfusion assessment C. Contrast-enhanced CT abdomen D. Abdominal ultrasound E. Focused abdominal exam with inflammatory markers Show Answer & Explanation Correct Answer: C Explanation: Contrast-enhanced CT abdomen is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Surgery. Reference: NICE Surgical Site Infection Guidance Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 94 / 295 Not answered A 60-year-old with sudden severe epigastric pain has pneumoperitoneum on CT scan. Most appropriate management: A. Conservative management with antibiotics B. Immediate surgical exploration and repair C. Endoscopic management D. Proton pump inhibitor therapy E. Nasogastric tube only Show Answer & Explanation Correct Answer: B Explanation: Emergency surgical repair is indicated for perforated peptic ulcer to control contamination and prevent sepsis. Reference: American College of Surgeons Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 95 / 295 Not answered In an emergency department assessment: a 45-year-old woman presents with pain out of proportion with metabolic acidosis. Relevant risk context includes gallstones. What is the most likely diagnosis? A. Acute appendicitis B. Acute calculous cholecystitis C. Postoperative surgical site infection D. Small bowel obstruction E. Acute mesenteric ischemia Show Answer & Explanation Correct Answer: B Explanation: The pattern of pain out of proportion with metabolic acidosis with risk factors such as gallstones is most consistent with Acute calculous cholecystitis. This answer best matches the expected diagnostic framework for Surgery. Reference: ATLS Principles; Surgery topic-specific current guideline update Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 19 of 59 Next → »