Surgery Board Exam Started: Jul 13, 2026 11:55 Page 20 of 59 Attempt #2699 Overall: 0 / 295 questions answered Question 96 / 295 Not answered A 50-year-old female with symptomatic gallstones has right upper quadrant pain. Most appropriate management: A. Conservative management only B. Cholecystectomy C. Extracorporeal shock wave lithotripsy D. Ursodeoxycholic acid E. Observation Show Answer & Explanation Correct Answer: B Explanation: Cholecystectomy is definitive treatment for symptomatic gallstones and prevents complications. 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 97 / 295 Not answered A 70-year-old with previous abdominal surgery presents with vomiting and abdominal distension. CT shows adhesions causing small bowel obstruction. Most appropriate initial management: A. Immediate surgery B. Nasogastric tube NPO and IV fluids C. Laxatives D. Endoscopy E. Observation Show Answer & Explanation Correct Answer: B Explanation: Most adhesive small bowel obstructions resolve with conservative management; surgery is reserved for failures of medical therapy. 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 98 / 295 Not answered At a multidisciplinary case conference: a 50-year-old woman presents with right lower quadrant pain migrating from periumbilical area. Relevant risk context includes gallstones. What is the most likely diagnosis? A. Postoperative surgical site infection B. Acute calculous cholecystitis C. Acute mesenteric ischemia D. Perforated peptic ulcer E. Acute appendicitis Show Answer & Explanation Correct Answer: C Explanation: The pattern of right lower quadrant pain migrating from periumbilical area with risk factors such as gallstones is most consistent with Acute mesenteric ischemia. This answer best matches the expected diagnostic framework for Surgery. Reference: WSES Guidelines; 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 99 / 295 Not answered A 25-year-old trauma patient has hemodynamic instability from intra-abdominal bleeding. Most appropriate management: A. Aggressive fluid resuscitation only B. Permissive hypotension with fluid resuscitation and rapid surgical exploration C. High-volume transfusion without surgery D. Observation E. Intensive care monitoring only Show Answer & Explanation Correct Answer: B Explanation: Permissive hypotension and rapid surgical hemorrhage control improve outcomes compared to aggressive resuscitation alone. 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 100 / 295 Not answered At a preventive-care consultation: a 63-year-old man has pain out of proportion with metabolic acidosis with risk profile of vascular disease. After initial stabilization and assessment, what is the most appropriate management step? A. DVT prophylaxis and perioperative optimization B. Postoperative complication surveillance C. Timely operative consultation D. Resuscitation and electrolyte correction E. Source control with appropriate antibiotics Show Answer & Explanation Correct Answer: D Explanation: Resuscitation and electrolyte correction is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes in Surgery. Reference: WSES Guidelines; 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 20 of 59 Next → »