Surgery Board Exam Started: Jul 14, 2026 02:42 Page 31 of 59 Attempt #3048 Overall: 0 / 295 questions answered Question 151 / 295 Not answered At a multidisciplinary case conference: a 40-year-old woman presents with sudden severe epigastric pain with peritonism. Relevant risk context includes gallstones. What is the most likely diagnosis? A. Acute calculous cholecystitis B. Small bowel obstruction C. Postoperative surgical site infection D. Perforated peptic ulcer E. Acute mesenteric ischemia Show Answer & Explanation Correct Answer: C Explanation: The pattern of sudden severe epigastric pain with peritonism with risk factors such as gallstones is most consistent with Postoperative surgical site infection. 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 152 / 295 Not answered During morning rounds: a 39-year-old man is evaluated for right lower quadrant pain migrating from periumbilical area in the context of prior abdominal surgery. Which is the most appropriate next investigation? A. Focused abdominal exam with inflammatory markers B. Lactate and perfusion assessment C. Erect chest imaging for free air D. Abdominal ultrasound E. Intraoperative culture when indicated Show Answer & Explanation Correct Answer: B Explanation: Lactate and perfusion assessment 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 153 / 295 Not answered At a multidisciplinary case conference: a 37-year-old man presents with sudden severe epigastric pain with peritonism. Relevant risk context includes gallstones. What is the most likely diagnosis? A. Acute calculous cholecystitis B. Acute mesenteric ischemia C. Postoperative surgical site infection D. Acute appendicitis E. Small bowel obstruction Show Answer & Explanation Correct Answer: B Explanation: The pattern of sudden severe epigastric pain with peritonism with risk factors such as gallstones is most consistent with Acute mesenteric ischemia. 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 154 / 295 Not answered During a primary-care follow-up visit: a 50-year-old man has right upper quadrant pain with Murphy sign with risk profile of prior abdominal surgery. After initial stabilization and assessment, what is the most appropriate management step? A. Timely operative consultation B. Early sepsis management in surgical infection C. Source control with appropriate antibiotics D. DVT prophylaxis and perioperative optimization E. Postoperative complication surveillance Show Answer & Explanation Correct Answer: A Explanation: Timely operative consultation is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes 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 155 / 295 Not answered At a preventive-care consultation: a 29-year-old man has right upper quadrant pain with Murphy sign with risk profile of prior abdominal surgery. After initial stabilization and assessment, what is the most appropriate management step? A. Postoperative complication surveillance B. Early sepsis management in surgical infection C. Timely operative consultation D. Source control with appropriate antibiotics E. Resuscitation and electrolyte correction Show Answer & Explanation Correct Answer: E 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 31 of 59 Next → »