Surgery Board Exam Started: Jul 12, 2026 23:40 Page 54 of 59 Attempt #1350 Overall: 0 / 295 questions answered Question 266 / 295 Not answered During ward handover: a 64-year-old man is evaluated for abdominal distension with vomiting in the context of diabetes. Which is the most appropriate next investigation? A. Abdominal ultrasound B. Erect chest imaging for free air C. Intraoperative culture when indicated D. Focused abdominal exam with inflammatory markers E. Lactate and perfusion assessment Show Answer & Explanation Correct Answer: B Explanation: Erect chest imaging for free air 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 267 / 295 Not answered During ward handover: a 28-year-old woman is evaluated for sudden severe epigastric pain with peritonism in the context of prior abdominal surgery. Which is the most appropriate next investigation? A. Focused abdominal exam with inflammatory markers B. Intraoperative culture when indicated C. Erect chest imaging for free air D. Contrast-enhanced CT abdomen E. Lactate and perfusion assessment Show Answer & Explanation Correct Answer: D 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: 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 268 / 295 Not answered During ward handover: a 68-year-old man is evaluated for abdominal distension with vomiting in the context of prior abdominal surgery. Which is the most appropriate next investigation? A. Contrast-enhanced CT abdomen B. Intraoperative culture when indicated C. Focused abdominal exam with inflammatory markers D. Lactate and perfusion assessment E. Abdominal ultrasound Show Answer & Explanation Correct Answer: E Explanation: Abdominal ultrasound is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in Surgery. Reference: Tokyo Guidelines for Cholecystitis 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 269 / 295 Not answered During a primary-care follow-up visit: a 24-year-old woman presents with abdominal distension with vomiting. Relevant risk context includes prior abdominal surgery. What is the most likely diagnosis? A. Postoperative surgical site infection B. Small bowel obstruction C. Acute calculous cholecystitis D. Acute appendicitis E. Perforated peptic ulcer Show Answer & Explanation Correct Answer: E Explanation: The pattern of abdominal distension with vomiting with risk factors such as prior abdominal surgery is most consistent with Perforated peptic ulcer. This answer best matches the expected diagnostic framework for 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 270 / 295 Not answered During ward handover: a 26-year-old man is evaluated for wound erythema with purulent drainage in the context of vascular disease. Which is the most appropriate next investigation? A. Erect chest imaging for free air B. Focused abdominal exam with inflammatory markers C. Contrast-enhanced CT abdomen D. Abdominal ultrasound E. Lactate and perfusion assessment Show Answer & Explanation Correct Answer: D Explanation: Abdominal ultrasound is the most appropriate next test because it directly clarifies the leading diagnosis and guides immediate management in 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 54 of 59 Next → »