Surgery Board Exam Started: Jul 13, 2026 10:10 Page 45 of 59 Attempt #2584 Overall: 0 / 295 questions answered Question 221 / 295 Not answered In an emergency department assessment: a 69-year-old man presents with wound erythema with purulent drainage. Relevant risk context includes gallstones. What is the most likely diagnosis? A. Perforated peptic ulcer B. Acute calculous cholecystitis C. Postoperative surgical site infection D. Acute appendicitis E. Small bowel obstruction Show Answer & Explanation Correct Answer: B Explanation: The pattern of wound erythema with purulent drainage with risk factors such as gallstones is most consistent with Acute calculous cholecystitis. 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 222 / 295 Not answered During ward handover: a 67-year-old man presents with pain out of proportion with metabolic acidosis. Relevant risk context includes diabetes. What is the most likely diagnosis? A. Postoperative surgical site infection B. Acute mesenteric ischemia C. Perforated peptic ulcer D. Acute calculous cholecystitis E. Small bowel obstruction Show Answer & Explanation Correct Answer: D Explanation: The pattern of pain out of proportion with metabolic acidosis with risk factors such as diabetes is most consistent with Acute calculous cholecystitis. 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 223 / 295 Not answered At a preventive-care consultation: a 59-year-old woman has right upper quadrant pain with Murphy sign with risk profile of diabetes. After initial stabilization and assessment, what is the most appropriate management step? A. Resuscitation and electrolyte correction B. Timely operative consultation C. Early sepsis management in surgical infection D. Postoperative complication surveillance E. Source control with appropriate antibiotics Show Answer & Explanation Correct Answer: E Explanation: Source control with appropriate antibiotics 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 Question 224 / 295 Not answered During ward handover: a 59-year-old man presents with sudden severe epigastric pain with peritonism. Relevant risk context includes diabetes. What is the most likely diagnosis? A. Perforated peptic ulcer B. Small bowel obstruction C. Acute calculous cholecystitis D. Postoperative surgical site infection 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 diabetes is most consistent with Acute calculous cholecystitis. 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 225 / 295 Not answered At a preventive-care consultation: a 53-year-old woman 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. Timely operative consultation B. Early sepsis management in surgical infection C. Postoperative complication surveillance D. DVT prophylaxis and perioperative optimization E. Source control with appropriate antibiotics Show Answer & Explanation Correct Answer: E Explanation: Source control with appropriate antibiotics is preferred because it aligns with guideline-based care priorities, reduces avoidable complications, and supports safe outcomes 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 Cancel « ← Previous Page 45 of 59 Next → »