Surgery Board Exam Started: Jul 13, 2026 09:07 Page 46 of 59 Attempt #2490 Overall: 0 / 295 questions answered Question 226 / 295 Not answered At a multidisciplinary case conference: a 58-year-old woman presents with right upper quadrant pain with Murphy sign. Relevant risk context includes immunosuppression. What is the most likely diagnosis? A. Small bowel obstruction B. Acute calculous cholecystitis C. Perforated peptic ulcer D. Postoperative surgical site infection E. Acute appendicitis Show Answer & Explanation Correct Answer: E Explanation: The pattern of right upper quadrant pain with Murphy sign with risk factors such as immunosuppression is most consistent with Acute appendicitis. 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 227 / 295 Not answered At a preventive-care consultation: a 46-year-old woman presents with sudden severe epigastric pain with peritonism. Relevant risk context includes vascular disease. What is the most likely diagnosis? A. Small bowel obstruction B. Acute appendicitis C. Perforated peptic ulcer D. Acute mesenteric ischemia E. Acute calculous cholecystitis Show Answer & Explanation Correct Answer: B Explanation: The pattern of sudden severe epigastric pain with peritonism with risk factors such as vascular disease is most consistent with Acute appendicitis. This answer best matches the expected diagnostic framework for 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 228 / 295 Not answered During morning rounds: a 64-year-old woman is evaluated for right lower quadrant pain migrating from periumbilical area in the context of immunosuppression. Which is the most appropriate next investigation? A. Intraoperative culture when indicated B. Erect chest imaging for free air C. Abdominal ultrasound D. Focused abdominal exam with inflammatory markers E. Contrast-enhanced CT abdomen Show Answer & Explanation Correct Answer: A Explanation: Intraoperative culture when indicated 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 229 / 295 Not answered In an emergency department assessment: a 79-year-old man is evaluated for right lower quadrant pain migrating from periumbilical area in the context of diabetes. Which is the most appropriate next investigation? A. Focused abdominal exam with inflammatory markers B. Abdominal ultrasound C. Erect chest imaging for free air D. Contrast-enhanced CT abdomen E. Lactate and perfusion assessment Show Answer & Explanation Correct Answer: E 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 230 / 295 Not answered During a primary-care follow-up visit: a 62-year-old man has right upper quadrant pain with Murphy sign with risk profile of vascular disease. After initial stabilization and assessment, what is the most appropriate management step? A. Resuscitation and electrolyte correction 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: Resuscitation and electrolyte correction 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 46 of 59 Next → »