General Surgery Practice Questions

Question 1

A 58-year-old diabetic man presents with fever and a swollen, red foot. X-ray shows gas in soft tissues. Blood glucose is 25 mmol/L. What is the most appropriate immediate management?

Accepted Answer

Urgent surgical debridement

Answer

Oral antibiotics

Answer

IV antibiotics alone

Answer

Hyperbaric oxygen

Answer

Amputation

Question 2

A 31-year-old man presents with acute severe testicular pain. The pain started suddenly⁴ hours ago. Doppler ultrasound shows absent blood flow. What is the salvage rate if specified?

Accepted Answer

80-90%

Answer

>95%

Answer

60-70%

Answer

40-50%

Answer

<20%

Question 3

A 52-year-old diabetic man presents with a non-healing foot ulcer. ABPI is 0.4. What is the most appropriate management?

Accepted Answer

Vascular surgery referral

Answer

Antibiotics alone

Answer

Wound care only

Answer

Amputation

Answer

Hyperbaric oxygen

Question 4

A 63-year-old man presents with progressive memory loss and gait disturbance. MRI shows ventricular dilatation. Large-volume lumbar puncture temporarily improves his walking. What is the most appropriate treatment?

Accepted Answer

Ventriculoperitoneal shunt

Answer

Cholinesterase inhibitors

Answer

Repeated lumbar punctures

Answer

Corticosteroids

Answer

Observation

Question 5

A 63-year-old smoker presents with a 3-month history of hoarseness and weight loss. Laryngoscopy shows a vocal cord mass. What is the most appropriate next investigation?

Accepted Answer

Biopsy of the lesion

Answer

CT chest

Answer

MRI neck

Answer

PET scan

Answer

Bronchoscopy

Question 6

A 29-year-old man presents with acute severe scrotal pain and swelling. The affected testicle is high-riding and horizontally oriented. What is the most appropriate immediate management?

Accepted Answer

Urgent surgical exploration

Answer

Ultrasound scan

Answer

Antibiotics

Answer

Analgesia and observation

Answer

Epididymectomy

Question 7

A 25-year-old man presents with acute onset severe testicular pain and swelling. The pain started suddenly while playing football 2 hours ago. On examination, the affected testicle is high-riding and the cremasteric reflex is absent. What is the most appropriate immediate management?

Accepted Answer

Surgical exploration

Answer

Ultrasound Doppler

Answer

Urine analysis

Answer

Antibiotics

Answer

Analgesia and observation

Question 8

A 28-year-old man presents with acute onset severe scrotal pain and swelling. The affected testicle is high-riding and horizontally oriented. Doppler ultrasound shows absent blood flow. What is the most appropriate management?

Accepted Answer

Surgical exploration

Answer

Antibiotics

Answer

Analgesia and observation

Answer

Epididymectomy

Answer

Orchidectomy

Question 9

A 35-year-old woman presents with sudden onset severe headache and neck stiffness. CT head shows subarachnoid hemorrhage. CT angiogram reveals an anterior communicating artery aneurysm. What is the most appropriate immediate management?

Accepted Answer

Endovascular coiling

Answer

Surgical clipping

Answer

Conservative management

Answer

Lumbar puncture

Answer

Anticoagulation

Question 10

A 59-year-old man presents with painless jaundice and weight loss over 2 months. CT shows a mass in the head of pancreas with bile duct dilatation. CA 19-9 is markedly elevated. What is the most appropriate next step?

Accepted Answer

ERCP with stenting

Answer

Percutaneous biopsy

Answer

Surgical resection

Answer

Chemotherapy

Answer

Palliative care

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