American Board of Surgery Recertification Examination

APRIL 07, 2008

These questions are similar to those asked on the American Board of Surgery Recertification Examination. Use them to prepare for the examination, fulfill learning requirements for various maintenance of competence programs, or simply improve your surgical knowledge. Answers can be viewed by following the "Read the Answers" link at the end.

  1. In patients with cirrhosis
    1. Decompensation occurs in 15% to 20% per year
    2. Carcinoma occurs in 10% to 20% per year
    3. More than 80% become symptomatic within 2 years
    4. Variceal bleeding occurs in 25% to 30% per year
    5. The presence of ascites is a good indicator of expected mortality

  2. Femoral-femoral bypass grafting
    1. Has a 1% to 2% postoperative amputation rate
    2. Is the procedure of choice for unilateral iliac stenosis
    3. Is more likely to fail in women than in men
    4. Is indicated in the presence of infected aortobifemoral grafts
    5. Should be performed between superficial femoral arteries

  3. All of the following arteries are branches of the superior mesenteric artery, except:
    1. Ileocolic
    2. Replaced left hepatic
    3. Inferior pancreaticoduodenal
    4. Jejunal
    5. Replaced right hepatic

  4. Lung cancer
    1. Is the most common cause of cancer death in men but not in women
    2. Risk disappears with cessation of smoking
    3. Is identified in 50% of patients with a history of smoking
    4. Is increasing in frequency in women
    5. Presents no increased risk for spouses of smokers

  5. The most common organism found in normal gallbladder bile is
    1. Escherichia coli
    2. Pseudomonas
    3. Klebsiella
    4. Bacteroides
    5. No organisms

  6. The superior laryngeal nerve
    1. Is a branch of the glossopharyngeal nerve
    2. Is purely motor
    3. Courses posterior to the thyroid
    4. Can be injured if the superior pole vessels are divided too far above the gland
    5. If injured, results in hoarseness

  7. Which of the following statements regarding the Puestow procedure (lateral pancreaticojejunostomy) is true?
    1. It should only be performed if the duct is dilated
    2. It relieves the pain of chronic pancreatitis in less than 30% of patients
    3. It mandates performance of a splenectomy
    4. It requires removal of the ductal stones
    5. It includes a 3-cm anastomosis

  8. Typhoid enteritis
    1. Mainly affects the jejunum
    2. Is most successfully treated with chloramphenicol (Chloromycetin)
    3. Can only be diagnosed by stool culture
    4. Rarely causes ulceration and resultant hemorrhage
    5. Has been eradicated in the United States

  9. Mesenteric cysts
    1. Occur primarily in the mesocolon
    2. Are discovered mainly in children
    3. Can contain chyle or serous fluid
    4. Require total enucleation for a cure
    5. Are neoplastic

  10. The histologic type of ductal carcinoma in situ (DCIS) that is associated with the highest rate of multiplicity is
    1. Micropapillary
    2. Solid
    3. Papillary
    4. Comedo
    5. Cribiform

  11. Decompression for abdominal compartment syndrome should be performed
    1. If the urine output falls to 30 mL/hour
    2. When the patient's respiratory rate increases to 24 breaths per minute
    3. Based purely on physical findings
    4. When bladder pressure exceeds 35 mm Hg
    5. If the patient becomes hypoxemic

  12. Anal fissures
    1. Are caused by sphincter hypotonia
    2. Should initially be treated with topical steroid application
    3. Are effectively cured with an injection of botulinum toxin
    4. Occur at the posterior midline
    5. Are best surgically treated using the Lord procedure (sphincter dilation)


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