General Surgery Practice Questions
General surgery covers breast screening, biliary imaging, gallstone pancreatitis workup, and perioperative anticoagulation management. These four sample questions come from MediLingo's bank of 3,900+ questions across 21 specialties.
Sample questions
Question 1
According to most current guidelines, at what age should average-risk women begin regular mammographic screening?
a) Age 30
b) Age 40 ✓ Correct
c) Age 50
d) Age 60
Key teaching point: Average-risk breast screening: start mammography at age 40.
Question 2
A 55-year-old woman has suspected acute cholecystitis. What is the initial imaging test of choice?
a) CT abdomen with contrast
b) MRCP
c) HIDA scan
d) Right upper quadrant ultrasound ✓ Correct
Key teaching point: Suspected cholecystitis: RUQ ultrasound first; HIDA if equivocal.
Question 3
A 52-year-old woman with acute pancreatitis has elevated ALT over 150 U/L, a dilated common bile duct, and no cholangitis. What is the next step?
a) MRCP or endoscopic ultrasound to assess for choledocholithiasis ✓ Correct
b) Urgent ERCP within 24 hours
c) Immediate cholecystectomy without further workup
d) Discharge without follow-up
Key teaching point: Gallstone pancreatitis with suspected duct stones: MRCP or EUS first.
Question 4
A 68-year-old man on warfarin for atrial fibrillation is scheduled for elective colectomy in 7 days. His INR is 2.5. When should warfarin be stopped?
a) Stop the morning of surgery
b) Continue through surgery
c) Stop 5 days before surgery ✓ Correct
d) Stop 2 weeks before surgery
Key teaching point: Stop warfarin 5 days before high-bleed-risk surgery.
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