20 free questions tagged General Surgery, each with a full explanation of every option.
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A 76-year-old woman with atrial fibrillation, whose apixaban was stopped three weeks ago after a fall, presents with four hours of severe constant central abdom…
A 66-year-old man is five days after an ultra-low anterior resection for rectal cancer and had initially been recovering well. Overnight he developed an irregul…
A 78-year-old man from a residential aged care facility, with long-standing constipation, presents with three days of increasing abdominal distension and no pas…
A 45-year-old woman is admitted with epigastric pain radiating to the back and a serum lipase of 2400 U/L (<60). Ultrasound shows multiple small stones in the g…
A 68-year-old woman presents with two days of constant right upper quadrant and epigastric pain. Overnight she had two episodes of violent, uncontrollable shaki…
A 22-year-old woman presents to the emergency department with 24 hours of lower abdominal pain that began around the umbilicus and is now most marked on the rig…
A 72-year-old woman with a BMI of 30 presents with a tender right groin lump that has become irreducible over the past 6 hours. She reports mild nausea but no v…
A 64-year-old man presents with a right-sided groin bulge that becomes more prominent on coughing. He reports no pain and has no difficulty with daily activitie…
A 62-year-old man presents with a bulge in his right groin that becomes more prominent when he coughs and reduces spontaneously when lying down. On examination,…
A 54-year-old man presents with persistent heartburn and regurgitation despite six weeks of once-daily omeprazole. He has no dysphagia, weight loss, or anemia.…
A 40-year-old woman presents with a 6-month history of intermittent upper abdominal discomfort described as postprandial fullness and occasional epigastric pain…
A 72-year-old woman is undergoing evaluation for persistent postprandial fullness and intermittent epigastric discomfort. She has no history of reflux or dyspha…
A 58-year-old man with a 3-year history of gastroesophageal reflux disease (GERD) undergoes an upper endoscopy for ongoing reflux symptoms. Endoscopy reveals a…
A 58-year-old man is undergoing evaluation for chronic upper gastrointestinal symptoms. He reports longstanding retrosternal burning, especially at night and af…
A 52-year-old man presents to the emergency department with sudden onset of vomiting blood and lightheadedness. He reports passing black stools over the past fe…
A 72-year-old woman with well-compensated alcoholic cirrhosis (Child-Pugh A) is referred due to persistent iron deficiency anaemia. She denies haematemesis, mel…
A 61-year-old man presents to the emergency department with a 6-hour history of hematemesis and melena. He reports a long-standing history of osteoarthritis, fo…
A 68-year-old man presents to his general practitioner for a routine review of his medications. He has a history of osteoarthritis, for which he takes naproxen…
A 76-year-old man presents to the emergency department with a 6-hour history of passing large volumes of bright red blood per rectum. He feels lightheaded and f…
A 68-year-old man presents to the emergency department with a 24-hour history of worsening abdominal pain, nausea, and vomiting. He has a history of open sigmoi…
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