Surgery Assessment

20 learning units • 10 questions per unit • 200 explained questions

Module 01 — Surgical Assessment & Consent

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Question 01 • Single best answer

A patient with severe abdominal pain is pale and confused. What comes first?

A. Assess and support immediate physiological threats B. Complete the family pedigree C. Wait for routine clinic review D. Obtain a detailed dietary diary

Question 02 • Single best answer

Which description best characterizes a lump?

A. Color of the clinic room B. Only whether it hurts C. Only the patient’s occupation D. Site, size, consistency, mobility and related nodes

Question 03 • Single best answer

Which history most directly changes perioperative planning?

A. Previous severe anesthetic reaction B. Preferred television program C. Shoe brand D. Favorite season

Question 04 • Single best answer

What is a differential diagnosis?

A. A list of all known diseases B. A prioritized set of plausible explanations C. A confirmed tissue diagnosis D. The first diagnosis mentioned

Question 05 • Single best answer

Which statement about consent is correct?

A. A signature removes the need for explanation B. Relatives always decide for a capable adult C. Consent can never be withdrawn D. It requires an informed and voluntary decision with capacity

Question 06 • Single best answer

A patient declines an elective operation after understanding its consequences. What is appropriate?

A. Respect the decision and discuss alternatives B. Threaten withdrawal of all care C. Ask a student to sign instead D. Conceal the alternatives

Question 07 • Single best answer

When should a pregnancy possibility be considered in abdominal pain?

A. Only after all imaging is complete B. When clinically relevant to the differential and investigations C. Never in a surgical assessment D. Only when the patient asks for surgery

Question 08 • Single best answer

Which handover is most useful?

A. A diagnosis alone B. An unstructured list of old results C. Current condition, concerns, actions, response and review plan D. A reassurance without observations

Question 09 • Single best answer

A normal initial scan conflicts with worsening clinical signs. What is best?

A. Ignore the new findings B. Automatically discharge C. Reassess and seek senior review D. Change the recorded observations

Question 10 • Single best answer

How should an unperformed rectal examination be recorded?

A. Normal B. Negative C. Completed by assumption D. Not performed, with the relevant reason

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