Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

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Enhance your knowledge in General Surgery with our Sutures and Wound Repair test. Tackle multiple-choice questions with detailed explanations to ensure readiness for your exam!

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Which of the following conditions does NOT require immediate surgery?

  1. Complete SBO

  2. Cecal volvulus

  3. Bile peritonitis

  4. Massive rectal prolapse

The correct answer is: Massive rectal prolapse

Massive rectal prolapse, while it is a significant condition that may require surgical intervention ultimately, does not necessitate immediate surgery in the same manner as the other listed conditions. Immediate surgery is critical in scenarios where there are risks of life-threatening complications or advanced progressive deterioration. In contrast, complete small bowel obstruction (SBO), cecal volvulus, and bile peritonitis present urgent surgical indications due to the potential for severe complications. For example, complete SBO can lead to bowel ischemia and necrosis if not addressed promptly. Cecal volvulus can cause obstruction of blood supply to the bowel, leading to potential bowel death. Bile peritonitis results from a rupture or perforation, with the risk of sepsis and requires prompt intervention to prevent systemic complications. While massive rectal prolapse is a serious condition, it may not present the same immediate life-threatening risk. Instead, this condition can often be managed on an elective basis, allowing time for preoperative optimization and planning. Thus, it is the option that does not require urgent surgical intervention compared to the other three conditions mentioned.