NBME Surgery Shelf Final Exam ( Updated 2025 ) 1-100 Complete Questions & Answers (Solved) 100% Correct
NBME Surgery Shelf Final Exam ( Updated
2025 ) 1-100 Complete Questions &
Answers (Solved) 100% Correct
What is a spermatocele? – CORRECT ANSWER-Also called
epididymal cyst, benign, typically painless, fluid-filled mass,
cephalad and distinct from the testis, may transilluminate
A 24 YOM is brought to ED with burns on 50% of body, He weighs
75 kg. clearly needs fluids. How much in next 24 hours? –
CORRECT ANSWER-15 L of LR (4ml/kg/% burn)
A 23 YOW has left shoulder pain for 12 h after falling down stair.
She has diffuse abd tenderss, an Hb f 10, and WBC of 11k. Most
likely Dx? – CORRECT ANSWER-Ruptured spleen
52 YO nulligravid woman comes to physician due to 2 m of
progressive abdominal swelling and decr appetitie. She has astma
treated with steroidsand T2DM. Exam shows a fluid wave. An Ct
shows mulple levic masses and omental thickening. Most likely
dx? – CORRECT ANSWER-Ovarian adenocarcinoma
A hospitalized 72 YOM has not voided since catheter removal 8h
ago. He had a sigmoid colectomy for recurrent diverticulitis 2 d
ago. He is currently receiving 5% dextrose and 0.45% saline. His
temp is 100.8. Most likely cause of inability to void? – CORRECT
ANSWER-Bladder outflow obstruction
A 1 yr old boy has persistent cough, loose stools and facial rash
for 2 m. 4lb wt loss. 50th percentile for ht and 20th for wt. Temp is
37, pulse is 100 resp is 18. Ct shows tumor in panceas. Most likely
Dx? – CORRECT ANSWER-VIPoma – giveaway is the facial rash and
diarrhea
Routine mammorgraphy on a 52 YOw shows six stippled
microcalcification in a cluster in the upper outer quadrant of the
left creast, not presen t 1 y ago. No lump. Next step? – CORRECT
ANSWER-Needle-localized open biopsy (NOT FNA!!)
A 42 YO is admitted to the hospital with a piece of meat lodged in
the lower esophagus. With difficulty is it removed with an
