General surgery — 5,000 referenced questions

One general surgery bank. The exams nobody writes for.

Five thousand questions across the whole of general surgery, each mapped to the examining body’s own blueprint — the Hong Kong and Singapore membership, the Philippine Board, the Arab Board, and the licensing examinations that Dubai, Qatar and Saudi Arabia set for surgeons trained abroad. One syllabus, because general surgery is general surgery wherever they examine it.

Try five now — no account1/5
Intermediateemergency

A 44-year-old woman presents with 30 hours of periumbilical pain that has shifted to the right iliac fossa, anorexia and two episodes of vomiting. She is haemodynamically stable, temperature 37.9°C, with localised right iliac fossa tenderness and no guarding elsewhere. White cell count is 14.2 x10^9/L and CRP is 62 mg/L. Contrast-enhanced CT shows a 12 mm appendix with periappendiceal fat stranding, no extraluminal gas, no free fluid and no collection. She has no significant comorbidity, is not pregnant, and asks whether she can avoid an operation because she is due to travel for work. Which is the most appropriate management?

Pick an answer to see why the other four are wrong.

Start with 50 free questions

A free account, no card. The same fifty questions in every country.

New — Dubai, Qatar and Saudi Arabia

The Gulf licences, prepared against the actual documents

Dubai and Qatar set the same sixteen-area paper, and Saudi Arabia does not set a paper at all: its classification in general surgery is an oral, marked on four named domains, with a rule that fails you for one fatal mistake however well the rest went. The syllabuses are published here in full, and the oral simulator runs in that format.

See the three syllabuses$99 · One price everywhere
  • 3licences
  • 16areas, Dubai and Qatar
  • 18sections, Saudi oral

One syllabus, several examinations

General surgery does not change at the border. The bank is written once against the core of the specialty and then mapped to each examining body’s blueprint, which is why a candidate in Manila and one sitting the Dubai licensing paper study the same questions weighted differently.

Citations that were checked

Every guideline version and every named trial is resolved against PubMed and ClinicalTrials.gov before the question is published. What cannot be resolved is not cited.

Where these examinations are sat

Six of these countries have an examining body whose published syllabus we have transcribed and mapped, domain by domain. The rest sit a general surgery examination too — same discipline, same syllabus — but we have not transcribed its blueprint, and we say so here rather than let you find out after paying.

72 countries

General surgery is examined the same way in substance everywhere; the weighting and the format are what change. Open a region to see which examination is sat where.

Blueprint transcribed4
  • Hong Kong
  • Singapore
  • Mainland China
  • Philippines

The bodies whose published syllabus is set out domain by domain on each examination page.

Arab Board and the Gulf15
  • Iraq
  • Jordan
  • Saudi Arabia
  • Syria
  • Lebanon
  • Yemen
  • Sudan
  • Libya
  • Palestine
  • Oman
  • United Arab Emirates
  • Kuwait
  • Bahrain
  • Qatar
  • Egypt

The Arab Board of Health Specializations examines for all of its member states. Dubai, Doha and Riyadh additionally set their own licensing paper for surgeons trained elsewhere.

Europe16
  • United Kingdom
  • Ireland
  • Germany
  • Austria
  • Switzerland
  • Netherlands
  • Belgium
  • Portugal
  • Spain
  • Italy
  • Greece
  • Poland
  • Romania
  • Hungary
  • Czechia
  • Türkiye

The Intercollegiate Specialty Board sets the FRCS in General Surgery for the United Kingdom and Ireland. Elsewhere the exit examination is national — the German and Austrian Facharztprüfung and the Swiss FMH examination are largely oral, Poland sits the Państwowy Egzamin Specjalizacyjny, and Portugal, Italy, Greece, Romania, Hungary and Czechia each end training with a specialty examination. Turkey adds a voluntary board examination through the Turkish Surgical Association.

Latin America15
  • Mexico
  • Brazil
  • Argentina
  • Chile
  • Colombia
  • Peru
  • Uruguay
  • Ecuador
  • Bolivia
  • Paraguay
  • Venezuela
  • Costa Rica
  • Panama
  • Guatemala
  • Dominican Republic

Four countries certify by examination: Mexico through the Consejo Mexicano de Cirugía General, Brazil through the Colégio Brasileiro de Cirurgiões — in Portuguese, not Spanish — Argentina through the Asociación Argentina de Cirugía and Chile through CONACEM. Everywhere else the specialist title is awarded by the university at the end of residency and then registered with a ministry or a medical college, with no national exit examination; Costa Rica is the one place where that registration itself involves a competency examination. Each country has its own page saying which of the two it is. The whole bank is written in Spanish as well as English.

South Asia5
  • India
  • Pakistan
  • Bangladesh
  • Sri Lanka
  • Nepal

The College of Physicians and Surgeons Pakistan sets the FCPS in General Surgery; Bangladesh sits the FCPS through its own college. India examines through NBEMS for the DNB and through the universities for the MS. All of them pair a written paper with a clinical and viva component — which is what the oral simulator is for.

Asia-Pacific8
  • Australia
  • New Zealand
  • Thailand
  • Malaysia
  • Indonesia
  • Vietnam
  • South Korea
  • Japan

The Royal Australasian College of Surgeons sets the Fellowship Examination in General Surgery for Australia and New Zealand. The Royal College of Surgeons of Thailand, the Indonesian and Malaysian boards and the Korean and Japanese societies each run their own exit examination.

Africa8
  • South Africa
  • Nigeria
  • Ghana
  • Kenya
  • Tanzania
  • Uganda
  • Ethiopia
  • Zimbabwe

Two regional colleges examine most of the continent: the West African College of Surgeons and COSECSA, whose fellowship covers East, Central and Southern Africa. Nigeria adds the National Postgraduate Medical College, and South Africa the Colleges of Medicine of South Africa.

North America1
  • Canada

The Royal College of Physicians and Surgeons of Canada examines general surgery for certification. The bank is not written to the American Board of Surgery blueprint and does not claim to prepare the ABS qualifying examination.

Examinations covered

Two kinds, and it matters which. The exit examinations certify you as a surgeon. The Gulf papers licence a surgeon trained elsewhere to practise there — Dubai, Qatar and Saudi Arabia only. Each has its own page with the structure as the examining body publishes it, and an honest note on what we have not been able to source.

Blueprint transcribed, domain by domain

On the roadmap

33 more examinations are in the catalogue with their body, country and paper structure recorded. What is not yet done is the domain-by-domain transcription of the published blueprint — that is the slow part, and it is done one examination at a time rather than guessed.

Asia-Pacific — 6
Middle East — 1
Latin America — 15
Europe — 6
Africa — 3
North America — 1
Gulf — 1

How hard the bank is

A bank that is all recall does not prepare anyone, and one that is all nuance puts you off in the first session. This is the actual split, counted today.

  • Basic27.6%Straight recall of a guideline you either know or do not
  • Intermediate31.4%Two or three factors to weigh before you commit
  • Hard41%Trial results, guideline nuance and the cases that split examiners

Counted from the 5,000 questions in the bank right now, not set as a target and left to drift.

What is in the bank

Five thousand questions, weighted like a general surgery examination and not like an oncology fellowship. Surgical oncology is 15% of it; the rest is emergency surgery, trauma, critical care, hernia, endocrine and benign disease — the core that every one of these examinations tests, whichever country sets it.

  • Surgical Oncology15%
  • Applied Surgical Basic Science10%
  • Surgical Critical Care9%
  • Trauma and Damage Control8%
  • Emergency General Surgery8%
  • Abdominal Wall and Hernia6%
  • Benign Hepatopancreatobiliary Disease6%
  • Benign Colorectal Disease5%
  • Perioperative Care, ERAS and Patient Safety5%
  • Benign Oesophagogastric Disease4%
  • Proctology and Pelvic Floor3%
  • Endocrine Surgery3%
  • Breast Disease3%
  • Vascular Surgery for the General Surgeon3%
  • Paediatric Surgery for the General Surgeon3%
  • Bariatric and Metabolic Surgery2%
  • Skin, Soft Tissue and Necrotising Infection2%
  • Thoracic Surgery for the General Surgeon2%
  • Evidence, Statistics and Critical Appraisal2%
  • Transplantation and Organ Donation1%

One price, everywhere

The same figure from every country, and the figure you see is the figure you are charged. One payment: nothing renews, and no card is kept afterwards.

$99

per year

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