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100+ Free Arab Board Surgery Part 1 Practice Questions

Pass your Arab Board of Health Specializations General Surgery Part 1 Written Exam exam on the first try — instant access, no signup required.

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Sample Arab Board Surgery Part 1 Practice Questions

Try these sample questions to test your Arab Board Surgery Part 1 exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1During an open inguinal hernia repair, which structure forms the floor of the inguinal canal?
A.External oblique aponeurosis
B.Transversalis fascia and conjoint tendon
C.Internal oblique muscle
D.Cremasteric fascia
Explanation: The floor (posterior wall) of the inguinal canal is formed by the transversalis fascia, reinforced medially by the conjoint tendon. This is the wall that weakens in direct inguinal hernias, which is why repairs aim to reinforce it.
2Which nerve is most at risk of injury when ligating the inferior thyroid artery close to the thyroid gland during thyroidectomy?
A.Superior laryngeal nerve, external branch
B.Recurrent laryngeal nerve
C.Glossopharyngeal nerve
D.Hypoglossal nerve
Explanation: The recurrent laryngeal nerve has an intimate and variable relationship with the inferior thyroid artery near the gland, so ligating that artery close to the capsule risks injuring it, causing vocal cord paralysis and hoarseness.
3A trauma patient has lost an estimated 1500 mL of blood (about 30% of blood volume). According to ATLS hemorrhagic shock classification, which class does this represent?
A.Class I
B.Class II
C.Class III
D.Class IV
Explanation: Class III hemorrhage corresponds to roughly 30-40% blood volume loss (about 1500-2000 mL in an adult), with marked tachycardia, hypotension, and decreased urine output. This is the threshold at which blood transfusion is usually required.
4Which of the following is the earliest and most sensitive clinical sign of hypovolemic shock in a previously healthy young adult?
A.Hypotension
B.Tachycardia and narrowed pulse pressure
C.Loss of consciousness
D.Anuria
Explanation: Young patients compensate well, so tachycardia with a narrowed pulse pressure (from rising diastolic pressure due to catecholamine-driven vasoconstriction) appears early. Hypotension is a late and ominous sign because compensation can maintain systolic pressure until 30% or more is lost.
5A patient is found to have widened pulse pressure, bradycardia, and irregular respirations after a head injury. This triad indicates which condition?
A.Spinal shock
B.Raised intracranial pressure (Cushing's response)
C.Cardiac tamponade
D.Tension pneumothorax
Explanation: Cushing's triad (hypertension with widened pulse pressure, bradycardia, and irregular respiration) is a physiological response to raised intracranial pressure. It is a late and dangerous sign indicating impending brain herniation.
6Which intravenous fluid is most appropriate for initial resuscitation of an adult trauma patient in hemorrhagic shock before blood is available?
A.5% dextrose in water
B.Balanced crystalloid (e.g. Ringer's lactate)
C.20% albumin
D.0.45% saline
Explanation: Balanced isotonic crystalloid such as Ringer's lactate is the recommended initial resuscitation fluid in trauma, expanding the intravascular volume while limiting the hyperchloremic acidosis seen with large-volume normal saline. Blood products should follow promptly in significant hemorrhage.
7What is the approximate daily maintenance water requirement for a healthy 70 kg adult?
A.Approximately 500 mL
B.Approximately 1000 mL
C.Approximately 2500 mL
D.Approximately 5000 mL
Explanation: Using the 4-2-1 rule or roughly 30-35 mL/kg/day, a 70 kg adult needs about 2500 mL of water per day to replace insensible and urinary losses. Sodium requirement is about 1-2 mmol/kg/day and potassium about 0.5-1 mmol/kg/day.
8A post-operative patient who received large volumes of 0.9% saline develops a metabolic acidosis with a normal anion gap. What is the most likely cause?
A.Lactic acidosis from hypoperfusion
B.Hyperchloremic acidosis from chloride load
C.Diabetic ketoacidosis
D.Renal tubular acidosis type 1
Explanation: Large volumes of 0.9% saline deliver a high chloride load, causing a hyperchloremic normal anion gap metabolic acidosis. This is avoided by using balanced crystalloids such as Ringer's lactate or Plasma-Lyte.
9A patient with persistent vomiting from gastric outlet obstruction develops which characteristic acid-base and electrolyte disturbance?
A.Hypochloremic hypokalemic metabolic alkalosis
B.High anion gap metabolic acidosis
C.Respiratory acidosis
D.Hyperchloremic metabolic acidosis
Explanation: Loss of gastric hydrochloric acid through vomiting causes a hypochloremic, hypokalemic metabolic alkalosis. The kidney's attempt to retain sodium and the resulting paradoxical aciduria are classic features of this disturbance.
10Which ECG change is the earliest sign of significant hyperkalemia, a recognized risk after massive transfusion or crush injury?
A.Prolonged QT interval
B.Peaked (tented) T waves
C.U waves
D.ST segment elevation
Explanation: Peaked, tented T waves are the earliest ECG manifestation of hyperkalemia. Progression leads to widened QRS, loss of P waves, a sine-wave pattern, and ultimately cardiac arrest if untreated.

About the Arab Board Surgery Part 1 Exam

The Arab Board General Surgery Part 1 written exam is the first hurdle of the Arab Board surgical residency programme, sat across Arab League member countries including the UAE. It is a single written paper of about 150 best-of-five MCQs over roughly 3 hours, weighted heavily toward the surgical basic sciences: applied anatomy, physiology, pathology, microbiology and the principles of surgery.

Assessment

A single written paper of approximately 150 best-of-five single-best-answer multiple-choice questions emphasizing the surgical basic sciences.

Time Limit

Approximately 3 hours in one sitting

Passing Score

A pass mark of approximately 60% is commonly applied for Arab Board Part 1 (candidate- and council-reported). Confirm the definitive threshold with your national Arab Board council.

Exam Fee

Fees are set by the ABHS and the national council in each member country and change periodically; confirm the current Part 1 fee with your local council. (Arab Board of Health Specializations (ABHS))

Arab Board Surgery Part 1 Exam Content Outline

16%

Applied Surgical Anatomy

Hernia and inguinal canal anatomy, thyroid and neck, breast and axilla, GI blood supply and surgically important nerves.

14%

Surgical Physiology

Fluids and electrolytes, acid-base balance, shock, the metabolic stress response, nutrition and GI physiology.

12%

Trauma and Shock

ATLS primary survey, hemorrhagic shock, fluid resuscitation, chest trauma, damage control surgery and the lethal triad.

11%

Surgical Infection and Microbiology

Wound classification, surgical site infection, abscess, necrotizing fasciitis, gas gangrene, tetanus and prophylaxis.

11%

Principles of Surgery

Sterilization, asepsis, hemostasis, sutures, drains, electrosurgery and surgical safety.

8%

Wound Healing

Phases of healing, collagen, factors impairing healing, dehiscence and abnormal scarring.

10%

Perioperative Care

ASA classification, preoperative fasting and assessment, anticoagulation, VTE prophylaxis and postoperative complications.

10%

Basic Clinical Surgery

Acute abdomen, hernia, breast, thyroid, hepatobiliary, bowel and vascular surgical emergencies.

4%

Surgical Oncology Basics

Features of malignancy, TNM staging, tumor markers and cancer presentation.

4%

Blood Transfusion

Blood groups and products, transfusion reactions, massive transfusion and anticoagulation reversal.

How to Pass the Arab Board Surgery Part 1 Exam

What You Need to Know

  • Passing score: A pass mark of approximately 60% is commonly applied for Arab Board Part 1 (candidate- and council-reported). Confirm the definitive threshold with your national Arab Board council.
  • Assessment: A single written paper of approximately 150 best-of-five single-best-answer multiple-choice questions emphasizing the surgical basic sciences.
  • Time limit: Approximately 3 hours in one sitting
  • Exam fee: Fees are set by the ABHS and the national council in each member country and change periodically; confirm the current Part 1 fee with your local council.

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

Arab Board Surgery Part 1 Study Tips from Top Performers

1Anchor your revision in the surgical basic sciences, especially applied anatomy and physiology (fluids, electrolytes, acid-base and shock), because these dominate the Part 1 blueprint and underpin clinical reasoning.
2Practise large numbers of best-of-five single-best-answer MCQs under timed conditions, since the paper rewards rapid recognition of classic patterns such as shock classes, acute abdomen presentations and wound classification.
3Do not neglect the principles of surgery, surgical infection and blood transfusion; these high-yield, factual areas are easy marks if you have memorised the key thresholds, organisms and product indications.

Frequently Asked Questions

What format is the Arab Board General Surgery Part 1 exam?

Part 1 is a single written paper of approximately 150 best-of-five single-best-answer multiple-choice questions, completed in roughly 3 hours. It is weighted toward the surgical basic sciences, including applied anatomy, physiology, pathology, microbiology and the principles of surgery.

What is the passing score for Arab Board Part 1?

A pass mark of approximately 60% is commonly reported for Arab Board Part 1 exams, but the definitive standard is set by the ABHS scientific council and can vary by cycle. Confirm the current threshold with your national Arab Board council and aim to score consistently above 70% in practice.

Which topics should I focus on for General Surgery Part 1?

Prioritize the surgical basic sciences: applied surgical anatomy, physiology (fluids, electrolytes, acid-base, shock, nutrition, wound healing), pathology, microbiology and surgical infection, and the principles of surgery such as sterilization, hemostasis, sutures and drains. Basic clinical surgery, trauma principles and blood transfusion are also tested.

Where can I sit the Arab Board General Surgery exam?

The Arab Board of Health Specializations administers exams through national Arab Board councils across Arab League member countries, including the United Arab Emirates. Eligibility, scheduling and fees are arranged through your national council, so confirm the local arrangements and current requirements directly with them.