100+ Free CBC Título de Especialista em Cirurgia Geral Practice Questions

Prepare for the Exame para Obtenção do Título de Especialista em Cirurgia Geral — CBC / AMB exam with instant access — no signup required.

✓ No registration✓ No credit card✓ No hidden fees✓ Start practicing immediately

100+ Questions

100% Free

Loading practice questions...

Same family resources

Explore More Brazilian Medical Association Specialty Title Concursos (AMB / Título de Especialista)

Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.

CBR Prova de Título de Especialista em Radiologia e Diagnóstico por Imagem (Brazil)

Practice Questions100 questions

2026 Statistics

Key Facts: CBC Título de Especialista em Cirurgia Geral Exam

100 Items

Four-option objective questions on the online 1ª Fase Prova Teórica

Edital nº 2442/2026 — CBC/COTECIG

4 Hours

Duration of the online 1ª Fase Prova Teórica (14h00–18h00)

Edital nº 2442/2026 — CBC/COTECIG

70% Cutoff

1ª Fase cut at 70% of the highest mark with a 50-point floor; 2ª Fase requires 70 of 100 points

Edital nº 2442/2026 CBC / AMB

2 Phases

1ª Fase Prova Teórica + 2ª Fase Prova Teórico-Prática Presencial

Colégio Brasileiro de Cirurgiões

RQE Cirurgia Geral

Official Professional Specialist Title Registry with CRM/CFM

Conselho Federal de Medicina (CFM)

R$ 1.600 / R$ 3.200

Registration Fee (CBC Members / Non-Members)

Edital nº 2442/2026

COTECIG

Comissão de Título de Especialista em Cirurgia Geral

Colégio Brasileiro de Cirurgiões

Projeto ACERTO

Brazilian Evidence-Based Perioperative Protocol

CBC & Sociedade Brasileira de Nutrição Parenteral e Enteral

The CBC Título de Especialista em Cirurgia Geral is Brazil's national board certification in General Surgery, run by the Colégio Brasileiro de Cirurgiões through COTECIG by delegation from the AMB under Edital nº 2442/2026. The 1ª Fase is an online Prova Teórica of 100 four-option questions over 4 hours; the presencial 2ª Fase in Rio de Janeiro pairs an Arguição Oral worth 80 points with Procedimentos Simulados worth 20 points, and requires at least 70 of those 100 points. This bank is an English-language MCQ study adaptation and cannot substitute for the oral and simulated-procedure stage.

Sample CBC Título de Especialista em Cirurgia Geral Practice Questions

Try these sample questions to test your CBC Título de Especialista em Cirurgia Geral exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1During the initial neuroendocrine and metabolic response to major surgical trauma (resposta metabólica ao trauma cirúrgico - REMT), which of the following hormonal alterations is characteristically observed in the immediate post-injury 'ebb phase' transitioning into the 'flow phase'?

A.Increased secretion of ACTH, cortisol, catecholamines, and glucagon accompanied by peripheral insulin resistance and accelerated muscle proteolysis.

B.Suppression of the hypothalamic-pituitary-adrenal axis with profound hypoinsulinemia and generalized stimulation of glycogen synthesis.

C.Marked elevation of anabolic hormones including growth hormone and testosterone with sustained nitrogen retention.

D.Selective hypersecretion of thyroid hormones (T3 and T4) without activation of the sympathoadrenal system.

Explanation: The systemic metabolic response to surgical trauma is characterized by rapid activation of the sympathoadrenal axis and hypothalamic-pituitary-adrenal axis, leading to surges in epinephrine, norepinephrine, ACTH, cortisol, and glucagon. This catabolic endocrine surge induces peripheral insulin resistance, hepatic gluconeogenesis, glycogenolysis, lipolysis, and skeletal muscle proteolysis to mobilize substrate for vital organs and wound repair.

2According to the evidence-based multimodal perioperative protocol Projeto ACERTO (Aceleração da Recuperação Total Pós-Operatória) endorsed by the Colégio Brasileiro de Cirurgiões (CBC), what is the recommended preoperative fasting guideline for an elective laparoscopic cholecystectomy in an otherwise healthy adult without delayed gastric emptying?

A.Fasting for clear carbohydrate-rich liquids (such as 12.5% maltodextrin solution) abbreviated to 2 hours before anesthesia induction, with solid food withheld for 6 to 8 hours.

B.Absolute nil per os (nada por via oral) for at least 12 hours prior to surgery for all solids and liquids to avoid aspiration pneumonia.

C.Fasting from midnight (zero hora) for both solids and water regardless of the scheduled time of surgery.

D.Ingestion of a full solid meal containing complex fats up to 3 hours prior to the administration of general anesthesia.

Explanation: Project ACERTO and international ERAS society guidelines recommend abbreviating preoperative fasting by offering clear liquids enriched with carbohydrates (typically a 12.5% maltodextrin beverage, 200–400 mL) up to 2 hours before induction of anesthesia. Solid foods require a 6- to 8-hour fasting period. This practice safely reduces preoperative thirst, anxiety, postoperative insulin resistance, and catabolism without increasing gastric volume or aspiration risk.

3A 58-year-old male undergoes an uncomplicated elective laparoscopic right hemicolectomy for colon adenocarcinoma under general anesthesia and multimodal analgesia. Under Projeto ACERTO / ERAS guidelines, what is the best evidence-based strategy regarding postoperative nasogastric tube (SNG) and oral refeeding?

A.Avoid routine prophylactic nasogastric tube decompression and initiate early oral intake (clear liquids or light diet) on the first postoperative day (PO 1) or within 24 hours.

B.Keep a nasogastric tube on continuous suction until the patient passes flatus, withholding oral fluids until postoperative day 5.

C.Maintain strict fasting and initiate total parenteral nutrition (NPT) on postoperative day 1 to rest the ileocolic anastomosis.

D.Administer aggressive mechanical saline flushes through a wide-bore nasogastric tube every 4 hours until bowel sounds return.

Explanation: Extensive randomized controlled trials and the ACERTO project have demonstrated that routine prophylactic nasogastric decompression does not prevent anastomotic leakage, wound dehiscence, or aspiration, but rather increases atelectasis, pneumonia, and patient discomfort. Early postoperative feeding (within 12–24 hours) stimulates gastrointestinal motility, maintains the mucosal barrier, accelerates recovery, and reduces hospital stay.

4During a major abdominal resection, administration of large volumes of 0.9% normal saline (soro fisiológico 0,9%) can lead to a specific iatrogenic acid-base and electrolyte derangement. What is this disorder and its primary pathophysiological mechanism?

A.Hyperchloremic metabolic acidosis with normal anion gap, caused by excess chloride load diminishing the strong ion difference (SID) and decreasing serum bicarbonate.

B.High anion gap metabolic acidosis, caused by direct accumulation of circulating lactate and ketoacid anions.

C.Hypochloremic metabolic alkalosis, caused by excessive renal bicarbonate retention and loss of hydrogen ions.

D.Hyperkalemic respiratory acidosis, caused by acute suppression of the central medullary respiratory drive.

Explanation: Normal saline (0.9% NaCl) contains 154 mEq/L of sodium and 154 mEq/L of chloride, which is markedly supraphysiologic compared to plasma chloride (98–106 mEq/L). Infusing large volumes of 0.9% saline causes hyperchloremia, narrowing the strong ion difference (SID) and forcing renal excretion of bicarbonate, resulting in hyperchloremic metabolic acidosis with a normal anion gap and impaired renal cortical perfusion.

5A 62-year-old severely malnourished patient with gastric cancer (BMI 16 kg/m², 20% weight loss over 3 months) is started on aggressive high-calorie total parenteral nutrition. On postoperative day 2, the patient develops severe muscle weakness, confusion, cardiac arrhythmias, and acute respiratory failure. What electrolyte abnormality is the hallmark of this condition (Refeeding Syndrome / Síndrome de Realimentação)?

A.Severe hypophosphatemia, accompanied by hypokalemia and hypomagnesemia, triggered by insulin-mediated intracellular shift of electrolytes during carbohydrate reintroduction.

B.Severe hyperphosphatemia and hypercalcemia resulting from massive osteoclastic bone resorption.

C.Profound hypernatremia due to acute antidiuretic hormone suppression and renal water loss.

D.Isolated severe hyperkalemia caused by acute tubular necrosis and rhabdomyolysis.

Explanation: Refeeding syndrome occurs when carbohydrate feeding is abruptly reintroduced in chronic starvation or severe malnutrition. Glucose stimulates a rapid surge in insulin secretion, driving phosphate, potassium, and magnesium into cells for glycolysis and ATP synthesis. The resulting acute, severe hypophosphatemia impairs erythrocyte 2,3-DPG and ATP generation, leading to diaphragmatic weakness, respiratory failure, cardiac arrhythmias, and encephalopathy.

6A 70-year-old patient with esophageal squamous cell carcinoma is evaluated before elective Ivor Lewis esophagectomy. Nutritional screening reveals severe malnutrition (NRS-2002 score >= 5, unintentional weight loss of 18% in 2 months, serum albumin 2.4 g/dL). According to CBC and BRASPEN/ESPEN guidelines, what is the best nutritional management strategy?

A.Postpone elective surgery for 7 to 14 days to provide preoperative nutritional therapy (preferably enteral nutrition) to reduce postoperative complications and mortality.

B.Proceed immediately with emergency esophagectomy without nutritional support to avoid tumor progression.

C.Administer a single bolus of 50% dextrose IV 30 minutes before surgery without prior feeding.

D.Initiate exclusive peripheral parenteral nutrition on the morning of surgery and discharge the patient on postoperative day 1.

Explanation: In severely malnourished surgical patients scheduled for major gastrointestinal oncology surgery, delaying surgery for 7 to 14 days to provide targeted nutritional therapy (preferably via the enteral route) significantly decreases postoperative infectious complications, anastomotic leak rates, and hospital mortality. The benefit of preoperative nutritional optimization far outweighs the oncological risk of a brief delay.

7In the physiological assessment of acid-base balance using the physicochemical Stewart model (Strong Ion Difference - SID), which of the following variables represents the primary independent determinant of metabolic acid-base status?

A.Apparent Strong Ion Difference (SIDa = [Na⁺ + K⁺ + Ca²⁺ + Mg²⁺] - [Cl⁻ + Lactate⁻]), Total Weak Non-volatile Acids (ATOT), and partial pressure of carbon dioxide (pCO2).

B.Serum bicarbonate concentration ([HCO3⁻]) and base excess (BE) considered as independent driving forces.

C.Urine specific gravity and serum blood urea nitrogen (BUN) levels alone.

D.Serum alkaline phosphatase and total bilirubin concentrations.

Explanation: In Peter Stewart's quantitative approach to acid-base chemistry, hydrogen ion concentration and bicarbonate are dependent variables. The three independent variables determining plasma pH and acid-base equilibrium are: (1) Strong Ion Difference (SID, primarily Na⁺ + K⁺ - Cl⁻ - lactate⁻), (2) Total non-volatile weak acids (ATOT, mainly albumin and phosphate), and (3) pCO2.

8Regarding the use of specialized immunonutrition (formulas enriched with arginine, omega-3 fatty acids, and nucleotides) in major elective gastrointestinal oncology surgery, what is the current consensus recommendation?

A.Preoperative administration for 5 to 7 days before major elective upper GI and colorectal cancer surgery reduces surgical site infections and hospital stay, but high-dose arginine is contraindicated in patients with severe septic shock.

B.Immunonutrition must be administered exclusively postoperatively for at least 30 days regardless of preoperative status.

C.Arginine supplementation is indicated as first-line therapy during refractory septic shock to stimulate nitric oxide overproduction.

D.Immunonutrition has been proven to increase tumor cell proliferation and is strictly contraindicated in all oncology patients.

Explanation: Evidence from ESPEN and Brazilian ACERTO/BRASPEN guidelines supports giving oral/enteral immunonutrition (arginine, omega-3, RNA nucleotides) for 5–7 days preoperatively in patients undergoing major elective gastrointestinal surgery, demonstrating significant reductions in surgical site infections and length of stay. However, in patients with established severe sepsis or septic shock, exogenous arginine can exacerbate inducible nitric oxide synthase (iNOS) pathway activity, leading to dangerous vasodilation and worsening hemodynamics.

9Postoperative ileus (íleo pós-operatório) is a common cause of delayed recovery after major abdominal surgery. Which multimodal bundle of interventions has proven most effective in preventing and shortening the duration of postoperative ileus?

A.Laparoscopic approach, thoracic epidural analgesia (or local anesthetic infiltration), opioid-sparing multimodal analgesia, restrictive fluid management, early oral feeding, and early ambulation.

B.Routine administration of high-dose intravenous opioids combined with absolute bed rest and prolonged nasogastric suction.

C.Aggressive IV crystalloid overhydration (>5 liters/day) to lubricate the intestinal serosa and routine routine high-dose laxative enemas on POD 0.

D.Complete avoidance of non-steroidal anti-inflammatory drugs (NSAIDs) with total reliance on continuous fentanyl infusions.

Explanation: The prevention and management of postoperative ileus relies on a multimodal ERAS/ACERTO strategy: minimally invasive surgery, avoidance of routine nasogastric tubes, thoracic epidural analgesia to block sympathetic inhibitory reflexes, opioid-sparing analgesia (NSAIDs, acetaminophen, lidocaine infusions), fluid restriction to prevent bowel wall edema, early oral intake, and early mobilization.

10A 66-year-old diabetic patient is in the surgical intensive care unit following a Whipple procedure. According to current guidelines (based on the NICE-SUGAR trial and surgical critical care consensus), what is the optimal target range for blood glucose control?

A.140 to 180 mg/dL (7.8 to 10.0 mmol/L), avoiding both severe hyperglycemia (>180 mg/dL) and dangerous hypoglycemia (<70 mg/dL).

B.Strict normoglycemia between 80 and 110 mg/dL through aggressive intensive intravenous insulin therapy in all patients.

C.Permissive extreme hyperglycemia up to 300 mg/dL to ensure adequate cellular glucose delivery during the stress response.

D.Complete avoidance of insulin therapy unless serum glucose exceeds 400 mg/dL with severe ketoacidosis.

Explanation: The landmark NICE-SUGAR trial demonstrated that intensive insulin therapy aiming for tight normoglycemia (80–110 mg/dL) increased the incidence of severe hypoglycemia and overall mortality compared to moderate control. Current surgical consensus guidelines recommend a target blood glucose of 140–180 mg/dL (7.8–10.0 mmol/L) in critically ill surgical patients, initiating IV insulin when glucose exceeds 180 mg/dL.

About the CBC Título de Especialista em Cirurgia Geral Exam

The Título de Especialista em Cirurgia Geral (TECG) is the official national board certification for General Surgeons in Brazil, granted by the Colégio Brasileiro de Cirurgiões (CBC) in partnership with the Associação Médica Brasileira (AMB) under Edital nº 2442/2026. Administered by the COTECIG (Comissão de Título de Especialista em Cirurgia Geral), the examination assesses comprehensive cognitive knowledge, operative judgment, emergency surgical decision-making, and critical care competencies across the breadth of modern general surgery. The certame follows a rigorous two-phase annual format: Phase 1 is a 100-question written Prova Teórica Objetiva covering surgical metabolism, the ACERTO multimodal protocol, ATLS trauma resuscitation, acute abdomen syndromes, hernia repair, hepatobiliary-pancreatic surgery, digestive oncology, and laparoscopic principles; Phase 2 is an in-person Prova Teórico-Prática Presencial that evaluates practical clinical problem-solving, operative technique interpretation, imaging analysis, and simulated emergency surgical scenarios. Earning the CBC specialist title enables the surgeon to register their official RQE (Registro de Qualificação de Especialista) in Cirurgia Geral with the Regional and Federal Councils of Medicine (CRM/CFM). This question bank provides an English-language MCQ study adaptation designed for comprehensive preparation across all core competencies and clinical scenarios required by the CBC/COTECIG examination.

Assessment

Two-phase examination run by the Colégio Brasileiro de Cirurgiões through its COTECIG commission by delegation from the AMB, under Edital nº 2442/2026. 1ª Fase: Prova Teórica of 100 four-option multiple-choice questions, applied remotely with camera and microphone monitoring, lasting 4 hours. 2ª Fase: presencial in Rio de Janeiro, split into two assessments on the same day totalling 100 points — Arguição Oral worth 80 points, in which the candidate has 25 minutes per examining board to analyse clinical cases, tests, images or videos and describe the appropriate surgical procedures against a pre-established marking key, and Procedimentos Simulados worth 20 points, marked on technique, precision, steadiness, choice of materials and time.

Time Limit

1ª Fase: 4 hours (14h00–18h00), online. 2ª Fase: presencial, 25 minutes per examining board for the Arguição Oral plus the simulated procedures.

Passing Score

1ª Fase: a mark of at least 70% of the highest mark obtained, provided the candidate's own mark is at least 50 points. 2ª Fase: at least 70 of the 100 available points.

Exam Fee

R$ 930,00 (membros adimplentes do CBC) / R$ 1.830,00 (não associados) (Colégio Brasileiro de Cirurgiões (CBC) — Associação Médica Brasileira (AMB))

CBC Título de Especialista em Cirurgia Geral Exam Content Outline

12%

Resposta Metabólica ao Trauma, Nutrição e Cuidados Perioperatórios (Projeto ACERTO)

Encompasses neuroendocrine, inflammatory, and metabolic responses to surgical trauma (catecholamines, cortisol, ACTH, cytokines IL-1, IL-6, TNF-alpha); fluid and electrolyte imbalances (hyperkalemia, hyponatremia, hypomagnesemia); acid-base disorders; nutritional status screening (NRS-2002, SGA); enteral and parenteral nutrition indications; and the principles of the Brazilian ACERTO project (Aceleração da Recuperação Total Pós-Operatória) including preoperative fasting abbreviation with carbohydrate beverages, early postoperative oral feeding, restrictive fluid therapy, and systematic multimodal analgesia.

Infecção em Cirurgia, Assepsia e Antibioticoprofilaxia

Covers surgical site infection (ISC) classification (superficial incisional, deep incisional, organ/space) according to CDC/ANVISA standards; operative wound stratification (clean, clean-contaminated, contaminated, infected); antiseptic agents and pre-incision skin antisepsis; antimicrobial prophylaxis rules (timing within 60 minutes prior to surgical incision, intraoperative redosing intervals based on drug half-life, and single-dose/24-hour discontinuation rules); necrotizing soft tissue infections (Fournier's gangrene, necrotizing fasciitis); and complex intra-abdominal abscesses.

Choque, Hemostasia, Coagulopatia e Terapia Transfusional

Focuses on shock pathophysiology, hemodynamic monitoring, and targeted resuscitation (hemorrhagic, septic, cardiogenic, neurogenic, and obstructive); the lethal triad of trauma (hypothermia, metabolic acidosis, coagulopathy); damage control resuscitation with balanced Massive Transfusion Protocols (1:1:1 ratio of packed red blood cells, fresh frozen plasma, and platelets); viscoelastic testing (thromboelastography [TEG] and rotational thromboelastometry [ROTEM]); tranexamic acid utilization (CRASH-2 trial principles); and urgent reversal of oral anticoagulants (warfarin, DOACs) and antiplatelet agents.

16%

Trauma e Cirurgia de Emergência (ATLS & Controle de Danos)

Evaluates ATLS 10th/11th edition principles: airway control with cervical spine protection, breathing, circulation, disability, and exposure; life-threatening thoracic trauma (tension pneumothorax, massive hemothorax, open pneumothorax, flail chest, cardiac tamponade, emergency resuscitative thoracotomy indications); blunt and penetrating abdominal trauma algorithms (eFAST, abdominal CT, diagnostic peritoneal lavage); organ injury grading according to the American Association for the Surgery of Trauma (AAST liver, spleen, kidney, duodenum, pancreas, colon); pelvic ring disruption with severe retroperitoneal hemorrhage (preperitoneal pelvic packing, pelvic binder, REBOA); and damage control surgery stages (abbreviated laparotomy, physiological restoration in ICU, planned re-exploration and delayed abdominal wall closure).

16%

Abdome Agudo (Inflamatório, Perfurativo, Obstrutivo, Isquêmico e Hemorrágico)

Addresses the spectrum of acute abdomen presentations: Inflammatory acute abdomen (acute appendicitis diagnosis, Alvarado score, laparoscopic appendectomy techniques, management of appendiceal phlegmon/abscess; acute diverticulitis staging by Hinchey classification, outpatient vs inpatient antibiotic therapy, Hartmann procedure vs sigmoidectomy with primary anastomosis and loop ileostomy; Tokyo Guidelines 2018 for acute cholecystitis); Perforated acute abdomen (peptic ulcer perforation, Graham patch omentopexy, free vs covered perforation); Obstructive acute abdomen (small bowel obstruction due to adhesions, closed-loop strangulation signs, CT 'whirl sign', sigmoid volvulus endoscopic detorsion vs emergency resection, cecal volvulus, Ogilvie syndrome/acute colonic pseudo-obstruction and neostigmine therapy); Ischemic acute abdomen (acute mesenteric arterial embolism, thrombosis, non-occlusive mesenteric ischemia [NOMI], mesenteric venous thrombosis, ischemic colitis); and Hemorrhagic acute abdomen (ruptured abdominal aortic aneurysm, ruptured splenic artery aneurysm, bleeding gynecologic/retroperitoneal pathology).

10%

Hérnias da Parede Abdominal e Inguino-Crurais

Analyzes groin anatomy (myopectineal orifice of Fruchaud, inguinal canal walls, triangle of doom, triangle of pain, Hasselbach's triangle); groin hernia classification systems (Nyhus, European Hernia Society - EHS); open repairs (Lichtenstein tension-free mesh repair, Shouldice multilayer tissue repair, McVay Cooper ligament repair for femoral hernia); laparoscopic/robotic approaches (Transabdominal Preperitoneal [TAPP] and Totally Extraperitoneal [TEP]); chronic postoperative groin pain (inguinodynia) and nerve anatomy (ilioinguinal, iliohypogastric, genital branch of genitofemoral, lateral femoral cutaneous); and ventral/incisional hernias (sublay Rives-Stoppa retromuscular repair, anterior component separation, and posterior component separation with Transversus Abdominis Release [TAR]).

12%

Cirurgia Biliopancreática e Fígado

Explores gallstone disease (symptomatic cholelithiasis, choledocholithiasis, acute calculous and acalculous cholecystitis); Tokyo Guidelines 2018 grading and management; acute ascending cholangitis (Charcot's triad, Reynolds' pentad, urgent biliary drainage via ERCP); iatrogenic bile duct injuries (critical view of safety of Strasberg, Strasberg-Bismuth classification, timing and technique of hepaticojejunostomy repair); acute pancreatitis (Revised Atlanta classification, timing of cholecystectomy, step-up approach for infected necrotizing pancreatitis including percutaneous catheter drainage and minimally invasive retroperitoneal necrosectomy); chronic pancreatitis (pain management, Frey, Beger, and modified Puestow-Partington-Rochelle drainage procedures); and pancreatic neoplasms (ductal adenocarcinoma resectability criteria, staging, pancreaticoduodenectomy / Whipple procedure, distal pancreatectomy with splenectomy, cystic pancreatic lesions: IPMN, MCN, SCN, SPN).

Cirurgia do Trato Digestivo Alto (Esôfago, Estômago e Bariátrica)

Reviews motor disorders of the esophagus (megaesophagus / achalasia, Rezende classification, pneumatic dilation, laparoscopic Heller cardiomyotomy with Dor fundoplication); gastroesophageal reflux disease (GERD), sliding and paraesophageal hiatal hernias, Barrett's esophagus; esophageal carcinoma (squamous cell vs adenocarcinoma, multimodal therapy, Ivor Lewis, McKeown, and transhiatal esophagectomy); gastric adenocarcinoma (Lauren intestinal vs diffuse types, Borrmann gross types, staging, extent of gastrectomy, D2 lymphadenectomy guidelines); gastrointestinal stromal tumors (GIST, c-KIT mutation, imatinib therapy); emergency conditions (Boerhaave syndrome, caustic esophageal ingestion); and bariatric/metabolic surgery (indications, Roux-en-Y gastric bypass, sleeve gastrectomy, post-bariatric complications including anastomotic leaks, marginal ulcers, and internal hernias via Petersen's space or mesenteric defects).

Cirurgia do Trato Digestivo Baixo e Coloproctologia

Assesses colon cancer (adenoma-carcinoma sequence, staging, oncologic right and left hemicolectomy, complete mesocolic excision [CME], management of obstructing colonic cancer with resection vs self-expanding metallic stents); rectal cancer (staging by pelvic MRI, total mesorectal excision [TME], distal clearance margins, neoadjuvant chemoradiotherapy, and organ-preserving Watch-and-Wait approach / Habr-Gama protocol); diverticular disease; inflammatory bowel disease surgical indications (Crohn's disease strictureplasty vs resection, ulcerative colitis restorative proctocolectomy with ileal pouch-anal anastomosis [IPAA]); appendiceal neoplasms (neuroendocrine tumors, low-grade appendiceal mucinous neoplasm [LAMN]); and benign anorectal conditions (hemorrhoidal disease classifications, Milligan-Morgan, Ferguson, and PPH techniques; chronic anal fissure and lateral internal sphincterotomy; Goodsall rule for anal fistulas, high vs low fistulas, loose seton placement, LIFT procedure; and anal squamous cell carcinoma Nigro chemoradiation protocol).

Princípios Oncológicos, Videocirurgia e Complicações Pós-Operatórias

Covers oncologic surgery fundamentals (R0, R1, R2 margin definitions, lymph node harvesting adequacy, en bloc multivisceral resection); laparoscopic and minimally invasive surgery principles (physiologic cardiovascular and respiratory changes during CO2 pneumoperitoneum, prevention and management of gas embolism, entry techniques including Hasson open cut-down vs Veress needle, electrosurgical physics and safety mechanisms including monopolar insulation failure and capacitive coupling); and systematic management of postoperative complications (deep venous thrombosis [DVT] and pulmonary embolism [PE] risk stratification and prophylaxis, surgical drain principles, anastomotic leakage recognition and graded interventions, and enterocutaneous fistula initial stabilization using the SNAP protocol: Sepsis control, Nutritional support, Anatomy definition, and Planned operative repair).

How to Pass the CBC Título de Especialista em Cirurgia Geral Exam

What You Need to Know

Passing score: 1ª Fase: a mark of at least 70% of the highest mark obtained, provided the candidate's own mark is at least 50 points. 2ª Fase: at least 70 of the 100 available points.
Assessment: Two-phase examination run by the Colégio Brasileiro de Cirurgiões through its COTECIG commission by delegation from the AMB, under Edital nº 2442/2026. 1ª Fase: Prova Teórica of 100 four-option multiple-choice questions, applied remotely with camera and microphone monitoring, lasting 4 hours. 2ª Fase: presencial in Rio de Janeiro, split into two assessments on the same day totalling 100 points — Arguição Oral worth 80 points, in which the candidate has 25 minutes per examining board to analyse clinical cases, tests, images or videos and describe the appropriate surgical procedures against a pre-established marking key, and Procedimentos Simulados worth 20 points, marked on technique, precision, steadiness, choice of materials and time.
Time limit: 1ª Fase: 4 hours (14h00–18h00), online. 2ª Fase: presencial, 25 minutes per examining board for the Arguição Oral plus the simulated procedures.
Exam fee: R$ 930,00 (membros adimplentes do CBC) / R$ 1.830,00 (não associados)

Keys to Passing

Work through all 100 available questions
Review every answer and explanation
Track weak areas and revisit them
Use our AI tutor for tough concepts

CBC Título de Especialista em Cirurgia Geral Study Tips from Top Performers

1Master the ACERTO and ERAS Protocols: Focus on modern perioperative guidelines—fasting abbreviation to 2 hours for clear liquids with maltodextrin, restrictive intraoperative crystalloids, multimodal analgesia, and early oral refeeding.

2Thoroughly Review ATLS 10th/11th Edition & Damage Control: Know the exact indications for emergency department resuscitative thoracotomy, FAST window views, solid organ injury AAST grading, and the 3 distinct phases of damage control laparotomy.

3Memorize Surgical Classification Systems: Master the Hinchey diverticulitis classification, Tokyo Guidelines 2018 for cholecystitis/cholangitis severity grading, revised Atlanta classification for acute pancreatitis, Strasberg-Bismuth biliary injury classification, and Nyhus/EHS hernia classifications.

4Understand Inguinal and Ventral Hernia Anatomy: Be fluent with the myopectineal orifice of Fruchaud, borders of the inguinal canal, triangles of doom and pain in laparoscopy, and retro-muscular planes for Rives-Stoppa and Transversus Abdominis Release (TAR).

5Focus on Gastrointestinal Oncology Margins and Lymphadenectomy: Review standard oncologic resections: D2 lymphadenectomy for gastric cancer, complete mesocolic excision (CME) for colon cancer, Total Mesorectal Excision (TME) with distal margins for rectal cancer, and the Brazilian Watch-and-Wait protocol for complete clinical response.

6Train on four-option clinical vignettes: work through realistic vignettes with detailed rationales to recognise the subtle features that separate correct surgical interventions from obsolete or dangerous ones — but remember that the 2ª Fase is examined orally and through simulated procedures, which MCQs can prepare for but cannot certify.

Frequently Asked Questions

What is the Título de Especialista em Cirurgia Geral (CBC / AMB)?

The Título de Especialista em Cirurgia Geral is the official national board certification in General Surgery in Brazil. It is conferred by the Colégio Brasileiro de Cirurgiões (CBC) in partnership with the Associação Médica Brasileira (AMB) under Edital nº 2442/2026. Passing this examination certifies that the physician possesses the requisite theoretical and practical competencies in general surgery and qualifies them for the specialist registry (RQE) with their Regional Medical Council (CRM/CFM).

What is the structure of the CBC General Surgery Specialist Examination?

The examination has two compulsory phases. The 1ª Fase is a Prova Teórica of 100 objective questions with four alternatives (A to D) and a single correct answer, applied remotely with camera and microphone monitoring over 4 hours. To advance, a candidate needs at least 70% of the highest mark obtained, provided their own mark is at least 50 points. The 2ª Fase is presencial in Rio de Janeiro and splits into two assessments on the same day totalling 100 points: an Arguição Oral worth 80 points, giving the candidate 25 minutes per examining board to analyse clinical cases, tests, images or videos and describe the appropriate surgical procedures against a pre-established marking key, and Procedimentos Simulados worth 20 points, marked on technique, precision, steadiness, choice of materials and time. A candidate scoring below 70 points in the 2ª Fase is failed.

What is the difference between CBC and SBCO?

The Colégio Brasileiro de Cirurgiões (CBC) is the official specialty society recognized by the AMB and CFM responsible for granting the specialist title in Cirurgia Geral (General Surgery) via its COTECIG commission. The Sociedade Brasileira de Cirurgia Oncológica (SBCO) is a separate specialty society that grants the specialist title in Cirurgia Oncológica (Surgical Oncology). Candidates pursuing the board certification in General Surgery must apply through the CBC (cbc.org.br).

What are the prerequisites to sit for the CBC examination under Edital nº 2442/2026?

Candidates must hold a medical degree recognized by the Brazilian Ministry of Education (MEC), maintain active and regular registration with a Regional Medical Council (CRM), and have completed a MEC-accredited Medical Residency Program in General Surgery (Residência Médica em Cirurgia Geral) OR have completed a CBC-accredited surgical training program OR possess documented proof of at least 6 years of active general surgical practice in recognized hospital institutions.

What is the ACERTO project and why is it prominent in the CBC examination?

Project ACERTO (Aceleração da Recuperação Total Pós-Operatória) is the Brazilian multimodal enhanced recovery after surgery (ERAS) initiative pioneered by CBC leaders. It focuses on evidence-based perioperative care measures such as abbreviating preoperative fasting (clear carbohydrate drinks up to 2 hours before surgery), early postoperative oral feeding, restrictive fluid therapy, avoidance of routine prophylactic nasogastric decompression and peritoneal drains, multimodal opioid-sparing analgesia, and early mobilization.

Is this question bank an official publication of the CBC?

No. This question bank is an independent English-language MCQ study adaptation designed to assist surgeons and surgical residents in mastering the core clinical, anatomical, and perioperative concepts tested in the CBC/COTECIG General Surgery Specialist Examination.