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Free Practice Questions for Palestinian Board Part I

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Key Facts: Palestinian Board Part I Exam

100

Questions in the General Surgery table of specifications

PMC General Surgery Part I TOS

2.5 hours

Exam duration

PMC General Surgery exam manual

60%

Pass mark

PMC Part I rules (category 21/118)

100 JOD + 50 JOD/year

Fee for national-programme residents

PMC announcement 4264

April & October

Sittings each year

PMC 2026 exam schedule

4

Attempts allowed

PMC Part I rules (category 21/118)

The Palestinian Board Part I (امتحان الجزء الأول لشهادة المجلس الطبي الفلسطيني) is the written basic-sciences exam that PMC residents take after their first training year and must pass before year 3. Surgical residents (general surgery, orthopaedics, neurosurgery, cardiac surgery, urology, and ENT; ophthalmology excluded) sit a unified paper built on PMC's 100-question General Surgery table of specifications, with a 60% pass mark and sittings in April and October. OpenExamPrep offers independent English-language practice MCQs on these surgical Part I topics; they are a study aid, not official PMC questions.

Sample Palestinian Board Part I Practice Questions

Try these sample questions to review concepts for the Palestinian Board Part I exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1During repair of an indirect inguinal hernia, which anatomic landmark defines the medial border of Hesselbach's triangle?
A.Lateral border of the rectus abdominis muscle
B.Inferior epigastric vessels
C.Inguinal ligament (Poupart's ligament)
D.Pectineal ligament (Cooper's ligament)
Explanation: Hesselbach's triangle is bounded medially by the lateral border of the rectus abdominis muscle, superolaterally by the inferior epigastric vessels, and inferiorly by the inguinal ligament. Direct inguinal hernias protrude through the floor of this triangle, medial to the inferior epigastric vessels.
2A surgeon is performing an open cholecystectomy and identifies the triangle of Calot (hepatobiliary triangle). Which structure forms the superior boundary of this anatomical space?
A.Inferior border of the liver
B.Cystic duct
C.Common hepatic duct (CHD)
D.Right hepatic artery (RHA)
Explanation: In standard surgical terminology, the hepatobiliary triangle (Calot's triangle) is bounded superiorly by the inferior surface of the liver (segments IVB/V), inferiorly/laterally by the cystic duct, and medially by the common hepatic duct. The cystic artery typically traverses within this space.
3During medial-to-lateral mobilization of the right colon mesentery in a right hemicolectomy, which retroperitoneal structures lying on the psoas major must be identified and kept down deep to Toldt's fascia?
A.Right ureter and gonadal vessels
B.Superior mesenteric vein and its tributaries
C.Third part of the duodenum
D.Inferior vena cava
Explanation: Medial-to-lateral mobilization develops the plane between the right mesocolon and the retroperitoneal (Toldt's) fascia. The right ureter and right gonadal vessels lie on the psoas major beneath that fascia and must be identified and left in the retroperitoneum; entering the wrong plane is the classic way they are injured.
4Which nerve is at highest risk of injury during dissection near the superior pole of the thyroid gland during total thyroidectomy?
A.External branch of the superior laryngeal nerve
B.Internal branch of the superior laryngeal nerve
C.Recurrent laryngeal nerve
D.Ansa cervicalis
Explanation: The external branch of the superior laryngeal nerve (EBSLN) travels in close proximity to the superior thyroid artery near the superior thyroid pole. It innervates the cricothyroid muscle; injury causes inability to produce high-pitched sounds and vocal fatigue.
5Which fascial layer forms the posterior wall of the rectus sheath below the arcuate line of Douglas?
A.Transversalis fascia and peritoneum only
B.Posterior aponeurosis of the internal oblique muscle
C.Aponeurosis of the transversus abdominis muscle
D.Combined aponeuroses of all three flat abdominal muscles
Explanation: Below the arcuate line (roughly midway between the umbilicus and pubic symphysis), all three aponeuroses (external oblique, internal oblique, and transversus abdominis) pass anterior to the rectus abdominis muscle. Consequently, the posterior wall of the rectus sheath below the arcuate line is composed solely of the transversalis fascia and parietal peritoneum.
6A patient undergoing an anterior resection of the rectum is evaluated for autonomic nerve preservation. Damage to the superior hypogastric plexus during high ligation of the inferior mesenteric artery results in which clinical deficit?
A.Retrograde ejaculation in males
B.Complete erectile dysfunction (loss of erection)
C.Loss of bladder contraction and urinary retention
D.Fecal incontinence due to external anal sphincter paralysis
Explanation: The superior hypogastric plexus carries sympathetic fibers that control emission and bladder neck closure during ejaculation. Injury to these sympathetic nerves during dissection at the aortic bifurcation/IMA origin causes retrograde ejaculation. Parasympathetic fibers (pelvic splanchnic nerves S2-S4) control erection and bladder detrusor contraction.
7The epiploic foramen of Winslow provides access to the lesser sac. What structure forms its anterior boundary?
A.Hepatoduodenal ligament
B.Inferior vena cava
C.Caudate lobe of the liver
D.First part of the duodenum
Explanation: The foramen of Winslow is bounded anteriorly by the free edge of the hepatoduodenal ligament (containing the common bile duct, hepatic artery proper, and portal vein), posteriorly by the inferior vena cava, superiorly by the caudate lobe of the liver, and inferiorly by the first part of the duodenum. Compressing this ligament through the foramen is the Pringle maneuver.
8Which anatomic landmark reliably identifies the location of the main trunk of the facial nerve as it exits the stylomastoid foramen during parotidectomy?
A.Tympanomastoid suture line and tragal pointer
B.Mandibular angle and facial artery notch
C.Anterior border of the masseter muscle
D.Posterior belly of the digastric muscle crossing the carotid bifurcation
Explanation: The main trunk of the facial nerve lies about 1 cm deep and slightly anteroinferior to the cartilaginous tragal pointer, and about 6-8 mm deep to the drop-off of the tympanomastoid suture, which leads directly to the stylomastoid foramen. These two landmarks are used together to find the trunk before following its branches forward.
9In the femoral triangle, what is the anatomical relationship from lateral to medial of the major neurovascular structures?
A.Nerve, Artery, Vein, Empty space, Lymphatics
B.Vein, Artery, Nerve, Empty space, Lymphatics
C.Artery, Nerve, Vein, Empty space, Lymphatics
D.Nerve, Vein, Artery, Empty space, Lymphatics
Explanation: From lateral to medial, the contents of the femoral triangle follow the mnemonic NAVEL: Femoral Nerve, Femoral Artery, Femoral Vein, Empty space (femoral canal), and Lymphatics. The femoral sheath encloses the artery, vein, and canal, but excludes the femoral nerve.
10During a distal pancreatectomy and splenectomy, which vessel runs along the superior border of the pancreatic body and tail?
A.Splenic artery
B.Splenic vein
C.Left gastric artery
D.Inferior mesenteric vein
Explanation: The splenic artery, a branch of the celiac trunk, follows a tortuous course along the superior border of the body and tail of the pancreas toward the splenic hilum. The splenic vein runs posterior to the pancreas.

About the Palestinian Board Part I Exam

The Palestinian Medical Council's unified surgical Part I exam: 100 single-best-answer questions on applied basic sciences and principles of surgery, with a 60% pass mark.

Exam sponsor: Palestinian Medical Council (PMC / المجلس الطبي الفلسطيني). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Part I is a written exam in the basic knowledge of the specialty, held twice a year (April and October; 6-7 April and 5-6 October in 2026) with a 60% pass mark. PMC runs a unified surgical Part I based on the General Surgery table of specifications: it has applied to orthopaedics, neurosurgery, cardiac surgery, and urology since the April 2019 cycle, council session 129 (23/01/2024) added ENT, and PMC's October 2025 notice lists the surgical specialties with ophthalmology excluded (internal medicine and its branches sit a separate unified paper). The table of specifications splits the paper evenly between applied basic sciences (50%) and principles of surgery (50%).

Time Limit

2 hours 30 minutes (PMC General Surgery exam manual)

Passing Score

60%

Exam / Certification Fees

100 JOD plus 50 JOD for each residency year (national-programme residents); 100 JOD for externally trained doctors

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

13 of 100 questions

Applied Surgical Anatomy

Practice items cover groin and abdominal wall anatomy, the hepatobiliary triangle, retroperitoneal structures in colectomy, neck and parotid nerves, the femoral triangle, the esophageal hiatus, and nerve injuries in breast and pelvic surgery.

10 of 100 questions

Applied Surgical Physiology

Practice items cover the surgical stress response, oxygen transport, baroreceptor reflexes, gastric acid secretion, renal handling of sodium, gut motility, acid-base interpretation, and lung volumes under anesthesia.

13 of 100 questions

Applied Surgical Pathology

Practice items cover cell injury and necrosis, inflammation and granulomas, wound remodeling and scars, thrombosis, metaplasia, carcinoma in situ versus invasion, apoptosis, amyloid, and the adenoma-carcinoma sequence.

4 of 100 questions

Pharmacology as Applied to Surgical Practice

Practice items cover antibiotic prophylaxis timing, heparin reversal, local anesthetic systemic toxicity, and opioid reversal.

4 of 100 questions

Microbiology as Applied to Surgical Practice

Practice items cover surgical site infection definitions, Clostridioides difficile, clostridial myonecrosis, and steam sterilization.

3 of 100 questions

Imaging

Practice items cover pneumoperitoneum on plain films, contrast-associated kidney injury prevention, and the FAST examination.

3 of 100 questions

Data Interpretation and Audit

Practice items cover sensitivity, predictive values and prevalence, and closing the audit cycle.

8 of 100 questions

Common Congenital and Acquired Surgical Conditions

Practice items cover appendicitis, cholecystitis, adhesive and large bowel obstruction, sigmoid volvulus, diverticular disease, varicose veins, and fistula-in-ano.

5 of 100 questions

Perioperative Management

Practice items cover ASA classification, the Revised Cardiac Risk Index, preoperative fasting, ERAS, and glucose targets in critical illness.

4 of 100 questions

Trauma, Systemic Response to Injury and Metabolic Support

Practice items cover tension pneumothorax, indications for thoracotomy in hemothorax, non-operative splenic management, and pelvic binders.

3 of 100 questions

Shock, Fluid and Electrolyte Management

Practice items cover hemorrhage classes, ECG changes of hyperkalemia, and safe correction of hyponatremia.

3 of 100 questions

Hemostasis, Surgical Bleeding and Transfusion

Practice items cover balanced massive transfusion, tranexamic acid timing, and transfusion-related lung injury.

3 of 100 questions

Surgical Infection

Practice items cover necrotizing soft tissue infection, the sepsis hour-1 bundle, and drainage of postoperative abscesses.

3 of 100 questions

Burn and Wound Healing

Practice items cover Parkland fluid calculations, inhalation injury, and chemical burns.

3 of 100 questions

Surgical Oncology and Transplantation

Practice items cover sentinel node biopsy, CEA surveillance, and hyperacute rejection.

5 of 100 questions

Surgical Critical Care and Bedside Procedures

Practice items cover arterial and central line safety, chest drain insertion, ARDS definitions, and lung-protective ventilation.

4 of 100 questions

Principles of Pre-operative, Operative, Anesthesia and Pain Management

Practice items cover malignant hyperthermia, rapid sequence induction, epidural complications, and multimodal analgesia.

3 of 100 questions

Surgical Complications

Practice items cover postoperative fever, wound dehiscence, and venous thromboembolism risk assessment.

3 of 100 questions

Surgical Care of Children

Practice items cover pyloric stenosis, undescended testis, and maintenance fluid calculation.

3 of 100 questions

Medico-legal Aspects, Research, Ethics, Professionalism and Patient Safety

Practice items cover informed consent, the WHO Surgical Safety Checklist, and disclosure of adverse events.

Preparing for the Palestinian Board Part I Exam

What You Need to Know

  • Passing score: 60%
  • Assessment: Part I is a written exam in the basic knowledge of the specialty, held twice a year (April and October; 6-7 April and 5-6 October in 2026) with a 60% pass mark. PMC runs a unified surgical Part I based on the General Surgery table of specifications: it has applied to orthopaedics, neurosurgery, cardiac surgery, and urology since the April 2019 cycle, council session 129 (23/01/2024) added ENT, and PMC's October 2025 notice lists the surgical specialties with ophthalmology excluded (internal medicine and its branches sit a separate unified paper). The table of specifications splits the paper evenly between applied basic sciences (50%) and principles of surgery (50%).
  • Time limit: 2 hours 30 minutes (PMC General Surgery exam manual)
  • Exam / certification fees: 100 JOD plus 50 JOD for each residency year (national-programme residents); 100 JOD for externally trained doctors Official sources

Using Our Practice Resources

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

Palestinian Board Part I: Suggested Study Strategy

1Give the most time to applied anatomy (13 questions) and applied pathology (13 questions), which together are about a quarter of the paper.
2Use the texts PMC recommends for the General Surgery board exams: Sabiston Textbook of Surgery, Schwartz's Principles of Surgery, Current Surgical Therapy, and Greenfield's Surgery.
3Practise calculations such as burn fluid volumes and rates, pediatric maintenance fluids, anion gap, and sensitivity and specificity.
4Pace yourself: 100 questions in 150 minutes allows about 90 seconds per question.
5Do not neglect the small topics (imaging, data interpretation, children, ethics and patient safety); each carries about 3 questions.

Frequently Asked Questions

What is the Palestinian Board Part I examination?

It is the first written exam toward the Palestinian Medical Council specialty certificate (Palestinian Board). Residents on PMC national training programmes take it after successfully completing their first training year, and they cannot move into the third residency year until they pass.

Which specialties sit the unified surgical Part I paper?

PMC runs a unified surgical Part I based on the General Surgery table of specifications. It has covered orthopaedics, neurosurgery, cardiac surgery, and urology since 2019, ENT was added by council session 129 on 23/01/2024, and PMC's October 2025 notice excludes ophthalmology. Internal medicine and its branches sit a separate unified paper that this page does not cover.

How many questions are on the exam, and what is the pass mark?

PMC's General Surgery table of specifications sets 100 questions, and its exam manual describes single-best-answer questions answered on the PMC intranet in 2.5 hours. PMC states a 60% pass mark for Part I.

How many attempts are allowed, and what does it cost?

Residents may attempt Part I four times and leave the programme after four failures. The fee is 100 JOD plus 50 JOD for each residency year for national-programme residents, or 100 JOD for externally trained doctors.

Are these official PMC exam questions?

No. These are independent English-language practice questions written by OpenExamPrep to help residents study the surgical Part I topics. They are not official PMC questions and are not endorsed by the Palestinian Medical Council.