General Surgery Board-Final Written Exam Blueprint v.1

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SAUDI BOARD RESIDENCY TRAINING PROGRAM

General Surgery

Final Written Examination


Examination Format:
1. A Saudi board final specialty written examination shall consist of two
papers each with 100-125 SBA MCQs. Up to 10 % unscored items can be
added for pretesting purposes.

2. If any other assessment format is used, the CAC must agree to its
implementation (for example Short Answer Question (SAQ) or Modified
Essay Question (MEQ) formats).

Passing Score:

1. The passing score is 70%. However, if the percentage of candidates


passing the examination before final approval is less than 70%, the
passing score must be lowered by one mark at a time aiming at achieving
70% passing rate or 65% passing score whichever comes first. Under no
circumstances can the passing score be reduced below 65%.

Suggested References:

1. Sabiston Textbook of Surgery, 20th Edition, 2016. Courtney


Townsend et al.
2. Schwartz’s Principles of Surgery, Tenth Edition, 2014. F. Charles
Brunicardi et al.
3. Current Surgical Therapy, 12th Edition, 2017, John L. Cameron and
Andrew M Cameron.
4. Greenfield's Surgery Scientific Principles and Practice, 5th Edition,
2011. Michael W. Mulholland et al.
5. Fischer's Mastery of Surgery, 6th Edition .2011, Josef E. Fischer.
6. Professionalism and Ethics, Handbook for Residents, Practical
guide, Prof. James Ware, Dr. Abdulaziz Fahad Alkaabba, Dr. Ghaiath
MA Hussein, Prof. Omar Hasan Kasule, SCFHS, Latest Edition.
7. Essentials of Patient Safety, SCHS, Latest Edition.

Note:
This list is intended for use as a study aid only. SCFHS does not intend the list
to imply endorsement of these specific references, nor are the exam
questions necessarily taken solely from these sources.

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Blueprint Outlines:

No. Sections Percentage (%)


Principles of Surgery (20%= 40 MCQ)
1 Fluid and Electrolytes 2%
2 Shock, Haemostasis and Transfusion 2%
3 Surgical Infection and Antibiotics 3%
4 Trauma and Critical Care 4%
5 Surgical Complication 4%
Pre-operative Assessment, Anaesthesia and Pain 3%
6
Management
7 Transplant 2%
Clinical Surgery (80% = 160 MCQ)
8 The Breast and Endocrine 12%
9 Hernias, Abdominal Wall and Soft Tissue Tumours 6%
10 Upper GIT (Oesophagus, Stomach, Small Intestine) 8%
11 Lower GIT (Appendix, Colon, Rectum and Anus) 11%
12 Gastrointestinal Bleeding 4%
13 Hepatobiliary (Liver Pancreas and Spleen) 15%
14 Acute Abdomen 7%
15 Surgical Management of Obesity 4%
Subspecialty (Vascular- Paediatric- Plastic- Lung and 8%
16
Mediastinum)
Research, Ethics and Professionalism and Patient Safety 5%
Total 100%

Note:
• Blueprint distributions of the examination may differ up to +/-3% in
each category.

• Percentages and content are subject to change at any time. See the
SCFHS website for the most up-to-date information.

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Example Questions
EXAMPLE OF K2 QUESTIONS
Question 1

A 56-year-old man presented to the Emergency Department with intermittent lower


abdominal cramps typically coming 3 or 4 hours after a meal for the last 6 weeks. His
bowel habit had become more constipated than usual and he was forced to strain
hard to achieve evacuation. Examination revealed there were no significant clinical
findings (see image).

Which of the following tests is the most useful to establish a management plan?

A. FOBT1
B. Colonoscopy
C. Flexible sigmoidoscopy
D. Double contrast Ba enema

1
Faecal Occult Blood Test

Page | 3 Saudi Board Final Written Examination; General Surgery-BP(Final) April 2020 v.1

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