NBCE MINOR SURGERY AND PROCTOLOGY EXAM GUIDE (2026/2027) | 200 PRACTICE QUESTIONS WITH ANSWERS & RATIONALES | BOARD PREP

NBCE MINOR SURGERY AND
PROCTOLOGY EXAM GUIDE (2026/2027) |
200 PRACTICE QUESTIONS WITH
ANSWERS & RATIONALES | BOARD PREP


NBCE Minor Surgery & Proctology Exam


1. Which condition is most commonly treated in proctology?
A. Hemorrhoids
B. Appendicitis
C. Pneumonia
D. Diabetes
Answer: A
Hemorrhoids are a primary focus in proctologic care.


2. What are hemorrhoids?
A. Swollen veins in rectum/anus
B. Intestinal tumors
C. Skin infections
D. Muscle tears
Answer: A
They are vascular structures that become enlarged and symptomatic.


3. Which type of hemorrhoid is located inside the rectum?
A. Internal hemorrhoid
B. External hemorrhoid
C. Thrombosed hemorrhoid
D. Prolapsed hemorrhoid
Answer: A
Internal hemorrhoids occur above the dentate line.

,4. Which symptom is most common with internal hemorrhoids?
A. Painless bleeding
B. Severe pain
C. Fever
D. Nausea
Answer: A
Internal hemorrhoids typically bleed without pain.


5. Which type of hemorrhoid is painful?
A. External hemorrhoid
B. Internal hemorrhoid
C. Mild hemorrhoid
D. Grade I hemorrhoid
Answer: A
External hemorrhoids are below the dentate line and innervated.


6. What is a thrombosed hemorrhoid?
A. Clotted hemorrhoid
B. Inflamed intestine
C. Tumor
D. Infection
Answer: A
Blood clot formation causes severe pain.


7. What is the dentate line?
A. Anatomical line in anal canal
B. Blood vessel
C. Muscle
D. Nerve
Answer: A
Separates internal and external regions.


8. Which procedure removes hemorrhoids?
A. Hemorrhoidectomy
B. Appendectomy

,C. Cholecystectomy
D. Laparoscopy
Answer: A
Surgical excision of hemorrhoids.


9. What is rubber band ligation?
A. Cutting hemorrhoids
B. Tying off hemorrhoids
C. Injecting medication
D. Burning tissue
Answer: B
Cuts off blood supply to hemorrhoid.


10. What is an anal fissure?
A. Tear in anal lining
B. Tumor
C. Infection
D. Abscess
Answer: A
Causes pain during defecation.


11. What symptom is associated with anal fissures?
A. Pain with bowel movement
B. Fever
C. Vomiting
D. Cough
Answer: A
Sharp pain during defecation.


12. What is the most common cause of anal fissures?
A. Constipation
B. Infection
C. Trauma
D. Surgery

, Answer: A
Hard stools cause tearing.


13. What is an anorectal abscess?
A. Collection of pus
B. Tumor
C. Hemorrhoid
D. Fissure
Answer: A
Infection leads to pus accumulation.


14. What symptom indicates anorectal abscess?
A. Pain and swelling
B. Cough
C. Fever only
D. Nausea
Answer: A
Localized pain and swelling.


15. What is fistula-in-ano?
A. Abnormal tract
B. Tumor
C. Hemorrhoid
D. Infection
Answer: A
Connects anal canal to skin.


16. What often causes fistula-in-ano?
A. Abscess
B. Trauma
C. Infection
D. Surgery
Answer: A
Untreated abscess may lead to fistula.