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ABTS Thoracic Surgery Board Certification Practice Test

140 questions available

The American Board of Thoracic Surgery (ABTS) Thoracic Surgery Board Certification represents the pinnacle of professional achievement and competency in the field. This rigorous certification validates a surgeon's mastery across the comprehensive spectrum of thoracic surgical care, including adult and congenital cardiac surgery, general thoracic surgery, transplantation, and oncologic management of thoracic malignancies. Earning this certification signifies that a surgeon has successfully completed an accredited residency, demonstrated substantial operative experience, and passed a demanding two-part examination process. It is the definitive credential that distinguishes a qualified thoracic surgeon, assuring patients, healthcare institutions, and peers of the holder's commitment to the highest standards of knowledge, judgment, technical skill, and ethical practice. In an era of increasing specialization and scrutiny, board certification is not merely an accolade but a fundamental requirement for hospital privileges, leadership roles, and recognition as an expert in this complex surgical discipline.

Certification exam
250 Exam questions
5 hours 30 minutes Time Limit
Practice bank
140 Practice Questions
2 hours 20 minutes Practice Time
Start Practice
The bank 140 Practice questions checked against the official objectives.
qf-import140 practice questions66 answers with a checkable referenceBlueprint 1.0Bank updated 2026-05-04

Sample Questions

Try a few questions to see what the full exam is like.

66 of 140 answers carry a checkable reference.

Lung

A 69-year-old man with severe emphysema has upper-lobe predominant disease, low exercise capacity after pulmonary rehabilitation, FEV1 32% predicted, and DLCO 28% predicted. Which treatment is most consistent with evidence-based surgical selection?

Lung

A 66-year-old man has a 5.5 cm apical lung cancer with shoulder pain, ulnar-distribution paresthesias, and invasion of the first rib but no vertebral body, subclavian vessel, or mediastinal nodal disease. What is the preferred sequence of care?

General Management

A sternotomy patient on postoperative day 12 has fever, sternal instability, purulent drainage, and CT evidence of mediastinal fluid. What is the best management?

Acquired Heart Disease

During CABG, the surgeon finds the LAD diffusely calcified with no soft landing zone except a distal 1.25 mm segment. What is the best grafting judgment?

Acquired Heart Disease

A patient with severe pulmonary hypertension is undergoing mitral valve surgery. After bypass, RV failure occurs with high CVP, low pulmonary artery pulsatility, and underfilled LV. What management is most appropriate?

Why This Certification Opens Doors

Achieving ABTS Board Certification is a critical differentiator that confers immediate professional credibility and is often a prerequisite for advancing your surgical career. It is the industry-standard benchmark for clinical competence, directly impacting hospital credentialing, referral patterns, and eligibility for leadership positions within academic medicine and surgical departments. This certification signals to colleagues, patients, and employers a surgeon's dedication to lifelong learning and adherence to the most current evidence-based practices. It establishes a foundation of trust and is frequently linked to enhanced professional opportunities, including participation in clinical trials, speaking engagements, and roles in national surgical societies.

Exam Blueprint

01Acquired Heart Disease
02Cardiac
03Chest Wall/Diaphragm
04Congenital Heart Disease
05Esophagus
06General Management
07General Thoracic
08Lung
09Mediastinum
10Pleura
11Trachea/Bronchi

Exam Details ABTS-CERT | 5 hours 30 minutes

Exam Code ABTS-CERT
Vendor qf-import
Time Limit 5 hours 30 minutes
Exam questions 250

Frequently Asked Questions

What are the eligibility requirements to sit for the ABTS certification exam?

Candidates must have graduated from an accredited medical school, completed a full residency in General Surgery (typically 5-7 years) accredited by the ACGME or RCPSC, and then completed an ACGME-accredited Thoracic Surgery residency program (typically 2-3 years). Applicants must also submit a case log documenting a minimum number and variety of operative procedures as the primary surgeon, which is rigorously reviewed by the ABTS.

What is the structure of the ABTS certification examination?

The certification is a two-part process. Part I is a comprehensive written examination covering the entire spectrum of thoracic surgery. Upon passing Part I, candidates become eligible for Part II, the oral examination. Part II consists of structured oral exams conducted by panels of expert examiners, focusing on clinical scenarios, decision-making, management of complications, and surgical judgment in areas like adult cardiac, congenital, and general thoracic surgery.

How does Maintenance of Certification (MOC) work for the ABTS?

ABTS certification is time-limited, typically valid for 10 years. To maintain certification, diplomates must participate in the ABTS MOC program, which includes requirements for lifelong learning and self-assessment (MOC Part II), assessment of knowledge and judgment through secure examinations (MOC Part III), and evaluation of performance in practice (MOC Part IV). This ensures certified surgeons remain current with evolving standards of care.

What is the distinction between 'Board Eligible' and 'Board Certified'?

'Board Eligible' refers to a surgeon who has completed the required training but has not yet taken or passed the certification exams. 'Board Certified' is the official status granted by the ABTS only after successful completion of both Part I and Part II examinations. Most hospitals and payers require active board certification for privileging and network participation, making it a critical career credential.

How should I prepare for the oral examination (Part II)?

Effective preparation involves a deep review of your own case log, anticipating questions on indications, technical steps, alternative approaches, and complication management for your submitted cases. Study should focus on current guidelines (e.g., ACC/AHA, STS, ESTS), major textbook principles, and recent landmark trials. Participating in mock oral exams, often offered by training programs or at national meetings, is considered invaluable for honing presentation skills and clinical reasoning under examination conditions.