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The surgeon is the boy's mother. This 'riddle' is designed to trap you into revealing a common preconception that surgeons are all male.

Since the wording does not necessarily suggest the two in the car are related, another answer could be used. The father in the car was the father of a different boy not in the car. While the son in the car was the son of a man not in the car (possibly the surgeon).

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Q: A father and son are in a road traffic accident and the father is killed but while examining the boy the surgeon says 'Oh no that's my son' - how is this possible?
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