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Acute Abdomen
A. Colicky in nature indicates obstruction of hollow viscus. B. In right upper quadrant increased by inspiration is typical of cholecystitis C. Continuous is typical of inflammation D. Maximal in the right loin is typical with duodenal ulcer. E. Maximal in epigastrium and related to meal is typical of gastric problem.
3- Faeculent vomiting:
A. Is commonly seen after upper gastrointestinal tract bleeding. B. Indicates large bowel obstruction. C. Indicates bacterial proliteration in the upper intestinal. D. Suggests a gastro-colic fistula. E. Suggests small bowel fistula
7- Appendicitis is:
A. More common in females B. Distributed evenly thoughout the world's population C. More likely to occur if the appendix is in the retrocaecal position. D. Commonly the result of appendicular obstruction. E. B&C only.
9- Obstruction of the lumen of the appendix may lead to: (all correct except one)
A. Mucosal ulceration B. Gangrenous appendicitis. C. A perforated appendix. D. Intussusception of the appendix. E. Acute appendicitis.
11- The level of intestinal obstruction can be determined by: (all correct except one)
A. Questioning the patient. B. Examining the patient. C. Radiological examination of the patient. D. Repeated measurements of the patient's girth. E. Upper & lower contrast studies.
23- acute superior mesenteric artery occlusion: (all correct except one)
A. Characteristically presents with sudden pain and tenderness of increasing intensity. B. Is frequently accompanied by overt or occult blood loss in the stools. C. Frequently produces peritonitis. D. Can usually be diagnosed on plain abdominal x-rays. E. Can be diagnosed by mesenteric artery ongiography.