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4th Year
20/05/13
O.o
MCQs:
1- Hemobilia
a. iatrogenic
b. occurs in the abdominal wall
2- Cleft palate is best operated in:
a. 10 months
b. 6 months
c. 16 months
d. 10 weeks
e. 16 weeks
3- Which of the following approaches is considered standard care for most
Wilms tumor patients in the United States today?
a. Adriamycin and vincristine therapy followed by surgical resection
b. Needle biopsy followed by either chemotherapy or resection
depending upon the histology
c. Primary surgical resection followed by chemotherapy
d. Radiation therapy if judged unresectable on CT or MRI imaging
4- Polyhydramnios is frequently observed in all of the following conditions
except:
a. Esophageal atresia.
b. Duodenal atresia.
c. Pyloric atresia.
d. Hirschsprung's disease.
e. Congenital diaphragmatic hernia
d. Pain
e. ..
20- In neonates with necrotizing enterocolitis, which of the following findings
is an indication of significant bowel ischemia:
a. Increased gastric residuals.
b. Septic shock.
c. Cardiac failure due to a patent ductus arteriosus.
d. Elevated platelet count.
e. Erythema of the abdominal wall
21- Patient with head trauma, eyes open, words incomprehensible, localizes
pain.. GCS is ? 11
22- Which of the following is associated with burn:
a. Pseudomonas infection
b. A lower limb burn in a child is 18%
c. .
d. ..
e.
23- What is the treatment in pseudomembranous colitis:
a. Penicillin G
b. Penicillin V
c. Vancomycin
d.
e.
24- The best prophylaxis to prevent OPSI after splenectomy:
a. IV immunoglobulin
b. Vaccination
c. Antibiotic !
d. .
e. .
25- Conservative therapy after splenic injury is indicated in all of the
following, except:
a. Hemodynamic stability
b. Low transfusion volume
c. No peritonitis
d. Shattered spleen
e.
26- All of the following about early dumping syndrome is correct, except:
a. Tachycardia and sweating
b. Diarrhea is always present
c. Somatostatin may help
d. After antrectomy
e. May be due to vagal inhibition and may goes spontaneously
27- A man with antrectomy after minutes of eating he develops sweating,
tachycardia, and diarrhea .. the most appropriate cause is:
a. Early dumping syndrome
b. Bile reflux gastritis
c. Late dumping syndrome
d.
e.
28- The definitive management of sclerosing cholangitis is :
a. Liver transplantation
b. Roux en Y choledochojejunostomy
c.
d.
e. .
29- All of the following about cholangitis is correct, except:
a. Charcots triad is always present
b. Choledocholithiasis is the most common cause
c. Bile bacteria is present
d. There has to be obstruction and infection
e. ..
30- The management of choice in tension pneumothorax is:
a. Needle decompression
b. Tracheal intubation
c. Chest drain
d.
e.
53- All of the following is true about paraesophageal hiatus hernia, except: !!!
a. 5% of the hiatal hernias
b. May be associated with reflux
c. Asymptomatic pt. doesnt need surgery
d.
e.
54- All of the following is present in the acute stage of severe trauma or
moderate to severe surgery, except:
a. Hypermetabolism
b. Negative nitrogen balance
c. Hyperphagia
d. .
e. .
55- A female patient presents with a mass below the inguinal ligament (history
of femoral hernia) . What is the best investigation:
a. CT scan
b. Ultrasound
c. Herniography
d. MRI
e. Biopsy
56- A pt. with perforated appendectomy .. after 7 days he develops redness,
swelling, tender in the area of the wound, what is the treatment:
a. Topical AB
b. Systemic AB
c. Topical & Systemic AB
d. Surgical incision and drainage
e. ..
57- About corrosive injuries to the esophagus, what is true:
a. Acidic injury is more severe than alkaline
b. Alkaline injury is more severe than acidic
c. .
63- 8-month boy with lethargy, abdominal distension and rectal bleeding with
jelly-like stools, what is true:
a. Appendicitis is suspected
b. Needs urgent surgery
c. Dont do surgery before 2 days colonoscopy
d. Barium enema is diagnostic and therapeutic
64- A colon polyp that is well-differentiated adenocarcinoma .. reaches the
muscularis but no further extension, what is the appropriate management:
a. Colonectomy
b. Segmental excision
c. Polypectomy
d. .
e.
65- All true about Mallory Wiess body, except:
a. Mostly massive and needs emergent surgery
66- What is true about the esophagus:
a. Barrets esophagous has 40 fold increase in developing
adenocarcinoma
67- Multi tract producing pus is present in :
a. Furuncle
b. Carbuncle
c. .
d. ..
e.
68- Micro calcification in the lower part of the breat is due to :
a. Fat necrosis
b. Atypical hyperplasia
c.
d. .
e.
69- Obstructing Sigmoid colon cancer with competent ilio-cecal valve, rupture
occurs most commonly in :
a. Hepatic flexure
b. Splenic fexure
c. Liver
d. Cecum
e. .
70- A pt. with fatigue .. have accidental mass in his adrenal gland . Whats
next:
a. Surgery
b. CT scan
c. Ultrasound
d. Biochemical tests
e. .
71- All of the following have malignant potential, except:
a. Duct ectasia
b. DCIS
c. Atypical hyperplasia
d.
e.
72- A man with penetrating neck injury .. the first step in management:
a. Airway maintenance
73- Not in Ranson Criteriae :
a. Lipase
74- All true about ultrasound of the thyroid, except:
a. Solid vs. cyst
b. Malignant vs. benign
c. The size of the nodule
d. The lymph nodes
e.
80- AF with acute upper limb ischemia, what should you do:
a. Embolectomy
b. Heparin
c. ECG
d.
e.
81- The most important factor in preventing (or treating) Enterocutanous
fistula is:
a. Nutrition
b. Prevent abscess
c. Wound care
d. .
e. .
82- About colon polyp . What is true:
a. FAP will develop colon cancer 100% if unresected
83- All true about gastric cancer except:
a. Familial type is autosomal recessive
84- All true about Gastroschisis, except:
a. Associated with other anomalies
85- All true about hyperparathyroidism, except:
a. Most of the patients develop renal stones ( mostly asymptomatic !)
b. 85% of the cases due to parathyroid adenoma
c. You should suspect parathyroid cancer when the Ca in more than
12 mmol/L and parathyroid hormone is increased
d. Recurrent is when it happen again after 6 months
e. The sestamibi Dye is best detecting ectopic parathyroid tissue
86- As regards Buergers disease, all are true except:
a. Exclusively in males.
b. Exclusively in smokers.
Static :
2 X-rays >>>>> one in erect position and the other in plain position
Melanoma vs. Basal cell carcinoma
4 Surgical instruments
Omphalocele vs. Gastroschisis
Ascites with obstructive jaundice
Hemorrhoid
.......