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1- Which of the following is the best for diagnosis of acute appendicitis:
a.
b.
c.
d.
e.
Lab.Tests
US
Barium meal follow through
Barium enema.
Clinical Examination
heamaturia.
hesitency
frequency
poor stream
pain in perineum
d. fistula
e. abscess
minimal involvement
About one forth
About one third
About one half
About two thirds
Mastalgia
Lymphedema of arm
Breast atrophy
Peauo d orange
Amazia
8. The contents of the sac of an oblique inguinal hernia in the adult can be one of
the following except one:
a.
b.
c.
d.
e.
Omentum
Portion of the circumference of the intestine
Diverticulum of the urinary bladder
Portion of the liver
Ascitic fluid
Stridor
Cold extremities
Edema in tongue and lip
Skin wheals
Bronchospasm
10. A 32 years old female reported with history of bleeding per rectum and is
diagnosed as having adenocarcinoma of the rectum 6cms from anal verge. There
is no metastasis. The treatment is:
a.
b.
c.
d.
e.
Hypercholestremia
Type 2 DM
Alcohoism
RA
Smoking
13- 63 years old male was incidentally found to have an AAA 4,1 cm in
diameter being evaluated for bronchial asthma , The TTT would be :a.
b.
c.
d.
2 4 mmol/l
3,5 5.5 mmol/l
4,5 6,5 mmol/l
5 8 mmol/l
Non of the above
16- The most probable cause for massive blood loss per anus in a child:
a-
Rectal polyps.
d- Familial polyposis.
e-
Intussusceptions.
-20 C.
b- -4 C to 0 C.
c-
+2 C to +7 C.
d- -10 C.
e-
+10 C to +14 C.
18- All of the following are common signs of strangulated hernia except:
a-
Fever.
b- Constant pain.
c-
d- Diarrhea.
e-
b- Pain on defecation.
c-
d- Loose motion.
e-
Mucus discharge.
20- The following are indications for sigmoid colon resection as an elective surgery
in diverticular disease except:
a-
b- Abscess formation.
c-
Obstruction.
d- Fistula.
e-
21- Regarding Carcinoma of breast, all of the following are true except:
1- It is usually very aggressive in younger patients
2- The incidence of the cancer decreases with increasing age (correct answer)
3- The invasive ductal carcinom is the most common variety.
4- The incidence is much lower in males
5- Breast feeding is a protective factor.
22- Regarding staging of ca breast T > 2.5 but < .5 cm, N1 & M0 means:
1- stage 2 (correct)
2- stage 3
3- stage 1
4- stage 4
24- The axillary Lymph glands are categorized into different level in relation to:
1- The pectoralis major muscle
2- The subscapularis muscle
3- The serratus anterior muscle
4- The latissmus dorsi muscle
5- The pectoralis minor muscle (correct)
27- Regarding lobular carcinoma all of the following are false except:
a- it's the commonest variety of breast carcinoma
b- It's form sharply demarcated micro calcification on mammography.
c- It's arise from ductal epithelium
d- Has a high likelihood of being unilateral
e- it's often multi-centric.
29- A 6 months old child has been diagnosed as having indirect inguinal
hernia. there're no features of obstruction, the management is:
a- observation and hernia repair at the age of 2 years
b-Elective hernia repair, with use non absorbable mesh.
c- Herniotomy scheduled electively as the earliest
d- Herniotomy on Emergency basis, the patient shouldn't be send back home with
unrepaired hernia.
E- Elective hernial surgery with use of absorbable mesh.
36- Which of the following statements about hirschsprung's disease is not true?
a) There are no ganglion cells seen in auerbach's plexus
b) There is increased incidence of sown syndrome
c) It is more common in girls
d) It may be associated with enterocolitis
e) It may involve the small intestine
39- Regarding incisional hernia, all of the following are true except:
a) Account 15-20 % of all abdominal wall hernias
b) The most common cause is wound infection
c) Can enlarge over the time
d)May cause pain & bowel obstruction
e)They are easy to repair
e) Lanz incision
50- Which of the following has highest incidence among the skin malignancy:
a- SCC
b- BCC
c- Melanoma
d- Merkel cell tumor
e- Kaposi sarcoma