اسئلة الجراحة العامة 2013/06
1) The major risk factor for mastitis ?
A . DM .
B . Twins .
C . Breast cancer .
D . Breast feeding `````````
E . Bad hygiene .
2) Most common symptom in rectal cancer ?
A . Bleeding per rectum .```````````````
B . Weight loss .
C . Pain per rectum .
D . Change bowel habits .
E . Constipation .
3) Most common cause of Acute pancreatitis in children ?
A . Alcohol .
B . Congenital .
C . Drugs .
D . Blunt trauma .```````````
E . Gallbladder stone
4) Most significant initial complication of acute pancreatitis is ?
A . DM .
B . Pseudocyst .
C . ARDS .``````````
D . Exocrine insufficiency .
E. Hemorrhagic peritonitis
5) Most important point in diagnosis acute appendicitis ?
A . Laboratory result .
B . Pain in right lower quadrant .
C . Shifting of pain .
D . History and physical exam .````````````
E . Low grade fever and Leucocytosis .
6) Most common site of ischemic colitis ?
A . Splenic flexure`````````````
B . Hepatic flexure
C . Ascending colon
D . Transverse colon
E . Iliocecal valve
7) Most common site of Angiodysplasia ?
A . Rectum
B . Transverse colon
C . Descending colon
D . Ascending colon
E . Cecum````````````
8 ) Most common site for distant metastasis for breast cancer ?
A . Bone .``````````````
B . Lung .
C . Brain .
D . Liver .
E . Lymphatic nodes .
9) Most common soft tissue tumor ?
A . Osteoma
B . Epithelioma
C . Lipoma`````````````````
D . Rodent ulcer
E . Melanoma
10) Most sensitive laboratory test for thyroid function ?
A . T3
B . T4
C . TSH``````````
D . TRH
E . TBG
11) Most common type of anal cancer ?
A . Adenocarcinoma
B . Melanoma
C . SCC`````````
D . BCC
E . Cloacogenic carcinoma
12) Most common cause of anal stricture ?
A . Post hemorrhoidectomy`````````
B . Hemorrhoids
C . Anal fissure
D . Perianal abscess
E . Perianal hematoma
13) Shock is defined as ?
A . Bradycardia .
B . Hypothermia .
C . Hypoperfusion at the tissue level .`````````
D . Hypotension .
E . Loss of consciousness
14) Most common cause of upper GI bleeding ?
A . Chronic gastric ulcer .
B . Mallory Weiss syndrome .
C . Chronic duodenal ulcer .````````````
D . Gastric cancer .
E . Varicose veins of esophagus
15) Most common cause of lower GI bleeding ?
A . Colorectal cancer .
B . Ischemic colitis .
C . Angiodysplasia .
D . Diverticular disease .````````````
E . Hemorrhoids .
16) Lateral internal sphincterotomy is the treatment of choice for ?
A . Hemorrhoids .
B . Anal fissure .``````````
C . Perianal abscess .
D . Perianal hematoma .
E . Intrasphincteric abscess
17) First priority in multiple injured patient is ?
A . Ribs fracture .
B . Cut wound .
C . Tension pneumothorax .``````````
D . Femur fracture .
E . Subdural hematoma .
18) Most common cause of bleeding per nipple ?
A . Fibrocystic disease of breast .
B . Intraductal papilloma .`````````````
C . Breast cancer .
D . Paget disease .
E . Fibroadenoma .
19) Most common thyroid gland cancer ?
A . Anaplastic
B . Papillary````````
C . Follicular
D . Medullary
E . Lymphoma
20) Treatment of choice of liver cancer mostly ?
A . Palliative
B . Surgical resection`````````
C . Radiation
D . Chemotherapy
E . Symptomatic
21) First anatomical structure that compressed in compartment syndrome ?
A . Fascia
B . Muscles
C . Arteries
D . Veins```````
E . Nerves
22) The first Sign of compartment syndrome ?
A . Pallor and pulselessness
B . Coldness
C . Tingling and Paresthesia````````````
D . Pain`````
E . Paralysis
23) One of the following a cause of increasing intracranial pressure ?
A . Exercise
B . Fever
C . Stress
D . Pulmonary embolism
E . Valsalva maneuver`````````````
24) It is difficult to diagnose acute appendicitis in all of the following except ?
A . Old age
B . Athletes````````
C . Children
D . Pregnancy
E . HIV patients
25) One of the following is contraindication for surgical treatment of varicose veins ?
A . DVT```````
B . Old age
C . Pregnancy
D . Bilaterally
E . Peripheral vascular disease
26) Most common microorganism that cause infection in diabetic foot ?
A . Staphylococcus aureus
B . Pseudomonas
C . Mixed````````````
D . Listeria
E . Clostridium perfringens
27) Most common salivary glands cancer ?
A . Warthin tumors
B . Mucoepidermoid carcinoma``````````
C . Adenoidcystic cancer
D . Adenocarcinoma
E . Malignant mixed cancer
28) Treatment of choice in Hypovolemic shock ?
A . 0.45% Normal saline
B . Albumin
C . Blood products
D . 0.9% Normal saline``````````
E . Ringer lactate
29) Most specific tool for spleen injury ?
A . CT scan```````
B . Abdominal ultrasound
C . Abdominal X_Ray
D . DPL
E . Angiography
30) Most common cause of Incisional hernia ?
A . Wound infection```````````
B . COPD
C . Acute appendicitis
D . Wound hematoma
E . Ascites
31) First to do in multiple trauma patients ?
A . Immobilization
B . Breathing
C . Blood pressure
D . Pupil reaction
E . Airway obscure````````````
32) Most common cause of large bowel obstruction ?
A . Polyps of the colon
B . Hirschsprung disease
C . Colon cancer````````````
D . Ischemic colitis
E . Ulcerative colitis
33) All are risk factors for colorectal cancer except ?
A . Ulcerative colitis
B . Juvenile polyposis``````````
C . Crohn disease
D . FAP
E . Gardner syndrome
34) Transformation of ulcerative colitis to malignancy is related to ?
A . Activity of disease
B . Race of the patients
C . Immunity of the patients
D . Duration of disease````````
E . Drugs administration
35) All are causes of persistent Hypotension except ?
A . Heart failure stage 4
B . Pneumothorax
C . Inadequate IV fluids in shock patients````````
D . Persistent external bleeding
E . Hidden internal bleeding
36) One of the following is contraindication for NG tube placement ?
A . Acute pancreatitis
B . Intestinal obstruction
C . Drug poisoning
D . Basal skull fracture```````
E . Laparoscopic surgery
37) All are causes of Hypersplenism except ?
A . Liver cirrhosis
B . Portal HTN
C . Sarcoidosis
D . HCC
E . Papillary thyroid cancer````````
38) Most common liver cancer ?
A . Hepatoblastoma
B . Fibrolamellar carcinoma
C . Adenocarcinoma
D . HCC`````````
E . SCC
39) Most important point in intravenous fluid of patient with burn ?
A . Body surface area percentage``````````
B . Grade of burns
C . Site of burns
D . Type of burns
E . Clinical picture of the patient
40) Gas that used in laparoscopic operations ?
A . O2
B . N2O
C . N2
D . Co2`````````
E . He
41) Anesthetic drug that has analgesic and anesthetic effect ?
A . Isoflurane
B . Sevoflurane
C . Thiopental sodium
D . Suxamethonium
E . Ketamine````````
42) All of the following side effects of morphine except ?
A . Nausea
B . Vomiting
C . Cough`````````
D . Myosis
E . Respiratory depression
43) The strongest relation between lung cancer and one of the following ?
A . Tuberculosis
B . Asbestosis``````````
C . Byssinosis
D . Pneumoconiosis
E . Silicosis
44) All of the following operations need antibiotics prophylaxis except ?
A . Thyroidectomy`````````
B . Hemicolectomy
C . Appendectomy
D . Pulmonary lobectomy
E . Cholecystectomy
45) Glasgow coma scale includes . All of the following except ?
A . Motor response
B . Eye's movement````````
C . Verbal response
D . Pain response
E . Pupil reaction to night`````````
46) One of the following is water borne disease ?
A . Scabies
B . Mycoplasma
C . Chlamydia
D . Typhoid fever`````````
E . Hepatitis C
47) All are specific complications of thyroid surgery except ?
A . Dental caries`````````
B . Airway obstruction
C . Convulsions
D . Hypoparathyroidism
E . Hypothyroidism
48) Percentage of liver tissue that should be maintain after liver resection for donation porpoises ( if liver was completely healthy ) ?
A . 0.8%```````````
B . 8%
C . 80%
D . 20%
E . 0.2%
49) Newborn presented with hypersalivation , irritability , Cyanosis , coughing , choking , gagging , malpositioning of a NG tube . The most likely diagnosis ?
A . Duodenal atresia
B . Pyloric stenosis
C . Esophageal atresia``````````
D . Diaphragmatic hernia
E . GERD
50) 7 years old child , presented with submental swelling , hotness , redness , it was very painful , the most likely diagnosis ?
A . Cystic hygroma
B . Thyroglossal cyst
C . Lipoma
D . Dental caries
E . Submental abscess````````````
51) 5 years old child presented with midline neck swelling , that protruded with swallowing or no protrusion of the tongue , the most likely diagnosis ?
A . Thyroglossal cyst````````````
B . Cystic hygroma
C . Thyroid lymphoma
D . Cleft bronchial cyst
E . Thyroiditis
52) 35 years old male patient present with painless pulsatile femoral swelling in the inguinal area , the most likely diagnosis ?
A . Inguinal hernia
B . Femoral hernia
C . Varicose veins
D . Lipoma
E . Aneurysm````````
53) One of the following is true about inguinal hernia ?
A . Femoral hernia is more common than inguinal .
B . Direct hernia is more common than indirect .
C . Treatment of choice is Herniorrhaphy .`````````````````
D . Most common seen in females .
E . Direct inguinal hernia is a congenital hernia .
54) The true arrangement for gastrointestinal tract recovery after any abdominal surgery ?
A . Stomach then colon then small bowel .
B . Colon then small bowel then stomach .
C . Stomach then small bowel then colon .
D . Small bowel then stomach then colon .`````````````````
E . Small bowel then colon then stomach .
A . DM .
B . Twins .
C . Breast cancer .
D . Breast feeding `````````
E . Bad hygiene .
2) Most common symptom in rectal cancer ?
A . Bleeding per rectum .```````````````
B . Weight loss .
C . Pain per rectum .
D . Change bowel habits .
E . Constipation .
3) Most common cause of Acute pancreatitis in children ?
A . Alcohol .
B . Congenital .
C . Drugs .
D . Blunt trauma .```````````
E . Gallbladder stone
4) Most significant initial complication of acute pancreatitis is ?
A . DM .
B . Pseudocyst .
C . ARDS .``````````
D . Exocrine insufficiency .
E. Hemorrhagic peritonitis
5) Most important point in diagnosis acute appendicitis ?
A . Laboratory result .
B . Pain in right lower quadrant .
C . Shifting of pain .
D . History and physical exam .````````````
E . Low grade fever and Leucocytosis .
6) Most common site of ischemic colitis ?
A . Splenic flexure`````````````
B . Hepatic flexure
C . Ascending colon
D . Transverse colon
E . Iliocecal valve
7) Most common site of Angiodysplasia ?
A . Rectum
B . Transverse colon
C . Descending colon
D . Ascending colon
E . Cecum````````````
8 ) Most common site for distant metastasis for breast cancer ?
A . Bone .``````````````
B . Lung .
C . Brain .
D . Liver .
E . Lymphatic nodes .
9) Most common soft tissue tumor ?
A . Osteoma
B . Epithelioma
C . Lipoma`````````````````
D . Rodent ulcer
E . Melanoma
10) Most sensitive laboratory test for thyroid function ?
A . T3
B . T4
C . TSH``````````
D . TRH
E . TBG
11) Most common type of anal cancer ?
A . Adenocarcinoma
B . Melanoma
C . SCC`````````
D . BCC
E . Cloacogenic carcinoma
12) Most common cause of anal stricture ?
A . Post hemorrhoidectomy`````````
B . Hemorrhoids
C . Anal fissure
D . Perianal abscess
E . Perianal hematoma
13) Shock is defined as ?
A . Bradycardia .
B . Hypothermia .
C . Hypoperfusion at the tissue level .`````````
D . Hypotension .
E . Loss of consciousness
14) Most common cause of upper GI bleeding ?
A . Chronic gastric ulcer .
B . Mallory Weiss syndrome .
C . Chronic duodenal ulcer .````````````
D . Gastric cancer .
E . Varicose veins of esophagus
15) Most common cause of lower GI bleeding ?
A . Colorectal cancer .
B . Ischemic colitis .
C . Angiodysplasia .
D . Diverticular disease .````````````
E . Hemorrhoids .
16) Lateral internal sphincterotomy is the treatment of choice for ?
A . Hemorrhoids .
B . Anal fissure .``````````
C . Perianal abscess .
D . Perianal hematoma .
E . Intrasphincteric abscess
17) First priority in multiple injured patient is ?
A . Ribs fracture .
B . Cut wound .
C . Tension pneumothorax .``````````
D . Femur fracture .
E . Subdural hematoma .
18) Most common cause of bleeding per nipple ?
A . Fibrocystic disease of breast .
B . Intraductal papilloma .`````````````
C . Breast cancer .
D . Paget disease .
E . Fibroadenoma .
19) Most common thyroid gland cancer ?
A . Anaplastic
B . Papillary````````
C . Follicular
D . Medullary
E . Lymphoma
20) Treatment of choice of liver cancer mostly ?
A . Palliative
B . Surgical resection`````````
C . Radiation
D . Chemotherapy
E . Symptomatic
21) First anatomical structure that compressed in compartment syndrome ?
A . Fascia
B . Muscles
C . Arteries
D . Veins```````
E . Nerves
22) The first Sign of compartment syndrome ?
A . Pallor and pulselessness
B . Coldness
C . Tingling and Paresthesia````````````
D . Pain`````
E . Paralysis
23) One of the following a cause of increasing intracranial pressure ?
A . Exercise
B . Fever
C . Stress
D . Pulmonary embolism
E . Valsalva maneuver`````````````
24) It is difficult to diagnose acute appendicitis in all of the following except ?
A . Old age
B . Athletes````````
C . Children
D . Pregnancy
E . HIV patients
25) One of the following is contraindication for surgical treatment of varicose veins ?
A . DVT```````
B . Old age
C . Pregnancy
D . Bilaterally
E . Peripheral vascular disease
26) Most common microorganism that cause infection in diabetic foot ?
A . Staphylococcus aureus
B . Pseudomonas
C . Mixed````````````
D . Listeria
E . Clostridium perfringens
27) Most common salivary glands cancer ?
A . Warthin tumors
B . Mucoepidermoid carcinoma``````````
C . Adenoidcystic cancer
D . Adenocarcinoma
E . Malignant mixed cancer
28) Treatment of choice in Hypovolemic shock ?
A . 0.45% Normal saline
B . Albumin
C . Blood products
D . 0.9% Normal saline``````````
E . Ringer lactate
29) Most specific tool for spleen injury ?
A . CT scan```````
B . Abdominal ultrasound
C . Abdominal X_Ray
D . DPL
E . Angiography
30) Most common cause of Incisional hernia ?
A . Wound infection```````````
B . COPD
C . Acute appendicitis
D . Wound hematoma
E . Ascites
31) First to do in multiple trauma patients ?
A . Immobilization
B . Breathing
C . Blood pressure
D . Pupil reaction
E . Airway obscure````````````
32) Most common cause of large bowel obstruction ?
A . Polyps of the colon
B . Hirschsprung disease
C . Colon cancer````````````
D . Ischemic colitis
E . Ulcerative colitis
33) All are risk factors for colorectal cancer except ?
A . Ulcerative colitis
B . Juvenile polyposis``````````
C . Crohn disease
D . FAP
E . Gardner syndrome
34) Transformation of ulcerative colitis to malignancy is related to ?
A . Activity of disease
B . Race of the patients
C . Immunity of the patients
D . Duration of disease````````
E . Drugs administration
35) All are causes of persistent Hypotension except ?
A . Heart failure stage 4
B . Pneumothorax
C . Inadequate IV fluids in shock patients````````
D . Persistent external bleeding
E . Hidden internal bleeding
36) One of the following is contraindication for NG tube placement ?
A . Acute pancreatitis
B . Intestinal obstruction
C . Drug poisoning
D . Basal skull fracture```````
E . Laparoscopic surgery
37) All are causes of Hypersplenism except ?
A . Liver cirrhosis
B . Portal HTN
C . Sarcoidosis
D . HCC
E . Papillary thyroid cancer````````
38) Most common liver cancer ?
A . Hepatoblastoma
B . Fibrolamellar carcinoma
C . Adenocarcinoma
D . HCC`````````
E . SCC
39) Most important point in intravenous fluid of patient with burn ?
A . Body surface area percentage``````````
B . Grade of burns
C . Site of burns
D . Type of burns
E . Clinical picture of the patient
40) Gas that used in laparoscopic operations ?
A . O2
B . N2O
C . N2
D . Co2`````````
E . He
41) Anesthetic drug that has analgesic and anesthetic effect ?
A . Isoflurane
B . Sevoflurane
C . Thiopental sodium
D . Suxamethonium
E . Ketamine````````
42) All of the following side effects of morphine except ?
A . Nausea
B . Vomiting
C . Cough`````````
D . Myosis
E . Respiratory depression
43) The strongest relation between lung cancer and one of the following ?
A . Tuberculosis
B . Asbestosis``````````
C . Byssinosis
D . Pneumoconiosis
E . Silicosis
44) All of the following operations need antibiotics prophylaxis except ?
A . Thyroidectomy`````````
B . Hemicolectomy
C . Appendectomy
D . Pulmonary lobectomy
E . Cholecystectomy
45) Glasgow coma scale includes . All of the following except ?
A . Motor response
B . Eye's movement````````
C . Verbal response
D . Pain response
E . Pupil reaction to night`````````
46) One of the following is water borne disease ?
A . Scabies
B . Mycoplasma
C . Chlamydia
D . Typhoid fever`````````
E . Hepatitis C
47) All are specific complications of thyroid surgery except ?
A . Dental caries`````````
B . Airway obstruction
C . Convulsions
D . Hypoparathyroidism
E . Hypothyroidism
48) Percentage of liver tissue that should be maintain after liver resection for donation porpoises ( if liver was completely healthy ) ?
A . 0.8%```````````
B . 8%
C . 80%
D . 20%
E . 0.2%
49) Newborn presented with hypersalivation , irritability , Cyanosis , coughing , choking , gagging , malpositioning of a NG tube . The most likely diagnosis ?
A . Duodenal atresia
B . Pyloric stenosis
C . Esophageal atresia``````````
D . Diaphragmatic hernia
E . GERD
50) 7 years old child , presented with submental swelling , hotness , redness , it was very painful , the most likely diagnosis ?
A . Cystic hygroma
B . Thyroglossal cyst
C . Lipoma
D . Dental caries
E . Submental abscess````````````
51) 5 years old child presented with midline neck swelling , that protruded with swallowing or no protrusion of the tongue , the most likely diagnosis ?
A . Thyroglossal cyst````````````
B . Cystic hygroma
C . Thyroid lymphoma
D . Cleft bronchial cyst
E . Thyroiditis
52) 35 years old male patient present with painless pulsatile femoral swelling in the inguinal area , the most likely diagnosis ?
A . Inguinal hernia
B . Femoral hernia
C . Varicose veins
D . Lipoma
E . Aneurysm````````
53) One of the following is true about inguinal hernia ?
A . Femoral hernia is more common than inguinal .
B . Direct hernia is more common than indirect .
C . Treatment of choice is Herniorrhaphy .`````````````````
D . Most common seen in females .
E . Direct inguinal hernia is a congenital hernia .
54) The true arrangement for gastrointestinal tract recovery after any abdominal surgery ?
A . Stomach then colon then small bowel .
B . Colon then small bowel then stomach .
C . Stomach then small bowel then colon .
D . Small bowel then stomach then colon .`````````````````
E . Small bowel then colon then stomach .
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