اسئلة الجراحة 2014
The calf pressure that should cause the surgeon to do fasciotomy is :
1- 10 cm H2O
2- 20 cm H2O
3- 30 cm H2O
4- 40 cm H2O
5- 50 cm H2O
The most common complication of acute appendicitis :
1- Intra abdominal abscess
2- Pneumonia
3- Wound infecion
4- Bowel obstruction secondary to adhesion
5- Incisional hernia
The major methods of date collection from the community is:
1- Observation , interview, examinations
2- Observation only
3- Morbidity and mortality data
4- Civil registry
5- Health information
All of the following are early complications of head injury except:
1- Brain concussion
2- Meningitis
3- Brain contusion
4- Epilepsy
5- CSF leak
All of the following have been reported to increase the risk of gastic cancer except:
1- Smoking
2- Alcohol
3- H. Pylori infection
4- Chronic atrophic gastritis
5- Previous gastric resection
The most common cause of wound infection is :
1- Streptoccuspyogen
2- E.coli
3- Bacteroidfragilis
4- Staphylococcus aureus
5- Staphylococcus epidemis
The most difficult mode of transmission to prevent is:
1- Person to person spread
2- Droplet spread
3- Vector spread
4- Vehicle spread
5- Airborne spread
One the following is false about the Closrtidiumtetani :
1- Causes gas gangrene
2- Produces an exotoxin
3- Has a terminal spore
4- Is an obligatory anaerobe
5- Is motile
The most common complication post hemorriodectomyis :
1- Bleeding
2- Urine retention
3- Anal stenosis
4- Incontinence
5- Infection
Diagnosis of acute mesenteric ischemia is most likely when the patient has :
1- Elevation of WBC
2- Elevation of serum amylase level
3- Bloody stool in the rectum
4- Diffuse pain out of proportion to tenderness
5- Gas in cecum on abdominal X –ray
All of the following signs of hypovolemic shock except:
1- Hypothemia
2- Tachypenia
3- Pulsusparadoxus
4- Cool skin
5- Hypotension
Which of the following can be diagnosed with 100 % sensitivity and specificity using FNA ?
1- Medullary cancer
2- Colloid nodule
3- Anaplastic cancer
4- Follicular cancer
5- Papillary cancer
Second-degree burn may heal without grafting.which of the following is source of new skin cells ?
1- Inrtadermal macrophages
2- Migratory dendritic cell
3- Dermatocyte
4- Melanocytes
5- Epidermal appendeges
Concerning base skull fracture of the anterior fossa all of the following tureexcept :
1- Epistaxis
2- CSF rhinorrhea
3- Blindness
4- Raccon eyes
5- Battle sign
The most common hernia to strangutateis :
1- Indirect inguinal hernia
2- Femoral hernia
3- Direct inguinal hernia
4- Epigastric hernia
5- Slidling hiatus hernia
The risk of cholangiocarcinoma is not increased in patients with :
1- Gallstones
2- Choledochal cyst
3- Clonorchissinensis
4- Primary sclerosing cholangitis
5- Hepatolithiasis
The contraindication for medical treatment of gallstone include all the following except:
1- Non – functioning gallbladder
2- Porcelain gallbladder
3- Emphysematous gallblader
4- Stone less than 15 mm in size
5- Calcium bilirubinate and oxalate stones
The most common complication post splenectomy is :
1- Wound infection
2- Gastric dilatation
3- Hemorrhage
4- Atelactasis
5- Pancreatitis
Which is the single most avoidable factor responsible for deaths:
1- Cigarette smoking
2- Diabetes
3- End – stage renal disease
4- Dyslipedemia
5- Depression
Conrtaindication to liver transplantation include :
1- fulminant hepatic failure with hepatic coma
2- chronic active hepatitis
3- hepatic malignancy
4- portal vein thrombosis
5- uncontrolled sepsis
which of the following is an element of health promotion:
1- early diagnosis
2- proper treatment
3- health education
4- disability limitation
5- rehabilitation
complications of massive transfusion include all of the following except:
1- acidosis
2- alkalosis
3- hypercalcemia
4- hypothermia
5- coagulopathy
All of the following are risk factors for hepatocellular carcinoma except:
1- hemochromatosis
2- alpha – 1 antitripsin deficiency
3- hepatitis B infection
4- hepatitis C infection
5- oral contraceptive usage
what is false about acute epiglottitis :
1- commocn in children
2- caused by H.influenzae
3- hoarsenness is presenting symptom
4- painfull swallowing
5- orooling of saliva
Hyper- metabolism in sever burns is related to :
1- Glutamine synthesis
2- Hypocortisolemia
3- Decreased catecholamine activity
4- Hyperinsulinemia
5- Hepatic glycongen synthesis
Extra – adrenal pheochromocytomas predominantly secrete:
1- Epinephrine
2- Norepinephrine
3- Dopamine
4- Metanephrine
5- Vanillymandelic acid
The most common cause of bloody nipple discharge is :
1- Breast cancer
2- Papiloma
3- Duct ectasia
4- Sclerosingadenosis
5- Fibroadenoma
H.pylori infection in the stomach is associated with each of the following except:
1- chronic atrophic gastric gastritis
2- Gasrtic ulcer
3- Duodenal ulcer
4- Gastric adenocarcinoma
5 Squamous cell carcinoma of gastroesophagal
Elevated serum gastrin is found in all the following except :
1- Duodenal ulcer associated with H.pylori
2- Retained antrum
3- Gastric outlet obstruction
4- Postvagotomy
5- Pernicious anemia
The oxygen-hemoglobin dissociation curve is shifted towards the left by all the following factors except:
1- Hypothermia
2- Decreased PaCO2
3- Acidosis
4- Increased PH
5- Dcreased (2,3-DPG)
What is the borders of Hessilbach triangle?
Ans: inferior epigastric vessels – inguinal ligament – rectus sheath
Which of the following is the most resonable biochemical marker to follow after total thyroidectomy for papillary carcinoma :
1- Calcitonin
2- Ionized calcium
3- Carcinoembroynic antigen
4- Thyroglobin
5- Serum thyroid- stimulating hormone
Post- renal causes of acute renal failure incule all of the following except:
1- Ureteral obstruction due to stones
2- Urethral obstruction due to prastatic enlargement
3- Blocked folet catheter
4- Bladder dysfunction due to nerve injury
5- Myoglobinuria
Undescended testes :
1- Best treated surgically at the age of one year
2- Best managed conservatively with hormons
3- Best corrected at or around puberty
4- Have no malignat potential
5- Are usually bilateral
The most common perianal fistula type is :
1- Transsphincteric fistulae
2- Extrasphincteric fistulae
3- Intrasphincteric fistulae
4- Suprasphincteric fistulae
5- Both A+D
The most important indicator of a population health is :
1- Crude birth rate
2- Crude mortality rate
3- Infant mortality rate
4- Maternal mortality rate
5- Total fertality rate
Which of the following statements about Hicshsprungs disease is not true:
1- It is more in girls
2- It may invole the small bowel
3- It may be associated with enterocolitis
4- There is an increased incidence of Downs syndrome
5- There are no ganglionic cells seen in Auerbach plexus
All the following are used to reduce intracranial pressue after head injury except:
1- Head elevated to 30 degrees
2- Avoid neck and chest compression like bandages and wraps
3- Intubation and mechanical ventilation to achieve a normal ABGs
4- Controlled hypothermia
5- Evacuation of extradural haematomas
Treatment of shunt infection include all of the following except:
1- Intraventricular antibiotic
2- Systemic antibiotic
3- Immdediate replacement of shunt
4- External drainage
5- Removal of infected shunt
All of the following can causes Hyperkalemia except:
1- Acidosis
2- Insulin deficiency
3- Hypomagnesemia
4- Cell lysis syndrome
5- Renal failure
An abdominal compartment syndrome produces all of the following except:
1- Acute renal failure
2- Hypoxia
3- Intestinal obsruction
4- Hypercarbia
5- Elevated urinary bladder pressure
The best screening method for DDH in infants is :
1- X-ray
2- Bone scan
3- U/S
4- MRI
5- CT scan
LMWH produces its primary effects because of its inhibition of which factor:
1- 2a
2- 9a
3- 10a
4- 11a
5- 12a
Initial treatment of acute gastrointestinal bleeding includes:
1- H2- receptor antagonist
2- Angiography
3- Sucralfate
4- Gastrointestinal endoscopy
5- Aggressive volume resuscitation
The wound healing impaiment caused by corticosteroid administration can be reversed by :
1- Vit A
2- Vit C
3- Vit K
4- Vit B12
5- Zinc
The most common organ injured in penentrating abdominal injury is:
1- Liver
2- Samll bowel
3- Spleen
4- Stomach
5- Colon
Winged scapula is due to :
Long thoracic nerve injury
Posterior urtheral valve is the best visualized by :
1- Bladder U/S
2- Static cystogram
3- MCUG
4- CT cystogram
5- Retograde urethrogram
Which of the following is the most important prognostic determinant of survival after treatment for colorectal cancer:
1- Lymph node involvement
2- Transumural extension
3- Tumor size
4- Histologic differentiation
5- DNA content
The major component of the bile:
1- Bilirubin
2- Bile acid
3- Water
4- Cholesterol
5- Lecithin
1- 10 cm H2O
2- 20 cm H2O
3- 30 cm H2O
4- 40 cm H2O
5- 50 cm H2O
The most common complication of acute appendicitis :
1- Intra abdominal abscess
2- Pneumonia
3- Wound infecion
4- Bowel obstruction secondary to adhesion
5- Incisional hernia
The major methods of date collection from the community is:
1- Observation , interview, examinations
2- Observation only
3- Morbidity and mortality data
4- Civil registry
5- Health information
All of the following are early complications of head injury except:
1- Brain concussion
2- Meningitis
3- Brain contusion
4- Epilepsy
5- CSF leak
All of the following have been reported to increase the risk of gastic cancer except:
1- Smoking
2- Alcohol
3- H. Pylori infection
4- Chronic atrophic gastritis
5- Previous gastric resection
The most common cause of wound infection is :
1- Streptoccuspyogen
2- E.coli
3- Bacteroidfragilis
4- Staphylococcus aureus
5- Staphylococcus epidemis
The most difficult mode of transmission to prevent is:
1- Person to person spread
2- Droplet spread
3- Vector spread
4- Vehicle spread
5- Airborne spread
One the following is false about the Closrtidiumtetani :
1- Causes gas gangrene
2- Produces an exotoxin
3- Has a terminal spore
4- Is an obligatory anaerobe
5- Is motile
The most common complication post hemorriodectomyis :
1- Bleeding
2- Urine retention
3- Anal stenosis
4- Incontinence
5- Infection
Diagnosis of acute mesenteric ischemia is most likely when the patient has :
1- Elevation of WBC
2- Elevation of serum amylase level
3- Bloody stool in the rectum
4- Diffuse pain out of proportion to tenderness
5- Gas in cecum on abdominal X –ray
All of the following signs of hypovolemic shock except:
1- Hypothemia
2- Tachypenia
3- Pulsusparadoxus
4- Cool skin
5- Hypotension
Which of the following can be diagnosed with 100 % sensitivity and specificity using FNA ?
1- Medullary cancer
2- Colloid nodule
3- Anaplastic cancer
4- Follicular cancer
5- Papillary cancer
Second-degree burn may heal without grafting.which of the following is source of new skin cells ?
1- Inrtadermal macrophages
2- Migratory dendritic cell
3- Dermatocyte
4- Melanocytes
5- Epidermal appendeges
Concerning base skull fracture of the anterior fossa all of the following tureexcept :
1- Epistaxis
2- CSF rhinorrhea
3- Blindness
4- Raccon eyes
5- Battle sign
The most common hernia to strangutateis :
1- Indirect inguinal hernia
2- Femoral hernia
3- Direct inguinal hernia
4- Epigastric hernia
5- Slidling hiatus hernia
The risk of cholangiocarcinoma is not increased in patients with :
1- Gallstones
2- Choledochal cyst
3- Clonorchissinensis
4- Primary sclerosing cholangitis
5- Hepatolithiasis
The contraindication for medical treatment of gallstone include all the following except:
1- Non – functioning gallbladder
2- Porcelain gallbladder
3- Emphysematous gallblader
4- Stone less than 15 mm in size
5- Calcium bilirubinate and oxalate stones
The most common complication post splenectomy is :
1- Wound infection
2- Gastric dilatation
3- Hemorrhage
4- Atelactasis
5- Pancreatitis
Which is the single most avoidable factor responsible for deaths:
1- Cigarette smoking
2- Diabetes
3- End – stage renal disease
4- Dyslipedemia
5- Depression
Conrtaindication to liver transplantation include :
1- fulminant hepatic failure with hepatic coma
2- chronic active hepatitis
3- hepatic malignancy
4- portal vein thrombosis
5- uncontrolled sepsis
which of the following is an element of health promotion:
1- early diagnosis
2- proper treatment
3- health education
4- disability limitation
5- rehabilitation
complications of massive transfusion include all of the following except:
1- acidosis
2- alkalosis
3- hypercalcemia
4- hypothermia
5- coagulopathy
All of the following are risk factors for hepatocellular carcinoma except:
1- hemochromatosis
2- alpha – 1 antitripsin deficiency
3- hepatitis B infection
4- hepatitis C infection
5- oral contraceptive usage
what is false about acute epiglottitis :
1- commocn in children
2- caused by H.influenzae
3- hoarsenness is presenting symptom
4- painfull swallowing
5- orooling of saliva
Hyper- metabolism in sever burns is related to :
1- Glutamine synthesis
2- Hypocortisolemia
3- Decreased catecholamine activity
4- Hyperinsulinemia
5- Hepatic glycongen synthesis
Extra – adrenal pheochromocytomas predominantly secrete:
1- Epinephrine
2- Norepinephrine
3- Dopamine
4- Metanephrine
5- Vanillymandelic acid
The most common cause of bloody nipple discharge is :
1- Breast cancer
2- Papiloma
3- Duct ectasia
4- Sclerosingadenosis
5- Fibroadenoma
H.pylori infection in the stomach is associated with each of the following except:
1- chronic atrophic gastric gastritis
2- Gasrtic ulcer
3- Duodenal ulcer
4- Gastric adenocarcinoma
5 Squamous cell carcinoma of gastroesophagal
Elevated serum gastrin is found in all the following except :
1- Duodenal ulcer associated with H.pylori
2- Retained antrum
3- Gastric outlet obstruction
4- Postvagotomy
5- Pernicious anemia
The oxygen-hemoglobin dissociation curve is shifted towards the left by all the following factors except:
1- Hypothermia
2- Decreased PaCO2
3- Acidosis
4- Increased PH
5- Dcreased (2,3-DPG)
What is the borders of Hessilbach triangle?
Ans: inferior epigastric vessels – inguinal ligament – rectus sheath
Which of the following is the most resonable biochemical marker to follow after total thyroidectomy for papillary carcinoma :
1- Calcitonin
2- Ionized calcium
3- Carcinoembroynic antigen
4- Thyroglobin
5- Serum thyroid- stimulating hormone
Post- renal causes of acute renal failure incule all of the following except:
1- Ureteral obstruction due to stones
2- Urethral obstruction due to prastatic enlargement
3- Blocked folet catheter
4- Bladder dysfunction due to nerve injury
5- Myoglobinuria
Undescended testes :
1- Best treated surgically at the age of one year
2- Best managed conservatively with hormons
3- Best corrected at or around puberty
4- Have no malignat potential
5- Are usually bilateral
The most common perianal fistula type is :
1- Transsphincteric fistulae
2- Extrasphincteric fistulae
3- Intrasphincteric fistulae
4- Suprasphincteric fistulae
5- Both A+D
The most important indicator of a population health is :
1- Crude birth rate
2- Crude mortality rate
3- Infant mortality rate
4- Maternal mortality rate
5- Total fertality rate
Which of the following statements about Hicshsprungs disease is not true:
1- It is more in girls
2- It may invole the small bowel
3- It may be associated with enterocolitis
4- There is an increased incidence of Downs syndrome
5- There are no ganglionic cells seen in Auerbach plexus
All the following are used to reduce intracranial pressue after head injury except:
1- Head elevated to 30 degrees
2- Avoid neck and chest compression like bandages and wraps
3- Intubation and mechanical ventilation to achieve a normal ABGs
4- Controlled hypothermia
5- Evacuation of extradural haematomas
Treatment of shunt infection include all of the following except:
1- Intraventricular antibiotic
2- Systemic antibiotic
3- Immdediate replacement of shunt
4- External drainage
5- Removal of infected shunt
All of the following can causes Hyperkalemia except:
1- Acidosis
2- Insulin deficiency
3- Hypomagnesemia
4- Cell lysis syndrome
5- Renal failure
An abdominal compartment syndrome produces all of the following except:
1- Acute renal failure
2- Hypoxia
3- Intestinal obsruction
4- Hypercarbia
5- Elevated urinary bladder pressure
The best screening method for DDH in infants is :
1- X-ray
2- Bone scan
3- U/S
4- MRI
5- CT scan
LMWH produces its primary effects because of its inhibition of which factor:
1- 2a
2- 9a
3- 10a
4- 11a
5- 12a
Initial treatment of acute gastrointestinal bleeding includes:
1- H2- receptor antagonist
2- Angiography
3- Sucralfate
4- Gastrointestinal endoscopy
5- Aggressive volume resuscitation
The wound healing impaiment caused by corticosteroid administration can be reversed by :
1- Vit A
2- Vit C
3- Vit K
4- Vit B12
5- Zinc
The most common organ injured in penentrating abdominal injury is:
1- Liver
2- Samll bowel
3- Spleen
4- Stomach
5- Colon
Winged scapula is due to :
Long thoracic nerve injury
Posterior urtheral valve is the best visualized by :
1- Bladder U/S
2- Static cystogram
3- MCUG
4- CT cystogram
5- Retograde urethrogram
Which of the following is the most important prognostic determinant of survival after treatment for colorectal cancer:
1- Lymph node involvement
2- Transumural extension
3- Tumor size
4- Histologic differentiation
5- DNA content
The major component of the bile:
1- Bilirubin
2- Bile acid
3- Water
4- Cholesterol
5- Lecithin
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