اسئلة الجراحة 2015
1) The most common blood transfusion reaction ?
A . ABO incompatibility reaction
B . Acute lung injury
C . Delayed Hemolytic reaction
D . Febrile non Hemolytic reaction
E . Hypocalcemia
2) The most common blood product containing bacterial contamination ?
A . Red blood cells
B . Platelets
C . Cryoprecipitate
D . Fresh frozen plasma
E . WBC
3) Each of the following antibiotics is bacteriostatic except ?
A . Sulfonamides
B . Tetracycline
C . Erythromycin
D . Gentamycin
E . Azithromycin
4) A severe overdose of Diazepam is treated with ?
A . Flumazenil
B . Nalxone
C . Neostigmine
E . Atropine
5) The true composition of normal saline ?
A . Na 154 , CL 154 , K 4
B . NA 154 , CL 154
C . NA 130 , CL 109 , K 4 , Ca 2.7
D . NA 130 , CL 130
6) A 3 month old child has persistent vomiting associated with Pyloric stenosis , the common metabolic change is ?
A . Hypochloremic hypokalemic metabolic alkalosis .
B . Hypochloremic hyperkalemic metabolic alkalosis .
C . Hyperchloremic hyperkalemic metabolic alkalosis .
D . Hypochloremic hypokalemic metabolic alkalosis
7) What should the maintenance fluid rate to 50 kg medically free boy ?
A . 120 ml/hour
B . 90 ml/hour
C . 60 ml/hour
D . 30 ml/hour
8 ) Ileal resection can result in all except ?
A . Decreased B12 uptake
B . Megaloblastic anemia
C . Increased bile salt uptake
D . Gallstones formation
9) Hemorrhagic cystitis is characteristic of one of the following chemotherapy ?
A . Cisplatin
B . Bleomycin
C . Cyclophosphamide
D . Methotrexate
E . Tamoxifen
10) The most predominant cell type in the first 24 hours of a wound ?
A . PMNs
B . Macrophages
C . Lymphocytes
D . Fibroblasts
11) The earliest cell type involved in wound healing ?
A . PMNs
B . Macrophages
C . Platelets
D . Lymphocytes
E . Fibroblasts
12) The vitamin that prevent the negative effects of steroids on wound healing ?
A . Vitamin B12
B . Vitamin A
C . Vitamin D
D . Vitamin C
E . Vitamin E
13) A 26 year old female involved in RTA , she is hypotensive . Blood pressure 85/40 , heart rate 120 . Was intubated , she has distended abdomen , you give her 2 liter ringer lactate and start packed red blood cells . However she remain hypotensive , the best next step ?
A . Abdomen CT scan
B . Angiogram
C . FAST scan
D . Exploratory laparotomy
14) The initial treatment of choice in a patient with Hyperkalemia and arrhythmia ?
A . DC shock
B . Insulin and glucose
C . Calcium gluconate
D . Kaexylate
E . Dialysis
15) The highest concentration of angiotensin converting enzyme is in ?
A . Liver
B . Kidney
C . Lung
D . Bone
E . Colon
16) All of the following values are consistent with prerenal acute renal failure except ?
A . Urine NA 10
B . BUN / creatinine ratio 30:1
C . Fe Na 0.5%
D . Urine osmolality 200
E . Creatinine / creatinin plasma 50
17) A 25 year old man involved in a MVA will open his eyes only to pain , formes incomprehensible sounds , and withdraw to pain , this patient Glasgow coma score ?
A . 10
B . 8
C . 6
D . 4
E . 3
18) The treatment of choice for severe burn with myoglobinuria ?
A . Broad spectrum antibiotic
B . Inotropic support
C . Fluid resuscitation and bicarb
D . Lasix
19) The tumor most likely to involve bilateral parotid glands at the time of presentation ?
A . Mucoepidermoid carcinoma
B . Adenoid cystic carcinoma
C . Pleomorphic adenoma
D . Warthin tumors
20) A 5 year old girl present with a midline anterior neck mass painless mass that moves with tongue protrusion and swallowing . The most common cause ?
A . Thyroid tumor
B . Branchial cleft cyst
C . Dermoid cyst
D . Thyroglossal duct cyst
21) A 28 year old male patient , suffers severe second and third degree burns , he is intubated and started IV fluid resuscitation . Patient has a circumferential burn to his right arm with pale cyanotic his right arm . The best next step ?
A . Fasciotomy
B . Arm elevation
C . Thrombectomy
D . Streptokinase
E . Escharotomy
22) The most common organism involved in burn wound sepsis ?
A . Staphylococcus aureus
B . Pseudomonas
C . Streptococcus viridans
D . Klebsiella
23) The best test for the diagnosis of adrenal medulla tumor ?
A . 24 hour urine metanephrine
B . 24 hour urine cortisol
C . 24 hour urine Aldosterone
D . 24 hour urine epinephrine and norepinephrine
24) The blood supply to the parathyroid glands ?
A . Superior thyroid arteries for both glands .
B . Inferior thyroid arteries for both glands .
C . Superior thyroid arteries for superior glands .
D . Superior thyroid arteries for inferior glands .
Transverse cervical artery for both glands .
25) A 30 years old female recently diagnosed with MEN1 syndrome , develops confusion , Somnolence , constipation , short QT interval on ECG , the best next step ?
A . Alpha B blockers
B . B blockers
C . Calcium gluconate
D . IV fluid normal saline and Lasix
26) The first drug you must be prescribe for patient with adrenal medulla tumor ?
A . Propranolol
B . Phenoxybenzamine
C . Hydralazine
D . Enalapril
E . Lowsartane
27) Most common cause of Hypoparathyroidism ?
A . Previous thyroid surgery
B . Radiation therapy
C . Chemotherapy
D . Malignancy
28) The best initial treatment of thyroid storm ?
A . Dantrolene
B . Propranolol
C . Emergency thyroidectomy
D . Steroids
29) While performing a modified radical mastectomy , the surgeon cut the long thoracic nerve , the patient postoperatively mostly have ?
A . Weak adduction
B . Weak abduction
C . Paralyzed diaphragm
D . Winged scapula
30) Which lung cancer is most likely associated with Paraneoplastic syndrome ?
A . Small cell cancer
B . Adenocarcinoma
C . SCC
D . Large cell cancer
31) The most common location for a Boerhaave syndrome ?
A . Left posterior lower third of the esophagus .
B . Left posterior middle third of the esophagus .
C . Left posterior upper third of the esophagus .
D . The upper stomach .
32) A 50 year old woman present with chief complaint of dysphagia and odynophagia , the best first step to do ?
A . EGDS
B . Chest CT scan
C . Abdomen CT scan
D . Barium swallow
E . Esophageal manometry
33) A 65 year old cachetic man smoker with an apical lung cancer ( Pancoast tumor ) present with Ptosis , Myosis and Anhydrosis . The most likely cause ?
A . Paraneoplastic syndrome
B . Invasive CA to brachial plexus
C . Invasive CA to SVC
D . Invasive CA to sympathetic chain at T1
34) The most common nerve injured after MRM ?
A . Long thoracic nerve
B . Thoracodorsal nerve
C . Phrenic nerve
D . Intercostal brachiocutaneous nerve
35) The most common nerve injured with carotid endarterectomy ?
A . Vagus
B . Hypoglossal
C . Lingual
D . Glossopharyngeal
36) Most common artery ligated in AAA repair ?
A . Right colic artery
B . Inferior mesenteric artery
C . Superior mesenteric artery
D . Middle colic artery
E . Inferior rectal artery
37) Parietal cells of the stomach secrete ?
A . HCL and I.F
B . Pepsinogen
C . Secretin
D . Cholecystokinin
38) Most common problem following Vagotomy and Pyloroplasty ?
A . Diarrhea
B . Dumping syndrome
C . Gallstones
E . Reflux gastritis
39) The LES pressure at rest and during a swallow in normal person ?
A . 70 mmHg and 15 mmHg
B . 15 mmHg and 70 mmHg
C . 15 mmHg and 0 mmHg
D . 0 mmHg and 15 mmHg
40) Barrett esophagus refers to ?
A . The change in esophageal mucosa from columnar to squamous epithelium .
B . The change in esophageal mucosa to transitional epithelium .
C . Keratinization of the esophageal mucosa .
D . Change in esophageal mucosa from squamous to columnar epithelium .
41) The best first step in treatment of gastric mucosa associated with lymphoproliferative tissue tumor ( MALTOMA) ?
A . Total gasterectomy
B . Partial gasterectomy
C . Chemo_radio therapy
D . Triple therapy for H pylori infection
42) A 40 year old female present with chief complaint of RUQ abdominal pain , abdomen CT scan shows a calcified cyst in the liver , she has a positive Casoni test , the best next step ?
A . Percutaneous aspiration
B . Albendazole
C . Albendazole followed by liver resection
D . Metronidazole
43) The most appropriate therapy for Barrett esophagus ?
A . Photodynamic therapy
B . Chemotherapy
C . PPI
D . Esophagectomy
E . Radiotherapy
44) The primary surgery for with gallstones ileus ?
A . Whipple operation .
B . Cholecystectomy .
C . Open Ileum and removing the obstruction .
D . Hepato_jejunostomy .
45) 60 year old female present to emergency room with chief complaint of RUQ pain , and fever , on physical found to have jaundice . Her vital blood pressure 85/40 heart rate 125 , temperature 39 , the best next step ?
A . Emergency Cholecystectomy
B . Emergency ERCP
C . Emergency PTC placement
D . IV fluid and IV antibiotics
46) All are true about ITP except ?
A . Splenomegaly
B . In children less than 10 years usually resolves spontaneously .
C . The primary treatment is steroids .
D . Splenectomy is indicated if medical therapy fails or chronic ITP .
E . Anti platelets antibodies .
47) Most common congenital abnormality requiring splenectomy ?
A . Hereditary spherocytosis
B . Hereditary elliptocytosis
C . Protein kinase deficiency
D . B Thalassemia minor
48) The right gastric artery is normally a branch of the ?
A . Gastro_doudenal artery
B . Right gastro_epiploic artery
C . Pancreato_duodenal artery
D . Proper hepatic artery
49) A 50 years old woman with a pancreatic mass , develops watery diarrhea , Hypokalemia , the most likely diagnosis ?
A . Glucagonoma
B . Gastrinoma
C . Somatostatinoma
D . Vipoma
E . Insulinoma
50) An Amoebic abscess is best treated with ?
A . Percutaneous drainage and antibiotics
B . Levofloxacin
C . Praziquantel
D . Metronidazole
51) One of the following is a cause of lateral located anal fissure ?
A . Crohn disease
B . Ulcerative colitis
C . Gardner syndrome
D . FAP
52) A 25 year old man underwent appendectomy and found to have 2.5 cm tumor at the tip of the appendix . Pathology _ the tumor is carcinoid , the best next step ?
A . Chemotherapy
B . Radiotherapy
C . Right Hemicolectomy
D . Chemo_radio therapy
53) All are true about TTP except ?
A . Loss of platelet inhibition and thrombosis formation .
B . Splenomegaly .
C . Splenectomy is rarely indicated .
D . The primary therapy is steroids .
E . Associated with HUS .
54) A 50 year old woman develops DM and severe migratory Erythematous skin rash , on abdomen CT scan found to have pancreatic mass, the most likely diagnosis ?
A . Glucagonoma
B . Gastrinoma
C . Vipoma
D . Insulinoma
E . Somatostatinoma
55) Posterior dislocation of the Hip is most common to injure the ?
A . Femoral artery
B . Femoral vein
C . Femoral nerve
D . Sciatic nerve
56) All are true about urinary bladder cancer except ?
A . The most common is TCC .
B . Schistosomiasis infection is risk factor for SCC .
C . TCC limited to Submucosal , can be treated with intra_vesical BCG or TURT .
D . TCC with invasive to muscle (T2) is best treated with wedge resection .
57) A 65 year old woman present with a tender mass just below the inguinal ligament , the most likely diagnosis ?
A . Inguinal hernia
B . Femoral hernia
C . Obturator hernia
D . Ventral hernia
E . Richter hernia
58) All of the following are true about HNPCC except ?
A . Colon cancer are right sided .
B . Associated with ovarian, breast , stomach cancer .
C . Patient have thousands of polyps .
D . Needs to be in 3 primary relatives , over 2 generation , with one person being less than 50 years old at the time of diagnosis
59) The most common nerve injured in inguinal hernia repair ?
A . Genitofemoral nerve
B . Ileoinguinal nerve
C . Sciatic nerve
D . Lumbosacral nerve
60) A 1 year old baby found to have umbilical hernia all are true except ?
A . Check thyroid function is important .
B . More common in premature baby .
C . More common in African babies .
D . Surgery treatment at about 5 year old if hernia fails to close .
E . High risk for incarceration .
61) A 15 year old develops sudden , severe scrotal pain, and high riding right testicle , the best next step ?
A . Bilateral exploration of testicles through inguinal incision .
B . Unilateral exploration of testicles through inguinal incision .
C . Bilateral exploration of testicles through scrotal incision .
D . Unilateral exploration of testicles through scrotal incision .
62) Anterior dislocation of the shoulder is most commonly to injure the ?
A . Subclavian vein
B . Subclavian artery
C . Axillary nerve
D . Thoracic duct
63) Treatment of choice of Mucoepidermoid carcinoma of salivary glands ?
A . Superficial paratidectomy
B . Total paratidectomy
C . Chemotherapy
D . Radiotherapy
64) Most common benign salivary glands tumor ?
A . Warthin tumors
B . Pleomorphic adenoma
C . Mucoepidermoid adenoma
D . Adenoid cystic adenoma
65) Most common cancer that give metastasis to the small bowel ?
A . Lung cancer
B . Colon cancer
C . Prostatic cancer
D . Melanoma
E . Breast cancer
66) Erythema multiforme is most commonly with which of the following antibiotics ?
A . Quinolones
B . Bactrim( CO_ trimoxazole )
C . Erythromycin
D . Ceftriaxone
E . Vancomycin
67) The mechanism of action for Fluoroquinolones ?
A . Inhibition of RNA polymerase
B . Inhibition of DNA gyrase
C . Inhibition of ribosomes
D . Production of oxygen radicals
68) The most common malignancy following organ transplantation ?
A . Lung cancer
B . Prostatic cancer
C . Skin cancer
D . Breast cancer
E . Colon cancer
69) Diaphragm injuries ?
A . More common in the right .
B . More common in the left .
C . Most common cause is penetrating trauma .
D . Easy to find with CT scan .
70) A 22 years old male patient suffers a severe pelvic fracture and has Hematuria , on retrograde cysto_urethrogram found to have extraperitoneal bladder rupture . The most appropriate therapy ?
A . Foley catheter for 7 days .
B . Exploratory laparotomy and surgical repair .
C . Cystoectomy .
D . Nothing to do and observation .
A . ABO incompatibility reaction
B . Acute lung injury
C . Delayed Hemolytic reaction
D . Febrile non Hemolytic reaction
E . Hypocalcemia
2) The most common blood product containing bacterial contamination ?
A . Red blood cells
B . Platelets
C . Cryoprecipitate
D . Fresh frozen plasma
E . WBC
3) Each of the following antibiotics is bacteriostatic except ?
A . Sulfonamides
B . Tetracycline
C . Erythromycin
D . Gentamycin
E . Azithromycin
4) A severe overdose of Diazepam is treated with ?
A . Flumazenil
B . Nalxone
C . Neostigmine
E . Atropine
5) The true composition of normal saline ?
A . Na 154 , CL 154 , K 4
B . NA 154 , CL 154
C . NA 130 , CL 109 , K 4 , Ca 2.7
D . NA 130 , CL 130
6) A 3 month old child has persistent vomiting associated with Pyloric stenosis , the common metabolic change is ?
A . Hypochloremic hypokalemic metabolic alkalosis .
B . Hypochloremic hyperkalemic metabolic alkalosis .
C . Hyperchloremic hyperkalemic metabolic alkalosis .
D . Hypochloremic hypokalemic metabolic alkalosis
7) What should the maintenance fluid rate to 50 kg medically free boy ?
A . 120 ml/hour
B . 90 ml/hour
C . 60 ml/hour
D . 30 ml/hour
8 ) Ileal resection can result in all except ?
A . Decreased B12 uptake
B . Megaloblastic anemia
C . Increased bile salt uptake
D . Gallstones formation
9) Hemorrhagic cystitis is characteristic of one of the following chemotherapy ?
A . Cisplatin
B . Bleomycin
C . Cyclophosphamide
D . Methotrexate
E . Tamoxifen
10) The most predominant cell type in the first 24 hours of a wound ?
A . PMNs
B . Macrophages
C . Lymphocytes
D . Fibroblasts
11) The earliest cell type involved in wound healing ?
A . PMNs
B . Macrophages
C . Platelets
D . Lymphocytes
E . Fibroblasts
12) The vitamin that prevent the negative effects of steroids on wound healing ?
A . Vitamin B12
B . Vitamin A
C . Vitamin D
D . Vitamin C
E . Vitamin E
13) A 26 year old female involved in RTA , she is hypotensive . Blood pressure 85/40 , heart rate 120 . Was intubated , she has distended abdomen , you give her 2 liter ringer lactate and start packed red blood cells . However she remain hypotensive , the best next step ?
A . Abdomen CT scan
B . Angiogram
C . FAST scan
D . Exploratory laparotomy
14) The initial treatment of choice in a patient with Hyperkalemia and arrhythmia ?
A . DC shock
B . Insulin and glucose
C . Calcium gluconate
D . Kaexylate
E . Dialysis
15) The highest concentration of angiotensin converting enzyme is in ?
A . Liver
B . Kidney
C . Lung
D . Bone
E . Colon
16) All of the following values are consistent with prerenal acute renal failure except ?
A . Urine NA 10
B . BUN / creatinine ratio 30:1
C . Fe Na 0.5%
D . Urine osmolality 200
E . Creatinine / creatinin plasma 50
17) A 25 year old man involved in a MVA will open his eyes only to pain , formes incomprehensible sounds , and withdraw to pain , this patient Glasgow coma score ?
A . 10
B . 8
C . 6
D . 4
E . 3
18) The treatment of choice for severe burn with myoglobinuria ?
A . Broad spectrum antibiotic
B . Inotropic support
C . Fluid resuscitation and bicarb
D . Lasix
19) The tumor most likely to involve bilateral parotid glands at the time of presentation ?
A . Mucoepidermoid carcinoma
B . Adenoid cystic carcinoma
C . Pleomorphic adenoma
D . Warthin tumors
20) A 5 year old girl present with a midline anterior neck mass painless mass that moves with tongue protrusion and swallowing . The most common cause ?
A . Thyroid tumor
B . Branchial cleft cyst
C . Dermoid cyst
D . Thyroglossal duct cyst
21) A 28 year old male patient , suffers severe second and third degree burns , he is intubated and started IV fluid resuscitation . Patient has a circumferential burn to his right arm with pale cyanotic his right arm . The best next step ?
A . Fasciotomy
B . Arm elevation
C . Thrombectomy
D . Streptokinase
E . Escharotomy
22) The most common organism involved in burn wound sepsis ?
A . Staphylococcus aureus
B . Pseudomonas
C . Streptococcus viridans
D . Klebsiella
23) The best test for the diagnosis of adrenal medulla tumor ?
A . 24 hour urine metanephrine
B . 24 hour urine cortisol
C . 24 hour urine Aldosterone
D . 24 hour urine epinephrine and norepinephrine
24) The blood supply to the parathyroid glands ?
A . Superior thyroid arteries for both glands .
B . Inferior thyroid arteries for both glands .
C . Superior thyroid arteries for superior glands .
D . Superior thyroid arteries for inferior glands .
Transverse cervical artery for both glands .
25) A 30 years old female recently diagnosed with MEN1 syndrome , develops confusion , Somnolence , constipation , short QT interval on ECG , the best next step ?
A . Alpha B blockers
B . B blockers
C . Calcium gluconate
D . IV fluid normal saline and Lasix
26) The first drug you must be prescribe for patient with adrenal medulla tumor ?
A . Propranolol
B . Phenoxybenzamine
C . Hydralazine
D . Enalapril
E . Lowsartane
27) Most common cause of Hypoparathyroidism ?
A . Previous thyroid surgery
B . Radiation therapy
C . Chemotherapy
D . Malignancy
28) The best initial treatment of thyroid storm ?
A . Dantrolene
B . Propranolol
C . Emergency thyroidectomy
D . Steroids
29) While performing a modified radical mastectomy , the surgeon cut the long thoracic nerve , the patient postoperatively mostly have ?
A . Weak adduction
B . Weak abduction
C . Paralyzed diaphragm
D . Winged scapula
30) Which lung cancer is most likely associated with Paraneoplastic syndrome ?
A . Small cell cancer
B . Adenocarcinoma
C . SCC
D . Large cell cancer
31) The most common location for a Boerhaave syndrome ?
A . Left posterior lower third of the esophagus .
B . Left posterior middle third of the esophagus .
C . Left posterior upper third of the esophagus .
D . The upper stomach .
32) A 50 year old woman present with chief complaint of dysphagia and odynophagia , the best first step to do ?
A . EGDS
B . Chest CT scan
C . Abdomen CT scan
D . Barium swallow
E . Esophageal manometry
33) A 65 year old cachetic man smoker with an apical lung cancer ( Pancoast tumor ) present with Ptosis , Myosis and Anhydrosis . The most likely cause ?
A . Paraneoplastic syndrome
B . Invasive CA to brachial plexus
C . Invasive CA to SVC
D . Invasive CA to sympathetic chain at T1
34) The most common nerve injured after MRM ?
A . Long thoracic nerve
B . Thoracodorsal nerve
C . Phrenic nerve
D . Intercostal brachiocutaneous nerve
35) The most common nerve injured with carotid endarterectomy ?
A . Vagus
B . Hypoglossal
C . Lingual
D . Glossopharyngeal
36) Most common artery ligated in AAA repair ?
A . Right colic artery
B . Inferior mesenteric artery
C . Superior mesenteric artery
D . Middle colic artery
E . Inferior rectal artery
37) Parietal cells of the stomach secrete ?
A . HCL and I.F
B . Pepsinogen
C . Secretin
D . Cholecystokinin
38) Most common problem following Vagotomy and Pyloroplasty ?
A . Diarrhea
B . Dumping syndrome
C . Gallstones
E . Reflux gastritis
39) The LES pressure at rest and during a swallow in normal person ?
A . 70 mmHg and 15 mmHg
B . 15 mmHg and 70 mmHg
C . 15 mmHg and 0 mmHg
D . 0 mmHg and 15 mmHg
40) Barrett esophagus refers to ?
A . The change in esophageal mucosa from columnar to squamous epithelium .
B . The change in esophageal mucosa to transitional epithelium .
C . Keratinization of the esophageal mucosa .
D . Change in esophageal mucosa from squamous to columnar epithelium .
41) The best first step in treatment of gastric mucosa associated with lymphoproliferative tissue tumor ( MALTOMA) ?
A . Total gasterectomy
B . Partial gasterectomy
C . Chemo_radio therapy
D . Triple therapy for H pylori infection
42) A 40 year old female present with chief complaint of RUQ abdominal pain , abdomen CT scan shows a calcified cyst in the liver , she has a positive Casoni test , the best next step ?
A . Percutaneous aspiration
B . Albendazole
C . Albendazole followed by liver resection
D . Metronidazole
43) The most appropriate therapy for Barrett esophagus ?
A . Photodynamic therapy
B . Chemotherapy
C . PPI
D . Esophagectomy
E . Radiotherapy
44) The primary surgery for with gallstones ileus ?
A . Whipple operation .
B . Cholecystectomy .
C . Open Ileum and removing the obstruction .
D . Hepato_jejunostomy .
45) 60 year old female present to emergency room with chief complaint of RUQ pain , and fever , on physical found to have jaundice . Her vital blood pressure 85/40 heart rate 125 , temperature 39 , the best next step ?
A . Emergency Cholecystectomy
B . Emergency ERCP
C . Emergency PTC placement
D . IV fluid and IV antibiotics
46) All are true about ITP except ?
A . Splenomegaly
B . In children less than 10 years usually resolves spontaneously .
C . The primary treatment is steroids .
D . Splenectomy is indicated if medical therapy fails or chronic ITP .
E . Anti platelets antibodies .
47) Most common congenital abnormality requiring splenectomy ?
A . Hereditary spherocytosis
B . Hereditary elliptocytosis
C . Protein kinase deficiency
D . B Thalassemia minor
48) The right gastric artery is normally a branch of the ?
A . Gastro_doudenal artery
B . Right gastro_epiploic artery
C . Pancreato_duodenal artery
D . Proper hepatic artery
49) A 50 years old woman with a pancreatic mass , develops watery diarrhea , Hypokalemia , the most likely diagnosis ?
A . Glucagonoma
B . Gastrinoma
C . Somatostatinoma
D . Vipoma
E . Insulinoma
50) An Amoebic abscess is best treated with ?
A . Percutaneous drainage and antibiotics
B . Levofloxacin
C . Praziquantel
D . Metronidazole
51) One of the following is a cause of lateral located anal fissure ?
A . Crohn disease
B . Ulcerative colitis
C . Gardner syndrome
D . FAP
52) A 25 year old man underwent appendectomy and found to have 2.5 cm tumor at the tip of the appendix . Pathology _ the tumor is carcinoid , the best next step ?
A . Chemotherapy
B . Radiotherapy
C . Right Hemicolectomy
D . Chemo_radio therapy
53) All are true about TTP except ?
A . Loss of platelet inhibition and thrombosis formation .
B . Splenomegaly .
C . Splenectomy is rarely indicated .
D . The primary therapy is steroids .
E . Associated with HUS .
54) A 50 year old woman develops DM and severe migratory Erythematous skin rash , on abdomen CT scan found to have pancreatic mass, the most likely diagnosis ?
A . Glucagonoma
B . Gastrinoma
C . Vipoma
D . Insulinoma
E . Somatostatinoma
55) Posterior dislocation of the Hip is most common to injure the ?
A . Femoral artery
B . Femoral vein
C . Femoral nerve
D . Sciatic nerve
56) All are true about urinary bladder cancer except ?
A . The most common is TCC .
B . Schistosomiasis infection is risk factor for SCC .
C . TCC limited to Submucosal , can be treated with intra_vesical BCG or TURT .
D . TCC with invasive to muscle (T2) is best treated with wedge resection .
57) A 65 year old woman present with a tender mass just below the inguinal ligament , the most likely diagnosis ?
A . Inguinal hernia
B . Femoral hernia
C . Obturator hernia
D . Ventral hernia
E . Richter hernia
58) All of the following are true about HNPCC except ?
A . Colon cancer are right sided .
B . Associated with ovarian, breast , stomach cancer .
C . Patient have thousands of polyps .
D . Needs to be in 3 primary relatives , over 2 generation , with one person being less than 50 years old at the time of diagnosis
59) The most common nerve injured in inguinal hernia repair ?
A . Genitofemoral nerve
B . Ileoinguinal nerve
C . Sciatic nerve
D . Lumbosacral nerve
60) A 1 year old baby found to have umbilical hernia all are true except ?
A . Check thyroid function is important .
B . More common in premature baby .
C . More common in African babies .
D . Surgery treatment at about 5 year old if hernia fails to close .
E . High risk for incarceration .
61) A 15 year old develops sudden , severe scrotal pain, and high riding right testicle , the best next step ?
A . Bilateral exploration of testicles through inguinal incision .
B . Unilateral exploration of testicles through inguinal incision .
C . Bilateral exploration of testicles through scrotal incision .
D . Unilateral exploration of testicles through scrotal incision .
62) Anterior dislocation of the shoulder is most commonly to injure the ?
A . Subclavian vein
B . Subclavian artery
C . Axillary nerve
D . Thoracic duct
63) Treatment of choice of Mucoepidermoid carcinoma of salivary glands ?
A . Superficial paratidectomy
B . Total paratidectomy
C . Chemotherapy
D . Radiotherapy
64) Most common benign salivary glands tumor ?
A . Warthin tumors
B . Pleomorphic adenoma
C . Mucoepidermoid adenoma
D . Adenoid cystic adenoma
65) Most common cancer that give metastasis to the small bowel ?
A . Lung cancer
B . Colon cancer
C . Prostatic cancer
D . Melanoma
E . Breast cancer
66) Erythema multiforme is most commonly with which of the following antibiotics ?
A . Quinolones
B . Bactrim( CO_ trimoxazole )
C . Erythromycin
D . Ceftriaxone
E . Vancomycin
67) The mechanism of action for Fluoroquinolones ?
A . Inhibition of RNA polymerase
B . Inhibition of DNA gyrase
C . Inhibition of ribosomes
D . Production of oxygen radicals
68) The most common malignancy following organ transplantation ?
A . Lung cancer
B . Prostatic cancer
C . Skin cancer
D . Breast cancer
E . Colon cancer
69) Diaphragm injuries ?
A . More common in the right .
B . More common in the left .
C . Most common cause is penetrating trauma .
D . Easy to find with CT scan .
70) A 22 years old male patient suffers a severe pelvic fracture and has Hematuria , on retrograde cysto_urethrogram found to have extraperitoneal bladder rupture . The most appropriate therapy ?
A . Foley catheter for 7 days .
B . Exploratory laparotomy and surgical repair .
C . Cystoectomy .
D . Nothing to do and observation .
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