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1- 55 y old man with chronic GERD had UGI endoscopy and found 4 cm segment of
barret’s esophagus biopsy showed low grade dysplasia; current surveillance
recommendation for biopsy
a) 3month
b) 6month
c) 12month
d) 9month
e) 24month
2- 4 months after laparoscopic gastric bypass, 32 y old female came with severe
periumbilical abdominal pain and vomiting, she is febrile, tachycardic, her abdomen
pendulous, mild tenderness on examination
a) CT abdomen
b) UG swallow
d) UGI endoscopy
e) Abdominal exploration
a) Neuroblastoma
b) Wilm’s tumor
c) Seminoma
d) Osteosarcoma
a) Neuroblastoma
b) Wilm’s
c) lymphoma
a) Staph
6- Which is not a common cause of paralytic ileus
a) Pneumonia
b) Abdominal surgery
c) Hypernatremia
e) Hypothyroid
a) Carcinoid
b) Lymphoma
c) Lieomyoma
d) Fibrosarcoma
a) Colonoscopy
b) Sigmoidoscopy
c) CT abdomen
d) MRI
b) Albumin
c) Globulin
d) biceps
a) Zadiki syndrome
b) Colle’s fracture
b) epithilization
c) ? capillary bedding
d) Fibroblast
e) contraction
a) 600
b) 875
14- Motor cycle accident, patient is dyspnic inspite oxygen, CXR showed no rib
fracture and bilateral infiltrates
a) ? ARDS
b) ? Lung Contusion
c) Pneumonia
d) Aspiration pneumonia
e) atelectasis
a) Incision infection
b) Morbid obesity
c) DM
d) Old age
b) CT guided FNA
e) Operative excsion
17- 45y women with active chron’s dis proctatitis with symptoms of trans sphinteric
anovaginal fistula which is the appropriate management
a) Drainage seton
b) Fistulectomy
c) Fibrin glue
d) Cutting seton
b) Sacral promontory
c) Normal rectum
d) Peritoneal reflection
a) FNA
c) Incisional biopsy
d) Excisional biopsy
e) Laryngeoscope
21- Most accurate method for detecting and identifying liver metastasis
a) Trans abdominal US
b) CT
c) Laparoscopy
d) Intraoperative palpation
e) Intraoperative US
22- During a laparatomy for a gunshot wound to the abdomen, patient found to
have 4 cm laceration to anterior surface of the sigmoid colon patient is
hemodynamically stable after minimal resuscitation, no fecal spillage the treatment
is
23- Following crush injury and rhabdomyolysis, most important component to avoid
renal failure
a) Mannitol
b) Furosemide
c) Bicarbonate
d) Volume replacement
e) Spironolactone
24- Following a side impact MVA of restrained passenger, decrease air entry on the
Lt side of the chest, CXR showed NGT curved in the chest , the next step in
management
a) DPL
b) Laparoscopy
c) Tube thoracostomy
d) Laparotomy
e) Thoracotomy
25- 40 y man fall from 15 feet on his feet, he is alert and talking, o/e tenderness
over the lumbar spine xray showed L1 fracture, which organ may get injured
a) Stomach
b) Duodenum
c) Pancreas
d) Transverse colon
e) Rt kidney
a) Obstructive jaundice
b) History of jaundice
d) Gallstone pancreatitis
28- 25 y came to ER felt from 15 feet on his Rt side, BP 60 became 110/60 after 2L
ringer lactate, vital were normal found to have grade 2 liver injury
a) Lapratomy
b) Laparoscopy
c) DPL
d) Observation
29- 54y female underwent colonic resection for adenocarcinoma, which of the
following suggest poor prognosis
a) Circumferential growth
c) Extension to serosa
d) Polypoidal growth
e) Mucosal ulceration
30- 45y female, smoker, found to have 1cm painless nodule in the anterior cervical
region, biopsy revealed squamous carcinoma which of the following likely to be the
1ry site
a) Tongue
b) Tonsil
c) Palate
d) Pharynx
e) Larynx
a) Fibroadenoma
b) Fibrocystic disease
32- 75y female with 3 day history of crampy abdominal pain, distention, obstipation
with 2 episodes of emesis in the last 24h, had history of appendectomy during his
childhood, abdominal series showed pneumobilia at laparotomy, inflammation Rt
hypochondrium and obstruction in the distal ileum 10 cm proximal to iliocecal valve,
ttt:
b) Duplex of carotid
c) ECHO
d) Cardiac Cath
e) Adson’s maneuver
e) 2 injury in a segment
a) Activated protein C
c) Antiendotoxin antibodies
d) TPN
e) Erythropioten
a) Lasix
b) Sublingual nitrate
d) Start SC heparin
37- 24y male fell from the ladder brought to ER with labored breathing and
cyanosis, no breath sound in the RT side, resonant on percussion, the next step:
a) Cricothyroidotomy
b) Obtain CXR
c) Endotracheal intubation
d) Tube thoracostomy in ER
38- 48 hrs post laparoscopic guided liver biopsy, 65y male complaining of
hematemesis, HR 100, BP 120/80, PR melena, endoscopy revealed blood in the
duodenum, the next appropriate study:
a) MRCP
b) Colonoscopy
d) Dynamic helical CT
e) Visceral angio
39- 19y student came to ER with fresh blood PR, he is in good health, not on
medication he had similar episode 1 year back, OGD, colonoscopy were normal, his
abdomen soft, lax, no masses, Hct 32, most likely source of bleeding
a) Angiodysplasia
b) Ulcerative colitis
c) Juvenile polyposis
d) Meckel’s diverticulum
e) Chron’s disease
e) Apendex goblet carcinoid < 1cm is safely treated with simple appendectomy
41- What is more common after lap roux en y gastric by pass than open:
a) Anastomosis leak
b) Death
c) No weight loss
d) Internal hernia
e) Wound complication
a) Sub-apenurosis
a) ? Mucoepidermoid
44- Post op patient has Na 125 and Glu 500 corrected to 100 what is the treatment:
a) It will be corrected
a) Appendectomy
46- Which of the following may be appropriate initial therapy for a 3cm cancer of
the anal canal with invasion of the internal sphincter and no inguinal adenopathy:
a) Local excision
b) ? APR
c) ? combined Chemoradiotherapy
d) Radiotherapy
A) Nucleus
B) Mitochondria
C) Cytoplasm
D) Crolgi bodies
E) Cell membrane
48- Lapratomy done for liver inj during op transfusion of 12 unit , despite treatment
there is persistant bleeding, which is the initially most appropriate:
a) Correction of hypothermia
a) Tacrolimus
a) Chemotherapy
b) CT staging
51- ADH:
a) Mesenteric vasoconstriction
b) krockenbuerge
c) virchow sign
a) histologic type
b) L.N. involvement
a) tracheoinnominate fistula
b) Compressive dressing
59- Pt. with DCIS comedo grade 3 with involvement of 2 quadrants should be
managed by:
Excisional biopsy
Infecious mononucleosis
Gram – ve
a) stapler
b) ulcer healing
c) suture by PDS
d) plastic dressing
66-45 –year- old woman whose mother had breast cancer, under goes
stereotactic breast core biopsy. Pathological examination
demonstrates lobular carcinoma insitu. Next step should be:
A) Re-excision to obtain clear margins
B) Lumpectomy & sentinel L.N biopsy
C) Lumpectomy & sentinel L.N biopsy & radiation therapy
D) Observation, examination & mammography in 6 months
E) Radiation therapy of Rt. breast
67.patient with BRCA 1 & 2 gene mutation & family history of breast cancer:
A) Likely to develop bilateral cancer than a women comparable stage of
cancer without BRCA 1
B) Don’t benefit from prophylactic oopherectomy
C) Don’t benefit from bilateral mastectomy
D) Has low incidence of undetected pre-malignant lesions in prophylactic
mastectomy specimen
E) Worse prognosis than comparable stage cancer without BRCA 1
a) incompatibility
b) viral hepatitis
72- Retained hemothorax:
Infected empyma
73- Prophylactic mastectomy in pt. with moderate risk for breast ca:
74- 6 hours history of acute pain of lt. leg & foot with coldness till mid leg & no
popliteal pulse:
c) burger disease
propanolol
Supportive treatment
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