4th stage question_60

29_ 📍false Sentence about upper gastrointestinal bleeding: 📎A.melena is symptom 📎B.the bleeding occurs beyond the ligament of treitz 📎C.endoscopy can best diagnose it 📎D.peptic ulcer is the most common cause 📎E.esophageal varices can cause it

43Which one is not a risk facter for prostatic cancer A)advanced age B)black race C)bladder cancer ** D)diet E)family history

54)50 years old femal underwent uretroscopy to remove right upper ureteric stone, wich of the following is not a possible complication : A- Vesicoureteral reflux (VUR) B- injury to the ureteric mucosa or wall C- ureteric perforation and extravasation. D- avulsion of the ureter E- ureteric stricture.

19. Absolute indication for choledochotomy: A) Palpable stones at CBD B) History of jaundice C) History of cholangitis D) Dilated bile duct E) Gallstones A

Wich of the followings splenectomized patient is at lowest risk of overwhellming postsplenectomy infection: A- 25 years old man who had a splenectomy fo traumatic rupture in motor vehicle collision. B- 10 years old boy who had a splenectomy for sequale of thalassemia major. C- 5 years old boy who had a splenectomy for idopathic thrombocytopenic purpura. D- 56 years old man who had a splenectomy for staging of lymphoma. E- 20 years old man who had a splenectomy 8 years ago for hereditary spherocytosis. Answer : A

13_The Cause of Thyroid storm (thyrotoxicosis) is: 1_inadequate tretment of hyperthyrodism** 2_massive bleeding 3_recurrent laryngeal nerve injury 4_post operative infection 5_superior laryngeal nerve injury

Q20/All cause post cholysyctectomy jaundice except : A/ligation CBD B/miss stone in CBD C/miss stone in cystic duct D/ E/anesthesia drugs

Regarding neuropathic bladder due to supraspinal (Brain) lesion all true except A_Lesions of the brain above the pons destroy the master control center, causing a complete loss of voiding control. B_external sphincter may have paradoxical contractions as well (Detrusor-sphincter dyssynergia) C_Typical examples of a brain lesion are stroke, brain tumor, Parkinson disease, Hydrocephalus, and cerebral palsy D_Affected individuals show signs of urgency , frequency , nocturia and urge incontinence. E_The voiding reflexes of the lower urinary tract

38_one of following is false about anorectal fistula a_main aim to determine site of internal opening and external opening for fistula b_US more accurate than clinical examination c_MRI highly sensitive to detect internal opening d_Goodall's score can be uesd to determine external opening e_sesntivity of MRI come from ability to detect secondary extension Answer(d )ما متأكد من الجواب

Q46/_ 15 year's old man present with sever left testicular pain, with Suspicion of spermatic cord torsion, one of the following is true : A_ If he presented after 2 days of the onset of the pian may be detorsion attempted. B_Salavage rate is high if it done within 6 hours of onset of the pain. C_A contralateral testis and the affected one should fixed to inlguinal canal. D_when the time from onset is 24 hours and the testis dead we should left it without resection. E_extra vaginal torsion is most common in Adolescent.

30.The false statement regarding gastric outlet obstruction is : A. It is commonly related to long term peptic ulcer and gastric carcinoma B. The common metabolic abnormality is hyperchloraemic alkalosis C. Endoscope has a role in management D. Surgery is the mainstay treatment E.hypokalaemic alkalosis can produce paradoxical acid uria

Q40/ İndication of localized peritonitis : 1-Disruption of localized collection 2-lmmunodeficiency 3-Stimulation of peristalsis 4-Virulence of infective organism 5-Adhesions form around the affected organ ✅

7.Feature fit to fiberoadenoma : A_Associated with paget disease B_Slowly invasive tumor C_Unilateral nipple discharge D_Hard fixed lump on palpation E_Freely mobile lump on palpation *

45 yr. Female present with bleeding breast without mass _fibroadenoma _intraduct papilloma _sclerosing adenosis _chronic cystic mastitis _phylloides

A forty five_year_old female diagnosed to have acute pyelonephritis, the false statement about pyelonephritis is: A. Pregnant women are more prone to have pyelonephritis B. Symptoms may vary from mild to severe with septic shock C. Pneumaturia is almost always present ✓ D. Symptoms of cystitis may or may not be present E. Fever (temperature >38°C) , rigors and flank pain

٢/ All of these are seen a protid gland malignancy except: 1- rapid ‏ swelling 2- bleeding from the ear 3- facial palsy 4-hard mass 5-Tethering skin

60.Which of the following is diagnostic of vesicoureteric reflux 1.u/s 2.IVU 3.MCUG 4.KUB 51.a 65 yrs old male complaining from painful haematuria, imaging studies revealed a 12 cm renal mass,what the next step: 1.radical nephrectomy and send for histopathology 2.conservative Rx has a role 3.fine needle biopsy and send for histopathology

58) In regards to the clinical presentation of adult PKD one of the following is false : A) Hematuria. B) Bilateral dull aching pain . C) Anemia . D) Hypertension doesn't occur in PKD. ✅ E)

50. Regarding uretrovesical reflux On of the following false . Asymptotic in pediatric . More in boy than female . It's condition in which urine flows backward from the bladder to upper urinary tract . It occour in renal scaring .. نسيت الخيار الخامس

Q35)Which steatment about hemoride is false:- 1) it is always due to portal hypertension. 2) pain is unusually symptoms. 3) portal pyemia us know but is rar complication. 4) anemia is symptoms. 5) surgical is indicated when conservative treatment is fall