4th stage question_60

Q2/All the following are true about natural history of disease except : a. study the process of disease in the absence of intervention. b. helps in staging of disease. c. includes the prepathogenesis pathogenesis , clinical picture. d. not applied on cancer. e. the end result includes, recovery , disability, death

Q1/About Prevention of diseases all true except : A/Primary prevention : Requires modifying existing risk factors to prevent the development of disease B/Health promotions and protective involved in secondary prevention C/Tertiary prevention Disability limitation & Rehabilitation D/ E/Primordial prevention Prevention of the emergence development of risk factors.

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Regarding uretrocele all ture except 1. Caused due to atresia of the ureteric orifice. 2. It is present from childhood but diagnosed at adult life 3. conservtative treatment usually recommended 4. Could be unilateral or bilateral. 5. Can cause recurrent UTI, stone formation, pain.

،REGARDING TREATMENT OF ACUTE INTISTINAL OBSTRUCTION , WHICH IS FALSE 1/NG decompression & fluid & electrolyte replacement are always necessary before attempting the surgical relief of obstruction 2/The timing of surgical intervention is dependent on clinical picture 3/The sun should not both rise and set on a case of unrelieved acute intestinal obstruction unless there are positive reason to delay 4/Conservative managment in strangulated external hernia 5/

Regarding mesentric ischaemia whic of the following false One of the following is false A.The superior mesenteric vessels are the visceral vessels most likely to be affected by embolization B.Inferior mesenteric involvement is usually clinically silent because the collateral circulation is better. C. Possible sources for embolization of the Superior mesentric artery include the left atrial fibrillation, the left ventricle after mural myocardial infarction D.The mucosa is especially sensitive to ischaemic injury because E.heamorrhagic infarction occure ONLY with vein occlusion

about traumatic hernia , Which one of the following is false A.Surgery may be justified if the hernia is sufficiently symptomatic B.These hernias arise through non-anatomical defects caused by injury C.muscle atrophy that occurs as a result of nerve injury D.The hernia may reslt from penetrating injury E. May be due to immune deficiency

18About gallbladder stones all of the followings are true except A. Common surgical emergency around the world B. More in female 4:1( female:male) C. Silent up to 80% D. Obesity not a risk factor E. Laproscopy is the gold standard for treatment

One of the following is not correct about triple assessment of the breast: A.history B.radiology C. tissue diagnosis D. physical examination E. Genetic

All the following cause post renal obstruction except A) hypovolemia** B) retroperitoneal fibrosis C) pelvic malignancy D) bilharzia E) Renal stone

Which of the following we don't need to doing surgery A) gravis ophthalmopathy B) recurrent disease C) pregnant lady with inadequate therapy D) surgery first line treatment for gravis disease E)

One of the following is false regarding the donor critera for renal pretransplantation : A_asbling of the donor from first degree is preferred from... B_kept the donor with the better healthy kidney. C_if the patient have more than one ranal artery in one kidney he left with it. D_there is no limitind age for donor. E_ the left kidney Preferred from the right due to it's stronger vessel's.

Complication of Diverticulitis : 1-colon ca 2-fustulting to adjecent structures like bladder 3-proctitis 4.Extraintestinal manifestation 5-sclerosing cholangitis

perforated duednal ulcer a-cause hematmesis b-air under diaphram on x-ray c-occur in posterior wall of deudenal d.Occur in anterior wall in female more the male e.Immediate gastroduodenoscopy

About complications of vagotomy, choose the false statement: A) Recurrent ulcers may present with bleeding, perforation, or gastrojejuno-colic fistula B) Bile vomiting can occur after any form of vagotomy with drainage or gastrectomy ( ما متأكد كان with \ without ) C) Early dumping is treated by avoidance of fluid and carbohydrates D) Nutritional deficiencies are common E) Formation of gallstones

Q/ Preferred method for feeding in acute pancreatitis is A- Enteral feeding by NG B- Nasojejunal C- Percutaneous gastrostomy D- Parenteral Amino acids and Glucose E- Parenteral Amino acids, Glucose, lipids

One of the following result from trauma to the breast and mistaken for BC : 1-Fat necrosis 2-fibroadenoma 3-papilloma 4-phylloids 5-cysfibrosis

50 yrs old man has right lower iliac fossa pain with comorbidity diagnosis as appendicular mass and treated with conservative approach which of the following is true about when we should stop this approach A) failure treatment after 6 weeks B) pulse 60 bpm C) temperature 37.6 c° D) sever diarrhea E) persistent anorexia

Which of the following true regardind peri anal abscess? 1-immunodeficiency is mandatory 2-if the skin bacterial infection is a caustive agent lesd to fistula foramation 3-determine the secondary cause is mandatory 4_Spontaneous recovery is common fate 5_Fluctuation is pathognomonic for abscess