4th stage question_60

Transjugular intrahepatic portosystemic stent shount TIPS which is false 1/Post shunt encephalopathy 2/Used in managment of varicael bleeding 3/ it should be done in special centers 4/Can cause severe hemorrhage 5/Occlusion of shunt is not reported after TIPS

All following can cause gastric cancer except : Smoking H.pylori Gastric polyp N_nitroso compounds Stress ulcer

During a surgery for a young male for appendicitis , a swollen diverticulous is found 2 feet above ileocecal valve ,, what is false : 1/ painless bleeding from rectum due to peptic ulceration 2/ perforation doesnt occur because of wide neck of diverticulous 3/ diverticulitis is difficult to distiguish between it & the appendicitis. 4/ the inflamatous ,.........., margin of diverticulous may become intususseption 5/chronic pain due to peptic ulcer felt periumbilicus

About iliostomy , which of the following is false A.The advantages of ileostomy over colostomy are the ease with which the bowel can be brought to the surface and the absence of odour. B.fluid and electrolyte balance must be adjusted with great care C.The stools thicken in a few weeks and are semisolid in a few months. D.Ileal content is rich with digestive enzymes E. The iliostomy should be put flat with skin to perform good adhesion to the bag

REGARDING TO COMMON BOLE DUCT ALL TRUE EXCEPT A_primary cause of stone B_diameter less than 10mm C_pancreatic head cancer can cause obstruction of CBD D_MRCP helpful in diagnosis of stone E_laproscopic used to exploration of gallbladder

After 6-8 hours of peptic ulcer perforation, absence of rigidity is due to: A) B) Resuscitation from initial shock C) Dilution in the peritoneal cavity D) Fatigue of reflex arc E) Sympathetic overactivity جاوبتو D بس يمكن غلط هيا C

Tender Neck mass that develop after attack of sore throat, which one correct A-hashiomoto's thyroiditis B-subacute thyroiditis C- de quervain thyroidits D- toxic adenoma

(16) Which of the following is true regarding medullary carcinoma of the thyroid? a. It is usually present as multinodular endogenous neoplasm. b. It is not TSH dependant. c. Highly progressive and associated with poor prognosis. d. Diarrhea is the presenting feature.* e. High level of calcitonin is typical.

Q39/ non operative management of esophagal perforation can be considered in A– large septic load B– perforation of abdominal esophagus C– septic shock D– pleura breached E– perforation of cervical esophagus A/ E

25- One of the following is not true about femoral hernia: A. It is more common in women than men. B. The hernia appears below and lateral to pubic tubercle. C. It is more common in younger age.* D. 50% have risk of stangulation. E. It may only be 1–2 cm in size.

Organism cause the lactation mastites Staph. Aureu✅ Strept. E.coli Pseudomonas

Drainage of pseudocyst depends on 1/Pseudocyst symptoms 2/Pseudocyst size 3/duration of pseudocyst 4/chronic pancreatitis 5/

....age man had chronic renal failure ,, the 2nd most common cause of the disease is : 1/Dm 2/Hypertension 3/Glomerulonephritis 4/Pyelonephritis 5/

Regarding papilary thyroid carcinoma the false state is : 1 the most common Ca of Thyroid 2 multifocality more commn 3 blood bore metastasis is common 4 more common in women 5 arise as slow growing painless unpalpable nodule

Q-44/ about congenital urethral stricture one of the following is false ? a-it is common 👈 b- associated with duplication of urethra c- symptoms are delay till adolescence d- treated by optical urethrotomy e- treated by urethral diltation

Q48/ 4 years old male patient present with rigt hemiscrotum with ectopic test, regarding ectopic testis which is true a.malignant. is not acomplication b. best treatment is orchpexy after 3years c.bilateral respone to hormone less effective than unliateral d.orchiectomy of atropic test not done e.HCG is homronal used

Q.41/30 year's old man with recurrent .....and have history of forceful catheterization, and have frequency, decreased urine stream , non empty bladder after voiding, histansy , the most likely diagnosis is : a_urthral strictures b_BPH C_Prostate ca d_urthral ca e_ bladder stone

3) Midline neck swelling sternocleidomastoid tumor Carotid Body Tumor Thyroglossal duct cyst Cystic hygorma Branchial cyst

53 fourty years old male underwent Extracorporeal Shockwave Lithotripalsy (ESWL) to remove left renal stone, which of the following is not a possible complication : A. Urinary Tract infection B. Perirenal hematoma C. Pain after ESWL is not a common feature . D. haematuria E. A collection of stone fragments in a ureter after ESWL given the name steinstrasse (‘street of stones’)

58) patient with polycystic kidney disease presented with all the following except A) haematuria B) hypertension not presenting syndrome*** C) heavy loin pain D) urinry tract infections