1.

2.

Which of the following is true regarding femoral hernia?

a. Commonly seen in children.
b. It is the commonest hernia seen in females
c. usually presents with inguinal swelling
d. it is liable for complications
e. usually treated conservatively
D
Regarding the scrotal swellings:
a. Haemetoecle is very common
b. Hydrocele could be inguinoscrotal
c. Solid epididymal swelling is usually tumour
d. Transluminant testicular mass is a tumor
e. usually examined with the patient lying down

3.

The most common cause of an enlarged lymph node in the femoral triangle is
a. Tuberculosis lymphadenitis
b. Brucella
c. Neoplastic
d. Nonspecific lymphdenitis
e. Sarcoidosis
D

4.

The first symptoms of strangulated Inguinal Hernia is:

a. Vomiting
b. Fever
c. Septic shock
d. Constipation
e. Pain
E

5.

The most common cause of a pulsatile swelling in the femoral triangle is:
a. saphena varix
b. Acute lymphadenitis
c. Femoral hernia
d. Aneurysm
e. Infected lipoma
D
6.The following symptoms are common in anal problems, except:
a. Perianal discharge
b. Perianal itching and irritation
c. Pain
d. Nausea and vomiting
e. Anal bleeding
D

7.

The following statement regarding Haemorrhoids are true, except:

a. They are dilatation of the inferior haemorrhoidal vein only
b. They can present with fresh bleeding per rectum.
c. May be caused by chronic constipation
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d. May develop secondary to pregnency

e. May be caused by carcinoma of the rectum

8.

The following statement regarding Anal Fissure are true, except:

a.
longitudinal tear in the mucosa and skin of the anal canal
b.
commonly situated at the lateral side of the anal canal
c.
lateral fissures suggested specific lesions such as Ulcerative colitis or Maligancy
d.
The chronic anal fissure can form A sentinel pile
e.
lateral internal sphincterotomy one option of surgical treatment
B

9.

Mortality from trauma occurs mostly:

a. Immediately at the scene
b. During the first hour from the accident
c. After admission to the hospital
d. In the intensive care unit (ICU)
e. Just before discharge from the hospital

10.

In hemodynamically stable trauma patient, intraabdominal injury is best assessed by :

a. Clinical abdominal examination
b. CT scan
c. Diagnostic peritoneal lavage (DPL)
d. Four quadrants peritoneal tapping
e. Ultrasound
B

10. A 40-year-old lady in her 3rd day post op cholecystectomy developed swollen left lower
limb, which investigation is needed for diagnosis
28. ECG
b. U/S abdomen
c. Arteriogram
d. Echocardiogram
e. Duplex scan
(E)

11. DVT is expected in following conditions EXCEPT:

a. Prolonged bedridden.
b. Pelvic tumours.
c. Hyproproteinemia.
d. Malignancy

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12. The pressure of choice used to maintain pneumoperitomium during laparoscopy in adult
patient is :
a. 8 mm Hg.
b. 10 mm Hg.
c. 14 mm Hg.
d. 20 mm Hg

13.

The following are important steps in the management of strangulated hernia except:
a.
Nasogastric tube
b. Antibiotics
c. Conservative treatment till obstruction is relieved
d. Intravenous fluids
e. Consent for possible bowel resection

14. The prefered treatment of a patient with painful thrombosed haemorrhoids is:
a. Excision of the haemorrhoid
b. Incision and evacuation of the blood clot
c. Use of stool softener and sitz bath
d. Injection with sclerosing agent
e. Rubbber band ligation of the haemorrhoid
A

15. The proper treatment of a patient with a peri-anal abscess is;

a. Incision and drainage as soon as fluctuation develops
b. Incision and drainage with excision of the internal opening
c. Prompt incision and drainage
d. Use of antibiotics and sitz bath
e. None of the above
C

16.

The differential diagnosis of an inguinal swelling could include all of the followings
except:
a. Lipoma of the cord
b. Indirect inguinal hernia
c. Encysted hydrocele
d. Undescended testis
e. Varicocele
E

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.17

In laparoscopic procedures:
a. CO is used for insufflation
b. The umbilical trocar is commonly used for the camera
c. Bowel perforation occurs more commonly with the open method for trocar insertion
d. Diathermy is not used because of risk of explosion
e. The pressure in the abdomen can be raised safely up to 35mmHg B

18..

The third postoperative day following thyroidectomy, a patient c/o tingling of her finger
tips and is found to have serum calcium of 1mmol/l. The next step in the treatment
should be
a. Careful observation until the calcium level increases
b. Administration of vit. D
c. Administration of dihydrotachysterol
d. Administration of 1, 25(OH) 2D (calcitrol)
e. Administration of calcium gluconate by slow intravenous drip
E

19.

Medullary thyroid carcinoma:

a. Is a tumor of the Para follicular C cells
b. Produce thyroxin as the principle hormone
c. Are TSH dependant
d. Can be treated by radio-iodine ablation
e. T3 act as a tumor marker.
A

20. All of the followings are external hernias except:

a. Obturator hernia
b. Hiatal hernia
c. Femoral hernia
d. Lumbar hernia
B

The end

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