Professional Documents
Culture Documents
March 22nd2A12
of the esophagus?
2. The most common cause of upper Gl bleeding a. Mallory- weiss tears b. Varices
exclude:
c. AV malformation ,r' d. Meckel's diverticulam 3. Histologic type of mucosal lining of the stomach
-..a.
Columnar
Cuboidal
b. Stratified squamous
Transistional Psuedostratified
Caecum
c.
d. e. 4. a.
{ !. c.
d. e. 5.
A 65 year old female was admitted because of active intestinal bleeding, some test was
a.
b.
requested. ln order to detect that source of bleeding the rate of bleeding should be l mUhr
0.5 mUhr
c.
-d. e.
6. The intestinal polyp with the greatest malignant potential is a. Tubular adenomatous polyp
potyp
Chronically dilated, hypertrophied proximal large bowel resulting from failure of migration of
neural crest cells to the distal large bowel is a condition known as:
a.
Chaga's disease
b.
Ogilvie's syndrome
c. d. e.
8.
Pseudomembranouscolitis Hirschprung'sdisease
None
Using the Goodsall's rule as guide for identifying the internal opening of a fistula-in-ano, an
externalopening located 3cm at left posterolateral area would: a. Have a short radical tract anteriorly b. Have a short radicaltract posteriorly
c. Have a curvilinear tract to the anterior midline d. Have a curvilinear tract to the posterior midline e. None
9.
A 65 year old male complaint of progressive dysphagia. He can only tolerate liquids. He has lost 20 lbs in 2 months. What is the functional grade of dysphagia?
a. b.
Grade 3 Grade 4
c. Grade 5 d. Grade 6
10. A 65 year old patient had difficutty of swallowing, weight loss and passage og black stools, the most important initial diagnostic test for this patient is:
d. Severe stage ofGERD e. Presence of columnar mucosa extending at least 3cm into the esophagus
13. Most common sites for intussusception do not include: a. lleocolic
b. c. d. e.
Rectocolic Colocolic
lleoileocolic lleoical
closure
15. Procedure of choice for a 20 yr old male patient who has ingested a i00 ml of some dangerous
a. lnduce emesis b. Upper Gl series with barium c. Upper Gl endoscopy d. Chest xray e. Gastric lavage
16. Mallory weiss tear:
a. Typical longitudinal mucosal tear with overlying fibrous ......esophagus to the gastric cardia b. Associated with severe smoking
18. A 65 yr old female has on and off right upper quadrant pain for 5 monthsaggravated after eating fatty food. The pain was severe in the last 7 days. She was then admitted due to abdominal distention and vomitting of bile. The most likely diagnosis is:
Meckel'sdiverticulum e. TB enteritis 19. What is the largest blood suplly of the stomach which is a direct branch of celiac artery? a. Right gastric
c. d.
a. b.
Ectoderm Endoderm
f.--j.
d. Aandc
21.
Alt
of the following are oncogenes associated with soft tissue tumor except
N-myc C0erb32
Ras
a.
b.
c.
22.
9,,,,F.53
All of these metastasize through
a. b. c. d.
Lymphatic Both
None
MRI
a. c.
d.
$,'., ff:SCdlt
UIZ
X-ray
is
25. For lesion smaller than 3 cm not involving hands and feet, what a. lncisionalbiopsy
b.
Tumor of size 5 cm
Deep tumors
c.
i..
b.
Chemotherapy Radiotherapy
AOTA
c.
d.
b.,.:.Sompiete.**ligi renra
c. d.
29. What
is
Malignant peripheral nerve sheath tumors 30. A 32 yr old nursing mother was kicked in her left breast accidentally by her baby. She developed echhymosis and now with skin retraction over the affected area. The most likely diagnosis is
a. b. c. d.
c.
a. Usually characterised by multiple cysts most evident during menstruation b. lf the dx is entertained a biopsy should NOT be carried out c. lt is a benign condition with no premalignant potential d. Commonly associated with mastalgia e. Mammography should be done to evaluate breast with fibrocystic change.
37. ScreeninB mammography may reveal a suspicious lesion if there is a. Microcalcifications
e.
39. Major risk factors for breast cancer except a. Fibrocystic changes ofthe breast b. Three maternal aunts with breast cancer c. Ductal CA in situ d. Personal history of breast CA e. Personal history of invasive ovarian CA 40. The best management of necrotic skin: a. lnvasiveantibiotics b. Debridement c. lntravenousinjection
d. landD e. Getting a sample of the necrotic tissue and gram staining a. Foul smelling wound discharge b. lntense pain and tenderness c- Occurence in an immunocompromised d. Decreased WBC count in the blood e. Fever accompanied by scrotal pain
HIV + patient
d. landD e. Hyperbaric
oxygen therapy
c. d. e.
Cryptitis Malignancy
Diarrhea
44. The hallmark of fournier gangrene is a. Foul smelling wound discharge b. lntense pain andtenderness
c. Occurence in an immunocompromised d. Decreased WBC count in the blood e. Fever accompanied by scrotal pain
GB
HIV + patient
45. Major BS of
a. Right hepatic artery b. Left hepatic artery c. Cystic artery d. Common hepatic artery
46. The triangle of ealot is formed by the following except a. Cystic duct
a. 1st portion b. 2nd portion c, 3rd portion d. Doesnt enter the duodenum
48. A 45 yr old female consulted at the emergency room due to epigastric pain after a meal. She had several episodes of vomitting. Your differential diagnoses include the following except a. Acute appendicitis b. Acute cholecystitis
c.
d. e.
49. On
Acute Mi
NOTA
PE,
a. b.
there was direct tenderness on RUQ, what is the best thing to do? CBC and U]*Z
Endoscopy
a. Broad spectrum Ab coverage b. Percutaneous drainage of a solitary unilocualte abscess c. Splenectomy, open or laparoscopic d. Partialsplenectomy e. Polyvalen pneumococcal vaccine preferably given 2 weeks in advance
53- When is splenectomy not lndicated?
a. b.
RBC
c. When it is causing pain and/or pressure on adjacent organs/ structures d. When it has grown so iarge that part of it bleedsl dies e. NOTA
54. What is hypersplenism? a. Overactive function resulting in overproduction of Ab b. Overactive function resulting in premature release of platelets c. Overactive function resulting in accelerated maturation of blood components. d. Overactive function resulting in increased sequestratio n of any/all blood elements e. Overactive function promoting accelerated apoptosis of blood elements 55. Which of the following benign liver tumors is needle biopsy contraindicated? a. Hamartoma b. Hepatocellularadenoma
c. d, e.
a. b. c. d. e.
56. Which of the following benign liver tumors are contraceptives and related synthetic steroids in
pathogenesist?
Hamartoma Hepatocellularadenoma
Hemangioma Fouclar nodular hyperplasia
NOTA
57. Pyogenic liver abscess is often deceptive with similar presentation as amoebic liver abscess albeit more toxic lookoing thus complicating management. Which of the following is not associated with it? a. Solitary b. Elevated hemidiaphragm on affected side c. Liver enzymes elevated
d. e.
Ab
Soccasionallysurgical drainage
58. Amoebic abscess is manifested by tender hepatomegaly accompanied by liver pain, fever and chills, sweating. Which of the following options is not typically part of management?
a. Use of amebicidal drugs b. Aspiration c. Closed drainage d. Open drainage e. Surgical resection
59. Because of the high morbidity and complication rate of shunts, other options include surgery on the esophageal varices directly. Which of the following procedure is not part of Siguira operation for esophageal varices?
b. Esophageal transection and subsequent anastomosis c. Paraesophageal devascularization d. Splenectomy e. Vagotomy with or without drainage
50. ln the event of esophageal variceal bleeding, the following are non-operative options which of the following is risky with high failure rate? a. Propanolol IV b. Endoscopicvariceal sclerotherapy c- Variceal rubber band ligation
d. e.
51. The liver has a remarkable ability to regenerate itself. However this can be haphazard like in Hepatitis A
60a.
The development of portal hypertension in various liver diseases is a sign chronically. Which of
a. Cirrhosis b. Schistosomiasis
d. e.
61a.
a. b. d. e.
"anchovy sauce" appearance is often given to describe: Contents of simple cyst Contents of hydatid cyst Contents of amebic abscess
Contents of pyogenic abscess.
c. Contents of rystadenoma
52. Physical signs that can be found in idiopathic retroperitoneal fibrosis is/are a. Palpable abdominal mass
d. e.
AOTA NOTA
64. The liver being the largest solid organ in the body is prone to injuries esp blunt abdominal
trauma. Variuos methods have been described to control liver injuries involve the following
except:
a. Perihepaticcompression b. Pringle's maneuver c. Liver packing with omentum/ lapartomy packs d. Hemostatic felt/ gelatin sponges/ collagen sponges
65. Diagnosis of retroperitoneal injury includes the following except
a. High index of suspicion b. Use of an organised diagnostic approach c. Pre-operative use of available procedures such as ct scan, DPI etc d. AOTA e. NOTA
55. lnvasive procedures in the diagnosis of traumatic retroperitoneal injuries are the following
except
b.
DPL
d.
Absolute density
a. Tachycardia b. Dizziness
b. c. d.
77. A 75 yr old man is scheduled for orchiectomy (prostatic CA) under spinal anesthesia. What is
ffi d.
c.
d.
a. T1 b. 14
L3
78. Which of the following intravenous anesthetics is contraindicated in patients with ...
W b.
Diazepam
Propofii Midazolam
79. The most common reason for admitting out patients to the hospital following general
anesthesia is
BP readings, your
a. Treat the BP with small doses of an antiHPN drug b. Wait to see if the HPN is transient and associated with emergence
checkthe BPyourself 82. What is the normal luminal capacity of the appendix? a. 0.05 ml
Re
of anesthesia
d.
b. 0.1mI
c.
d.
1.0 ml
0,01m1
83. Obturator sign is pain elicited by a. Passive internal rotation on an extended thigh b. Active internal rotation on a flexed thigh c. Passive internal rotation on an flexed thigh d. Active internal rotation on a extended thigh 84. All are histologic type of adenoCA of appendix except a. Mucinous adenoCA
b.
Colonic adenoCA
c. Adenocarcinoid d. NOTA
85. What diagnostic test will you request to aid you in confirming you diagnosis?
a. Urinalysis b. UTz
c. eBe
d.
AOTA
86. A 53 yr old female who presented with 6 yr history of vague abdominal pain, nausea and vomitting self medicated with buscopan without relief hence consult at E.R. What PE will you elicit to arrive at a diagnosis? a- Palpation of the abdomen b. Psoas and obturator sign
c.
d.
DRE
AOTA
a. b. c. d.
Non-compressible appendixwith..
Presence of appendicolith
88. Pathogenesis of acute appendicitis a. Luminal obstruction) distension) vascular congestion) infarct) perforation b. vascular congestion) distension) Luminal obstruction) perforation c. infart) Luminal obstruction) distension) vascular congestion)perforation
d.
NOTA
89. The base ofthe appendix can be located at the a. Various location on the cecum b. Convergence of taenia coli c. Near the ileocecal valve
d. a.
NOTA
b.
c. Signs include RLQ tenderness and fever d. Leukopenia with shif to the left
91. Pain on the right quadrant is elicited by hyperextending the right thigh at hip joint. This is called a. Obturator sign
b.
c. d.
92. JC 25 yr old male with a large mass on the left leg comes to your clinic. He complained of shooting pain on the said extremity. There were also palpable masses on the left inguinal area. What
is
your diagnosis?
a. b. c. d.
95. All of the following are risk factor in developing soft tissue sarcoma
a. Trauma b. Genetics
c.
d.
Radiation exposure
AOTA
96. Of the components of AJeC staging of soft tissue sarcoma is an important prognostic factor? a. Histologic grade
b. Tumor size
a. Has a curved spatula b. Has no flange c. Has a sharp tip d. Has a straight blade 100. The purpose of premedication is primarily for control at a. Vomiting b. Secretions c. Apprehension d. Pain 101. The trimodal pattern of death in injury, the moratlity at first phase can be decreased by a. Preventive measures b. Trauma system c. Criticalcare d. Rehabilitation LOz. lnjury will result when the body interacts with forces: a. Mechanical
b.
Thermal
Radiation AOTA
c.
d.
103.
a. Treat the most obvious injury b. A diagnostic workup is neceassary before starting the treatment
c.
d.
104.
a. Arrway b. Breathing
c.
d.
Perform chin
lift
106.
a. Maxillofacialtrauma b. Thermalinhalationalinjury
c.
707.
Neck hematoma
d,' ..6f.as8p*.toma.+Eo:r,esf,
:ji
lntubation E;.l$itre,ory, gn
a.
a. b.
24 28 35
c.
109.
d:..',.4I
a.
4,
b.6 c.8 d. 10
110.
b. c. d.
777-
Perform needling
Open the chest
What is the best riray to adress a patient suffering from a cardiac tamponade?
a. b. c.
L12.
b. d.
173.
Breathing Disability
a....,,G-,aii +l$rr
a-:.,+a,
*ai it
Hypotension usually occurs when the patient loses how much percent of blood volume?
a.5 b. 10 c. 20
di'.- $g
115.
a. Tachycardia b. Hypotension
c.
116.
Oliguria
d;,,,.NOTA
What
needle?
is
a.5
b".. 7
c.9 d. L2
i.18.
Sugar containing fluid should be avoided in resuscitating a trauma patient because
it
causes......?
a.
119.
Hyperglycemia
$.,,.],:piUfsiS
a.
b-
c.
d..
a. b. d.
tzt- Lz5
1I1-,.' .,,,
Face
Neck
Legs
C::::::r-:EAk
please provide the correct sequence in teh approach of severly injured patient
F;irna'ry.str+ey
Seeoada ys{lH,Ey
tl2;,,,-, . ,Re$ulfitaticlt
133;=,:: i74.....,,.
Definitive management
f,t$,':;r:' "".Tertia*'au*y
AMPLE stands
for
Medications
Past medical history
P L E
last mealtaken
Events preciding the injury.